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The potential of modern medicine in a pluralistic world leads to the potential for moral conflict. The most prevalent bioethical theories often either overestimate or underestimate the amount of shared moral belief that can be used to address those conflicts. This work presents a means for taking seriously the pluralism in the modern world while recognizing the likelihood of moral “acquaintance” between persons with differing views. It criticizes moral theories that overstate the extent of the problem of pluralism as well as those that imply too much agreement between reasonable moral persons, yet it locates a means for the resolution of many moral conflicts in moral acquaintanceship. Drawing from the work of H. Tristram Engelhardt, Jr., casuists and principle-based theorists, and Erich Loewy and Kevin W. Wildes’s initial development of the concept of moral acquaintanceship, Moral Acquaintances and Moral Decisions is philosophically indepth work with direct applications for decisionmaking in real medical settings. A work in moral theory as well as a source of real world guidance, clinically oriented bioethics professionals as well as students of bioethical theory should find the theory of moral acquaintanceship provided here important to their work.
Elaborates an ethic in which beneficence on a personal and communal level has moral force; proposes the idea of an interplay between compassion and reason to help address moral problems; and sketches the conditions necessary for a democratic approach to such problems.
The author of this text argues that the methodological issues in bioethics mirrors the experience of moral pluralism in a secular society. The different methods that have been used in the field reflect the different moral views found in a pluralistic society.
This collection of articles honors the work of Richard Zaner, a distinguished philosopher who has worked for over twenty years as an ethics consultant at Vanderbilt University Medical Center. His work in the clinical setting, especially the use of narrative in understanding what is going on in this setting is the focus of some of the papers, others relate his methodology and phenomenological approach to the more standard bioethical problemata and approaches. The essential questions: what then is the role of the philosopher turned medical ethicists? Is medical ethics a form of applied philosophy, or is it also a form of therapy? distinguish Zaner's phenomenology from hermeneutical philosophy.
This volume is dedicated to the philosophy of medicine advanced by Edmund D. Pellegrino, a renowned physician educator and philosopher. Pellegrino's thinking about the philosophy of medicine centers on the importance of illness in the life of the patient, and the professional relationship established by promising to alleviate suffering. From this relationship norms are established that contribute to the staying power of medicine as a moral enterprise. Chapters are included from established thinkers and newcomers to the field, all of whom have been influenced by Pellegrino. Some chapters expand upon his thinking for primary care, managed care, and other delivery systems. Other chapters explain in more detail certain key concepts in Pellegrino's thought, like beneficence, doing no harm, and clinical phronesis or prudential decision making. Still others explore areas of difficulty like the reliance on role modeling and virtue ethics, the problem of pluralism and a loss of professional normative ethics, and the search for the foundations of the philosophy of medicine. Constructing a viable philosophy of medicine for the next century is an essential task for grounding the morality of medicine during enormous social and economic change. Pellegrino's thinking and the ideas of those he has influenced will contribute immensely to this challenge.
Ethics Lost in Modernity: Reflections on Wittgenstein and Bioethics turns to the philosopher Ludwig Wittgenstein as a guide to understand the immense success—yet great danger—of bioethics. Matthew Vest traces the story of bioethics since its inception in the late 1960s as a way to uncover a number of hidden assumptions within modern ethics that relies upon scientific theorizing as the fundamental way of thinking. Autonomy and utilitarianism, in particular, are two nearly unquestioned goals of scientific theorizing that are easily accessible, but at what cost? Vest argues that such an ethics enacts a thin moral calculation that runs the risk of enslaving ethics to scientism. Far from the depth of religious ethos and practices of virtue, modern ethics is lost amidst thin ethical theories, enacting a language game that instrumentalizes ethics in service of technological, bureaucratic, and professional end goals. He proposes that true moral living is far from anti–science, but rather is envisioned best when ethics and science are balanced with keen insights from ancient sacred cosmology.
Procreative Ethics addresses questions at the beginning of life from a point of view that is alternatively philosophical and christian. The author seeks to defend philosophically some positions taken partly on Christian grounds while also trying to make the implications of Christian convictions intelligible to those who do not necessarily share those convictions. The author positions himself neither as a "moral friend" nor "moral stranger," preferring instead the role of "moral acquaintance" to his audience. From that position, the goal is to find areas of fruitful agreement while clarifying differences that may lead to truer reconciliations further on in the conversation. The book opens with an attempted natural law defense of artificial contraception; devotes four chapters to criticism of current defenses of abortion; and then takes up, in six remaining chapters, such matters as genetic enhancement of children, the justice or injustice of genetic revision, the harm conundrum or non-identity problem, designing for disability, and reproductive cloning. "Fritz Oehlschlaeger has written a remarkable book that needs to be read by everyone with a stake in moral questions at life's beginning. Displaying theological and philosophical sophistication as well as a profound wisdom, these arguments must be taken seriously by those who agree with Oeschlaeger as well as those who do not."---Joel James Shuman King's College "Writing with a modesty that betrays the depth of argument that characterizes Procreative Ethics, Fritz Oehlschlaeger has written the most important book in bioethics in recent memory. Bioethics has long suffered from a stale imagination. Oehlschlaeger, an acknowledged outsider to the field, brings to his work a fresh imagination shaped by literary texts and a profound humanity. Hopefully many will want to emulate his work in other areas of bioethics."---Stanley Hauerwas Duke University "In this new book Fritz Oehlschlaeger has made masterful and persuasive arguments about the moral challenges looming at the beginning of human life. And he does this as a highly informed non-specialist---an English professor no less!"---Robert Benne Roanoke College
Sexual violence, in all its forms, is a crime for which anecdotal accounts and scholarly reports suggest victims in their great majority do not receive adequate ‘justice’ or redress. The theory and practice of restorative justice is rapidly developing and offers some well-argued new avenues for dealings with crime in general. It has the potential to be extended to cases of sexual violence and a number of small scale programmes are already underway across the world. Restorative Responses to Sexual Violence examines this innovative justice paradigm in more depth in the particular context of sexual trauma and violence in order to establish the empirical realities of restorative justice approaches in cases of sexual violence, and considers how such approaches could be developed adequately in the future. This book is divided into two parts, each representing a key area of research and practice: theoretical and conceptual frameworks, and justice and therapeutic perspectives. This international collection brings together leading expert scholars and practitioners to offer both theoretical and practical perspectives on restorative justice and sexual violence. This book will be of interest to researchers in the field of law, criminology, psychology, social science, social work and psychotherapy, as well as practitioners in the fields of criminal justice, restorative justice and sex offender and victim trauma therapies.
Whilst advances in biotechnology and information technology have undoubtedly resulted in better quality of life for mankind, they can also bring about global problems. The legal response to the challenges caused by the rapid progress of technological change has been slow and the question of how international human rights should be protected and promoted with respect to science and technology remains unexplored. The contributors to this book explore the political discourse and power relations of technological growth and human rights issues between the Global South and the Global North and uncover the different perspectives of both regions. They investigate the conflict between technology and human rights and the perpetuation of inequality and subjection of the South to the North. With emerging economies such as Brazil playing a major role in trade, investment and financial law, the book examines how human rights are affected in Southern countries and identifies significant challenges to reform in the areas of international law and policy.
This first-of-a-kind analysis will focus exclusively on unavoidable and mandated multiple relationships between clients and psychotherapists. The book will cover the ethics of a range of venues and situations where dual relationships are mandated, such as in the military, prisons/jails, and police departments, and settings where multiple relationships are unavoidable, such as rural communities; graduate schools and training institutions; faith, spiritual, recovery or 12-step, minority and disabled communities, total institutions, and sport psychology. The complexities of social network ethics and digital dual relationships, such as clients becoming "friends" or "fans" on their therapists’ social media pages are discussed. Finally, the book will discuss the complexities multiple roles that inevitably emerge in supervisory relationships.