Normativity unbound: Liminality in palliative care ethics

Theoretical Medicine and Bioethics 33 (2):107-122 (2012)
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Abstract

This article applies the anthropological concept of liminality to reconceptualize palliative care ethics. Liminality possesses both spatial and temporal dimensions. Both these aspects are analyzed to provide insight into the intersubjective relationship between patient and caregiver in the context of palliative care. Aristotelian practical wisdom, or phronesis, is considered to be the appropriate model for palliative care ethics, provided it is able to account for liminality. Moreover, this article argues for the importance of liminality for providing an ethical structure that grounds the doctrine of double effect and overcomes the impasse of phronesis in the treatment of the terminally ill.

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Nicomachean ethics. Aristotle - 1999 - New York: Clarendon Press. Edited by Michael Pakaluk. Translated by Michael Pakaluk.
Otherwise Than Being, or, Beyond Essence.Emmanuel Lévinas - 1974 - Pittsburgh, Pa.: Duquesne University Press.
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The wounded storyteller: body, illness, and ethics.Arthur W. Frank - 1995 - Chicago: University of Chicago Press.
The virtues in medical practice.Edmund D. Pellegrino - 1993 - New York: Oxford University Press. Edited by David C. Thomasma.

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