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July 14, 1999

Exploring the Ethics of Clinical Role Conflicts

JAMA. 1999;282(2):132-133. doi:10-1001/pubs.JAMA-ISSN-0098-7484-282-2-jbk0714

To the Editor: Dr Bloche1 advocates an approach to ethical analysis based on considering the implications of a particular action or decision for the patient-clinician relationship. This ethical analysis is a welcome alternative to more traditional ethical discourse based on the detached application of abstract principles to decisions. It provides an appropriate complement to the evolution in clinical practice from a biomedical approach to a biopsychosocial or systems approach now called "relationship-centered care."2