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Abstract

This chapter aims to provide a review of the state of the art of the ethical consultation services. In particular, we present a map of the most important traditions, discussing the different conceptions and the different roles they give to the counsellors. Then, we show the place of our ethical counselling methodology within this scenario.

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Notes

  1. 1.

    We use ‘ethics consultation’ as a general term covering all different types of ethics support services, which can be offered to patients and clinicians.

  2. 2.

    These predecessor organizations were the Society for Health and Human Values (SHHV), the Society for Bioethics Consultation (SBC) and the American Association of Bioethics (AAB).

  3. 3.

    “Health care ethics is an umbrella term that encompasses several ethics ‘subspecialties’ such as organizational ethics, clinical ethics, professional ethics, business ethics, education ethics, and research ethics. These subspecialties overlap, and ethics consultations often involve more than one subspecialty. For example, clinical ethics, organizational ethics, and professional ethics may be involved in a consultation where a physician-in-training must learn when, and how, to disclose a medical error to a patient” (Tarzan 2013, 4–5).

  4. 4.

    Namely autonomy, non-maleficence, beneficence and justice which constitute mid-level ethical theory referred to as Principlism (see Beauchamp and Childress 2013).

  5. 5.

    The guide specifying further questions and offering further guidance for ethics consultants can be found at http://www.ethics.va.gov/integratedethics/.

  6. 6.

    It was introduced by a German philosopher, G. Achenbach, who, in 1984, published a book containing some lectures he gave on what he defined as a new way of doing philosophy, according to which philosophy has to be interpreted as a practical tool to cope with life and its difficulties (Achenbach 1984).

References

  • Achenbach G (1984) Philosophische Praxis. Vorträge und Aufsätze. Dinter, Colonia

    Google Scholar 

  • Aulisio MP, Arnold RM, Youngner SJ (2000) Health care ethics consultation: nature, goals, and competencies. Ann Intern Med 133:59–69

    Article  Google Scholar 

  • Beauchamp TL, Childress JF (2013) Principles of biomedical ethics, 7th edn. Oxford University Press, New York

    Google Scholar 

  • Chiavari L et al (2015) Difficult choices for young patients with cancer: the supportive role of decisional counselling. Support Care Cancer. Published on line: 11 April 2015. doi:10.1007/s00520-015-2726-5

    Google Scholar 

  • Dauwerse L, Stolper M, Widdershoven G, Molewijk B (2014) Prevalence and characteristic of moral case deliberation in Dutch health care. Med Health Care Philos 17:365–375

    Article  Google Scholar 

  • Fiester A (2015) Neglected ends: clinical ethics consultation and the prospects for closure. AJOB 15(1):29–35

    Google Scholar 

  • Gaucher N, Lantos J, Payot A (2013) How do national guidelines frame clinical ethics practice? A comparative analysis of guidelines from the US, the UK, Canada and France. Soc Sci Med 85:74–78

    Article  Google Scholar 

  • Jiwani B (2015) Ethically justified decisions. Healthc Manage Forum 28(2):86–89

    Article  Google Scholar 

  • Jonsen AR, Siegler M, Winslade WJ (2010) Clinical ethics: a practical approach to ethical decisions in clinical medicine, 7th edn. McGraw-Hill Medical, New York

    Google Scholar 

  • Larcher V, Slowther A-M, Watson AR (2010) Core competences for clinical ethics committees. Clinical Ethics 10(1):30–33

    Google Scholar 

  • Lawson AK et al (2015) Psychological counselling of female fertility preservation patients. J Psychosoc Oncol. Published online 21 May 2015. doi:10.1080/07347332.2015.1045677

    Google Scholar 

  • Matchett NJ (2015) Philosophical counseling as an alternative process to bioethics mediation. AJOB 15(1):56–58

    Google Scholar 

  • Molewijk B, Widdershoven G (2007) Conference reports: report of the Maastricht meeting of the European clinical ethics network. Clinical Ethics 2(1):42–45

    Article  Google Scholar 

  • Steinkamp N, Gordijn B (2003) Ethical case deliberation on the ward. A comparison of four methods. Med Health Care Phil 6:235–246

    Article  Google Scholar 

  • Stolper M, Molewijk B, Widdershoven G (2014) Learning by doing. Training health care professionals to become facilitator of moral case deliberation. HEC Forum. doi:10.1007/s10730-014-9251-7

    Google Scholar 

  • Tapper EB (2013) Consults for conflict: the history of ethics consultation. Proc (Bayl Univ Med Cent) 26(4):417–422

    Google Scholar 

  • Tarzian AJ (2013) Health care ethics consultation: an update on core competencies and emerging standards from the American Society for Bioethics and Humanities’ core competencies update task force. AJOB 13(2):3–13

    Google Scholar 

  • Tarzian AJ et al (2015) A code of ethics for health care ethics consultants: journey to the present and implications to the field. AJOB 15(5):38–51

    Google Scholar 

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Correspondence to Virginia Sanchini .

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Linkeviciute, A., Sanchini, V. (2016). Ethics Consultation Services: The Scenario. In: Boniolo, G., Sanchini, V. (eds) Ethical Counselling and Medical Decision-Making in the Era of Personalised Medicine. SpringerBriefs in Applied Sciences and Technology(). Springer, Cham. https://doi.org/10.1007/978-3-319-27690-8_1

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  • DOI: https://doi.org/10.1007/978-3-319-27690-8_1

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