ABSTRACT:The inability to reach agreement on what clinical ethics consultants' expertise consists of has generated a theoretical crisis for this field of practice. After briefly examining some recent articles on this subject, this essay focuses on the recent work of a Swedish political scientist, Maria Hedlund, who has addressed herself specifically to the political issues that claims of ethics expertise pose to democratic deliberations, and to how epistocratic claims of ethics expertise can coexist with democratic beliefs about moral expertise. Following Hedlund's lead, I conclude that at least two additional problems remain: (1) identifying ethics experts; and (2) reconciling the practice of clinical ethics consultation with philosophical issues about moral testimony.

中文翻译：

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什么——如果有的话——限制了临床伦理顾问的“专业知识”？

摘要：无法就临床伦理顾问的专业知识组成达成一致意见，已经为这一实践领域带来了理论危机。在简要研究了最近关于这个主题的一些文章之后，本文重点介绍了瑞典政治学家 Maria Hedlund 的近期工作，她专门针对伦理专业知识对民主审议造成的政治问题，以及专制主义主张如何道德专业知识可以与关于道德专业知识的民主信念共存。在 Hedlund 的带领下，我得出结论，至少还有两个问题仍然存在：(1) 确定伦理专家；(2) 协调临床伦理咨询的实践与道德证词的哲学问题。