Tel Aviv University Paediatric Department, Tel Aviv 69978, Israel.
Bioethics. 2011 Jul;25(6):304-19. doi: 10.1111/j.1467-8519.2009.01797.x. Epub 2010 Feb 3.
Following a discussion of some historical roots of conscience, we offer a systematized version of reflective equilibrium. Aiming at a comprehensive methodology for bioethical deliberation, we develop an expanded variant of reflective equilibrium, which we call 'triangular reflective equilibrium' and which incorporates insights from hermeneutics, critical theory and narrative ethics. We focus on a few distinctions, mainly between methods of justification in ethics and the social practice of bioethical deliberation, between coherence in ethical reasoning, personal integrity and consensus formation, and between political and moral deliberation. The ideal of deliberation is explicated as a sharing of conscience within a special commitment to sincerity and openness to persuasion. Personal growth in wisdom is an indirect by-product of the continuous practice of moral deliberation. This is explicated in the light of Sternberg's balance theory of wisdom and in the context of medicine as a profession embodying altruistic responsibilities of care in democratic and pluralistic societies.
在讨论了良心的一些历史根源之后，我们提供了一个反思平衡的系统化版本。为了实现生物伦理审议的综合方法，我们开发了反思平衡的扩展变体，我们称之为“三角反思平衡”，并纳入了诠释学、批判理论和叙事伦理学的见解。我们主要关注一些区别，主要是在伦理学中的论证方法和生物伦理审议的社会实践之间、伦理推理中的一致性、个人诚信和共识形成之间，以及政治和道德审议之间。审议的理想被阐述为在对真诚的特殊承诺和对说服的开放的基础上，在良心上的分享。智慧的个人成长是道德审议的不断实践的间接副产品。这是根据斯特恩伯格的智慧平衡理论和在医学作为民主和多元化社会中体现关怀的利他主义责任的背景下阐述的。
