Macneill Paul
Bioethics. 2017 Oct;31(8):631-643. doi: 10.1111/bioe.12390.
This article is critical of "bioethics" as it is widely understood and taught, noting in particular an emphasis given to philosophical justification, reason and rationality. It is proposed that "balancing" bioethics be achieved by giving greater weight to practice and the aesthetic: Defined in terms of sensory perception, emotion and feeling. Each of those three elements is elaborated as a non-cognitive capacity and, when taken together, comprise aesthetic sensitivity and responsiveness. This is to recognise the aesthetic as a productive element in bioethics as practice. Contributions from the philosophy of art and aesthetics are drawn into the discussion to bring depth to an understanding of "the aesthetic". This approach is buttressed by philosophers - including Foucault and 18th century German philosophers (in particular Kant) - who recognized a link between ethics and aesthetics. The article aims to give substance to a claim that bioethics necessarily comprises a cognitive component, relating to reason, and a non-cognitive component that draws on aesthetic sensibility and relates to practice. A number of advantages of bioethics, understood to explicitly acknowledge the aesthetic, are proffered. Having defined bioethics in conventional terms, there is discussion of the extent to which other approaches to bioethics (including casuistry, virtue ethics, and narrative ethics) recognize aesthetic sensitivity in their practice. It is apparent that they do so to varying extents although not always explicitly. By examining this aspect of applied ethics, the paper aims to draw attention to aesthetic sensitivity and responsiveness as integral to ethical and effective health care.
本文对人们普遍理解和教授的“生物伦理学”提出批评,特别指出其对哲学论证、理性和合理性的强调。文章提出,通过更重视实践和审美(从感官感知、情感和感觉方面来定义)来实现“平衡”生物伦理学。这三个要素中的每一个都被阐述为一种非认知能力,合在一起构成审美敏感性和反应能力。这是为了将审美视为生物伦理学实践中的一个建设性要素。文章引入了艺术哲学和美学的贡献,以加深对“审美”的理解。包括福柯和18世纪德国哲学家(特别是康德)在内的哲学家支持了这种方法,他们认识到伦理与审美之间的联系。本文旨在阐述这样一种观点,即生物伦理学必然包括一个与理性相关的认知成分,以及一个借鉴审美敏感性并与实践相关的非认知成分。文章还提出了明确承认审美的生物伦理学的一些优点。在按照传统方式定义生物伦理学之后,文章讨论了其他生物伦理学方法(包括决疑法、美德伦理学和叙事伦理学)在实践中认识到审美敏感性的程度。很明显,它们在不同程度上做到了这一点,尽管并不总是明确承认。通过审视应用伦理学的这一方面,本文旨在提请人们注意审美敏感性和反应能力是道德且有效的医疗保健不可或缺的一部分。