1) Review Ethics Key Terms
GOAL: Develop a preliminary grasp of using ethical frameworks that focus on social relations (see Ethics Worksheet Explained) and compare them to other ethical approaches covered thus far in the course.
Review these key ethics terms before turning to the video and reading:
2) Watch video of Carol Gilligan on Moral Development and Care Ethics.
GOAL: Understand the basics of care ethics and how it might apply to the clinical setting.
Consider what is different about the approach that Gilligan is suggesting (i.e. a relational or Care Ethics based approach) from what you typically think of in terms of your ethical obligations as physicians.
3) Read Baby Aaron and the Elders by Ellen Wright Clayton and Eric Kodish
GOAL: Consider what you learned from Gilligan’s video and the above ethics key terms in this complex case of refusal of life sustaining treatment (LST).
Consider this is just one instance among a myriad of different clinical-community interactions. It will help us to begin to see the importance and sometimes the difficulty of respecting and valuing different community-based and relationship-based values and beliefs.
Have you ever found your own personal and community-based beliefs to be in tension with the norms of the institution of medicine?
For further research on The Amish and healthcare, see S. Talpos’ “The Amish understand a crucial thing about modern medicine that most Americans don’t“.
You can also find substantial research on many diverse communities of Americans here in a “Diversity Toolkit” created by Cleveland Clinic: https://my.clevelandclinic.org/-/scassets/files/org/about/diversity/2016-diversity-toolkit.ashx.