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The conscience debate: resources for rapprochement from the problem's perceived source.

John J Hardt1

  • 1Neiswanger Institute for Bioethics and Health Policy, Loyola University Chicago Stritch School of Medicine, 2160 S. First Ave, Building 120, Suite 280, Maywood, IL, 60153, USA. jhardt@lumc.edu

Theoretical Medicine and Bioethics
|August 30, 2008
PubMed
Summary
This summary is machine-generated.

This article proposes a Catholic moral tradition-rooted view of conscience to resolve conflicts between physician conscience rights and patient rights. This richer conception ensures conscience judgments are rational, open to critique, and not biased.

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Area of Science:

  • Bioethics
  • Medical Ethics
  • Philosophy of Medicine

Background:

  • The debate on conscience in clinical encounters often centers on conflicting rights: physicians' conscience rights versus patients' rights to medical interventions.
  • Contemporary formulations of conscience may be inadequate for navigating complex ethical dilemmas in healthcare.

Purpose of the Study:

  • To critically evaluate the current understanding of conscience in clinical ethics.
  • To propose a conception of conscience rooted in the Catholic moral tradition as a resource for resolving ethical conflicts.
  • To reframe conscience as accountable to reason and open to critique, preventing its misuse.

Main Methods:

  • Critical evaluation of existing literature on conscience in clinical ethics.
  • Analysis of the Catholic moral tradition's perspective on conscience.
  • Philosophical argumentation to support a revised conception of conscience.

Main Results:

  • A conception of conscience grounded in the Catholic moral tradition offers a framework to move beyond unproductive assertions of conflicting rights.
  • Conscience is presented as essential for moral life and maintaining moral agency.
  • An intellectually richer, historical conception of conscience is accountable to reason, open to critique, and guards against bias.

Conclusions:

  • Recovering a robust, tradition-informed view of conscience can enrich ethical decision-making in clinical settings.
  • Conscience, when properly understood, supports rather than hinders ethical medical practice.
  • This approach promotes reasoned ethical deliberation and protects against the misuse of conscience claims.