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直面后传统西方社会中的道德多元主义:对生物伦理学的批判性再评估

Confronting moral pluralism in posttraditional Western societies: bioethics critically reassessed.

作者信息

Engelhardt H Tristram

机构信息

Department of Philosophy, Rice University, Houston, TX 77251, USA.

出版信息

J Med Philos. 2011 Jun;36(3):243-60. doi: 10.1093/jmp/jhr011. Epub 2011 Jul 1.

Abstract

In the face of the moral pluralism that results from the death of God and the abandonment of a God's eye perspective in secular philosophy, bioethics arose in a context that renders it essentially incapable of giving answers to substantive moral questions, such as concerning the permissibility of abortion, human embryonic stem cell research, euthanasia, etc. Indeed, it is only when bioethics understands its own limitations and those of secular moral philosophy in general can it better appreciate those tasks that it can actually usefully perform in both the clinical and academic setting. It is the task of this paper to understand and reevaluate bioethics by understanding these limits. Academic bioethicists can analyze ideas, concepts, and claims necessary to understanding the moral questions raised in health care, assessing the arguments related to these issues, and provide an understanding of the different moral perspectives on bioethical issues. In the clinical setting, bioethicists can provide legal advice, serve as experts on IRBs, mediating disputes, facilitating decision-making and risk management, and clarifying normative issues. However, understanding this is only possible when one understands the history, genesis, and foundations of bioethics and its inability to provide a resolution to postmodern moral pluralism.

摘要

面对因上帝之死以及世俗哲学中放弃上帝视角而产生的道德多元主义,生物伦理学在这样一种背景下兴起,这使得它本质上无法回答实质性的道德问题,比如关于堕胎的可允许性、人类胚胎干细胞研究、安乐死等问题。事实上,只有当生物伦理学理解自身的局限性以及世俗道德哲学总体上的局限性时,它才能更好地领会其在临床和学术环境中实际能够有效履行的那些任务。本文的任务就是通过理解这些局限来理解和重新评估生物伦理学。学术生物伦理学家能够分析理解医疗保健中提出的道德问题、评估与这些问题相关的论据以及理解生物伦理问题上不同道德观点所必需的观念、概念和主张。在临床环境中,生物伦理学家能够提供法律建议,担任机构审查委员会的专家,调解争端,促进决策和风险管理,并阐明规范性问题。然而,只有当一个人理解生物伦理学的历史、起源和基础以及它无法解决后现代道德多元主义时,才有可能理解这一点。

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