Thomasma D C
Medical Humanities Program, Loyola University Chicago, Stritch School of Medicine, Maywood, IL 60153, USA.
Theor Med. 1997 Mar-Jun;18(1-2):127-43.
The problem of developing a moral philosophy of medicine is explored in this essay. Among the challenges posed to this development are the general mistrust of moral philosophy and philosophy in general created by post-modernist philosophical and even anti-philosophical thinking. This reaction to philosophical systematization is usually called antifoundationalism. I distinguish different forms of antifoundationalism, showing that not all forms of their opposites, foundationalism, are alike, especially with regards to claims made about the certitude of moral thought. I conclude that we are correct to mistrust absolutist principles in a moral philosophy of medicine, but can find some center within the practice of medicine itself for a moral foundation.
本文探讨了发展医学道德哲学的问题。后现代主义哲学甚至反哲学思维对道德哲学乃至一般哲学造成了普遍的不信任,这给这一发展带来了诸多挑战。这种对哲学系统化的反应通常被称为反基础主义。我区分了不同形式的反基础主义,表明并非其所有对立面——基础主义的形式都是一样的,尤其是在关于道德思想的确定性的主张方面。我的结论是,在医学道德哲学中不信任绝对主义原则是正确的,但我们可以在医学实践本身中找到某种道德基础的核心。