in defense of four principles approach in medical ethics

نویسندگان

s dabbagh

چکیده

principlism, in general and four principles approach in particular is largely discussed in current medical ethics. accord­ing to principlism, the ethical relationship between physician and patient has to be categorized based on some princi­ples, the prin­ciples which are general, action-guiding and could help both the patient and the physician to arrange their ethical behav­ior. four principles approach which is a principlistic view, has formulated the princi­ples which have to be considered in medi­cal ethics in the light of rossian ethical framework as follows: respect for auton­omy, nonmalefi­cience, beneficence and jus­tice. ethical particularism, on the other hand, strongly criticizes princi­plism and repudi­ates the very idea of generalizabil­ity in the realm of ethics. according to particularists, the way in which a mor­ally relevant feature like fidelity and justice be­have in different ethical occasions is fully con­text-dependent so that they can­not be patternable in advance. it follows from this that fidelity, for instance, is not a good-making feature, generally speak­ing. in this paper, firstly, the rossian ethics is discussed in order to make four principles approach intelligible. sec­ondly, the main particularists' argument against principlism is formulated. finally, particularists' argument is evalu­ated and its plau­si­bility is discussed.

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عنوان ژورنال:
journal of medical ethics and history of medicine

جلد ۳۷، شماره ۱ Sup، صفحات ۳۱-۳۸

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