Abstract
It is axiomatic that trust is essential to social relationships, certainly to the clinical encounter that lies at the heart of medical care. Trust appears most precarious, and most necessary, at those times when our vulnerability is the greatest. In health care, the primary relationship of the caregiver and the one seeking care acts to shield us from a stark confrontation with our finitude, from the feelings of helplessness and dislocation that occur when illness casts us out of our everyday life and deposits us in a different place ([18], p. 31).1 The nature of illness and health care makes trust a basic ingredient in the clinical encounter between patients and clinicians, but changes in the cultural and social framework within which medical relationships exist, and of which they are a part, are affecting the way trust shapes the nature of that encounter.2
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Bibliography
Barber, B.: 1983 The Logic and Limits of TrustRutgers University Press, Rutgers.
Bartholome, W. G.: 1992, `A Revolution in Understanding: How Ethics Has Transformed Health Care Decision Making’, Quality Review Bulletin 18 (January), 6–11.
Berlant, J. L.: 1975 Profession and MonopolyUniversity of California Press, Berkeley.
Boyne, R.: 1988, `The Art of the Body in the Discourse of Postmodernity’, in M. Featherstone, M. Hepworth, and B. S. Turner (eds.), 1991, The Body: Social Process and Cultural Theory, Sage Publications, London, pp. 281–296.
Brandt, A. M.: 1991, `Emerging Themes in the History of Medicine’ The Milbank Quarterly 69(2), 199–214.
Brock, D. W.: 1989, `Facts and Values in the Physician-Patient Relationship’, in E. D. Pellegrino, R. M. Veatch, and J. P. Langan (eds.), Ethics, Trust, and the Professions: Philosophical and Cultural Aspects, Georgetown University Press, Washington, D.C., pp. 113–138.
Campbell, D. M.: 1982 Doctors Lawyers Ministers: Christian Ethics in Professional PracticeAbingdon, Nashville.
Churchill, L. R., and Churchill, S. W.: 1982, `Storytelling in Medical Arenas: The Art of Self-determination’, Literature and Medicine 1, 73–79.
Churchill, L. R.: 1989, `Trust, Autonomy, and Advance Directives’ Journal of Religion and Health 28, 175–183.
Daniel, S. L.: 1986, `The Patient as Text: A Model of Clinical Hermeneutics’ Theoretical Medicine 7, 195–210.
Derrida, J.: 1978, Writing and Difference, A. Bass (trans.), University of Chicago Press, Chicago.
Derrida, J.: 1976, Of Grammatology, G. C. Spivak (trans.), Johns Hopkins University Press, Baltimore.
Duntley, M. A.: 1991, `Covenantal Ethics and Care for the Dying’ The Christian Century 108, 1135–1137.
Eco, U.: 1985, `Strategies of Lying’, in M. Blonsky (ed.), On Signs, Beacon Press, Boston, pp. 3–11.
Elliot, P.: 1972 The Sociology of the ProfessionsMacmillan, London.
Frank, A. W.: 1990, `The Self at the Funeral: An Ethnography on the Limits of Postmodernism’, Studies in Symbolic Interaction 11, 191–206.
Frank, A. W.: 1991a, `From Sick Role to Health Role: Deconstructing Parsons’, in R. Robertson, and B. S. Turner (eds.), Talcott Parsons: Theorist of Modernity, Sage, London, pp. 205–216.
Frank, A. W.: 1991b, At the Will of the Body, Houghton Mifflin, Boston.
Freidson, E.: 1970 Profession of Medicine: A Study in the Sociology of Applied KnowledgeDodd, Mead, New York.
Freidson, E.: 1975, Doctoring Together: A Study of Professional Social Control, Elsevier, New York.
Freidson, E.: 1986 Professional Powers: A Study of the Institutionalization of Formal KnowledgeUniversity of Chicago Press, Chicago.
Goode, W. J.: 1957, `Community Within a Community’ American Sociological Review 22 (April), 194–200.
Greenblatt, S.: 1991, Marvelous Possessions: The Wonder of the New World, University of Chicago Press, Chicago.
Hauerwas, S., Bondi, R., and Burrell, D. B.: 1977, `Medicine as a Tragic Profession’, in Truthfulness and Tragedy, University of Notre Dame Press, London, pp. 184–202.
Hilfiker, D.: 1985 Healing the WoundsPantheon, New York.
Hill, R. E.: 1987, `The Future of Ontotheology’, in H. Ruf (ed.) Religion Ontotheology and DeconstructionParagon House, New York, pp. 211–226.
Kass, L. R.: 1991, `Why Doctors Must Not Kill’, Commonweal, Special Supplement (August 9 ), pp. 462–476.
Luhman, N.: 1988, `Familiarity, Confidence, and Trust: Problems and Alternatives’, in D. Gambetta (ed.), Trust: Making and Breaking Cooperative Relations, Basil Blackwell, London, pp. 94–108.
Lundberg, G.: 1985, `Medicine — A Profession in Trouble?’ The Journal of the American Medical Association 253 (May 17), 2879–2880.
Lyotard, J.: 1984, The Postmodern Condition: A Report on Knowledge, University of Minneapolis Press, Minneapolis.
May, W. F.: 1992, `The Beleaguered Rulers: The Public Obligation of the Professional’ Kennedy Institute of Ethics Journal 2, 25–41.
McCormick, R. A.: 1991, `Physician-assisted Suicide: Flight from Compassion’ The Christian Century 108 (December) 8, 1132–1134.
Parsons, T.: 1969 Politics and Social StructureFree Press, New York.
Pellegrino, E. D.: 1991, `Trust and Distrust in Professional Ethics’, in E. D. Pellegrino, R. M. Veatch, and J. Plangan (eds.) Ethics, Trust, and the Professions: Philosophical and Cultural Aspects, Georgetown University Press, Washington, D.C., pp. 69–89.
Pellegrino, E. D., and Thomasma, D. C.: 1988, For the Patient’s Good, Oxford University Press, New York.
Quill, T. E.: 1991, `Death and Dignity: A Case of Individualized Decision Making’ The New England Journal of Medicine 324 (March 7), 691–694.
Ramsey, P.: 1970 The Patient as PersonYale University Press, New Haven.
Roehrs, W. R.: 1988, `Divine Covenants: Their Structure and Function’ Concordia Journal (January), 7–27.
Ruf, H.: 1987, `The Origin of the Debate over Ontotheology and Deconstruction in the Texts of Wittgenstein and Derrida’, in H. Ruf (ed.), Religion, Ontotheology, and Deconstruction, Paragon House, New York, pp. 3–42.
Sarup, M.: 1989, Post-structuralism and Postmodernism, The University of Georgia Press, Athens.
Schneidau, H. N.: 1976, Sacred Discontent: The Bible and Western Tradition,University of California Press, Berkeley.
Sehgal, A., Galbraith, A., Chesney, M., et al.: 1992, `How Strictly Do Dialysis Patients Want Their Advance Directives Followed?’, The Journal of the American Medical Association 267 (January 1), 59–63.
Siegler, M.: 1991, `The Secularization of Medical Ethics’, Update 7 (June), 1–2, 6–8.
Sokolowski, R.: 1991, `The Fiduciary Relationship and the Nature of Professions’, in E. D. Pellegrino, R. M. Veatch, and J. Plangan (eds.), Ethics, Trust, and the Professions: Philosophical and Cultural Aspects, Georgetown University Press, Washington, D.C., pp. 23–39.
Starr, P.: 1982, The Social Transformation of American Medicine, Basic Books, New York.
Taylor, M. G.: 1984, Erring: A Post Modern Atheology, Part One, University of Chicago Press, Chicago.
Toombs, S. K.: 1987, `The Meaning of Illness: A Phenomenological Approach to the Patient-Physician Relationship’, The Journal of Medicine and Philosophy 12, 219–240.
Veatch, R. M.: 1972, `Models for Ethical Medicine in a Revolutionary Age’ Hastings Center Report 2 (June), 5–7.
Veatch, R. M.: 1991, `Is Trust of Professionals a Coherent Concept?’, in E. D. Pellegrino, R. M. Veatch, and J. Plangan (eds.), Ethics, Trust, and the Professions: Philosophical and Cultural Aspects, Georgetown University Press, Washington, D.C., pp. 159–169.
Walsh, T. G.: 1989, `Deconstruction, Countersecularization, and Communicative Action: Prelude to Metaphysics’, in H. Ruf (ed.), Religion, Ontotheology, and Deconstruction, Paragon House, New York, pp. 114–126.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1994 Springer Science+Business Media Dordrecht
About this chapter
Cite this chapter
Dubose, E. (1994). Trust in the Clinical Encounter: Implications for a Covenant Model. In: McKenny, G.P., Sande, J.R. (eds) Theological Analyses of the Clinical Encounter. Theology and Medicine, vol 3. Springer, Dordrecht. https://doi.org/10.1007/978-94-015-8386-2_3
Download citation
DOI: https://doi.org/10.1007/978-94-015-8386-2_3
Publisher Name: Springer, Dordrecht
Print ISBN: 978-90-481-4292-7
Online ISBN: 978-94-015-8386-2
eBook Packages: Springer Book Archive