Abstract
Persons concerned with medical education sometimes argued that medical students need no formal education in ethics. They contended that if admissions were restricted to persons of good character and those students were exposed to good role models, the ethics of medicine would take care of itself. However, no one seems to give much philosophic attention to the ideas of model or role model. In this essay, I undertake such an analysis and add an analysis of role. I show the weakness in relying on role models exclusively and draw implications from these for appeals to virtue theory. Furthermore, I indicate some of the problems about how virtue theory is invoked as the ethical theory that would most closely be associated to the role model rhetoric and consider some of the problems with virtue theory. Although Socrates was interested in the character of the (young) persons with whom he spoke, Socratic education is much more than what role modeling and virtue theory endorse. It — that is, philosophy — is invaluable for ethics education.
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References
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The lack of a clear, univocal account of “role-models” in medicine fits the wider picture. “ [R]ole model’ has been applied in a blanket fashionchwr(133) to anyone who becomes a subject of emulation, as a reference point for norms and for comparison.” Zuckerman, 1988: 124. We also lack an historical grasp of appeals to role-modeling — where, when, how and why people begin to invoke it, and how the appeals have evolved. Zuckerman, 1988, puts the roots of the idea in Hymen’s 1942 doctoral dissertation about reference groups (I guess she did not know about Machiavelli). She also notes that the phrase “reference idol” coined in 1948 was a weak precursor (p. 127) and argues that although the concept prè-dated the term, once it was introduced it “helped to the reconstruct social reality” (p. 142). The Oxford English Dictionary cites a 1957 remark of Wagner Thielens’s about medical students as its first example of the term “role-model” (2nd edition, 1989, vol XIV: 43). The second example, from 1977, denied that parents thought of teachers as role-models. Zuckerman, responding to the O.E.D.’s first edition, notes uses contemporaneous with Thielens’s, the phrasing of which suggest he did not coin the term (p. 123). She also notes the term’s extensive application to women due to their rapid access to new roles. I recall becoming aware of it through friends who were early (1960s) feminists.
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Indeed, Pellegrino and Thomasma suggest that the content of the role physician is fragmented and may approach incoherence because it now includes being a “businessperson, scientist, proletarian, corporate executive,” 1993: 35.
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Ibid.
Zuckerman denies that this possible because the neophyte will influence the model! Ibid: 142.
Although this might help students become autonomous, when they call for role-models, they are sometimes wooing intimacy or personal disclosure. Blythe M. Student definitions of role models. Am J Psychiatry 1982; 139: 703.
Zuckerman, 1988: 129. Performance prototypes and mobility prototypes may not come as separate beings (131).
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This is utterly consistent with Aristotle’s notion that excellent moral character is not radically distinguishable from intellectual understanding.
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The problems with sameness are reminscent of some problems that commanded the attention of the later Wittgenstein - issues involving private language and private meaning. However, those involving role-modeling need not be thought of as a pure logical conundrum, which if anyone were really puzzled by, we would find them crazy. See Kripke S. Wittgenstein on Rules and Private Language. Cambridge: Harvard University Press, 1982.
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I would like to thank Dr. Marge Wilkinson for advice on an early draft of this paper.
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Erde, E.L. (1997). The Inadequacy of Role Models for Educating Medical Students in Ethics with Some Reflections on Virtue Theory. In: Thomasma, D.C. (eds) The Influence of Edmund D. Pellegrino’s Philosophy of Medicine. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-3364-9_4
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