title: How Clinicians Can Reduce "Bullied Acquiescence".
abstract: Clinicians and patients and their families may disagree about a course of treatment, and the ensuing conflict may seem intractable. The parties may request mediation, or use mediation-based approaches, to help resolve the conflict. In the process of mediation, and at other times, parties in conflict may feel so pressured to accept a resolution that they acquiesce unwillingly--and such resolutions often unravel. In this article I investigate how "bullied acquiescence" might happen, and how to avoid it.
authors.affiliation: Programs in Medical Ethics, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, Maryland 20814 USA. edmund.howe@uhuhs.edu.
authors.forename: Edmund G
authors.initials: EG
authors.lastname: Howe
mesh_terms: D003657:Decision Making; D004535:Ehlers-Danlos Syndrome / Q000150:complications*; D004750:Enteral Nutrition; D033061:Ethics Consultation; D005190:Family; D005260:Female; D005774:Gastrostomy; D006801:Humans; D008297:Male; D028681:Moral Obligations; D017008:Negotiating; D010053:Ovary; D010290:Parents; D026684:Personal Autonomy; D010819:Physician's Role; D037022:Posthumous Conception / Q000941:ethics*; D011340:Problem Solving; D066107:Social Skills; D020858:Tissue and Organ Harvesting