Life and Death Decisions in the Clinical Setting Moral decision maki

This book moves away from the frameworks that have traditionally guided ethical decision-making in the Western clinical setting, towards an inclusive, non-coercive and, reflective dialogic approach to moral decision-making. Inspired in part by Jürgen Habe

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Paul Walker · Terence Lovat

Life and Death Decisions in the Clinical Setting Moral Decision Making Through Dialogic Consensus

SpringerBriefs in Ethics

More information about this series at http://www.springer.com/series/10184

Paul Walker Terence Lovat •

Life and Death Decisions in the Clinical Setting Moral Decision Making Through Dialogic Consensus

123

Paul Walker School of Medicine and Public Health The University of Newcastle Newcastle, NSW Australia

Terence Lovat School of Humanities and Social Science The University of Newcastle Newcastle, NSW Australia and University of Oxford Oxford UK

ISSN 2211-8101 SpringerBriefs in Ethics ISBN 978-981-10-4300-0 DOI 10.1007/978-981-10-4301-7

ISSN 2211-811X (electronic) ISBN 978-981-10-4301-7

(eBook)

Library of Congress Control Number: 2017934630 © The Author(s) 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer Nature Singapore Pte Ltd. The registered company address is: 152 Beach Road, #21-01/04 Gateway East, Singapore 189721, Singapore

Kenneth Edward Walker, RIP 7th August 2015

Preface

Moral decision making in clinical settings, especially around life and death decisions, has never been easy. In our current context, we see life-prolonging technological advancements racing ahead of our reflection on when to employ those advancements. Hence, decision making which aims to truly maximise the good of the patient has become ever more complex. At the same time, societies themselves have become more complex, with the largely homogenous societies of the past giving way to increasingly multicultural, multifaith ones. Hence, the relatively predictable set of values that once might have defined the stakeholders involved in difficult moral decision making has been replaced by value pluralism. As a