David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Theoretical Medicine and Bioethics 23 (3):219-232 (2002)
The issue of boundaries in clinician–patientencounters is considered through narrativeanalysis of four clinical stories in whichboundaries crossings are a self-conscioustopic. One story is by a physician as patient,two are by physicians, and one is by apalliative care nurse. The stories arediscussed using Walter Benjamin''s distinctionbetween the painter, who maintains distance andsees the whole, and the cameraman, who usestechnology to penetrate realities and thenreassembles fragments. The essay argues thatdistance and closeness are ethical issues thatconstitute the possibility of clinicalencounters but the encounter also changes theclinician''s sense of boundaries. The relevantethics of boundary decisions in most clinicalencounters are not procedural ethics but anethics of self-creation: in orienting toboundaries as doctors do, they createthemselves in their relations to others.
|Keywords||boundaries clinical encounters clinical ethics narrative analysis physician–patient communication|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
Herman P. Meininger (2005). Narrative Ethics in Nursing for Persons with Intellectual Disabilities1. Nursing Philosophy 6 (2):106-118.
Similar books and articles
Guichun Guo (2010). The Boundaries of Context and Their Significance. Frontiers of Philosophy in China 5 (3):449-460.
Barbara E. Baer & Nancy L. Murdock (1995). Nonerotic Dual Relationships Between Therapists and Clients: The Effects of Sex, Theoretical Orientation, and Interpersonal Boundaries. Ethics and Behavior 5 (2):131 – 145.
Mark J. Bliton & Stuart G. Finder (2002). Traversing Boundaries: Clinical Ethics, Moral Experience, and the Withdrawal of Life Supports. Theoretical Medicine and Bioethics 23 (3):233-258.
John Puma & David L. Schiedermayer (1991). The Clinical Ethicist at the Bedside. Theoretical Medicine and Bioethics 12 (2).
Carol Nadelson & Malkah T. Notman (2002). Boundaries in the Doctor–Patient Relationship. Theoretical Medicine and Bioethics 23 (3):191-201.
Melissa Kendall, Patricia Fronek, Greg Ungerer, Julianne Malt, Ellen Eugarde & Timothy Geraghty (2011). Assessing Professional Boundaries in Clinical Settings: The Development of the Boundaries in Practice Scale. Ethics and Behavior 21 (6):509 - 524.
Wendy Austin, Vangie Bergum, Simon Nuttgens & Cindy Peternelj-Taylor (2006). A Re-Visioning of Boundaries in Professional Helping Relationships: Exploring Other Metaphors. Ethics and Behavior 16 (2):77 – 94.
Richard M. Zaner (2006). On Evoking Clinical Meaning. Journal of Medicine and Philosophy 31 (6):655 – 666.
Osborne P. Wiggins & Michael A. Schwartz (2005). Richard Zaner's Phenomenology of the Clinical Encounter. Theoretical Medicine and Bioethics 26 (1):73-87.
Gene Combs & Jill Freedman (2002). Relationships, Not Boundaries. Theoretical Medicine and Bioethics 23 (3):203-217.
Added to index2009-01-28
Total downloads14 ( #184,535 of 1,726,249 )
Recent downloads (6 months)1 ( #369,877 of 1,726,249 )
How can I increase my downloads?