There has been little previous scholarship regarding the aims, options and impact of ethics education on residential care‐givers. This manuscript details findings from a pragmatic cluster trial evaluating the impact of three different approaches to ethics education. The focus of the article is on one of the interventions, an immersive simulation experience. The simulation experience required residential care‐givers to assume the profile of elderly care‐recipients for a 24‐hr period. The care‐givers were student nurses. The project was reviewed favourably by a (...) university ethics committee, and participants provided informed consent. Data from six postsimulation experience focus groups were analysed thematically and three themes were identified: the experience of vulnerability, dignity in care and the organisation of care. Findings suggest that the immersive simulation experience had a powerful immediate impact as participants described epiphanous insights relating to their care experiences. It is suggested that reflecting on and recording epiphanous events has the potential to sustain ethical care practices. Further research is required to evaluate the impact of different ethics education interventions in different cultural contexts. Exploration is also required regarding the meaning and significance of care epiphanies, those “most delicate and evanescent of moments,” for the sustainability of ethical care. (shrink)

There has been little previous research regarding the effectiveness of ethics education interventions for residential care‐givers. The Researching Interventions to Promote Ethics in social care project responded to the question: Which is the most effective ethics education intervention for care‐givers in residential social care? A pragmatic cluster trial explored the impact of three ethics education interventions for: (a) interactive face‐to‐face ethics teaching; (b) reflective ethics discussion groups; and (c) an immersive simulation experience. There was also a control arm (d). 144 (...) trial participants were recruited from 39 residential care homes for older people in southern England. Change scores compared across intervention arms showed a significant reduction in work‐related moral stress in the teaching arm compared with control group (p =.03); there were no significant differences between control and intervention arms in change scores for moral sensitivity, interpersonal reactivity (empathy) or ethical leadership. Qualitative data themes were as follows: ethical care; care challenges; and ethical care inhibitors. Overall findings stimulate reflection on the value of three different ethics education interventions and the most appropriate means to evaluate their impact. Findings suggest the complexity and diverse nature of ethical competence in care. We suggest a way forward for research evaluating ethics education. (shrink)

The Market as God captures how our world has fallen in thrall to the business theology of supply and demand. According to its acolytes, the Market is omniscient, omnipotent, and omnipresent. It knows the value of everything, and determines the outcome of every transaction; it can raise nations and ruin households, and nothing escapes its reductionist commodification. The Market comes complete with its own doctrines, prophets, and evangelical zeal to convert the world to its way of life. Cox brings that (...) theology out of the shadows, demonstrating that the way the world economy operates is neither natural nor inevitable but shaped by a global system of values and symbols that can be best understood as a religion. -/- Drawing on biblical sources, economists and financial experts, prehistoric religions, Greek mythology, historical patterns, and the work of natural and social scientists, Cox points to many parallels between the development of Christianity and the Market economy. At various times in history, both have garnered enormous wealth and displayed pompous behavior. Both have experienced the corruption of power. However, what the religious have learned over the millennia, sometimes at great cost, still eludes the Market faithful: humility. (shrink)

In the nineteenth century, Nietzsche famously announced that God was dead. In the twentieth century, an increasing reliance on science and technology led to a widespread rejection of belief on the grounds of its irrationality. Yet for all the skepticism directed towards it, religion has not died. In fact, the opposite has occurred: it has persisted and proliferated. In this wide-ranging dialogue, two leading commentators on religion address - from their different but complementary traditions of Christianity and Buddhism - the (...) continuing appeal of spirituality to people eager to explore fundamental questions of meaning and identity. The authors indicate that science, for all the benefits it has conferred, has limits of explanation. It may be able to show how, but not necessarily why. --BOOK JACKET. (shrink)

Sacred Tropes: Tanakh, New Testament, and Qurʾan as Literature and Culture. Edited by Roberta Sterman Sabbath. Biblical Interpretation Series, vol. 98. Leiden: Brill, 2010. Pp. xxii + 534. $241.

A sociological conceptualisation of space moves beyond the material to the relational, to consider space as a social process. This paper draws on research that explored the reproduction of legitimated knowledge and power structures in intensive care units during encounters, between patients, who were experiencing mental illness, and their nurses. Semi‐structured telephone interviews with 17 intensive care nurses from eight Australian intensive care units were conducted in 2017. Data were analysed through iterative cycling between participants' responses, the literature and the (...) theoretical framework. The material and relational aspects of space in this context constitute a dynamic process that is concerned with the reproduction of everyday life, the preservation of the biomedical authority of intensive care, and the social othering of people experiencing mental illness. The work of theorists such as Löw, Harvey and Foucault underpins the exploration of space as a multi‐dimensional, malleable social process that both produces and is the product of social interaction and the social world. In this paper, we argue that the performative work of knowledge and power production and reproduction, considered here in relation to intensive care spaces, enables ongoing othering and disenfranchisement of people experiencing mental illness. (shrink)

Continues the ongoing dialogue between religion and science. In this volume, the author has focused on scientific or science-based technology rather than just the significance of 'pure science'. This complex focus covers a number of issues including scientific theory, public policy, ethical consideration, cosmology, theological conundrums and the age-old issues of the meaning of human life and its fulfillment.

One is the beloved author of The Name of the Rose, a celebrated scholar, philosopher, and self-declared secularist; the other is a preeminent clergyman and a respected expert on the New Testament. In this intellectually stimulating dialogue, often adversarial but always amicable, these two great men, who stand on opposite sides of the church door, discuss some of the most controversial issues of our day, including the apocalypse, abortion, women in the clergy, and ethics. As we voyage onward into the (...) new millennium, they frame a debate about matters that have already begun to rage, always aware of the gulf between belief and nonbelief that separates them, constantly probing and challenging, but also respectful of the other’s viewpoint. For believers and nonbelievers alike, the result is both edifying and illuminating. “Their correspondence,” writes Professor Harvey Cox in his introduction, “lifts the possibility of intelligent conversation on religion to a new level.”. (shrink)

Forty four years after the publication of Harvey Cox‟s The Secular City that celebrated “the progressive secularization of the world as the logical outcome of Biblical religion” (Newsweek)1, we almost feel the bones of religious fundamentalism cracking under the pressure of secularization. At the same time, however, the Hegelian dialectic holds ground as both refuse to be crushed by either; and any compromising stance only begets another rival; to the effect, that it can be said that fundamentalism is never (...) a phenomenon that may be extinguished. (shrink)

Originally published more than fifty years ago, _The Courage to Be_ has become a classic of twentieth-century religious and philosophical thought. The great Christian existentialist thinker Paul Tillich describes the dilemma of modern man and points a way to the conquest of the problem of anxiety. This edition includes a new introduction by Harvey Cox that situates the book within the theological conversation into which it first appeared and conveys its continued relevance in the current century. “The brilliance, the (...) wealth of illustration, and the aptness of personal application... make the reading of these chapters an exciting experience.”—W. Norman Pittenger, _New York Times Book Review_ “A lucid and arresting book.”—Frances Witherspoon, _New York Herald Tribune_ “Clear, uncluttered thinking and lucid writing mark Mr. Tillich’s study as a distinguished and readable one.”—_American Scholar_ Selected as one of the Books of the Century by the New York Public Library. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:On Buddhist-Christian Studies in Relation to DialogueFrancis V. TisoIn taking on the task of co-editing Buddhist-Christian Studies, it would seem appropriate to provide some background by way of introduction. Being a disciple of Brother David Steindl-Rast, O.S.B., a man who refuses to sign his name with capital letters, since the late 1960s, it goes against my grain to write too much about myself. Therefore, the following comments are meant (...) also to serve as a foreword to the current issue.My own background in Buddhist-Christian studies has its roots in ongoing collaboration with Br. David, who will be remembered for his decades-long study of Zen and his affectionate rapport with the San Francisco Zen Center community, among others. I later studied interreligious dialogue and its theological implications with George Rupp and Harvey Cox at Harvard Divinity School. In order to let my studies sink their roots into contemplative soil, I served as Br. David's assistant at the Benedictine Grange and then went on to edit theological books at the Seabury Press in New York. Thanks to the kindness of the late and revered Alex Wayman, I was able to complete a doctorate in Buddhist Studies at Columbia University and Union Theological Seminary, where I gained some ability to work with Pali, Sanskrit, and Tibetan. I sought additional tutorial guidance from José Pereira of Fordham University, a polymath scholar deeply appreciated for his extraordinary ability to introduce students to the intricacies of Sanskrit literature. Our lengthy conversations about the Baroque Scholastic Catholic theologians formed my eagerness to welcome at least three of the articles in the current issue of BCS. After the doctorate, I continued to pursue study and contemplative practice in Europe and Asia, developing collegial friendships, especially with members of the International Association for Tibetan Studies. In 2003, M. R. John C. Wester, auxiliary bishop of San Francisco, asked me to participate in the Northern California Zen/Ch'an–Catholic Dialogue that had arisen from earlier dialogue programs in various monastic milieux such as Gethsemane and New Camaldoli. In the context of that dialogue, I was asked to serve the United States Conference of Catholic Bishops as associate director of the Secretariat for Ecumencial and Interreligious Affairs in Washington, DC, in 2004.Given this ongoing interplay in my own life between scholarly research and contemplative [End Page iii] practice, it is my hope that BCS will continue to nurture the same interests in its readership. Good scholarship and commitment to the goals of spiritual inquiry should also enrich the dialogue between Buddhists and Christians in various parts of the world. In a recent publication,1 Taigen Dan Leighton describes Dogen's methods with regard to reading: "So in addition to just reading through this material, the student of Zen may likely want to chew slowly at times, find pieces that are especially provocative, stimulating, or unsettlingly challenging, and take a while to consider, reflect, and digest." This is exactly what the Christian contemplative does in lectio divina. Moreover, to persons inclined to this kind of inquiry, even scholarly research gives rise to creative and, at times, truly contemplative insight. Thus even a journal committed to scholarship might find comfort in the "apophatic" methods of Buddhist or Christian contemplatives. Taigen reminds us that Zen sitting practice (zazen) is not the suppression of content. In fact, understanding is expected:Dogen is clearly not recommending zazen as mere blank, mindless sitting. Although he frequently criticizes practice concerned with achievement, or with reaching for particular schematized stages of development, Dogen regularly asks his monks if they thoroughly understand. He is suggesting a practice that is informed by intense inquiry into the ancient teachings, sayings, and dialogues, as well as into our present immediate experience. Throughout formal meditation as well as in our everyday activity, Dogen encourages vivid attention and awareness.In practice, this is nothing less than the interactive application of the principles of the great teachings on emptiness. As a method, the philosophical analysis of emptiness came to have an enormous impact on the Ch'an and Zen traditions; it was a method of "negation" in the sense that it could be... (shrink)

This book sorts out the confusion created by the use of the term "postmodern" in relation to widely divergent theological positions. Four different types of postmodern theology are distinguished in the preface: constructive, deconstructive, liberationist, and conservative. Two forms of each type are discussed in the book. Writing from a constructive, postmodern perspective, the authors enter into dialogue with the deconstructive postmodernism of Mark C. Taylor and Jean-François Lyotard, with the liberationist postmodernism of Harvey Cox and Cornel West, and (...) with the conservative postmodernism of George William Rutler and John Paul II. (shrink)

If the 1960’s did not see a resurgence of belief in God, they at least witnessed a renewed interest in him, stimulated by die writings of Harvey Cox, John Robinson and the so-called death-of-God theologians. These were concerned with the phenomenon of the ‘absence of God’, so called because, for all the difference he seemed to make in the day-to-day business of nations and cultures, God might just as well not exist. Whatever knowledge gaps may previously have existed have (...) already been plugged either in fact or in principle, and this without any explanation involving a God. The universe no longer seems to point beyond itself, but seems, on the contrary, pretty clearly self-sufficient. In such circumstances the ground has been cut from under anyone wanting to say that God exists. And if the claim continues to be made, it is from a philosophical viewpoint quite gratuitous. (shrink)

Informed consent is valid only if the person giving it is competent. Although allegedly informed consents are routinely tendered, there are nonetheless serious problems with the concept of competence as it stands. First, conceptual work upon competence is incomplete: the concept is unanalyzed and no logic of competence has been identified. It is thus virtually impossible to reliably discern who is competent. ;Traditional work on competence has explicated three dichotomies from which the necessary conditions for the possibility of competence will (...) be identified, viz., that competence is either a global or a specific notion; is present in varying degrees or in virtue of a threshold; and may or not include appeals to consequences. Past efforts have failed to notice a fourth dichotomy: competence as an affective or cognitive notion. Failure to designate the appropriate arms of these dichotomies is responsible for there being, at present, no reliable test for competence. The inadequacies of a highly regarded particular test for competence, the mental status examination, are examined in light of this failure. ;Competence is located within the rule-governed practice of informed consent. That practice and hence, competence, is justified through a Kantian analysis of respect for persons. This analysis reveals that the logic of competence requires assessment in terms of specific rather than global concerns; degrees of ability rather than a threshold; both cognitive and affective abilities; and no appeal to consequences. ;Based upon the analyses of consent as an example of decision making within the practice of informed consent and of respect for persons, the capacities which jointly comprise competence are identified. These are the capacities to receive, recognize, and retrieve information; to reason about, relate to oneself, and rank options; to choose among alternatives; and, under certain circumstances, to defend one's choice. ;Identification of the logic of competence and explication of and justification for the capacities that comprise competence to consent provide a conceptual foundation for the crucial concept of competence that the informed consent process currently lacks. It should facilitate construction of a test for competence. (shrink)

Climate change harms health and damages and diminishes environmental resources. Gradually it will cause health systems to reduce services, standards of care, and opportunities to express patient autonomy. Prominent public health organizations are responding with preparedness, mitigation, and educational programs. The design and effectiveness of these programs, and of similar programs in other sectors, would be enhanced by greater understanding of the values and tradeoffs associated with activities and public policies that drive climate change. Bioethics could generate such understanding by (...) exposing the harms and benefits in different cultural, socioeconomic, and geographic contexts, and through interdisciplinary risk assessments. Climate change is a bioethics problem because it harms everyone and involves health, values, and responsibilities. This article initiates dialog about the responsibility of bioethics to promote transparency and understanding of the social values and conflicts associated with climate change, and the actions and public policies that allow climate change to worsen. (shrink)

One manifestation of climate change is the increasingly severe extreme weather that causes injury, illness and death through heat stress, air pollution, infectious disease and other means. Leading health organisations around the world are responding to the related water and food shortages and volatility of energy and agriculture prices that threaten health and health economics. Environmental and climate ethics highlight the associated challenges to human rights and distributive justice but rarely address health or encompass bioethical methods or analyses. Public health (...) ethics and its broader umbrella, bioethics, remain relatively silent on climate change. Meanwhile global population growth creates more people who aspire to Western lifestyles and unrestrained socioeconomic growth. Fulfilling these aspirations generates more emissions; worsens climate change; and undermines virtues and values that engender appreciation of, and protections for, natural resources. Greater understanding of how virtues and values are evolving in different contexts, and the associated consequences, might nudge the individual and collective priorities that inform public policy toward embracing stewardship and responsibility for environmental resources necessary to health. Instead of neglecting climate change and related policy, public health ethics and bioethics should explore these issues; bring transparency to the tradeoffs that permit emissions to continue at current rates; and offer deeper understanding about what is at stake and what it means to live a good life in today's world. (shrink)

My paper addresses a number of questions raised in the Statesman by the Eleatic Visitor’s identification of certain ontological conditions for the existence of art of due measure, and therefore of all the technai. My view is that evidence relevant to these questions can be found in the Philebus, and specifically, in an ontological doctrine presented at 23c–27c. What emerges from an examination of the Statesman and Philebus is a highly developed conception of technê, one that affords a place for (...) such ordinary human activities within the broader framework of Plato’s philosophy. (shrink)

In this chapter, we explore the role of habit in giving shape to conscious experience and importantly to our pre-reflective awareness of ourselves which includes the sense of mineness that accompanies our conscious experience. For the most part, discussions in philosophy of mind and phenomenology concerning pre-reflective self-awareness are focused on determining the relationship between phenomenal consciousness and selfhood. For this reason perhaps, the existence of pre-reflective self-awareness is usually appealed to as evidence for a form of selfhood that appears (...) within conscious experience as a component of its synchronic unity. In this chapter, however, we will concern ourselves with the pre-reflective sense of ourselves that appears in conscious experience as it pertains to the diachronic unity of the self—that is the sense of a unitary self as existing over the course of multiple episodic experiences. Our aim is to provide a phenomenological account of the relationship between the minimal, pre-reflective sense of self and what is often termed the ‘narrative self.’ We will argue that habits play a role in preserving the significance of our past in our present experience and in unifying our experience as a self for whom the world is present across disparate episodes of experience. (shrink)

Clinical delusions are difficult to investigate in the laboratory because they co-occur with other symptoms and with intellectual impairment. Partly for these reasons, researchers have recently begun to use hypnosis with neurologically intact people in order to model clinical delusions. In this paper we describe striking analogies between the behavior of patients with a clinical delusion of mirrored self misidentification, and the behavior of highly hypnotizable subjects who receive a hypnotic suggestion to see a stranger when they look in the (...) mirror. Based on these analogies, we argue that the use of hypnosis is a reliable method to investigate the surface features of clinical delusions. But to what extent can hypnosis successfully recreate delusions? Can it also contribute to a better understanding of delusion formation? Although clinical delusions and hypnotically induced beliefs are different in etiology, some analogies can be identified in the underlying processes that characterise them, based on the two-factor theory of delusion formation. (shrink)

Visual research is a fast-growing interdisciplinary field. The flexibility and diversity of visual research methods are seen as strengths by their adherents, yet adoption of such approaches often requires researchers to negotiate complex ethical terrain. The digital technological explosion has also provided visual researchers with access to an increasingly diverse array of visual methodologies and tools that, far from being ethically neutral, require careful deliberation and planning for use. To explore these issues, the Symposium on Exploring Ethical Frontiers of Visual (...) Methods was held at the University of Melbourne, Australia, on 4 March 2014. The symposium was hosted by the Visual Research Collaboratory, a consortium of Australian and Canadian visual researchers, with support from Melbourne Social Equity Institute, University of Melbourne. The symposium represented the culmination of a process to develop a resource outlining principles of ethical practice for visual researchers and ethics committee members, the Guidelines for Ethical Visual Research Methods, which were launched at the event. The Guidelines present a framework for considering ethical matters in visual research, distinguishing six groups of issues united by an overarching theme: confidentiality; minimizing harm; consent; fuzzy boundaries; authorship and ownership; and representation and audiences. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Plato's Utopia Recast: His Later Ethics and PoliticsGeorge HarveyChristopher Bobonich. Plato's Utopia Recast: His Later Ethics and Politics. Oxford: Clarendon Press of Oxford University Press, 2002. Pp. xi + 643. Cloth, $49.95.In tracing developments in Plato's views between his middle- and late-period dialogues, Plato's Utopia Recast focuses on the differences between philosophers and non-philosophers with respect to their capacities to become genuinely virtuous. The central thesis of this (...) extensive work is that the Laws reveals a degree of optimism about the prospects for non-philosophers in attaining virtue and happiness not found in dialogues of the middle period. Specifically, Bobonich describes this development in terms of four claims that he thinks Plato denies in the Phaedo and Republic but later affirms in the Laws: first, that at least some non-philosophers are capable of being virtuous; second, that they can value virtue for its own sake; third, that they can value the virtue and happiness in others for its own sake; and fourth, that these non-philosophers are capable of living happy lives.Bobonich devotes most of the first chapter to describing Plato's pessimism about non-philosophers in the middle period. The cause for this pessimism is both epistemic and psychological. In the Phaedo, non-philosophers are incapable of knowing what is genuinely valuable. Failure to grasp non-sensible value properties means that in non-philosophers, reason simply takes over the ends defined by bodily impulses. The Republic is less pessimistic, but even here, Plato's tripartitioning of the soul makes clear that the rational part of the soul in non-philosophers fails to fulfill its proper ruling function. Bobonich's claim is that the more optimistic view presented in the Laws is indicative of developments not only in Plato's political theory, but also in the areas of psychology and epistemology.The central feature of the political theory advanced in the Laws is that the proper goal of legislation is not victory in war, but the cultivation of virtue in all citizens. More importantly for Bobonich, it suggests that all citizens, both philosophers and non-philosophers, are capable of attaining some degree of genuine virtue. For evidence of this, he points to the preludes that accompany each piece of legislation designed to provide a rational justification for what the laws command. In identifying virtue as the aim of legislation, Bobonich observes that the Laws endorses a dependency thesis about goods, making the value of a dependent good such as wealth, honor or military victory dependent upon its possessor being virtuous. His position is that Plato's endorsement of this dependency thesis in the Laws implies that ordinary citizens are capable of at least a partial grasp of what is genuinely valuable, making some degree of virtue and happiness attainable.Bobonich's view that this optimism about non-philosophers has implications for Plato's later epistemology and psychology is developed in the third and fourth chapters. He argues that the Republic's partitioning of the soul into three distinct, agent-like parts is abandoned in the later dialogues in favor of a more unified conception. This approach in the [End Page 334] middle period served to account for akratic action and the formation of non-rational desires, but Bobonich believes that Plato came to see this doctrine as ultimately flawed. By contrast, the Laws offers an account of akratic action and non-rational desire that maintains a unified subject and avoids the problems found in partitioning. In chapter four, Bobonich considers how the Laws' unified conception of the subject, supported by the Phaedrus, Philebus and Timaeus, reveals how all human aims and desires, both rational and non-rational, are structured and conceptualized through the soul's rational faculty. In this unified conception of the subject, Bobonich sees important implications for the role of non-rational elements in the ethical education of even ordinary human beings.In the fifth and final chapter, Bobonich returns to politics, and considers how Plato's conception of citizenship in the Laws reflects the more optimistic view of human nature. He examines how citizens in the Laws develop non-instrumental concerns for the happiness... (shrink)

Digital piracy is costly to creative economies across the world. Studies indicate that anti-piracy messages can cause people to pirate more rather than less, suggesting the presence of psychological reactance. A gender gap in piracy behavior and attitudes towards piracy has been reported in the literature. By contrast, gender differences in message reactance and the moderating impact of attitudes have not been explored. This paper uses evolutionary psychology as a theoretical framework to examine whether messages based on real-world anti-piracy campaigns (...) cause reactance and whether this effect is explained by gender and pre-existing attitudes. An experiment compares one prosocial and two threatening messages against a control group to analyze changes in piracy intention from past behavior for digital TV/film. Results indicate that the prosocial message has no significant effect, whereas the threatening messages have significantly opposing effects on men and women. One threatening message influences women to reduce their piracy intentions by over 50% and men to increase it by 18%. We find that gender effects are moderated by pre-existing attitudes, as men and women who report the most favorable attitudes towards piracy tend to demonstrate the most polarized changes in piracy intentions. The practical implications of the results are that men and women process threatening messages differently, therefore behavioral change messages should be carefully targeted to each gender. Explicitly, threatening messages may be effective on women, but may have the reverse effect on men with strong favorable attitudes towards the target behavior. (shrink)

Although the overwhelming majority of terminally ill patients in Oregon who seek a physician's aid in dying are enrolled in hospice programs, hospices do not take a major role in this practice. An examination of fifty‐five Oregon hospices reveals that both legal and moral questions prevent hospices from collaborating fully with physician‐assisted death.

Guidelines for Institutional Review Boards (IRBs) or research ethics committees exist at national and international levels. These guidelines are based on ethical principles and establish an internationally acceptable standard for the review and conduct of medical research. Having attained a multinational consensus about what these fundamental guidelines should be, IRBs are left to interpret the guidelines and devise their own means of implementing them. Individual and community values bear on the interpretation of the guidelines so different IRBs attain different levels (...) of effectiveness. In the Caribbean and Pan American regions there are few IRBs. Obstacles to the establishment and function of IRBs are exacerbated in developing regions like these by differences in language, literacy, and local value systems; education, administrative expertise, facilities, and access to information are also limited. A regional IRB network might facilitate more uniform ethical review in developing countries, and simplify IRB procedures. (shrink)

Reflection, in the sense of [Fr03a] and [Fr03b], is based on the idea that a category of classes has a subclass that is “similar” to the category. Here we present axiomatizations based on the idea that a category of classes that does not form a class has extensionally different subclasses that are “similar”. We present two such similarity principles, which are shown to interpret and be interpretable in certain set theories with large cardinal axioms.

There is international recognition of the need for sustainable research ethics committees to provide ethical review of human subjects.

A general consensus has been reached in health care organizations that the disclosure of medical errors can be a very powerful way to improve patients and physicians well-being and serves as a core component to high quality health care. This practice strongly encourages transparent communication with patients after medical errors or unanticipated outcomes. However, many countries, such as Brazil, do not have a culture of disclosing harmful errors to patients or standards emphasizing the importance of disclosing, taking responsibility, apologizing, and (...) discussing the prevention of recurrences. Medical error is not discussed or approached during medical school. The stigma of error has a strong connection with value judgments, and emotional support for physicians does not exist. This paper suggests that open communication with the patient is essential. Guidance about error disclosure from health care organizations would be helpful for quality and patient safety and for health care professionals in countries like Brazil. (shrink)

A general consensus has been reached in health care organizations that the disclosure of medical errors can be a very powerful way to improve patients and physicians well-being and serves as a core component to high quality health care. This practice strongly encourages transparent communication with patients after medical errors or unanticipated outcomes. However, many countries, such as Brazil, do not have a culture of disclosing harmful errors to patients or standards emphasizing the importance of disclosing, taking responsibility, apologizing, and (...) discussing the prevention of recurrences. Medical error is not discussed or approached during medical school. The stigma of error has a strong connection with value judgments, and emotional support for physicians does not exist. This paper suggests that open communication with the patient is essential. Guidance about error disclosure from health care organizations would be helpful for quality and patient safety and for health care professionals in countries like Brazil. (shrink)