Irvine R, Kerridge I, McPhee J
Department of Sociology and Anthropology, Newcastle University, New South Wales, Australia.
J Postgrad Med. 2004 Oct-Dec;50(4):278-80.
Contemporary medical practice brings a diverse range of professions and disciplines together in greater and closer contact. This situation of increasing complexity and changing professional roles gives rise to multifaceted ethical dilemmas and theoretical and practical concerns. In this essay we argue that for multidisciplinary relationships to be facilitated and to progress towards interdisciplinary teamwork, moral agents have to go beyond orthodox ethical systems and appeal to normative theory. We will argue that conceptualising ethics as a shared social practice may provide a useful starting point. This dialogic approach places greater emphasis on open deliberation and the articulation, negotiation, exploration and generation of new ethical perspectives in the here and now of clinical practice.
当代医学实践使众多不同的专业和学科以更紧密的方式汇聚在一起。这种日益复杂且不断变化的职业角色状况引发了多方面的伦理困境以及理论和实践问题。在本文中,我们认为,为了促进多学科关系并向跨学科团队合作发展,道德主体必须超越正统伦理体系,诉诸规范理论。我们将论证,把伦理概念化为一种共享的社会实践或许能提供一个有益的起点。这种对话式方法更加强调在临床实践当下进行公开审议以及阐述、协商、探索和生成新的伦理视角。