The Institute for Communitarian Policy Studies, The George Washington University, 1922 F St NW, Suite 413, Washington, DC 20037, USA.
J Med Ethics. 2011 Jan;37(1):17-23. doi: 10.1136/jme.2010.037846. Epub 2010 Oct 28.
A communitarian approach to bioethics adds a core value to a field that is often more concerned with considerations of individual autonomy. Some interpretations of liberalism put the needs of the patient over those of the community; authoritarian communitarianism privileges the needs of society over those of the patient. Responsive communitarianism's main starting point is that we face two conflicting core values, autonomy and the common good, and that neither should be a priori privileged and that we have principles and procedure that can be used to work out this conflict but not to eliminate it. Additionally, it favours changing behaviour mainly through the creation of norms and by drawing on informal social control rather than by coercion.
社群主义的生命伦理学方法为一个往往更关注个人自主性考虑的领域增加了一个核心价值。一些对自由主义的解释将患者的需求置于社区之上;权威社群主义则将社会的需求置于患者之上。回应性社群主义的主要出发点是,我们面临着两种相互冲突的核心价值观,即自主性和共同利益,两者都不应优先考虑,我们有原则和程序可以用来解决这种冲突,但不能消除它。此外,它倾向于主要通过创建规范和利用非正式的社会控制来改变行为,而不是通过强制。