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This open access book explores the origins and development of the clinician’s moral voice and how that voice is embedded in the informal ethical discourse of everyday health care. This moral voice, developed over the course of a lifetime—including through professional education and practice—enables clinicians to understand and address the ethical issues that arise in their everyday work with patients, families, and colleagues. The early chapters explain how health care students move from outsiders to insiders—members of the distinct moral and professional communities that define each particular field of health care. The book describes how students, trainees, and clinicians draw on and extend their own existing intellectual, emotional, and moral capacities, and how they use these capacities to address the daily challenges, ethical and otherwise, that arise in the clinic. This approach is designed both to empower clinicians and to inform bioethicists and others in their attempts to work more effectively within clinical settings.
This book is available open access under a CC BY-NC-ND 4.0 license.
Chapter 1: Introduction Looking Back and Looking Forward.- Chapter 2: Two Modes of Ethics Formal and Informal.- Chapter 3: From Outsiders to Insiders.- Chapter 4: Building on What’s Given.- Chapter 5: Dimensions of Moral Experience.- Chapter 6: Elements of Action.- Chapter 7: Touchstones for Learning.- Chapter 8: Informal Ethical Discourse and the Touchstone Questions.- Chapter 9: Prospective Action and the Language of the Clinic.- Chapter 10: Expectations and Discrepancies.- Chapter 11: Two Modes of Clinical Ethics.- Chapter 12: Nurturing the Clinician’s Voice.- Chapter 13: Revitalizing Health Care Ethics.
Stephen Scher is Senior Consulting Editor, Harvard Review of Psychiatry, and Lecturer in Psychiatry, McLean Hospital/Harvard Medical School, USA, and University of Sydney Medical School, Australia.
Kasia Kozlowska is a child and adolescent psychiatrist at The Children’s Hospital at Westmead and Clinical Professor in Psychiatry and Child & Adolescent Health at the University of Sydney Medical School, Australia.


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