McWhirter R E
Menzies Research Institute Tasmania, University of Tasmania, Hobart TAS 7000, Australia.
Perspect Biol Med. 2012 Summer;55(3):329-38. doi: 10.1353/pbm.2012.0025.
The assumption that developments in technologies and societies create new ethical issues for health and medical research is intuitively appealing. However, a closer inspection of the history of bioethics reveals a surprising consistency in the core issues that have formed the basis of bioethical debates over time. If the issues involved in bioethical debates remain essentially constant, are new discussions and new guidelines and principles--produced in the wake of research scandals or inspired by the introduction of new technologies--redundant? This article examines some of the implications of the history of bioethics for understanding current ethical debates and for the formation of a culture of ethical conduct in health research.
技术和社会的发展会给健康和医学研究带来新的伦理问题,这一假设直观上很有吸引力。然而,仔细审视生物伦理学的历史就会发现,随着时间的推移,构成生物伦理辩论基础的核心问题存在惊人的一致性。如果生物伦理辩论中涉及的问题本质上保持不变,那么在研究丑闻之后产生的或受新技术引入启发而产生的新讨论、新指南和新原则是否多余呢?本文探讨了生物伦理学历史对理解当前伦理辩论以及对健康研究中道德行为文化形成的一些影响。