Ethics in brain injury rehabilitation: existential choices among western cultural beliefs.
The following issues in the practice of brain injury rehabilitation are explored: (1) validity of support for efficacy based on experience in clinical practice, (2) validity of support for efficacy based on research, (3) consumer protection, (4) qualifications and regulation of individual providers, (5) regulation of programme development and marketing. Ethical responses to these issues from each of three cultural belief systems (humanism, science and self-interest) are examined from a metaphilosophical perspective based on contemporary cognitive psychology and on philosophies of social constructionism and existentialism.
Malec
J F
JF
Mayo Clinic and Foundation, Rochester, Minnesota 55905.
D035843:Biomedical Research; D001927:Brain Diseases; D001930:Brain Injuries / Q000534:rehabilitation*; D003431:Cross-Cultural Comparison; D018864:Cultural Diversity; D004992:Ethics, Medical; D005086:Existentialism; D006808:Humanism; D006801:Humans; D008389:Marketing of Health Services; D017060:Patient Satisfaction; D010686:Philosophy, Medical; D011785:Quality Assurance, Health Care; D012047:Rehabilitation Centers; D018570:Risk Assessment; D012926:Social Control, Formal; D012945:Social Values