Sunday, June 22, 2014

Emotion, Reason & the Ethics Consult


Over the coming weeks, I hope to share key take-aways from the Harvard Center for Bioethics’ three-day course in clinical bioethics. 

Here’s a start. At Massachusetts General Hospital, Guy Maytal holds these titles: associate director of ambulatory psychiatry, director of primary and urgent care psychiatry, and psychiatric liaison to palliative care. He also is involved in ethics consults.

You wear that many hats, there is bound to be confusion: So it’s not unusual for him to be called for a psych consult on what is essentially an ethics matter, or for an ethics consult on a psych matter. The lines blur. Maytal once received a call for a consult “because the patient cried.” Which says more about a clinician’s inability to sit with emotion than with any problem on the patient’s part.

Maytal’s lecture at the Harvard bioethics course focused on reason and emotion in clinical ethics and included this useful insight: “In the brain, there is no division (between reason and emotion); there’s a balancing act.” 

Maytal is a masterful lecturer. Here are his essential tools for an ethicist in a consult:

  • Bring awareness to your reactions
  • The role is the target, not the individual
  • It's not personal
  • What do I make it mean?
  • Patients come not with problems, but with solutions that no longer work
The patient perspective in that last one puts into context how a clinician might confuse psychology and ethics consults. The lines blur, indeed.


8 comments:

  1. The power of community is very strong to give your message to others in the medical field people are arsing their voices related to their rights. To get more rights in medicare people should start From Paid Essays to Apps to establish the fact of government. That are not providing facilities to the health care.

    ReplyDelete
  2. Nice to read this article will be very helpful in the future, share more info with us. Good job!
    what is gyn

    ReplyDelete
  3. The lines obscure. Maytal once got a require a counsel "in light of the fact that the patient cried." Which says more in regards to a clinician's powerlessness to sit with feeling than with any issue on the patient's part. I actually a essay writer and i felt some more improvement in different articles of this site.

    ReplyDelete
  4. High quality Replica Watches UK from a trust worthy watch dealer? here can offer you the best best replica watches in high quality, including Cartier, Breitling, etc.

    ReplyDelete
  5. Starting today, just a couple of banks are putting forth online check getting the money for administrations to general clients. The equipment required for online check liquidating exchanges is likewise very costly. Check Cashing chicago

    ReplyDelete