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The principlism debate: a critical overview

R B Davis1

  • 1Department of Philosophy, University of Toronto, Ontario, Canada.

The Journal of Medicine and Philosophy
|February 1, 1995
PubMed
Summary
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Clouser and Gert

Area of Science:

  • Bioethics
  • Moral Philosophy

Background:

  • The debate on principlism in biomedical ethics, initiated by Clouser and Gert's critique, questions its adequacy as a substitute for moral theory.
  • Principlism, a dominant framework in bioethics, faces challenges regarding its theoretical foundations and practical application in complex medical dilemmas.

Purpose of the Study:

  • To examine Clouser and Gert's critique of principlism in light of recent defenses by Lustig, Degrazia, and Beauchamp and Childress.
  • To analyze the underlying assumptions and epistemological commitments driving the debate over principlism's adequacy.

Main Methods:

  • Critical analysis of arguments presented by Clouser and Gert, and their proponents.
  • Examination of recent defenses of principlism by key scholars in bioethics.
  • Philosophical inquiry into the conceptualization of moral theory and its relation to epistemological commitments.
Keywords:
Analytical ApproachBioethics and Professional EthicsPhilosophical Approach

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Main Results:

  • Both proponents and critics of principlism operate with differing, often unstated, conceptions of moral theory.
  • These divergent conceptions of moral theory are rooted in distinct epistemological commitments.
  • The current debate over principlism is inconclusive due to these fundamental disagreements.

Conclusions:

  • The adequacy of principlism cannot be resolved without addressing the underlying epistemological disagreements.
  • Future discussions should shift focus from principlism itself to the foundational epistemological issues.
  • Resolving the debate requires a deeper understanding of how we acquire moral knowledge and justify ethical claims.