Abstract
There is no doubt that emotions have an important effect on practices of moral reasoning such as clinical ethics consultation. Empathy is not only a basic human emotion but also an important and learnable skill for health care professionals. A basic amount of empathy is essential both in patient care and in clinical ethics consultation. This article debates the “adequate dose” of empathy in ethics consultations in clinical settings and tries to identify possible situations within the process of consultation in which this crucial feeling is at risk.
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References
American Society of Bioethics and Humanities (ASBH). (2010). Core Competencies for Health Care Ethics Consultations. Glenview.
Aulisio, M. P., Arnold, R. M., & Youngner, S. J. (Eds.). (2003). Ethics consultation. From theory to practice. Baltimore: The Johns Hopkins University Press.
Berg, M. (1996). Practices of reading and writing. The constitutive role of the patient record in medical work. Sociology of Health & Illness, 18, 499–524.
Bruns, F., & Frewer, A. (2010). Fallstudien im Vergleich. Ein Beitrag zur Standardisierung klinischer Ethikberatung. In A. Frewer, F. Bruns, & W. Rascher (Eds.), Hoffnung und Verantwortung. Herausforderungen für die Medizin. Jahrbuch Ethik in der Klinik/Yearbook Ethics in Clinics (Vol. 3, pp. 301–310). Würzburg: Königshausen & Neumann.
Chambers, T. (1999). The fiction of bioethics. Cases as literary texts. New York: Routledge.
Coulehan, J. L., Platt, F. W., Egener, B., Frankel, R., Lin, C. T., Lown, B., et al. (2001). “Let me see if I have this right…”: Words that build empathy. Annals of Internal Medicine, 135(3), 221–227.
de Waal, F. (2009). The age of empathy. Nature’s lessons for a kinder society. New York: Harmony Books.
Dörries, A., Neitzke, G., Simon, A., & Vollmann, J. (Eds.). (2010). Klinische Ethikberatung. Ein Praxisbuch für Krankenhäuser und Einrichtungen der Altenpflege (2nd ed.). Stuttgart: Kohlhammer.
Edelstein, L. M., DeRenzo, E. G., Waetzig, E., Zelizer, C., & Mokwunye, N. O. (2009). Communication and conflict management training for clinical bioethics committees. HEC Forum, 21(4), 341–349.
Fahr, U. (2009). Die Dokumentation Klinischer Ethikberatung. Ethik in der Medizin, 21(1), 32–44.
Frewer, A., Bruns, F., & Rascher, W. (Eds.). (2010). Hoffnung und Verantwortung. Herausforderungen für die Medizin. Jahrbuch Ethik in der Klinik/Yearbook Ethics in Clinics vol. 3. Würzburg: Königshausen & Neumann.
Frewer, A., Fahr, U., & Rascher, W. (Eds.). (2009). Patientenverfügung und Ethik. Beiträge zur guten klinischen Praxis. Jahrbuch Ethik in der Klinik/Yearbook Ethics in Clinics vol. 2. Würzburg: Königshausen & Neumann.
Halpern, J. (2003). What is clinical empathy? Journal of General Internal Medicine, 18(8), 670–674.
Hoffman, M. L. (2000). Empathy and moral development. Implications for caring and justice. Cambridge: Cambridge University Press.
Howe, E. G. (2009). Beyond the state of the art in ethics consultation. The Journal of Clinical Ethics, 20(3), 203–211.
La Puma, J., & Schiedermayer, D. (1994). Ethics consultation. A practical guide. Boston & London: Jones and Bartlett Publishers.
Larcher, V., Slowther, A. M., Watson, A. R., & Clinical Ethics Network, U. K. (2010). Core competencies for clinical ethics committees. Clinical Medicine, 10(1), 30–33.
Lipps, T. (1903). Einfühlung, innere Nachahmung und Organempfindungen. Archiv für die gesamte Psychologie, 1, 185–204.
Mercer, S. W., & Reynolds, W. J. (2002). Empathy and quality of care. British Journal of General Practice, 52, S9–S12.
Morse, J. M., Anderson, G., Bottorff, J. L., Yonge, O., O’Brien, B., Solberg, S. M., et al. (1992). Exploring empathy: A conceptual fit for nursing practice? The Journal of Nursing Scholarship, 24(4), 273–280.
Neumann, M., Bensing, J., Mercer, S., Ernstmann, N., Ommen, O., & Pfaff, H. (2009). Analyzing the “nature” and “specific effectiveness” of clinical empathy: A theoretical overview and contribution towards a theory-based research agenda. Patient Education and Counseling, 74(3), 339–346.
Oakley, J. (1992). Morality and the emotions. London: Routledge.
Post, L. F., Blustein, J., & Dubler, N. N. (2007). Handbook for health care ethics committees. Baltimore: The Johns Hopkins University Press.
Ramsauer, T., & Frewer, A. (2009). Clinical Ethics Committees and Pediatrics. An Evaluation of Case Consultations. Diametros, 22, 90–104.
Ross, J. W. (1986). Handbook for hospital ethics committees. Chicago: American Hospital Association.
Rothman, D. J. (1991). Strangers at the bedside. A history of how law and bioethics transformed medical decision making. New York: Basic Books.
Schildmann, J., Gordon, J.-S., & Vollmann, J. (Eds.). (2010). Clinical Ethics Consultation. Theories and Methods, Implementation, Evaluation. Farnham: Ashgate Publishing Limited.
Scofield, G. R. (2008). What is medical ethics consultation? Journal of Law, Medicine & Ethics, 36(1), 95–118.
Steinkamp, N., & Gordijn, B. (2009). Ethik in der Klinik und Pflegeeinrichtung (3rd ed.). München: Luchterhand.
Titchener, E. B. (1909). Lectures on the experimental psychology of the thought-processes. New York: Macmillan.
Tsuchiya, N., & Adolphs, R. (2007). Emotion and consciousness. Trends in Cognitive Sciences, 11, 158–167.
Yoon, J. D., Rasinski, K. A., & Curlin, F. A. (2010). Conflict and emotional exhaustion in obstetrician-gynaecologists: A national survey. Journal of Medical Ethics, 36(12), 731–735.
Young, L., & Koenigs, M. (2007). Investigating emotion in moral cognition: A review of evidence from functional neuroimaging and neuropsychology. British Medical Bulletin, 84, 69–79.
Acknowledgments
The authors would like to thank the HealthCare Ethics Committee at Erlangen University Hospital and our colleagues at Berlin University and Hannover Medical School; particularly thanks to Professor Wolfgang Rascher (Erlangen) and Dr. Thela Wernstedt (Erlangen/Hannover) for fruitful debates. Furthermore, Professor Jochen Vollmann (Bochum), Dr. Axel Weidtmann (Erlangen), and Dr. Uwe Fahr (Erlangen) were involved in ethics consultation and documentation at our University hospital. Dr. Kurt Schmidt (Frankfurt) and Professor Mark Cherry (Austin) were empathic and helpful in the final process of editing.
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Bruns, F., Frewer, A. Ethics Consultation and Empathy. HEC Forum 23, 247–255 (2011). https://doi.org/10.1007/s10730-011-9164-7
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DOI: https://doi.org/10.1007/s10730-011-9164-7