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Paternalism, Evangelism, and Power.

Kimberly Bloom-Feshbach1, Nathan Goldberg2, Joseph J Fins3,4

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Summary

Professionals in medicine and pastoral care face challenges balancing guidance and avoiding power abuses. This essay explores using Howard Brody

Keywords:
CommunicationEvangelismHealerPaternalismPower

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Area of Science:

  • Medical Ethics
  • Pastoral Care
  • Healthcare Professionalism

Background:

  • Medicine and pastoral care grapple with paternalism and evangelism, forms of power exertion within privileged professional-patient relationships.
  • Well-intentioned professionals may avoid providing necessary guidance to prevent power abuse, potentially harming patient care through abdication or abandonment.
  • Howard Brody's 'The Healer's Power' offers a framework for understanding power dynamics in therapeutic relationships.

Purpose of the Study:

  • To apply Howard Brody's conceptual framework to analyze the roles of evangelism and paternalism in chaplaincy and medicine.
  • To promote healing within therapeutic relationships characterized by inherent power differentials.
  • To guide professionals in navigating the ethical complexities of power in patient care.

Main Methods:

  • Conceptual analysis invoking Howard Brody's framework on power in therapeutic relationships.
  • Examination of the parallel struggles with paternalism and evangelism in medicine and pastoral care.
  • Exploration of how power differentials impact patient care and professional guidance.

Main Results:

  • Identifies the risk of professional abdication and patient abandonment when guidance is withheld due to fear of power abuse.
  • Highlights the need for a nuanced understanding of power dynamics to foster healing.
  • Suggests that Brody's framework can help professionals ethically manage power in therapeutic contexts.

Conclusions:

  • Recommends integrating Brody's conceptualization of power to address paternalism and evangelism in medicine and chaplaincy.
  • Advocates for a balanced approach that provides guidance while respecting patient autonomy and avoiding power abuses.
  • Emphasizes the potential for enhanced healing through ethical power utilization in professional care settings.