Published online by Cambridge University Press: 22 December 2025
Jane was in imminent danger of an impending thyroid storm from her goiter and was experiencing intermittent psychosis. The clinical team was focusing on capacity evaluations as they found Jane to be angry, hostile, and difficult, and believed an involuntary hold was necessary as she was not consistently consenting to the surgery and trying to leave. As soon as Jane had the thyroidectomy she would return to her baseline as if nothing had happened. When I was training, I shared with a few close colleagues and mentors my nervousness about how I would be received as a clinical ethicist. I was cognizant that there would be some patients who may not appreciate my disability or see it as of value. In reality, Jane had a big ally in me and my disability helped me untangle some aspects of the case in a way that validated her experience. Nonetheless, clinical ethicists have a responsibility to actively assess and check for implicit bias within ourselves. As we caution our clinical colleagues not to be paternalistic in their practice, we, too, must not be paternalistic in ours.
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