Trim: 6 x 9
978-0-7391-4966-9 • Hardback • December 2011 • $100.00 • (£77.00)
978-0-7391-4967-6 • Paperback • December 2011 • $49.99 • (£38.00)
978-0-7391-4968-3 • eBook • February 2012 • $47.00 • (£34.00)
Michael C. Brannigan (Ph.D., Philosophy, M.A., Religious Studies, University of Leuven, Belgium) is the George and Jane Pfaff Endowed Chair in Ethics and Moral Values at The College of Saint Rose in Albany, New York. Holder of the first endowed chair in the college’s history, he is also on the faculty of the Alden March Bioethics Institute at Albany Medical College. Prior to his appointment, he was Vice President for Clinical and Organizational Ethics at the Center for Practical Bioethics in Kansas City, Missouri. Before that, he was Founder and Executive Director of the Institute for Cross-Cultural Ethics at La Roche College, Pittsburgh, Pennsylvania. To complement his rich and longstanding clinical experience as an ethics consultant, hospital ethics committee advisor, and hospice volunteer, his specialty lies in ethics, Asian philosophy, medical ethics, and intercultural ethics. Along with numerous articles, his books include: Ethics Across Cultures; Striking a Balance: A Primer in Traditional Asian Values; The Pulse of Wisdom: The Philosophies of India, China, and Japan; Healthcare Ethics in a Diverse Society (co-authored); Cross-Cultural Biotechnology; and Ethical Issues in Human Cloning. He serves on the editorial boards of Health Care Analysis: An International Journal of Health Care Philosophy and Policy and Communication and Medicine. He also writes a monthly column on ethics for the Albany Times Union, at http://www.timesunion.com/brannigan/. Michael was born in Fukuoka, Japan. He and his wife Brooke, along with their dog Seamus, live in Niskayuna, New York. For fun, he plays piano, guitar, tennis, ocean kayaks, and practices martial arts.
Chapter One: When Worldviews Collide
Chapter Two: From Fault Lines to Cultural Competency
Chapter Three: Cultural Discourse and Its Hurdles
Chapter Four: On the Path to Presence
Chapter Five: Cultivating Presence When There Is Distrust
This is a book about the nature of ‘cultural competency,’ its vital significance in healthcare, and the social and cultural barriers to achieving it that exist both in the process of American medical education and in the American system of health care delivery. It has a meta-message about what Brannigan regards as ‘the virtue of presence’ —how health professionals ideally should relate to, and communicate with patients and their families.
— Renee C. Fox, Annenberg Professor Emerita of the Social Sciences, Department of Sociology, University of Pennsylvania
This book provides an opportunity for students and health care practitioners to reflect upon the philosophical meaning of "cultural competency." Using examples/scenarios from different cultures, Brannigan (College of Saint Rose) offers insights as a bioethicist on how to unveil the essence of cultural competency through the cultivation of presence. This intriguing work is important because American society consists of at least 66 diverse racial and ethnic groups with multiple values and worldviews. When members of diverse groups access the Western biomedical health care system, multiple clashes and conflicts can occur. To bridge these differences in cross-cultural communication, Brannigan offers insight from his work with multicultural patients and their families and caregivers. Chapter 1 discusses the challenges of colliding worldviews in pluralistic American society and health care. Chapter 2 defines cultural competency, and three critical values to understand culture: space, time, and modes of communication. In the final three chapters, Brannigan advocates for the cultivation of a "face-to-face engagement or being-with the patient" as an approach to improve patient-provider interactions. Strategies to cultivate presence in health care interactions may include active listening, pace, and reciprocity. A valuable resource for students and health care practitioners interested in the subject of cultural competency. Summing Up: Highly recommended.
— Choice Reviews