Davis Michael
Center for the Study of Ethics in the Professions, Illinois Institute of Technology, Chicago 60616, USA.
Theor Med Bioeth. 2003;24(5):433-54. doi: 10.1023/b:meta.0000006831.28435.38.
The first code of professional ethics must: (1) be a code of ethics; (2) apply to members of a profession; (3) apply to all members of that profession; and (4) apply only to members of that profession. The value of these criteria depends on how we define "code", "ethics", and "profession", terms the literature on professions has defined in many ways. This paper applies one set of definitions of "code", "ethics", and "profession" to a part of what we now know of the history of professions, thereby illustrating how the choice of definition can alter substantially both our answer to the question of which came first and (more importantly) our understanding of professional codes (and the professions that adopt them). Because most who write on codes of professional ethics seem to take for granted that physicians produced the first professional code, whether the Hippocratic Oath, Percival's Medical Ethics, the 1847 Code of Ethics of the American Medical Association (AMA), or some other document, I focus my discussion on these codes.
(1)是一部道德准则;(2)适用于某一职业的成员;(3)适用于该职业的所有成员;以及(4)仅适用于该职业的成员。这些标准的价值取决于我们如何定义“准则”“道德”和“职业”,而专业文献对这些术语有着多种定义。本文将“准则”“道德”和“职业”的一组定义应用于我们目前所了解的职业历史的一部分,从而说明定义的选择如何能够极大地改变我们对“何者为先”这一问题的答案,以及(更重要的是)我们对职业准则(以及采用这些准则的职业)的理解。由于大多数撰写职业道德准则的人似乎都理所当然地认为是医生制定了第一部职业准则,无论是《希波克拉底誓言》《珀西瓦尔的医学道德》、1847年美国医学协会(AMA)的《道德准则》,还是其他一些文件,所以我的讨论将集中在这些准则上。