Clinical Ethics and the Necessity of Stories (eBook)

Contents 6
Contributors 8
1 Introduction 10
1 Professional Career 10
2 Zaners Books 11
3 The Contributions to this Volume 13
References 22
2 Keeping Balance in the Face of Death 23
Notes 32
3 Richard Zaner on Transcendentality, Eidos and Phantasy 34
1 Introduction 34
2 Transcendentality in The Context of Self 35
2.1 The Two Tasks Mandated by the Idea of Transcendental Necessity 36
2.2 Foundedness 37
2.3 Eidetic Inquiry: Free Phantasy Variation and Essences 37
2.3.1 Initial Comments on Free Phantasy Variation 37
2.3.2 Free Optionalness 38
2.3.3 Formal and Material Universals 39
2.4 Reflections on Free Phantasy Variation and Its Usefulness 41
2.5 Some Intermediate Conclusions 41
3 The Legitimating of Epistemic Claims 41
4 Transcendentality in The Way of Phenomenology 44
4.1 The Multi-leveled Self 44
4.2 The Knowing Self or the Self that Knows Self 46
4.3 The First Epistemic Privilege of the Transcendental Attitude 47
4.4 The Second Epistemic Privilege of the Transcendental Attitude 48
4.5 Coherence of the Field of Reflection 49
5 Conclusion 51
References 51
4 The Limits of Biomedical Ethics and the Specific Role of Phenomenology in Biomedical Ethics 52
1 The Limits of the Project of Biomedical Ethics as a Philosophical Project 52
2 Phenomenological Approaches to Biomedical Ethics 57
Notes 61
References 62
5 Richard Zaner and Standard Medical Ethics 63
1 Resolution in Clinical Ethics 64
2 Justification by Principles in Medical Ethics 65
3 Specified Principles in a Pluralistic Society 67
4 Moral Acquaintances as a Solution to this Problem 68
5 The Extent of Moral Acquaintanceships 70
6 Zaners Insights as a Solution 71
7 Conclusion 74
Notes 74
References 75
6 Bioethics Without Analogy 76
1 Analogy at Its Asymptote 76
2 Analogy in Service 78
3 The Dispositive Analogy in American Bioethics 79
3.1 The End-of-Life Fights 80
3.2 Reproductive Wrongs 81
3.3 Role Revisions 82
3.4 Role Denials 83
3.5 Entrainment of Bioethical Reasoning 84
4 Theories and Fiction 86
5 Encountering the Encounter 87
Notes 88
References 88
7 Phenomenological Nursing in Schutzian Perspective 91
1 Introduction 91
2 The Schutzian Perspective in General 92
3 Two Examples of Phenomenological Nursing 95
Notes 100
References 101
8 Zaners Generative Spirit 102
1 Generative Interpretation 102
2 Caring Presence 104
2.1 Vivid Presence 105
2.2 Co-presence 105
2.3 Availability and Empowerment 106
3 Use of Concrete Examples 106
References 109
9 Integrity and the Moral Gestalt: Zaner Tells his Mothers Story 110
1 Integrity 111
2 Phenomenological Method in Clinical Ethics 113
3 Telling Stories of His Mothers Death 114
4 Themes in the Narratives 117
5 Richard Zaners Legacy 119
References 120
10 Between and Beyond: Medicine and Narrative in Dick Zaners Phenomenology 121
1 Introduction 121
1.1 The Way of Phenomenology 124
1.2 The Context of Self 127
2 Hans Jonas and the Phenomenon of Life 128
3 Aron Gurwitsch and the Theory of Contextures 129
3.1 Paul Ricoeur's Philosophy of Hermeneutics 131
3.1.1 Free-Phantasy Variation 133
3.1.2 Conversations on the Edge 135
Notes 138
References 139
11 Fardels of the Heart: Obesity and the Unbearable Heaviness of Being 141
Notes 153
12 The Philosopher as Ethicist, The Ethicist as Storyteller 155
1 Being a Philosopher 156
2 Being an Ethicist 157
3 The Ethicist as Storyteller 160
4 The Storyteller as Witness 163
5 Coda: On Broaders Hill 164
Notes 164
References 165
13 The Ecstatic Witness 166
1 The Precipice of Illness 166
2 Giving an Account of Oneself 168
3 Listening for the Self-Telling Body 170
4 Aesthetics, Illness, and Taking Care 175
5 A Mutual Corporeality 180
References 183
14 A Story Tellers Story: Richard Zaner as Hero (H row) 185
1 The Distinguished Flying Cross: Part I (or Moral Authority) 185
1.1 Post Meeting Reflections 186
1.2 Responding in a ''Zanarian'' Way? 187
2 Bearing His Cross (or Distinguished Flying Cross Part 2) 187
3 Bearing His Cross: After Meeting Reflections 188
3.1 Continuing the Dialogue with Zaner 189
3.1.1 A Stealth Flight (or Distinguished Flying Cross Part III) 189
4 Now to the Present Day 190
Notes 191
References 191
15 On the Telling of Stories 192
1 By Way of Prelude: A Song Before I Dance 192
2 First Movements of the Dance 193
3 Dancing with Another as We Grow Older Together 193
4 The Primal Dance: Being Born 195
5 Tripping a Light Fantastic 196
6 Intermission 199
7 Method: A Sort of Dance Meta-movement 199
8 The Dance Concludes with a Song 202
9 The Ardor of the Dance 205
Notes 207
Author Index 210
Subject Index 211