Professional liability (malpractice) coverage of humanist scholars functioning as clinical medical ethicists

In contrast to theoretical discussions about potential professional liability of clinical ethicists, this report gives the results of empirical data gathered in a national survey of clinical medical ethicists. The report assesses the types of activities of clinical ethicists, the extent and types of their professional liability coverage, and the influence that concerns about legal liability has on how they function as clinical ethicists. In addition demographic data on age, sex, educational background, etc. are reported. The results show that while nearly one third (28.9%) of the ethicists regularly make recommendations about patient care, only 10.8% of them regularly make entries in the medical record; only approximately half (53.0%) of them are covered by professional liability (malpractice) insurance; and the vast majority (84.3%) of them say that concerns about legal liability do not influence the way they function as clinical ethicists.     

Cognitive Biases in Playing the Lottery: Estimating the Odds and Choosing the Numbers

Three experiments were conducted to examine the operation of the representativeness and anchoring and adjustment heuristics in lottery play. Subjects in Experiments 1 and 2 indicated their chances of winning a lottery with an objective probability of 1 in 10. Consistent with the anchoring and adjustment heuristic, subjects (in both experiments) perceived their chances of winning to be greater when the lottery was based on a single event than when it was based on a disjunctive event. Subjects in these two experiments also selected numbers to play in a pick-3 (Experiment 1) or pick-4 (Experiment 2) lottery. Consistent with the representativeness heuristic, subjects in Experiment 2 demonstrated a preference for numbers without repeating digits. This also occurred in Experiment 3 wherein the numbers actually played in the Indiana daily Pick-3 lottery were examined.     

A study of the foundations of ethical decision making of clinical medical ethicists

A study of clinical medical ethicists was conducted to determine the various philosophical positions they hold with respect to ethical decision making in medicine and their various positions' relationship to the subjective-objective controversy in value theory. The study consisted of analyzing and interpreting data gathered from questionnaires from 52 clinical medical ethicists at 28 major health care centers in the United States. The study revealed that most clinical medical ethicists tend to be objectivists in value theory, i.e., believe that value judgments are knowledge claims capable of being true or false and therefore expressions of moral requirements and normative imperatives emanating from an external value structure or moral order in the world. In addition, the study revealed that most clinical medical ethicists are consistent in the philosophical foundations of their ethical decision making, i.e., in decision making regarding values they tend not to hold beliefs which are incompatible with other beliefs they hold about values.     

An analysis of ethics consultation in the clinical setting

Only recently have ethicists been invited into the clinical setting to offer recommendations about patient care decisions. This paper discusses this new role for ethicists from the perspective of content and process issues. Among content issues are the usual ethical dilemmas such as the aggressiveness of treatment, questions about consent, and alternative treatment options. Among process issues are those that relate to communication with the patient. The formal ethics consult is discussed, the steps taken in such a consult, and whether there should be a fee charged. We conclude with an examination of the risks and benefits of formal ethics consults.     

Decreased empathic sensitivity for distressed infants in neurotic adults: The mediating role of remembered parental rejection

The primary purpose of the present research was to determine whether negative reactions to infant distress in neurotic adults are mediated by representations of same sex parental rejection. Participants were 308 adult males and females who completed questionnaires assessing their personality and their representations of their parents’ care-giving from childhood. Participants also reported their own empathic reactions toward emotionally distressed and non-distressed infants. The present findings revealed that neuroticism significantly predicted a greater recall of parental rejection which, in turn, predicted decreased empathy ratings for distressed infants. In addition, recollections of father rejection mediated the relation between neuroticism and empathy in men, while recollections of maternal rejection mediated the relation between these variables in women.     

Potential roles of the medical ethicist in the clinical setting

The medical ethicist is a fairly recent addition to the clinical setting. The following four potential roles of the clinical ethicist are identified and discussed: consultant in difficult cases, educator of health care providers, counselor for health care providers and finally patient advocate to protect the interests of patients. While the various roles may sometimes overlap, the roles of educator and counselor are viewed as being more congruent with the education and training of medical ethicists than are the roles of consultant and patient advocate.