Stephen Scher – författare

This open access book sets out the stress-system model for functional somatic symptoms in children and adolescents. The book begins by exploring the initial encounter between the paediatrician, child, and family, moves through the assessment process, including the formulation and the treatment contract, and then describes the various forms of treatment that are designed to settle the child’s dysregulated stress system. This approach both provides a new understanding of how such symptoms emerge – typically, through a history of recurrent or chronic stress, either physical or psychological – and points the way to effective assessment, management, and treatment that put the child (and family) back on the road to health and well-being.

This open access book explores the origins and development of the clinician’s moral voice and how that voice is embedded in the informal ethical discourse of everyday health care. This moral voice, developed over the course of a lifetime—including through professional education and practice—enables clinicians to understand and address the ethical issues that arise in their everyday work with patients, families, and colleagues. The early chapters explain how health care students move from outsiders to insiders—members of the distinct moral and professional communities that define each particular field of health care. The book describes how students, trainees, and clinicians draw on and extend their own existing intellectual, emotional, and moral capacities, and how they use these capacities to address the daily challenges, ethical and otherwise, that arise in the clinic. This approach is designed both to empower clinicians and to inform bioethicists and others in their attempts to work more effectively within clinical settings.This book is available open access under a CC BY-NC-ND 4.0 license.

​The goal of this open access book is to develop an approach to clinical health care ethics that is more accessible to, and usable by, health professionals than the now-dominant approaches that focus, for example, on the application of ethical principles. The book elaborates the view that health professionals have the emotional and intellectual resources to discuss and address ethical issues in clinical health care without needing to rely on the expertise of bioethicists. The early chapters review the history of bioethics and explain how academics from outside health care came to dominate the field of health care ethics, both in professional schools and in clinical health care. The middle chapters elaborate a series of concepts, drawn from philosophy and the social sciences, that set the stage for developing a framework that builds upon the individual moral experience of health professionals, that explains the discontinuities between the demands of bioethics and the experience andperceptions of health professionals, and that enables the articulation of a full theory of clinical ethics with clinicians themselves as the foundation. Against that background, the first of three chapters on professional education presents a general framework for teaching clinical ethics; the second discusses how to integrate ethics into formal health care curricula; and the third addresses the opportunities for teaching available in clinical settings. The final chapter, "Empowering Clinicians", brings together the various dimensions of the argument and anticipates potential questions about the framework developed in earlier chapters.