Ethical conflict resolution based on an ethics of relationships for brain injury rehabilitation

James F. Malec

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

An ethics of relationships for brain injury (BI) rehabilitation is described based on three principles: (1) human relationships are important; (2) human relationships are as important as individual survival; (3) human relationships are important enough to extend throughout the family of humankind. Within the context of this ethics of relationships, ethical conflict resolution (ECR) is offered as a process to address disagreements among those involved in BI rehabilitation. ECR provides a means to arrive at moral decisions in situations in which people disagree about the appropriate course of action because of differing values. ECR recognizes that, although disagreements in BI rehabilitation settings can be associated with multiple other factors, including disturbed self-awareness, emotions, communication, and interpersonal dynamics, such disagreements may also be value-based, either in whole or part. ECR invites the professional team to identify the value-based portion of these disagreements and provides a rational and supportive process to address disagreements. In this discussion of ECR, common and potentially universal areas of ethical concern in BI rehabilitation are identified, as well as potential risks. Specific examples of the application of ECR in cases of vegetative state, coma stimulation, and cognitive rehabilitation are described.

Original languageEnglish (US)
Pages (from-to)781-795
Number of pages15
JournalBrain Injury
Volume10
Issue number11
DOIs
StatePublished - Nov 1996
Externally publishedYes

Fingerprint

Negotiating
Ethics
Brain Injuries
Rehabilitation
Persistent Vegetative State
Coma
Emotions
Communication
Survival

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Ethical conflict resolution based on an ethics of relationships for brain injury rehabilitation. / Malec, James F.

In: Brain Injury, Vol. 10, No. 11, 11.1996, p. 781-795.

Research output: Contribution to journalArticle

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