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Updated: Jan 23, 2026

Perspectives on Neuroscience
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Reconceiving bioethical proceduralism: an ontological perspective.

Michael Dominic Taylor1

  • 1Programa de Doctorado en Humanidades: Lenguaje y Cultura Universidad Rey Juan Carlos m.taylor@alumnos.urjc.es.

Cuadernos De Bioetica : Revista Oficial De La Asociacion Espanola De Bioetica Y Etica Medica
|June 18, 2019
PubMed
Summary
This summary is machine-generated.

Bioethics, shaped by the Belmont Report, faces critiques for proceduralism subverting its values. Realigning ontological presuppositions about human nature and community is key to preserving bioethical principles.

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Area of Science:

  • Bioethics
  • Philosophy of Medicine
  • Ontology

Background:

  • The Belmont Report initiated an era of principlism and proceduralism in bioethics.
  • Critiques suggest bioethical proceduralism has become a tool for socio-political control, subverting its protective aims.
  • Existing critiques address procedural issues but overlook deeper ontological roots.

Purpose of the Study:

  • To identify the ontological shortcomings in modern bioethics.
  • To propose a philosophical renewal of bioethics by reconceiving its foundational presuppositions.
  • To ensure bioethical principles and procedures effectively uphold their intended values.

Main Methods:

  • Philosophical analysis of bioethics' historical and ontological underpinnings.
  • Critique of Enlightenment dualism and liberal pragmatism in bioethical frameworks.
  • Proposal for a person-in-community ontological model.

Main Results:

  • Modern bioethics' reliance on Enlightenment dualism and liberal pragmatism leads to proceduralism that can undermine ethical goals.
  • The core problem lies in ontological presuppositions regarding human nature, freedom, and neutrality.
  • A person-in-community model offers a path to rectify these issues.

Conclusions:

  • Rectifying the ontological foundations of bioethics is necessary for its renewal.
  • Reconceiving freedom, consensus, and autonomy through a relational, person-in-community lens is crucial.
  • This philosophical shift can prevent bioethical procedures from subverting core principles.