Psychoanalysis and Medical Ethics

by Rachel C. Conrad

On the first day of both my undergraduate (premed) and med school courses on medical ethics, I present a case without a clear answer: “We have one liver and two dying patients. How do we decide who should get the liver?”

I want them to linger with a common dilemma in medical practice—one that doesn’t have a simple answer. I want to open up space for them to acknowledge, both to themselves and to one another, that they can’t always know the “right” answer—that they have to accept ambiguity and allow themselves to feel the irreconcilable tensions that, unfortunately, their education as doctors doesn’t ordinarily acknowledge.

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