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[委员会中的伦理问题]

[Ethics in committees].

作者信息

Hottois Gilbert

机构信息

Université libre de Bruxelles, Centre de Recherches interdisciplinaires en Bioéthique.

出版信息

J Int Bioethique. 2007 Mar-Jun;18(1-2):35-46, 221-2. doi: 10.3917/jib.181.0035.

DOI:10.3917/jib.181.0035
PMID:17902575
Abstract

The management of techno-scientific and multicultural societies, open and evolving, can neither be conceived nor carried out on the basis of fundamentalist, essentialist rules that are characteristic of closed, immobile societies. Within a global civilisation, fundamentalisms are only acceptable as individual or community beliefs. Against the background of our civilisation on the chaotic road to globalisation described here, what are the methodological rules for bioethics committees? A first rule concerns the composition of the committees: it must be multidisciplinary and pluralist. The second rule concerns the distinction of types, which is less evident at a time which cultivates postmodernism. The "types" which absolutely must be distinguished are: science, ethics, morals, law, politics. The third rule concerns the concluding procedures. A majority vote procedure after information and limited discussion makes it possible to conclude easily and rapidly. But it generally seems not to be very ethical, especially if it does not allow minorities to have their divergent opinions appear among the conclusions in an explicit argued manner. The "lazy dissensus" must, however also be avoided: it consists in not really engaging the interdisciplinary, pluralist discussion, simply exposing and explaining each position, on the pretext that pluralism is respecting diversity, the freedom to believe, to think and to express oneself either each for himself or in the name of one's community or tradition. This sort of "postmodern" methodology, individualistic and communitarian to an extreme, is precariously balanced in relation to the committee's ethical vocation. It is therefore very important that an ethics committee really engages in discussion and expresses, let's say, a preference for consensus. This preference is the expression of its "ethical" nature: in this word (as in the word "moral", in fact), there is a reference to what is common, to what unites and makes social life possible. The aim of consensus, the idea that it is better to get on than to ignore each other or oppose each other; is methodologically prevalent in ethics. But on the express condition that the agreement is freely and consciously accepted. The symmetrical danger to that of "lazy dissensus" which loses sight of the aim of agreement, is "forced consensus". Pragmatic consensuses are extremely precious and even indispensable in our complex societies if we want to set up common operating rules while preserving the freedom to think and the diversity of beliefs. They also ensure that it is possible to re-open the debate: a pragmatic agreement is on a different scale from an essentialist dogma or a fundamentalist norm, which try to regulate not only behaviour but also thought.

摘要

对开放且不断发展的科技科学和多元文化社会的管理,既不能基于封闭、静止社会所特有的原教旨主义、本质主义规则来构想,也无法据此实施。在全球文明中,原教旨主义仅作为个人或群体信仰才是可接受的。在此处描述的我们的文明在走向全球化的混乱道路这一背景下,生物伦理委员会的方法规则是什么呢?首要规则涉及委员会的构成:它必须是多学科且多元化的。第二条规则涉及类型的区分,在一个崇尚后现代主义的时代,这一点不那么明显。绝对必须区分的“类型”有:科学、伦理、道德、法律、政治。第三条规则涉及得出结论的程序。在提供信息和进行有限讨论后采用多数表决程序能够轻松且迅速地得出结论。但它通常似乎不太符合伦理,特别是如果它不允许少数群体的不同意见以明确论证的方式出现在结论中。然而,“懒惰的共识缺乏”也必须避免:它表现为不真正进行跨学科、多元化的讨论,只是简单地阐述和解释每个立场,借口是多元主义就是尊重多样性、信仰自由、思考自由以及个人或代表其群体或传统表达自身的自由。这种极端个人主义和社群主义的“后现代”方法,在与委员会的伦理使命相关方面处于不稳定的平衡状态。因此,伦理委员会真正参与讨论并表达,比如说,对达成共识的偏好是非常重要的。这种偏好体现了其“伦理”本质:在这个词(实际上在“道德”这个词中也是如此)中,存在着对共同事物、对使社会生活成为可能的团结因素的提及。达成共识的目标,即相处比相互忽视或对立更好的理念,在伦理上方法上普遍存在。但明确的条件是该协议是自由且自觉接受的。与忽视达成协议目标的“懒惰的共识缺乏”相对称的危险是“强制共识”。在我们这个复杂的社会中,如果我们想要建立共同的操作规则同时又保留思考自由和信仰多样性,务实的共识极其宝贵甚至不可或缺。它们还确保能够重新开启辩论:务实的协议与原教旨主义教条或原教旨主义规范处于不同的层面,后者不仅试图规范行为,还试图规范思想。

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