Community as Healing: Pragmatist Ethics in Medical Encounters
The brief history of 20th century bioethics has been dominated by discussions of principles and appeals to autonomy that both divorce theory from practice and champion a notion of the individual as prior to and isolated from society. Pragmatism, on the other hand, has long sought to reconstruct ethical thought with the belief that distinctions between theory and practice, individual and society are not a priori starting points but purposeful developments of inquiry. Using insights from classic pragmatism, the author proposes reconstructive accounts of physician-patient relationships resulting in an emphasis on aiding the process of meaningful/significant living for all individuals involved in medical encounters. William James, John Dewey, and George Herbert Mead, among others, provide discussions of human relationships which accentuate the situatedness of problems and solutions and stress the need for building shared experience in order to develop both self and community. With an insistence on a recognition of a functional concept of the self (or "self as social product"), the author's pragmatic position illuminates the integration of self with the community and leads to a new practice in the medical encounter, based on an attitude of community as healing.
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Community As Healing
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ability account of moral action argue arise attempt attitudes Beauchamp and Childress Beauchamp/Childress and Engelhardt become beneﬁcence bioethics biomedical ethics chapter Chicago clinical coherence communitarian Community As Healing concept concerning conﬂicts considered judgments contemporary bioethics context desires develop Dewey Dewey’s discussion Edited emphasis Enlightenment environment example experience Fesmire ﬁnd ﬁrst ﬁt ﬂexible function further George Herbert Mead Glenn McGee habits health care community health care professionals human ical ideals individual inﬂuence informed consent insular intelligence interaction interests James Childress James’s Jo Ann Boydston John John Dewey Jonsen living healthily Maclntyre Mead Mead’s meaningful means and ends medical encounters medical ethics medicine moral activity moral artistry moral deliberation moral rationality narrative participation Pellegrino 1979 philosophy physicians position pragmatic pragmatist principle of autonomy problem question reﬂective relationships sense signiﬁcance simply socially situated society speciﬁc story tell theory tion unique University Press Vanderbilt University York Zaner