The audience for this book is anyone who has experienced a discrepancy between their own individual thinking about ethics—whether in med-icine, nursing, social work, psychology, or other fields—and what they encounter in the academically oriented, comparatively theoretical dis-cussions of ethics as presented in grand rounds, at conferences, and in professional and academic journals. What these clinicians know is that this difference makes a difference: their ways of thinking and acting are grounded not in academic abstractions but in their own selves, their general life experiences, years of clinical encounters with patients, and myriad discussions with friends and colleagues, both junior and senior. What they also know is that when they need advice concerning ethical problems in their work, the best source of support and feedback is likely to be their own colleagues, who understand how those problems are embedded in, and inseparable from, the clinical milieu.That, in a nutshell, is what this book is about. The starting point is that health care trainees and clinicians carry around with them, as part of their very selves, the emotional and intellectual resources required for them to act and think ethically—or, in broader terms, humanely and reflectively—in their encounters with patients. Any effort to develop clinically relevant ethics that fails to build upon these preexisting per-sonal resources will inescapably fall short of achieving its intended result, however good or admirable.