PT - JOURNAL ARTICLE AU - Clark, W. David TI - The Dilemma of Goodness: Acknowledging Beneficence Tension in the Search for Consensus AID - 10.3122/jabfm.2010.05.100078 DP - 2010 Sep 01 TA - The Journal of the American Board of Family Medicine PG - 674--676 VI - 23 IP - 5 4099 - http://www.jabfm.org/content/23/5/674.short 4100 - http://www.jabfm.org/content/23/5/674.full SO - J Am Board Fam Med2010 Sep 01; 23 AB - Patient care in family medicine and palliative medicine involves important communication with stakeholders. Beneficence is assumed to be crucial to achieving consensus in these encounters. However, stakeholders may have different perspectives of beneficence. The term beneficence tension is introduced to conceptualize these differing perspectives. Acknowledging beneficence tension is suggested as a way to enhance effective communication with patients and families.