在生物伦理学中运用"认识不公正":超越非有害性
1Ghent Research in Ethics, Law and Politics (GRELP), Ghent University, Blandijnberg 2, 9000, Ghent, East-Flanders, Belgium.
Journal of bioethical inquiry
|November 13, 2023
概括
这项研究探讨了医学中的认识不公正,表明解决解释不公正的问题可以导致超越非恶性的积极道德义务. 它倡导在结构层面采取行动,维护患者的自主权和正义.
科学领域:
- 生物伦理学生物伦理学
- 医学伦理 医学伦理
- 医学哲学 医学哲学
背景情况:
- 生物伦理学有影响力的四个原则框架指导医学伦理学.
- 在这个框架内,德拉·克罗斯提出将"认识不公正"解释为非恶性的规范.
- 这种解释虽然在概念上和道德上具有吸引力,但仍然是暂时的.
研究的目的:
- 批判性地分析认识不公正的整合到四个原则框架.
- 为了更全面的伦理方法,将分析扩大到包括"解读不公正".
- 探索医学中的积极的道德职责和结构层面的责任.
主要方法:
- 医学伦理学中的"认识不公正"和"解释不公正"的概念分析.
- 对德拉·克罗斯对非恶性行为的解释进行了批判性接触.
- 应用Dotson的"贡献不公正"和Scheman的"感知自主"概念.
主要成果:
- 考虑解释学的不公正为医学提供了积极的道德职责的途径,超越了负面的非恶性义务.
- 知识学和解释学正义的美德可以为尊重患者自主权的积极要求提供信息.
- 道德责任可能超出个人范围,包括医疗保健中的结构层面行动.
结论:
- 整合解释学的不公正,丰富了对医学道德义务的理解.
- 积极的职责,包括结构性干预,是充分解决医疗保健中的正义的必要条件.
- 证词和解释性正义的美德对于尊重患者的自主权和促进公平护理至关重要.
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