Bioethics: A Return to Fundamentals
Oxford University Press, 1997 - Medical - 320 pages
An updated and expanded successor to Culver and Gert's Philosophy in Medicine, this book integrates moral philosophy with clinical medicine to present a comprehensive summary of the theory, concepts, and lines of reasoning underlying the field of bioethics. Rather than concentrating narrowly on bioethics and investigating moral philosophy only marginally, the authors provide an explicit account of common morality and show how it applies to and is modified by the realities of clinical medicine. Such broader knowledge finds its specific practical application when one attempts to resolve the more complex and difficult cases.
This book does not attempt to settle all controversial matters, but rather provides an ethical framework that various parties to the dispute can accept and use as a basis for reaching agreement. Thus, the authors' main goal is to facilitate ethical discussion. Their detailed analyses of death and disease maintain the theoretical objectivity of these concepts while recognizing their central role in social and medical practices. They also provide in-depth discussions of the central concepts and issues in bioethics: competence, consent, justification for moral rule violations, and confidentiality. Paternalism, one of the most pervasive problems in clinical medicine, is accorded special attention. All these concepts have been integrated and systematically grounded within common morality. The book is richly illustrated with discussions of clinical cases. The authors explicitly compare their position with other accounts of bioethics such as principlism, casuistry, and virtue theory. Their discussion of euthanasia and physician-assisted suicide clarifies and evaluates the recent legal decisions on these topics. The arguments throughout the volume stand out with characteristic clarity and cogency.
A fresh and all-encompassing approach to bioethics that does not shy away from controversy, Bioethics: A Return to Fundamentals will interest not only students in philosophy of medicine and medical ethics courses, but also moral philosophers and bioethicists, as well as doctors, nurses, and other health care professionals.
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ability account of morality act paternalistically active euthanasia Advance Directives assisting suicide believe Bernard Gert bioethics brain stem casuistry causing pain Chapter clear common morality competent patient concept condition consequences consequentialist counts criterion of death deceiving deception definition of death deontology depriving of freedom determine disability disagreement discussion disease distinct sustaining cause doctor drug duty ethics example food and fluids functioning harms and benefits Huntington disease impartial rational persons imperfect duties incompetent individual involved justified killing kind of violation loss of freedom medical ethics medicine mental moral ideals moral system moral theory morally acceptable morally relevant features morally required one's organism overruling palliative palliative care paraphilias paternalism paternalistic behavior permanent loss persistent vegetative physician physician-assisted suicide prevent private situation public system publicly allowed ranking rational decision rational refusal regard result significant someone term tion treated valid consent violating a moral virtue theory