PETEET: Department of Psychiatry, Brigham and Women's Hospital, Boston, MA.
J Psychiatr Pract. 2024 Mar 1;30(2):157-161. doi: 10.1097/PRA.0000000000000775.
Patients regularly bring value-laden concerns to treatment, but clinicians are often unsure about what role to play in their patients' moral lives. Addressing problems in moral functioning depends on assessing how individuals are accomplishing basic moral tasks: developing moral commitments, making moral decisions, implementing these decisions, assessing the correspondence between their ideals and behavior, dealing effectively with moral failure, and developing morally admirable character traits, or virtues. Clarity about the moral dimension of clinical work is important for shaping the direction of treatment, achieving clinical aims, and engaging the moral challenges that clinicians face.
患者经常会带着有价值的关注点来接受治疗,但临床医生往往不确定自己在患者的道德生活中应扮演什么角色。解决道德功能问题取决于评估个体如何完成基本的道德任务:形成道德承诺、做出道德决策、实施这些决策、评估他们的理想与行为之间的一致性、有效地应对道德失败以及培养具有道德魅力的性格特征或美德。明确临床工作的道德维度对于塑造治疗方向、实现临床目标以及应对临床医生所面临的道德挑战都很重要。