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November 18, 2025The Journal of Clinical Ethics

Mediation of Medical Distrust due to Racial Injustice: The Legacy of Nancy Dubler

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Authors

PNPaola NicolasLSLaura Specker SullivanECElizabeth Chuang

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Overview

This report identifies mediation strategies to address medical distrust from discrimination, suggesting a community-engaged approach.

Key Points

  • The aim is to explore how mediation can address medical distrust rooted in racial injustice.
  • Discussed case with profound understanding gaps between family and medical team.
  • Explored traditional mediation tools and their limitations.
  • Analyzed the impact of bias within mediation practices.
  • Confirmed that traditional mediation was insufficient for resolving conflicts in this case.
  • Highlighted how systemic discrimination influenced the family's distrust in the medical system.
  • Showed the need for inclusive mediation models inspired by Nancy Dubler's work.

Cite This Study

Nicolas et al. (2025) studied this question.

synapsesocial.com/papers/6924fef4c0ce034ddc351b76https://doi.org/10.1086/737394
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Dialogic Engagement and the Epistemic Norms of Bioethics Mediation2025
  2. 2Reevaluating Benevolent Deception: A Trust-Oriented Approach to Ethical Mediation in Multicultural Healthcare2025
  3. 3Defending Dubler’s Legacy: Relocating the Role of Conflict Management from the Ethics Consultation Service to Patient and Guest Relations2025
  4. 4A Great Gift … with Great Caveats: Bioethics Mediation versus Bona Fide Mediation2025
  5. 5Trust at the intersections: black women's strategies for navigating bias, identity, and self-advocacy in health care.2026