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[In order to construct the concept of “covenant consent,” a thorough exploration of the concept of covenant will be provided. The exploration will include a look at its origin and character in the ancient near east, a brief survey of its uses in general Jewish and Christian ethics and a review of some uses in healthcare ethics, focusing particularly on the work of Paul RamseyPaul Ramsey and William F. MayWilliam F. May. Finally, some of the implications of the covenant concept for re-envisioning the care provider—patient relationship in healthcare will be suggested. The idea of covenant will be shown to derive from certain social and political arrangements made by AkkadiansAkkadians, HittitesHittites and IsraelitesIsrael. Key elements of covenants in the ancient near east included an emphasis on loyaltyLoyalty, shame and honorShame and honor, and what anthropologists have called “fictive kinshipFictive kinship.” Covenant terminology has been prominent in the ethics of Jewish and Christian scholars such as Louis E. Newman, Elliot Dorff, Daniel J. Elazar, Alan L. Mittleman, H. Richard NiebuhrH. Richard Niebuhr, Joseph L. Allen and Perry Simspon Huesmann, while the use of covenant in healthcare ethics specifically has been associated with Ramsey and May. Finally, an effort will be made to show the relevance of the concept of covenant for care provider—patient relationships in general, and for consent in particular.]
Published: Apr 26, 2017
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