Psychosomatics 39:393, August 1998
© 1998 The Academy of Psychosomatic Medine
In Reply
Tia Powell, M.D., Columbia-Presbyterian Medical Center, New York, NY
Key Words: Letter
I could not agree with Dr. Williams and Ms. Skeel more about the importance of collaborative working relationships between clinical ethicists—regardless of their other areas of training—and C-L psychiatrists. I do not feel that C-L psychiatrists could or should replace clinical ethicists, a point that I develop and stress repeatedly in my concluding paragraphs.
The table to which Dr. Williams and Ms. Skeel refer is aimed at C-L psychiatrists, the primary readership of this journal, and focuses primarily on those skills that the psychiatrist, not other ethicists, will need in the former's general skill set. Psychiatric training at this point does include training in cultural awareness; the training of ethicists is, of course, much more varied and a subject of current controversy. Certainly, any professional working in clinical ethics needs a keen awareness of cultural issues, and all excellent clinical ethicists do exhibit such sensitivity, regardless of their other areas of specialization.
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