The ground of dialogical bioethics.

Area of Science:

• Bioethics
• Moral Philosophy
• Medical Ethics

Background:

• Substantive ethical theories (consequentialism, deontology, principlism, casuistry, virtue ethics, care ethics) establish predetermined goods.
• Dialogical ethics offers a procedural alternative, determining goods through dialogue among involved parties.
• Dialogical bioethics applies these principles to medical ethical issues.

Purpose of the Study:

• To introduce and define dialogical ethics as a procedural framework.
• To highlight the application and benefits of dialogical bioethics in resolving medical ethical impasses.
• To identify areas for future research within dialogical bioethics.

Main Methods:

• Defining dialogical ethics based on procedural, dialogical, and rule-governed interaction.
• Applying dialogical ethics principles to bioethical problems, exemplified by medical futility.
• Analyzing the characteristics of rules of order in regulating ethical dialogue.

Main Results:

• Dialogical ethics determines ethical goods through empathic critical discussion and negotiation.
• This approach has successfully resolved issues like medical futility where substantive ethics failed.
• Key features of dialogical ethics include reciprocal regulation, overriding other considerations, and instituting critical discussion.

Conclusions:

• Dialogical ethics provides a valuable procedural framework for ethical decision-making.
• Dialogical bioethics offers a potent tool for addressing complex medical ethical challenges.
• Further research is needed on challenges like party incompetence, conflicts of interest, and cost-effectiveness.