From: Moral judgement development during medical student clinical training
Dimension | External Formulas | Crossroads | Self-authorship |
---|---|---|---|
Epistemological | Knowledge from authorities is accepted or partially accepted without evaluation | Evolving awareness of the uncertainty created by multiple perspectives and recognition of the need to accept responsibility for beliefs | Knowledge is contextual. An internal belief system allows the construction, evaluation and interpretation of evidence to form judgements |
Intrapersonal | Identity derived from the definitions and approval of others | Emerging tension between internal and external values and beliefs prompting self-exploration | Consolidation of personal values and identity to allow interpretation of evidence within context |
Interpersonal | Relationships are a source of identity and affirmation | Evolving recognition of how dependent relationships constrain growth. Emerging identity creates struggle for independence | Engagement in interdependent relationships without the need for approval and with the ability to recognise and accept the perspectives of others |