Frank Arthur W
Narrat Inq Bioeth. 2013 Spring;3(1):35-40. doi: 10.1353/nib.2013.0000.
A collection of stories by bioethicists writing about their own illnesses displays the importance of microethics. From this perspective, ethics happens not in the application of principles to specific decisions, but rather in the moment-to-moment flow of clinical interaction, as healthcare workers and patients make decisions, especially in their use of language. Microethical issues that are common to multiple stories are described as dense junctures of ethical concern. Three junctures are discussed in detail: conflicts between medical and patient rationalities, issues of how clinicians represent patients, and practices of truth telling. These junctures are illustrated with examples from the bioethicists' personal stories of treatment.
生物伦理学家撰写的关于自身疾病的故事集展示了微观伦理学的重要性。从这个角度来看，伦理并非发生在将原则应用于具体决策之时，而是发生在临床互动的每时每刻，当医护人员和患者做出决策时，尤其是在他们使用语言的过程中。多个故事中常见的微观伦理问题被描述为伦理关注的密集节点。详细讨论了三个节点：医学理性与患者理性之间的冲突、临床医生如何呈现患者的问题以及告知真相的做法。这些节点通过生物伦理学家个人治疗故事中的例子进行说明。
