Borry Pascal, Schotsmans Paul, Dierickx Kris
Center for Biomedical Ethics and Law, Faculty of Medicine, K.U. Leuven, Kapucijnenvoer 35/3, 3000 Leuven, Belgium.
Bioethics. 2005 Feb;19(1):49-71. doi: 10.1111/j.1467-8519.2005.00424.x.
Since its origin, bioethics has attracted the collaboration of few social scientists, and social scientific methods of gathering empirical data have remained unfamiliar to ethicists. Recently, however, the clouded relations between the empirical and normative perspectives on bioethics appear to be changing. Three reasons explain why there was no easy and consistent input of empirical evidence in bioethics. Firstly, interdisciplinary dialogue runs the risk of communication problems and divergent objectives. Secondly, the social sciences were absent partners since the beginning of bioethics. Thirdly, the meta-ethical distinction between 'is' and 'ought' created a 'natural' border between the disciplines. Now, bioethics tends to accommodate more empirical research. Three hypotheses explain this emergence. Firstly, dissatisfaction with a foundationalist interpretation of applied ethics created a stimulus to incorporate empirical research in bioethics. Secondly, clinical ethicists became engaged in empirical research due to their strong integration in the medical setting. Thirdly, the rise of the evidence-based paradigm had an influence on the practice of bioethics. However, a problematic relationship cannot simply and easily evolve into a perfect interaction. A new and positive climate for empirical approaches has arisen, but the original difficulties have not disappeared.
自诞生以来,生物伦理学吸引的社会科学家寥寥无几,伦理学家们对收集实证数据的社会科学方法也一直很陌生。然而,近来,生物伦理学中实证视角与规范视角之间模糊不清的关系似乎正在发生变化。有三个原因可以解释为何在生物伦理学中难以轻松且一致地引入实证证据。其一,跨学科对话存在沟通问题和目标分歧的风险。其二,自生物伦理学诞生之初,社会科学就是缺席的伙伴。其三,“是”与“应当”之间的元伦理区分在各学科之间划出了一条“天然”界限。如今,生物伦理学倾向于接纳更多实证研究。有三个假说可以解释这种现象的出现。其一,对应用伦理学的基础主义解释的不满促使人们将实证研究纳入生物伦理学。其二,临床伦理学家由于深度融入医疗环境而投身于实证研究。其三,循证范式的兴起对生物伦理学的实践产生了影响。然而,一种存在问题的关系不可能简单轻易地演变为完美的互动。一种有利于实证方法的全新积极氛围已然出现,但最初的困难并未消失。