University of Newcastle, Callaghan, New South Wales, Australia.
J Med Philos. 2022 Aug 4;47(3):443-456. doi: 10.1093/jmp/jhac007.
Prompted by recent comments on the moral authority of dialogic consensus, we argue that consensus, specifically dialogic consensus, possesses a unique form of moral authority. Given our multicultural era and its plurality of values, we contend that traditional ethical frameworks or principles derived from them cannot be viewed substantively. Both philosophers and clinicians prioritize the need for a decision to be morally justifiable, and also for the decision to be action-guiding. We argue that, especially against the background of our pluralistic society, it is only via unforced dialogue and properly founded argumentation, aiming for consensus, that we can ascribe rightness or wrongness in a normative fashion to dilemmatic situations. We argue that both the process of dialogue, properly constituted, and the consensual outcome itself have moral authority vested within them. Finally, we argue that the consensual decision made is able to withstand moral scrutiny and is action-guiding, without claiming absolute moral authority in other contexts.
受近期有关对话共识道德权威的评论的启发,我们认为共识,特别是对话共识,具有独特的道德权威形式。鉴于我们的多元文化时代及其多元价值观,我们认为不能从实质上看待从中衍生的传统伦理框架或原则。哲学家和临床医生都强调需要做出道德上合理的决策,并且需要做出能够指导行动的决策。我们认为,特别是在我们多元化的社会背景下,只有通过非强制性的对话和合理的论证,以达成共识,我们才能以规范性的方式将正确或错误归因于困境情况。我们认为,对话的过程(如果构成得当)和共识的结果本身都具有道德权威。最后,我们认为,所做出的共识决策能够经得起道德审查,并具有指导行动的作用,而不会在其他情况下声称具有绝对的道德权威。