Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA.
Center for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX, USA.
Theor Med Bioeth. 2022 Aug;43(4):221-233. doi: 10.1007/s11017-022-09576-1. Epub 2022 Jul 18.
In his Disrupted Dialogue: Medical Ethics and the Collapse of Physician-Humanist Communication (1770-1980) Robert Veatch presents a scholarly tour de force of eighteenth- and nineteenth-century Anglophone medical ethics to demonstrate how the easy communication between physicians and humanists in the Scottish Enlightenment progressively dissipated as medicine became detached from humanistic disciplines. In this paper I offer two comments-that the discourse of medical ethics in the Scottish Enlightenment was a discourse of Baconian moral science and that nineteenth-century medical ethics in the United States became detached from that discourse. The result was that a principal resource for physicians at the birth of bioethics, the American Medical Association's Principles of Medicine Ethics of 1957, did not equip physicians with the conceptual tools they needed to formulate and address the ethical challenges that became the agenda of bioethics. The paper opens with a brief portrait of Robert Veatch, the author's connections to him, and his little-known role as an impresario of the classical music of the Blue Ridge and Appalachia.
在他的《中断的对话：医学伦理与医师人文主义者沟通的崩溃（1770-1980）》一书中，罗伯特·维特（Robert Veatch）展示了 18 至 19 世纪英语医学伦理的精湛学术成果，以证明随着医学与人文科学的分离，苏格兰启蒙运动中医生与人文主义者之间轻松的交流是如何逐渐消失的。在本文中，我提出两点评论——即苏格兰启蒙运动时期医学伦理的话语是一种培根式道德科学的话语，以及 19 世纪美国的医学伦理与这种话语脱节。其结果是，在生物伦理学诞生之时，主要为医生提供资源的是美国医学协会（AMA）1957 年的《医学伦理原则》，但它并没有为医生提供制定和解决成为生物伦理学议程的伦理挑战所需的概念工具。本文开篇简要介绍了作者与该书作者罗伯特·维特的联系，以及他鲜为人知的作为蓝岭和阿巴拉契亚地区古典音乐制作人的角色。
