Based on self-reported experiences, the authors conclude that clinical ethics teachers should reflect on a multitude of dilemmas. Special expertise is required with respect to end-of-life decisions, truth telling, medical failures, and transferring patients from one caregiver to another. The clinical ethics curriculum should encourage students to voice their opinions and deal with values, responsibilities, and the uncertainty and failings of medical interventions.
Foucault's analysis of an aesthetics of existence is presented as an instrument to practice ethical thought without the presupposition of an autonomous subject. The implications of Foucault's aesthetics of existence for ethical thought are traced to the work of Nietzsche. In Foucault's work, experiences of oneself are not a given, but are constituted in power relations and true-and-false games. In the interplay of truths and power relations, the individual constitutes a certain relationship to him- or herself. Foucault designated the relation to oneself and one's existence as the main area of ethical concern and the most important field where aesthetic values are to be applied. In his aesthetics of existence, he invited the individual to prob lematize the relationship with the self and by using 'self-techniques' to transform it into a work of art. The relation to intimate others, shaped as friendship, is crucial to this ethical-aesthetic approach.
In the Netherlands, the opposition between advocates of embryo selection (preimplantation genetic diagnosis, PGD) and opponents seeking to ban PGD altogether escalated in May and June 2008, shortly after the State Secretary of Health proposed to rescind the ban on PGD for hereditary breast cancer. The clash between the Social Democratic Labour Party and the Reformed Christian Party, both represented in the Dutch Parliament, was ultimately settled in a quite friendly atmosphere. The active engagement in the debate of women and some men with a family history of hereditary breast cancer, who wrote or told their personal stories to the media, may have helped solve the conflict. In this article, I identify the stories of suffering and the arguments for or against PGD that BRCA mutation carriers made public in response to the controversy. Subsequently, the empirical findings are interpreted in light of political theories on the role of storytelling in political discourse. Deborah Stone's recognition that storytelling is part and parcel of all political discourse and Iris Marion Young's analysis of what stories do are used to evaluate the transformative effect that the real-life stories had in the Dutch public debate on PGD for hereditary breast cancer.
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