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Hermeneutical clinical ethics: a commentary

S L Daniel1

  • 1Division of Education, American Academy of Neurology, Minneapolis, MN 55414.

Theoretical Medicine
|June 1, 1994
PubMed
Summary
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Hermeneutical clinical ethics offers a framework for ethical practice. Ten Have

Area of Science:

  • Clinical ethics
  • Bioethics
  • Philosophy of Medicine

Background:

  • Thomasma and ten Have advocate for hermeneutical clinical ethics.
  • Existing approaches may overemphasize principles and rules.
  • A need exists for a more interpretive approach to clinical practice.

Purpose of the Study:

  • To evaluate the application of hermeneutics in clinical ethics.
  • To identify key parameters for a comprehensive interpretive clinical ethics.
  • To suggest methods for integrating hermeneutical ethics into clinical education.

Main Methods:

  • Analysis of existing essays on hermeneutical clinical ethics.
  • Distinction of characteristic parameters of interpretive clinical ethics.
  • Development of suggestions for clinical teaching implementation.
Keywords:
Analytical ApproachBioethics and Professional EthicsPhilosophical Approach

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Main Results:

  • Thomasma's approach is critiqued for insufficient interpretation of clinical practice.
  • Ten Have's framework identifies four key parameters: experience, attitudes/emotions, community, and ambiguity.
  • The study proposes integrating these parameters into clinical teaching.

Conclusions:

  • Hermeneutical clinical ethics requires a thorough interpretive approach.
  • Ten Have's four parameters provide a robust foundation for this approach.
  • Implementation in clinical teaching is crucial for advancing hermeneutical ethics.