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  1. How to Spot a Usurper: Clinical Ethics Consultation and (True) Moral Authority.Kelly Kate Evans & Nicholas Colgrove - 2022 - Christian Bioethics 28 (2):143-156.
    Clinical ethics consultants are not moral authorities. Standardization of CECs’ professional role does not confer upon them moral authority. Certification of particular CECs does not confer upon them moral authority. Or, so we will argue. This article offers a distinctly Orthodox Christian response to those who claim that CECs—or any other academically trained bioethicist—retain moral authority. This article proceeds in three parts. First, we discuss recent movements toward the certification of CECs in the United States, focusing primarily on proposals and (...)
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  • Severing Clinical Ethics Consultation From the Ethical Commitments and Preferences of Clinical Ethics Consultants.Ana S. Iltis - 2022 - Christian Bioethics 28 (2):122-133.
    Recent work calls for excluding clinical ethics consultants’ religious ethical commitments from formulating recommendations about particular cases and communicating those recommendations. I demonstrate that three arguments that call for excluding religious ethical commitments from this work logically imply that consultants may not use their secular ethical commitments in their work. The call to sever clinical ethics consultation from the ethical commitments of clinical ethics consultants has implications for the scope of work consultants may do and for the competencies required for (...)
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  • Is There a Need for a Clear Advice? A Retrospective Comparative Analysis of Ethics Consultations with and Without Recommendations in a Maximum-Care University Hospital.Roman Pauli, Dominik Groß & Dagmar Schmitz - 2021 - BMC Medical Ethics 22 (1):1-10.
    BackgroundThe theory and practice of ethics consultations in health care are still characterized by many controversies, including, for example, the practice of giving recommendations. These controversies are complicated by an astonishing lack of evidence in the whole field. It is not clear how often a recommendation is issued in ethics consultations and when and why this step is taken. Especially in a facilitation model in which giving recommendations is optional, more data would be helpful to evaluate daily practice, ensure that (...)
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  • Defending secular clinical ethics expertise from an Engelhardt-inspired sense of theoretical crisis.Abram Brummett - 2022 - Theoretical Medicine and Bioethics 43 (1):47-66.
    The national standards for clinical ethics consultation set forth by the American Society for Bioethics and Humanities endorse an “ethics facilitation” approach, which characterizes the role of the ethicist as one skilled at facilitating consensus within the range of ethically acceptable options. To determine the range of ethically acceptable options, ASBH recommends the standard model of decision-making, which is grounded in the values of autonomy, beneficence, nonmaleficence, and justice. H. Tristram Engelhardt Jr. has sharply criticized the standard model for presuming (...)
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  • Practical Structure and Moral Skill.Joshua Shepherd - 2022 - Philosophical Quarterly 72 (3):713-732.
    I argue that moral skill is limited and precarious. It is limited because global moral skill—the capacity for morally excellent behaviour within an über action domain, such as the domain of living, or of all-things-considered decisions, or the same kind of capacity applied across a superset of more specific action domains—is not to be found in humans. It is precarious because relatively local moral skill, while possible, is prone to misfire. My arguments depend upon the diversity of practical structures confronting (...)
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  • Justifying Ethical Expertise.David M. Adams - 2019 - American Journal of Bioethics 19 (11):67-68.
    Volume 19, Issue 11, November 2019, Page 67-68.
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  • Moral Normative Force and Clinical Ethics Expertise.Parker Crutchfield - 2019 - American Journal of Bioethics 19 (11):89-91.
    Brummett and Salter propose a useful and timely taxonomy of clinical ethics expertise (2019). As the field becomes further “professionalized” this taxonomy is important, and the core of it is right. It needs some refinement around the edges, however. In their conclusion, Brummett and Salter rightly point out that there is a significant difference between the ethicist whose recommendations are procedure- and process-heavy, consensus-driven, and dialogical and the authoritarian ethicist whose recommendations flow from “private moral views” (Brummett and Salter, 2019). (...)
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  • Clinical Ethics as a Profession?Sabine Salloch - 2019 - American Journal of Bioethics 19 (11):87-89.
    Volume 19, Issue 11, November 2019, Page 87-89.
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  • Ethicist as Healer: Is Offering Justified Normative Recommendations All We Are Doing in Active Patient Cases?Jeffrey S. Farroni - 2019 - American Journal of Bioethics 19 (11):85-87.
    Volume 19, Issue 11, November 2019, Page 85-87.
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  • Realism, and Expertise1.Christopher Meyers - 2019 - American Journal of Bioethics 19 (11):76-77.
    Volume 19, Issue 11, November 2019, Page 76-77.
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  • Secular Clinical Ethicists Should Not Be Neutral Toward All Religious Beliefs: An Argument for a Moral-Metaphysical Proceduralism.Abram L. Brummett - 2020 - American Journal of Bioethics 21 (6):5-16.
    Secular clinical ethics has responded to the problem of moral pluralism with a procedural approach. However, defining this term stirs debate: H. Tristram Engelhardt Jr. has championed a contentless proceduralism, while others, conversely, argue for a proceduralism that permits some content in the form of moral claims. This paper argues that the content P2 permits ought to be expanded to include some metaphysical commitments, in an approach referred to as P2+. The need for P2+ is demonstrated by analyzing and rejecting (...)
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  • Clinical Ethics Expertise as the Ability to Co-Create Normative Recommendations by Guiding a Dialogical Process of Moral Learning.Bert Molewijk, Guy Widdershoven, Suzanne Metselaar & Giulia Inguaggiato - 2019 - American Journal of Bioethics 19 (11):71-73.
    Volume 19, Issue 11, November 2019, Page 71-73.
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  • How Should Ethics Consultants Weigh the Law (and Other Authoritative Directives)?Peter Koch - 2020 - Journal of Law, Medicine and Ethics 48 (4):768-777.
    In the continuing debate about the role of the Clinical Ethics Consultant in performing clinical ethics consultations, it is often assumed that consultants should operate within ethical and legal standards. Recent scholarship has focused primarily on clarifying the consultant's role with respect to the ethical standards that serve as parameters of consulting. In the following, however, I wish to address the question of how the ethics consultant should weigh legal standards and, more broadly, how consultants might weigh authoritative directives, whether (...)
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  • Credentialing Ethics Expertise.Abram L. Brummett - 2020 - American Journal of Bioethics 20 (3):50-52.
    Volume 20, Issue 3, March 2020, Page 50-52.
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  • Unanswered Questions About Clinical Ethics Expertise.Anita Tarzian & Ellen Fox - 2019 - American Journal of Bioethics 19 (11):91-94.
    Volume 19, Issue 11, November 2019, Page 91-94.
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  • Clinical Ethics Expertise: Beyond Justified Normative Recommendations?Janet Malek & Ryan H. Nelson - 2019 - American Journal of Bioethics 19 (11):82-84.
    Volume 19, Issue 11, November 2019, Page 82-84.
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  • Ethics Expertise Demystified: Using the Brummett/Salter Taxonomy.Jamie Watson - 2019 - American Journal of Bioethics 19 (11):80-82.
    Volume 19, Issue 11, November 2019, Page 80-82.
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  • A Taxonomy and an Ethicist’s Toolbox: Mapping a Plurality of Normative Approaches.Paul J. Ford, Douglas O. Stewart, Joseph P. DeMarco & Sharon L. Feldman - 2019 - American Journal of Bioethics 19 (11):78-80.
    Volume 19, Issue 11, November 2019, Page 78-80.
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  • Context, Context, Context.Mark P. Aulisio - 2019 - American Journal of Bioethics 19 (11):73-75.
    Volume 19, Issue 11, November 2019, Page 73-75.
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  • The Hard Question of Justification in Health Care Ethics Consultation.Lisa M. Rasmussen - 2019 - American Journal of Bioethics 19 (11):65-66.
    Volume 19, Issue 11, November 2019, Page 65-66.
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  • How Is Ethics Consultation Work Justified?Larry R. Churchill - 2019 - American Journal of Bioethics 19 (11):63-64.
    Volume 19, Issue 11, November 2019, Page 63-64.
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  • Taxonomizing the Clinical Ethics Critics.Autumn Fiester - 2019 - American Journal of Bioethics 19 (11):62-63.
    Volume 19, Issue 11, November 2019, Page 62-63.
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  • Engaging With a New Taxonomy for Clinical Ethics Consultation: What Are the Implications?Katherine Wasson - 2019 - American Journal of Bioethics 19 (11):69-70.
    Volume 19, Issue 11, November 2019, Page 69-70.
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