Hoffmaster Barry
Bioethics. 2018 Feb;32(2):119-125. doi: 10.1111/bioe.12419. Epub 2017 Dec 27.
Bioethics became applied ethics when it was assimilated to moral philosophy. Because deduction is the rationality of moral philosophy, subsuming facts under moral principles to deduce conclusions about what ought to be done became the prescribed reasoning of bioethics, and bioethics became a theory comprised of moral principles. Bioethicists now realize that applied ethics is too abstract and spare to apprehend the specificity, particularity, complexity and contingency of real moral issues. Empirical ethics and contextual ethics are needed to incorporate these features into morality, not just bioethics. The relevant facts and features of problems have to be identified, investigated and framed coherently, and potential resolutions have to be constructed and assessed. Moreover, these tasks are pursued and melded within manifold contexts, for example, families, work and health care systems, as well as societal, economic, legal and political backgrounds and encompassing worldviews. This naturalist orientation and both empirical ethics and contextual ethics require judgment, but how can judgment be rational? Rationality, fortunately, is more expansive than deductive reasoning. Judgment is rational when it emanates from a rational process of deliberation, and a process of deliberation is rational when it uses the resources of non-formal reason: observation, creative construction, formal and informal reasoning methods and systematic critical assessment. Empirical ethics and contextual ethics recognize that finite, fallible human beings live in complex, dynamic, contingent worlds, and they foster creative, critical deliberation and employ non-formal reason to make rational moral judgments.
当生物伦理学被纳入道德哲学时,它就成为了应用伦理学。由于演绎是道德哲学的理性方式,将事实归入道德原则之下以推导出关于应该做什么的结论,就成了生物伦理学规定的推理方式,于是生物伦理学成为了一种由道德原则构成的理论。生物伦理学家现在意识到,应用伦理学过于抽象和简略,无法理解现实道德问题的特殊性、独特性、复杂性和偶然性。需要经验伦理学和情境伦理学将这些特征纳入道德考量,而不仅仅是生物伦理学。必须连贯地识别、研究和构建问题的相关事实与特征,并构建和评估潜在的解决方案。此外,这些任务是在多种背景下进行和融合的,例如家庭、工作和医疗保健系统,以及社会、经济、法律和政治背景以及广泛的世界观。这种自然主义取向以及经验伦理学和情境伦理学都需要判断力,但判断力如何才能是理性的呢?幸运的是,理性比演绎推理更为宽泛。当判断力源自合理的审议过程时,它就是理性的;而当一个审议过程运用非形式推理的资源时,它就是合理的,这些资源包括观察、创造性构建、形式和非形式推理方法以及系统的批判性评估。经验伦理学和情境伦理学认识到,有限且易犯错的人类生活在复杂、动态、偶然的世界中,它们促进创造性的批判性审议,并运用非形式推理做出合理的道德判断。