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Principlism and communitarianism.

D Callahan1

  • 1The Hastings Center, Briarcliff Manor, NY 10510, USA. callahan@thehastingscenter.org

Journal of Medical Ethics
|October 2, 2003
PubMed
Summary
This summary is machine-generated.

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Principlism, a bioethical framework, faces criticism for its individualistic bias and tendency to hinder deep ethical discussions. Its practical utility varies across complex moral dilemmas.

Area of Science:

  • Bioethics
  • Moral Philosophy
  • Applied Ethics

Background:

  • Addresses the declining interest in ethical theory.
  • Introduces the author's communitarian philosophical perspective.
  • Sets the stage for a critical examination of principlism.

Discussion:

  • Critiques principlism's inherent individualistic bias.
  • Highlights principlism's significant limitation: its capacity to impede substantive ethical inquiry.
  • Examines four distinct ethical scenarios to evaluate principlism's practical application.

Key Insights:

  • Principlism demonstrates utility in scenarios involving Jehovah's Witnesses and medical treatment refusal.
  • Principlism proves less effective in addressing complex issues like the sale of kidneys for transplantation.
Keywords:
Analytical ApproachBioethics and Professional EthicsGenetics and ReproductionHealth Care and Public HealthPhilosophical ApproachProfessional Patient Relationship

Related Experiment Videos

  • The framework offers limited guidance on ethically contentious areas such as germline enhancement.
  • Outlook:

    • Suggests a need for ethical frameworks that facilitate deeper moral deliberation.
    • Implies that alternative philosophical approaches may be better suited for certain complex bioethical challenges.
    • Calls for a re-evaluation of principlism's scope and limitations in contemporary ethical discourse.