This paper presents a method of moral problem solving in clinical prac
tice that is inspired by the philosophy of John Dewey. This method, ca
lled ''clinical pragmatism,'' integrates clinical and ethical decision
making. Clinical pragmatism focuses on the interpersonal processes of
assessment and consensus formation as well as the ethical analysis of
relevant moral considerations. The steps in this method are delineate
d and then illustrated through a detailed case study. The implications
of clinical pragmatism for the use of principles in moral problem ser
ving are discussed.