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Procedural Bioethics and Content or Substantive Bioethics

Year 2018, Volume: 29 Issue: 2, 417 - 424, 06.12.2018

Abstract

Daniel Buchanan argued that bioethics has three main functions: identifying and defining

existing ethical conflicts; providing systems or methods to think about new emerging ethical

conflicts in the field of medicine; and helping scientists and physicians to make decisions1. More

than 45 years after Buchanan´s article was published, the existence in hospitals of mechanisms

such as healthcare ethics committees, institutional review boards for clinical research, and

the increase in standard operating procedures, plans, and manuals for clinical research has

increased significantly. In other words, there is a greater interest and demand for procedures,

leaving aside questions related to the content and moral foundation of the decisions.

References

  • Albert R. Jonsen, Mark Siegler, and William J. Winslade, Clinical Ethics: A Practical Approach to Ethical Decisions in Clinical Medicine (New York: Macmillan Publishing Company, 1986).
  • Daniel Callahan, “Bioethics as a Discipline,” Hastings Center Studies 1, no. 1 (1973): 68.
  • Edmund D. Pellegrino and David C. Thomasma, The Virtues in Medical Practice (New York: Oxford University Press, 1993).
  • Edmund D. Pellegrino, “Medical Ethics: Entering the Post-hippocratic Era,” Journal of the American Board of Family Practice 1, no. 4 (1988): 235.
  • Edmund D. Pellegrino, “Preface” in Percival’s Medical Ethics: Or, a Code of Institutes and Precepts, Adapted to the Professional Conduct of Physician and Surgeons, ed. C.D. Leake (Huntington: Robert E Krieger Publishing Co., 1975), 6.
  • Edmund D. Pellegrino, “The Four Principles and the Doctor-Patient Relationship: The Need for a Better Linkage” in Principles of Health Care Ethics, edited by a Raanan Gillon (New York: John Wiley & Sons, 1994), 360.
  • Edmund L Pincoffs, “Quandary Ethics,” Mind 80, 320 (1971): 567.
  • G. Elizabeth Anscombe, “Modern Moral Philosophy,” Philosophy 33, no. 124 (1958): 1-19.
  • Gleen McGee, ed., Pragmatic Bioethics (Nashville: Vanderbilt University Press, 1999).
  • James F. Drane, Becoming a Good Doctor: The Place of Virtue in Medical Ethics (Kansas City: Sheed & Ward, 1995).
  • John Rawls, Teoría de la Justicia (Madrid: Fondo de Cultura Económica, 1995).
  • K. Danner Clouser and Bernard Gert, “A Critique of Principlism,” Journal of Medicine and Philosophy 15, no. 2 (1990): 417-424.
  • Lawrence Becker “The Neglect of Virtue,” Ethics 85, no. 2 (1975): 110-122.
  • Leon R. Kass, “Practicing Ethics: Where’s the Action,” Hastings Center Report 20, no. 1 (1990): 7.
  • Mark Siegler, “The Progression of Medicine. From Physician Paternalism to Patient Autonomy to Bureaucratic Parsimony,” Archives of Internal Medicine, no. 145 (1985): 714.
  • Nancy Kass, Liza Dawson and Nilsa Loyo-Berrios, “Ethical Oversight of Research in Developing Countries,” IRB Ethics & Human Research 25, 2 (2003): 8.
  • Pellegrino and Thomasma, The Virtues in Medical Practice, 29.
  • Pellegrino and Thomasma, The Virtues in Medical Practice, 53.
  • Pellegrino and Thomasma, The Virtues in Medical Practice, XII.
  • Pincoffs, “Quandary Ethics,” 552.
  • Pincoffs, “Quandary Ethics,” 555.
  • Pincoffs, “Quandary Ethics,” 562.
  • Robert M. Veatch, “Professional Medical Ethics: The Grounding of Its Principles,” Journal of Medicine and Philosophy 4, no. 1 (1979): 14.
  • Robert M. Veatch, A Theory of Medical Ethics (New York: Basic Books, 1981).
  • Rosalind Hursthouse, On Virtue Ethics (Oxford: Oxford University Press, 1999), 25.
  • Rosemarie Tong, Feminist Approaches to Bioethics: Theoretical Reflections and Practical Applications (Boulder: Westview Press, 1997).
  • Shana Alexander, “They Decide Who Lives, Who Dies,” Life, no. 9 (1962): 103-25.
  • Supreme Court of New Jersey. In re Quinlan. In the Matter of Karen Quinlan. 1976.355 A.2d.647 (N.J.).
  • The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research, The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research (Washington DC: Department of Health, Education, and Welfare, 1979).
  • Tom L. Beauchamp and James F. Childress, Principles of Biomedical Ethics (New York: Oxford University Press, 1979).
  • Tom L. Beauchamp, “Principlism and Its Alleged Competitors,” Kennedy Institute of Ethics Journal 5, no. 3 (1995): 195.
  • Tristram H. Engelhardt, The Foundations of Bioethics (New York: Oxford University Press, 1986).
  • William.K. Frankena, Ethics (Englewood Cliffs: Prentice-Hall; 1973), 65.

Procedural Bioethics and Content or Substantive Bioethics

Year 2018, Volume: 29 Issue: 2, 417 - 424, 06.12.2018

Abstract

Daniel Buchanan argued that bioethics has three main functions: identifying and defining

existing ethical conflicts; providing systems or methods to think about new emerging ethical

conflicts in the field of medicine; and helping scientists and physicians to make decisions1. More

than 45 years after Buchanan´s article was published, the existence in hospitals of mechanisms

such as healthcare ethics committees, institutional review boards for clinical research, and

the increase in standard operating procedures, plans, and manuals for clinical research has

increased significantly. In other words, there is a greater interest and demand for procedures,

leaving aside questions related to the content and moral foundation of the decisions.

References

  • Albert R. Jonsen, Mark Siegler, and William J. Winslade, Clinical Ethics: A Practical Approach to Ethical Decisions in Clinical Medicine (New York: Macmillan Publishing Company, 1986).
  • Daniel Callahan, “Bioethics as a Discipline,” Hastings Center Studies 1, no. 1 (1973): 68.
  • Edmund D. Pellegrino and David C. Thomasma, The Virtues in Medical Practice (New York: Oxford University Press, 1993).
  • Edmund D. Pellegrino, “Medical Ethics: Entering the Post-hippocratic Era,” Journal of the American Board of Family Practice 1, no. 4 (1988): 235.
  • Edmund D. Pellegrino, “Preface” in Percival’s Medical Ethics: Or, a Code of Institutes and Precepts, Adapted to the Professional Conduct of Physician and Surgeons, ed. C.D. Leake (Huntington: Robert E Krieger Publishing Co., 1975), 6.
  • Edmund D. Pellegrino, “The Four Principles and the Doctor-Patient Relationship: The Need for a Better Linkage” in Principles of Health Care Ethics, edited by a Raanan Gillon (New York: John Wiley & Sons, 1994), 360.
  • Edmund L Pincoffs, “Quandary Ethics,” Mind 80, 320 (1971): 567.
  • G. Elizabeth Anscombe, “Modern Moral Philosophy,” Philosophy 33, no. 124 (1958): 1-19.
  • Gleen McGee, ed., Pragmatic Bioethics (Nashville: Vanderbilt University Press, 1999).
  • James F. Drane, Becoming a Good Doctor: The Place of Virtue in Medical Ethics (Kansas City: Sheed & Ward, 1995).
  • John Rawls, Teoría de la Justicia (Madrid: Fondo de Cultura Económica, 1995).
  • K. Danner Clouser and Bernard Gert, “A Critique of Principlism,” Journal of Medicine and Philosophy 15, no. 2 (1990): 417-424.
  • Lawrence Becker “The Neglect of Virtue,” Ethics 85, no. 2 (1975): 110-122.
  • Leon R. Kass, “Practicing Ethics: Where’s the Action,” Hastings Center Report 20, no. 1 (1990): 7.
  • Mark Siegler, “The Progression of Medicine. From Physician Paternalism to Patient Autonomy to Bureaucratic Parsimony,” Archives of Internal Medicine, no. 145 (1985): 714.
  • Nancy Kass, Liza Dawson and Nilsa Loyo-Berrios, “Ethical Oversight of Research in Developing Countries,” IRB Ethics & Human Research 25, 2 (2003): 8.
  • Pellegrino and Thomasma, The Virtues in Medical Practice, 29.
  • Pellegrino and Thomasma, The Virtues in Medical Practice, 53.
  • Pellegrino and Thomasma, The Virtues in Medical Practice, XII.
  • Pincoffs, “Quandary Ethics,” 552.
  • Pincoffs, “Quandary Ethics,” 555.
  • Pincoffs, “Quandary Ethics,” 562.
  • Robert M. Veatch, “Professional Medical Ethics: The Grounding of Its Principles,” Journal of Medicine and Philosophy 4, no. 1 (1979): 14.
  • Robert M. Veatch, A Theory of Medical Ethics (New York: Basic Books, 1981).
  • Rosalind Hursthouse, On Virtue Ethics (Oxford: Oxford University Press, 1999), 25.
  • Rosemarie Tong, Feminist Approaches to Bioethics: Theoretical Reflections and Practical Applications (Boulder: Westview Press, 1997).
  • Shana Alexander, “They Decide Who Lives, Who Dies,” Life, no. 9 (1962): 103-25.
  • Supreme Court of New Jersey. In re Quinlan. In the Matter of Karen Quinlan. 1976.355 A.2d.647 (N.J.).
  • The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research, The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research (Washington DC: Department of Health, Education, and Welfare, 1979).
  • Tom L. Beauchamp and James F. Childress, Principles of Biomedical Ethics (New York: Oxford University Press, 1979).
  • Tom L. Beauchamp, “Principlism and Its Alleged Competitors,” Kennedy Institute of Ethics Journal 5, no. 3 (1995): 195.
  • Tristram H. Engelhardt, The Foundations of Bioethics (New York: Oxford University Press, 1986).
  • William.K. Frankena, Ethics (Englewood Cliffs: Prentice-Hall; 1973), 65.
There are 33 citations in total.

Details

Primary Language English
Subjects Religious Studies
Journal Section Research Notes
Authors

Salvador Ribas This is me 0000-0003-0565-0638

Publication Date December 6, 2018
Submission Date December 3, 2018
Published in Issue Year 2018 Volume: 29 Issue: 2

Cite

Chicago Ribas, Salvador. “Procedural Bioethics and Content or Substantive Bioethics”. Darulfunun Ilahiyat 29, no. 2 (December 2018): 417-24.