Holm S
Department of Medical Philosophy, University of Copenhagen, Denmark.
J Med Ethics. 1995 Dec;21(6):332-8. doi: 10.1136/jme.21.6.332.
The Principles of Biomedical Ethics by Tom L Beauchamp and James F Childress which is now in its fourth edition has had a great influence on the development of bioethics through its exposition of a theory based on the four principles: respect for autonomy; non-maleficence; beneficence, and justice (1). The theory is developed as a common-morality theory, and the present paper attempts to show how this approach, starting from American common-morality, leads to an underdevelopment of beneficence and justice, and that the methods offered for specification and balancing of principles are inadequate.
汤姆·L·博尚和詹姆斯·F·奇尔德雷斯所著的《生物医学伦理学原理》现已出版第四版,它通过阐述一种基于四项原则的理论,即尊重自主权、不伤害、行善和公正,对生物伦理学的发展产生了重大影响(1)。该理论是作为一种普通道德理论发展起来的,本文试图说明这种从美国普通道德出发的方法如何导致行善和公正的发展不足,以及为原则的细化和权衡所提供的方法是不充分的。