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The Emotions in Bioethical Decision-making.

Shimon M Glick1

  • 1Lord Rabbi Immanuel Jakobovits Center for Jewish Medical Ethics, Joyce and Irving Goldman School of Medicine, Ben Gurion University of the Negev, Beer Sheva, Israel.

The Yale Journal of Biology and Medicine
|October 3, 2022
PubMed
Summary
This summary is machine-generated.

Emotions play a crucial role in medical ethics, particularly in end-of-life care. Healthcare professionals' emotional responses, especially reluctance to end life, are vital considerations alongside rational ethical principles.

Keywords:
end-of-lifeethical decision-makingwithdrawal of therapywithholding of therapy

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Area of Science:

  • Medical Ethics
  • Neuroethics
  • Clinical Decision-Making

Background:

  • Evidence-based medicine and technology increasingly influence medical decision-making.
  • The role of emotions in ethical decision-making is gaining attention due to neuroethics research.
  • A disconnect often exists between rational ethical analysis and healthcare professionals' emotional responses in end-of-life care.

Purpose of the Study:

  • To explore the extent to which emotions should influence medical and ethical decision-making.
  • To examine the significance of healthcare professionals' emotional reactions in end-of-life care decisions.
  • To integrate emotional considerations into ethical frameworks for medical practice.

Main Methods:

  • Literature review on evidence-based medicine, neuroethics, and medical ethics.
  • Analysis of the role of emotions in clinical decision-making, particularly in end-of-life scenarios.
  • Comparison of rational ethical principles with the emotional responses of healthcare providers.

Main Results:

  • Rational analysis and factual accuracy are essential for ethical decision-making.
  • Healthcare professionals' emotional responses, especially reluctance to withdraw life support, are significant.
  • These emotional attitudes reflect a deeply ingrained professional value of preserving life.

Conclusions:

  • Emotions are integral to ethical decision-making in medicine, not merely secondary to rational analysis.
  • The reluctance of healthcare workers to hasten death is a critical ethical consideration.
  • Ethical frameworks must acknowledge and incorporate the emotional dimension of medical practice, especially in end-of-life care.