Client Participation in Moral Case Deliberation: A Precarious Relational Balance [Book Review]

HEC Forum 23 (3):207-224 (2011)
Authors
Guy Widdershoven
VU University Amsterdam
Abstract
Moral case deliberation (MCD) is a form of clinical ethics support in which the ethicist as facilitator aims at supporting professionals with a structured moral inquiry into their moral issues from practice. Cases often affect clients, however, their inclusion in MCD is not common. Client participation often raises questions concerning conditions for equal collaboration and good dialogue. Despite these questions, there is little empirical research regarding client participation in clinical ethics support in general and in MCD in particular. This article aims at describing the experiences and processes of two MCD groups with client participation in a mental healthcare institution. A responsive evaluation was conducted examining stakeholders’ issues concerning client participation. Findings demonstrate that participation initially creates uneasiness. As routine builds up and client participants meet certain criteria, both clients and professionals start thinking beyond ‘us-them’ distinctions, and become more equal partners in dialogue. Still, sentiments of distrust and feelings of not being safe may reoccur. Client participation in MCD thus requires continuous reflection and alertness on relational dynamics and the quality of and conditions for dialogue. Participation puts the essentials of MCD (i.e., dialogue) to the test. Yet, the methodology and features of MCD offer an appropriate platform to introduce client participation in healthcare institutions
Keywords Moral case deliberation  Client participation  Dialogue  Inclusion  Organization
Categories (categorize this paper)
DOI 10.1007/s10730-011-9157-6
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

Our Archive


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 33,167
Through your library

References found in this work BETA

View all 22 references / Add more references

Citations of this work BETA

View all 8 citations / Add more citations

Similar books and articles

Organisation Theory and the Ethics of Participation.Stephan Cludts - 1999 - Journal of Business Ethics 21 (2-3):157 - 171.
Models of the Relationship Between Genetic Counselor and Client.Verle E. Headings - 1987 - Journal of Medical Humanities and Bioethics 8 (2):120-128.
Ethical Issues in Secondary School Counselling.Stephen Murgatroyd - 1974 - Journal of Moral Education 4 (1):27-37.

Analytics

Added to PP index
2011-07-27

Total downloads
16 ( #346,554 of 2,242,232 )

Recent downloads (6 months)
1 ( #413,407 of 2,242,232 )

How can I increase my downloads?

Monthly downloads

My notes

Sign in to use this feature