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[医生与良心自由]

[Physician and freedom of conscience].

作者信息

Munzarová Marta

出版信息

Cas Lek Cesk. 2012;151(5):254-6.

PMID:22779767
Abstract

In the arena of bioethics we can find the ideas trying to deny the right to freedom of conscience to physicians. This is an attack upon morality itself. It is therefore urgent to outline the basic knowledge dealing with conscience and to be aware of the fact that violation of conscience leads to breakdown of conscience. The present article deals with Socrates daimonion and his conviction of objective truth as well as with other similar thoughts of great philosophers and theologians in this context: everybody is able to recognize good and evil, some basic knowledge of the common truth exists in the heart of everyone. The feeling of guilt and the capacity to recognize guilt should not be suppressed: the silence of conscience is the greatest tragedy of man. It is quite clear, that the doctor should not agree with the patients every wish, no matter how destructive it is. His own conscience and personal integrity as well as the fact, that the doctor should be the person of integrity, is a more fundamental notion than the respect to autonomy of the patient. Being engaged in killing [euthanasia] serves as an example of bewildering and silencing of conscience. The right to and the importance of physicians freedom of conscience are emphasized in many international documents; the relevant quotations are presented in the text. Key words: conscience, truth, euthanasia, autonomy, conscientious objection.

摘要

在生物伦理学领域,我们会发现一些观点试图剥夺医生的良心自由权。这是对道德本身的攻击。因此,迫切需要概述有关良心的基本知识,并意识到违背良心会导致良心的崩溃。本文探讨了苏格拉底的守护神及其对客观真理的信念,以及在此背景下其他伟大哲学家和神学家的类似思想:每个人都能够辨别善恶,每个人心中都存在一些关于普遍真理的基本知识。内疚感和认识到内疚的能力不应被压制:良心的沉默是人类最大的悲剧。很明显,医生不应同意患者的每一个愿望,无论其多么具有破坏性。他自己的良心和个人正直,以及医生应该是正直之人这一事实,比尊重患者的自主权更为根本。参与杀人(安乐死)就是良心困惑和沉默的一个例子。许多国际文件都强调了医生良心自由的权利及其重要性;文中给出了相关引述。关键词:良心、真理、安乐死、自主权、良心拒斥

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