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Ethics and Bioethics

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Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Bioethics consultation: the Rashomon effect.

Miriam Piven Cotler¹

¹The Bioethics Institute; Loyola Marymount University, 1 LMU Drive, Los Angeles, California 90045-8642, USA. mpcotler@verizon.net

Medicine and Law

|August 24, 2013

Summary

Clinical ethical dilemmas often resolve with clear facts and shared goals. However, differing perceptions can create persistent ethical challenges, as illustrated by the Rashomon effect, requiring careful navigation.

Area of Science:

Medical Ethics
Clinical Decision-Making
Healthcare Communication

Background:

Most clinical ethical dilemmas are resolvable when facts are clear and stakeholders align on patient-centered goals.
Persistent ethical disagreements arise when participants perceive the same situation differently, hindering resolution.

Purpose of the Study:

To explore the phenomenon of differing perceptions in clinical ethical dilemmas.
To provide recommendations for managing intractable ethical challenges rooted in subjective experiences.

Main Methods:

The article uses the "Rashomon effect" from film as an analogy for divergent perspectives in clinical ethics.
It discusses the phenomenon through examples and offers potential strategies for resolution.

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Main Results:

Differing subjective realities among participants can lead to unresolved clinical ethical dilemmas.
The "Rashomon effect" highlights the challenge of establishing objective truth in complex ethical situations.

Conclusions:

Navigating clinical ethics requires acknowledging and addressing subjective interpretations.
Strategies for managing ethical impasses should consider the impact of individual perspectives and communication barriers.