{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T17:59:15Z","timestamp":1790359155878,"version":"4.1.0"},"reference-count":35,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>As Clinical Ethics Consultation (CEC) becomes more institutionalized, concerns about its legitimacy and efficacy have grown. We defend a realist orientation, according to which CEC has normative force only if its recommendations answer to stance-independent reasons, not to individual preferences and institutional policies. Public justification can and should proceed through familiar means (e.g., shared mid-level norms and transparent procedures) so that stakeholders can scrutinize the reasoning. We show how neutrality, admirable as a procedural virtue, hollows CEC when treated as a master ideal, leaving hard cases to defaults and institutional inertia. In its place, we develop moral expertise as sustained, transparent reasoning that integrates the clinical picture with the profession\u2019s content-full standards. We then construe warranted deference as rational trust in contrastive reason-tracking rather than deference to role. Our comparative thesis holds that shared norms successfully handle routine cases, but persistent disagreement and institutional pressure call for a realist grounding that secures determinate, action-guiding recommendations. On such realist understanding, CEC remains normatively accountable and oriented toward getting things right.<\/jats:p>","DOI":"10.1093\/jmp\/jhag034","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T11:14:54Z","timestamp":1788520494000},"source":"Crossref","is-referenced-by-count":0,"title":["Clinical\n                    <i>Ethics<\/i>\n                    in Name Only? The Case for Moral Realism at the Bedside"],"prefix":"10.1093","author":[{"given":"Sabine","family":"Winter","sequence":"first","affiliation":[{"name":"kbo Clinic for Psychiatry and Psychotherapy Haar , Munich,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nils-Frederic","family":"Wagner","sequence":"additional","affiliation":[{"name":"Johannes Gutenberg University Medical Center , Mainz,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,25]]},"reference":[{"issue":"1","key":"2026092513150791700_jhag034-B1","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1186\/s12910-024-01129-6","article-title":"A review of clinical ethicsconsultations in a regional healthcare system over a two-year timeframe","volume":"25","author":"Anderson","year":"2024","journal-title":"BMC Medical 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