Subscribe to RSS
DOI: 10.1055/s-0030-1252109
Person-Centeredness, Ethics, and Stories of Risk
Publication History
Publication Date:
02 June 2010 (online)
ABSTRACT
Storytelling can be a powerful way to reflect on the ethical issues that emerge in clinical practice. This article uses two stories by speech-language pathologists to explore how notions of person-centered practice may influence speech-language pathology practice. Then these stories are examined in relation to definitions of person-centered practice and speech pathology code of ethics to discuss the ethical issues, challenges, and risks that these stories raise. Moving toward more person-centered ways of practicing will require speech-language pathologists to be open to the real lives of their clients with communication and swallowing disabilities. It may also require speech-language pathologists to be open to their own vulnerabilities as well.
KEYWORDS
Person-centered practice - ethical practice - narrative - risk
REFERENCES
- 1 Gillespie R, Florin D, Gillam S. How is patient-centred care understood by the clinical, managerial and lay stakeholders responsible for promoting this agenda?. Health Expect. 2004; 7 142-148
- 2 Waterworth S, Luker K. Reluctant collaborators: do patients want to be involved in decisions concerning care?. J Adv Nurs. 1990; 15 971-976
- 3 Hughes J, Bamford C, May C. Types of centredness in health care: themes and concepts. Med Health Care Philos. 2008; 11 455-463
- 4 Rogers C. Significant aspects of client-centred therapy. Am Psychol. 1946; 1 415-422
- 5 Balint E. The possibilities of patient centred medicine. J R Coll Gen Pract. 1969; 17 269-276
- 6 Tait I. Person-centred perspectives in medicine. J R Coll Gen Pract. 1974; 24 151-160
- 7 Levenstein J, McCracken E C, McWhinney I R, Stewart M A, Brown J B. The patient-centred clinical method. 1. A model for the doctor-patient interaction in family medicine. Fam Pract. 1986; 3 24-30
- 8 Little P, Everitt H, Williamson I et al.. Preferences of patients for patient centred approach to consultation in primary care: observational study. BMJ. 2001; 322 468-472
- 9 Law M, Baptiste S, Mills J. Client-centred practice: what does it mean and does it make a difference?. Can J Occup Ther. 1995; 62 250-257
- 10 Gerteis M, Edgman-Levitan S, Daley J, et al Through the Patient's Eyes: Understanding and Promoting Patient-Centred Care. San Francisco, CA; Jossey-Bass 1993
- 11 Michie S, Miles J, Weinman J. Patient-centredness in chronic illness: what is it and does it matter?. Patient Educ Couns. 2003; 51 197-206
- 12 Tresolini C. Pewter-Fetzer Task Force .Health Professions Education and Relationship-Centered Care: Report of the Pew-Fetzer Task Force on Advancing Psychosocial Education. San Francisco, CA; Pew Health Professions Commission 1994
- 13 Bensing J. Bridging the gap: the separate worlds of evidence-based medicine and patient-centred medicine. Patient Educ Couns. 2000; 39 17-25
- 14 Stewart M. Towards a global definition of patient-centred care—the patient should be the judge of patient centred care. BMJ. 2001; 322 444-445
-
15 McWhinney I.
Why we need a new clinical method . In: Stewart MA, Brown JB, Weston WW, et al Patient-Centred Medicine: Transforming the Clinical Method. Thousand Oaks, CA; Sage 1995 - 16 Mead N, Bower P. Patient-centredness: a conceptual framework and review of the empirical literature. Soc Sci Med. 2000; 51 1087-1110
- 17 Speech Pathology Australia .Code of ethics. 2000 [cited 2008 13th March] Available at: http://www.speechpathologyaustralia.org.au/library/Code%20of%20Ethics%20-%20Sept%2008.pdf Accessed March 29, 2010
- 18 Canadian Association of Speech Language Pathologists and Audiologists .Code of ethics. 2005 [cited 2008 13th March] Available at: http://www.caslpa.ca/PDF/code%20of%20ethics.pdf
- 19 American Speech-Language-Hearing Association .Code of ethics. 2003 [cited 2008 13th September] Available at: http://www.asha.org/docs/html/ET2003-00166.html
- 20 Health Professionals Council .Standards of conduct, performance and ethics. 2004 [cited 2008 13th March] Available at: http://www.hpc-uk.org/assets/documents/10000290HPC034HPCA5_Standards_of_conduct_performance_and_ethics.pdf
- 21 Catt J. The language of ethics in clinical practice. J Med Speech-Lang Pathol. 2000; 8 137-153
- 22 Pellegrino E, Thomasma D. The Virtues in Medical Practice. New York, NY; Oxford University Press 1993
- 23 Kushner T, Thomasma D. Ward Ethics. New York, NY; Cambridge University Press 2001
- 24 Meier R, Purtilo R. Ethical issues and the patient-provider relationship. Am J Phys Med Rehabil. 1994; 73 365-366
- 25 MacCleod R, McPherson K. Care and compassion: part of person-centred rehabilitation, inappropriate response, or a forgotten art?. Disabil Rehabil. 2007; 29 1589-1595
- 26 Geller G. A “holistic” model of the healing relationship: what would that require of physicians?. Am J Bioeth. 2006; 6 82-85
0 Names of people and places have been changed.
Robyn O'HalloranPh.D.
Lecturer, Human Communication Sciences, Faculty of Health Sciences
La Trobe University, Bundoora VIC 3086, Australia
Email: R.O'Halloran@latrobe.edu.au