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故事的寓意:通过广播和戏剧讲述的故事、信任与公众对临床伦理的参与。

The Moral of the Tale: Stories, Trust, and Public Engagement with Clinical Ethics via Radio and Theatre.

作者信息

Bowman Deborah

机构信息

St George's, University of London, London, UK.

出版信息

J Bioeth Inq. 2017 Mar;14(1):43-52. doi: 10.1007/s11673-016-9766-5. Epub 2017 Jan 6.

Abstract

Trust is frequently discussed with reference to the professional-patient relationship. However, trust is less explored in relation to the ways in which understanding of, and responses to, questions of ethics are discussed by both the "public" and "experts." Public engagement activity in healthcare ethics may invoke "trust" in analysing a moral question or problem but less frequently conceives of trust as integral to "public engagement" itself. This paper explores the relationship between trust and the ways in which questions of healthcare ethics are identified and negotiated by both "experts" and the public. Drawing on two examples from the author's "public engagement" work-a radio programme for the British Broadcasting Corporation and work with a playwright and theatre-the paper interrogates the ways in which "public engagement" is often characterized. The author argues that the common approach to public engagement in questions of ethics is unhelpfully constrained by a systemic disposition which continues to privilege the professional or expert voice at the expense of meaningful exchange and dialogue. By creating space for novel interactions between the "expert" and the "public," authentic engagement is achieved that enables not only the participants to flourish but also contributes to trust itself.

摘要

人们经常在专业医患关系的背景下讨论信任问题。然而,对于“公众”和“专家”讨论伦理问题的方式以及对这些问题的理解和回应,信任方面的探讨较少。医疗伦理中的公众参与活动在分析道德问题时可能会提及“信任”,但较少将信任视为“公众参与”本身不可或缺的一部分。本文探讨了信任与“专家”和公众识别及协商医疗伦理问题的方式之间的关系。借助作者“公众参与”工作中的两个例子——为英国广播公司制作的一档广播节目以及与一位剧作家和剧院的合作——本文审视了“公众参与”通常的特点。作者认为,在伦理问题上进行公众参与的常见方式受到一种系统性倾向的不利限制,这种倾向继续以牺牲有意义的交流和对话为代价,优先考虑专业或专家的声音。通过为“专家”和“公众”之间的新型互动创造空间,可以实现真正的参与,这不仅能让参与者受益,也有助于增进信任本身。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8699/5340826/76f3b55923a9/11673_2016_9766_Fig1_HTML.jpg

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