Schmidt Ulf
School of History, University of Kent, Canterbury.
Kennedy Inst Ethics J. 2007 Mar;17(1):31-42. doi: 10.1353/ken.2007.0005.
The paper provides a critical commentary on the article by Baker and McCullough on Medical Ethic's Appropriation of Moral Philosophy. The author argues that Baker and McCullough offer a more "pragmatic" approach to the history of medical ethics that has the potential to enrich the bioethics field with a greater historical grounding and sound methodology. Their approach can help us to come to a more nuanced understanding about the way in which medical ethics has connected, disconnected, and reconnected with philosophical ideas throughout the centuries. The author points out that Baker and McCullough's model can run the danger of overemphasizing the role of medical ethicists whilst marginalizing the influence of philosophers and of other historical actors and forces. He critically reviews the two case studies on which Baker and McCullough focus and concludes that scholars need to bear in mind the levels of uncertainty and ambivalence that accompany the process of transformation and dissemination of moral values in medicine and medical practice.
本文对贝克和麦卡洛关于医学伦理学对道德哲学的挪用的文章进行了批判性评论。作者认为,贝克和麦卡洛对医学伦理学史提出了一种更“务实”的方法,这种方法有可能以更坚实的历史基础和合理的方法论丰富生物伦理学领域。他们的方法可以帮助我们更细致入微地理解几个世纪以来医学伦理学与哲学思想建立联系、切断联系以及重新建立联系的方式。作者指出,贝克和麦卡洛的模式可能存在过度强调医学伦理学家的作用,而将哲学家以及其他历史参与者和力量的影响边缘化的风险。他批判性地审视了贝克和麦卡洛所关注的两个案例研究,并得出结论,学者们需要牢记医学和医疗实践中道德价值观的转变和传播过程中伴随的不确定性和矛盾性程度。