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Why Bioethics Needs a Disability Moral Psychology.

Joseph A Stramondo

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    |May 7, 2016
    PubMed
    Summary

    The conflict between the disability movement and bioethics stems from differing moral psychology, not just ideology. Understanding these variations in lived experience is key to resolving disputes on issues like physician-assisted suicide.

    Area of Science:

    • Bioethics
    • Disability Studies
    • Moral Psychology

    Background:

    • A significant conflict exists between the disability movement and bioethics, particularly concerning prenatal diagnosis and selective abortion.
    • Disagreements also extend to healthcare rationing, assisted reproduction, and physician-assisted suicide.
    • This tension highlights a divide between those with lived disability experience and those without.

    Purpose of the Study:

    • To explore the deeper roots of the conflict between disability studies and bioethics.
    • To argue that the conflict arises from fundamental differences in moral psychology and perception.
    • To illustrate these differences using the example of physician-assisted suicide.

    Main Methods:

    • Conceptual analysis of the conflict between disability studies and bioethics.

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  • Examination of differing moral psychologies shaped by lived experiences of disability.
  • Case study analysis of physician-assisted suicide through the lens of autonomy.
  • Main Results:

    • The conflict is rooted in variations of moral psychology, not solely ideological differences.
    • Lived experiences of disability shape distinct moral perceptions and reasoning.
    • Bioethics' analysis of physician-assisted suicide, focusing on autonomy, conflicts with disability perspectives.

    Conclusions:

    • Reconciliation requires bioethics to acknowledge and engage with differences in moral perception and reasoning.
    • Addressing the conflict necessitates understanding the moral psychology stemming from disability experience.
    • A deeper engagement with these variations is crucial for resolving bioethical dilemmas involving the disability community.