title: A work in progress.
abstract: After expressing gratitude to each contributor, and briefly commenting on each, I probe several main themes of my work, addressing the question of the apparent difference between my earlier "philosophical" and later "clinical" writings. Central to both is the reflexivity of the human agent, and that each exhibits a form of practice regardless of the specific aims embedded in each. I then address the theme of narrative writing as my work has developed over the past several decades at the heart of which are questions of self and integrity.
authors.affiliation: Vanderbilt University Medical Center, Nashville, TN, USA. rzaner@houston.rr.com
authors.forename: Richard M
authors.initials: RM
authors.lastname: Zaner
mesh_terms: D033061:Ethics Consultation; D026690:Ethics, Clinical; D006801:Humans; D033262:Narration