Hamilton Health Sciences, Mcmaster University Medical Center, ON, USA.
Bioethics. 2011 Sep;25(7):370-82. doi: 10.1111/j.1467-8519.2011.01913.x.
This paper explores the theory and practice of embodied epistemology or mindful embodiment in ethics case consultation. I argue that not only is this epistemology an ethical imperative to safeguard the integrity of this emerging profession, but that it has the potential to improve the quality of ethics consultation (EC). It also has implications for how ethics consultants are trained and how consultation services are organized. My viewpoint is informed by ethnographic research and by my experimental application of mindful embodiment to the development of an ethics consultation service. My argument proceeds in four phases. First I explore the notion of 'situatedness' in the bioethics literature, identifying gaps in the field's theories as they apply to EC. I then describe my theoretical approach to embodiment grounded in critical-interpretive medical anthropology and autoethnography. I use embodiment to refer to a moral epistemology grounded in the body, comprised of the interplay of physical, symbolic, intersubjective and political elements. Third, I describe how mindful embodiment can inform the role of the ethics consultant and the development of effective training techniques, vocabularies and processes for EC. I also discuss the benefits of this orientation, and the potential harms of ignoring the embodied dimensions of EC. My goals are to expose the fallacy of the 'theory-practice gap', to demonstrate how my own EC practice is deeply informed by this theoretical orientation, and to argue for a wider definition of what 'counts' as relevant theory for ethics consultation.
本文探讨了具身认识论或正念体现论在伦理案例咨询中的理论和实践。我认为，这种认识论不仅是保护这一新兴专业完整性的道德要求，而且有可能提高伦理咨询的质量。它还对伦理咨询师的培训方式和咨询服务的组织方式产生影响。我的观点是基于民族志研究和我对正念体现论在伦理咨询服务发展中的实验应用得出的。我的论点分四个阶段展开。首先，我在生物伦理学文献中探讨了“情境性”的概念，指出了该领域理论在应用于 EC 时存在的空白。然后，我描述了我基于批判-解释性医学人类学和自传体的具身理论方法。我使用“具身”来指代一种基于身体的道德认识论，它由身体、符号、主体间和政治元素的相互作用组成。第三，我描述了正念体现论如何为伦理咨询师的角色以及有效的培训技巧、词汇和 EC 流程提供信息。我还讨论了这种取向的好处，以及忽视 EC 体现维度的潜在危害。我的目标是揭示“理论-实践差距”的谬误，展示我自己的 EC 实践是如何深受这种理论取向的影响，并为伦理咨询中什么“算作”相关理论提出更广泛的定义。
