Jennings Bruce
The Hastings Center, Garrison, NY, USA.
Center for Biomedical Ethics and Society, Vanderbilt University School of Medicine, 2525 West End Avenue, Suite 400, Nashville, TN, 37027, USA.
Health Care Anal. 2019 Mar;27(1):4-12. doi: 10.1007/s10728-018-0363-0.
This article defends 'relational theorizing' in bioethics and public health ethics and describes its importance. It then offers an interpretation of solidarity and care understood as normatively patterned and psychologically and socially structured modes of relationality; in a word, solidarity and care understood as 'practices.' Solidarity is characterized as affirming the moral standing of others and their membership in a community of equal dignity and respect. Care is characterized as paying attention to the moral (and mortal) being of others and their needs, suffering, and vulnerability. The wager of relational theorizing in health care and public health is that substantive ethical visions of solidarity and care will provide support for more just and egalitarian health care and public health policies.
本文捍卫生物伦理学和公共卫生伦理学中的“关系性理论化”,并阐述其重要性。接着,文章对团结和关怀进行了一种诠释,将其理解为具有规范性模式以及心理和社会结构的关系模式;简而言之,团结和关怀被理解为“实践”。团结的特征是肯定他人的道德地位以及他们在一个具有平等尊严和尊重的共同体中的成员身份。关怀的特征是关注他人的道德(和必死的)存在以及他们的需求、痛苦和脆弱性。医疗保健和公共卫生领域关系性理论化的赌注在于,团结和关怀的实质性伦理愿景将为更公正和平等的医疗保健及公共卫生政策提供支持。