A virtue ethics approach to moral dilemmas in medicine.

Abstract:

:Most moral dilemmas in medicine are analysed using the four principles with some consideration of consequentialism but these frameworks have limitations. It is not always clear how to judge which consequences are best. When principles conflict it is not always easy to decide which should dominate. They also do not take account of the importance of the emotional element of human experience. Virtue ethics is a framework that focuses on the character of the moral agent rather than the rightness of an action. In considering the relationships, emotional sensitivities, and motivations that are unique to human society it provides a fuller ethical analysis and encourages more flexible and creative solutions than principlism or consequentialism alone. Two different moral dilemmas are analysed using virtue ethics in order to illustrate how it can enhance our approach to ethics in medicine.

journal_name

J Med Ethics

authors

Gardiner P

doi

10.1136/jme.29.5.297

keywords:

subject

Has Abstract

pub_date

2003-10-01 00:00:00

pages

297-302

issue

5

eissn

0306-6800

issn

1473-4257

journal_volume

29

pub_type

评论,杂志文章
  • Surgery to quieten the yelling of a demented old man.

    abstract::Robertson comments on a case presented by Gafner in the same issue of the Journal of Medical Ethics. A proposal to crush a laryngeal nerve to halt the incessant yelling of an elderly demented patient is disapproved by a medical center's surgery department for risk and ethical reasons. Robertson, an anesthesiologist,...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.13.4.198

    authors: Robertson GS

    更新日期:1987-12-01 00:00:00

  • A proposed draft protocol for the European Convention on Biomedicine relating to research on the human embryo and fetus.

    abstract::The objective of this paper is to stimulate academic debate on embryo and fetal research from the perspective of the drafting of a protocol to the European Convention on Biomedicine. The Steering Committee on Bioethics of the Council of Europe was mandated to draw up such a protocol and for this purpose organised an i...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.23.1.32

    authors: Byk JC

    更新日期:1997-02-01 00:00:00

  • Withdrawing life-sustaining treatment: a stock-take of the legal and ethical position.

    abstract::This article, prompted by an extended essay published in the Journal of Medical Ethics by Charles Foster, and the current controversy surrounding the case of Vincent Lambert, analyses the legal and ethical arguments in relation to the withdrawal of life-sustaining treatment from patients with prolonged disorders of co...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2019-105599

    authors: Ruck Keene ACE,Lee A

    更新日期:2019-12-01 00:00:00

  • Greek theories on eugenics.

    abstract::With the recent developments in the Human Genome Mapping Project and the new technologies that are developing from it there is a renewal of concern about eugenic applications. Francis Galton (b1822, d1911), who developed the subject of eugenics, suggested that the ancient Greeks had contributed very little to social t...

    journal_title:Journal of medical ethics

    pub_type: 传,历史文章,杂志文章

    doi:10.1136/jme.24.4.263

    authors: Galton DJ

    更新日期:1998-08-01 00:00:00

  • High hopes and automatic escalators: a critique of some new arguments in bioethics.

    abstract::Two protechnology arguments, the "hopeful principle" and the "automatic escalator", often used in bioethics, are identified and critically analysed in this paper. It is shown that the hopeful principle is closely related to the problematic precautionary principle, and the automatic escalator argument has close affinit...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2006.016477

    authors: Holm S,Takala T

    更新日期:2007-01-01 00:00:00

  • Erring on the side of life: the case of Terri Schiavo.

    abstract::In debates over life and death it is often said that one should err on the side of caution--that is, on the side of life. In the light of the recent case of Terri Schiavo, it is explained how the "err-on-the-side-of-life" argument proceeds, and an objection to it is offered. ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2007.023002

    authors: Merrell DA

    更新日期:2009-05-01 00:00:00

  • Evidence of broad-based family support for the use of archival childhood tumour samples in future research.

    abstract:OBJECTIVES:This study aimed to determine the ability to successfully contact past paediatric patients and their families to request participation in research, to assess familial views on the use of previously collected archival clinical samples for research purposes, and to highlight the ethical and practical issues in...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2015-103141

    authors: Sexton-Oates A,Dodgshun A,MacGregor D,Ludlow LE,Sullivan M,Saffery R

    更新日期:2016-07-01 00:00:00

  • Elderly patients' and residents' perceptions of 'the good nurse': a literature review.

    abstract::This article describes the findings of a mixed method literature review that examined the perceptions of elderly patients and residents of a good nurse in nursing homes, hospitals and home care. According to elderly patients and residents, good nurses are individuals who have the necessary technical and psychosocial s...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章,评审

    doi:10.1136/medethics-2011-100046

    authors: Van der Elst E,Dierckx de Casterlé B,Gastmans C

    更新日期:2012-02-01 00:00:00

  • Balancing urgency, age and quality of life in organ allocation decisions--what would you do? A survey.

    abstract:PURPOSE:Explore public attitudes towards the trade-offs between justice and medical outcome inherent in organ allocation decisions. BACKGROUND:The US Task Force on Organ Transplantation recommended that considerations of justice, autonomy and medical outcome be part of all organ allocation decisions. Justice in this c...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2006.018291

    authors: Stahl JE,Tramontano AC,Swan JS,Cohen BJ

    更新日期:2008-02-01 00:00:00

  • Let's keep metaphysics out of medical ethics: a critique of Poplawski and Gillett.

    abstract::I argue that the concept of 'longitudinal form', which Poplawski and Gillett have introduced into ethical discussions about embryos and gametes, involves too many metaphysical subtleties to be a useful aid to making moral decisions. I conclude by suggesting a criterion for relevance in medical ethics. ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.18.4.206

    authors: Leavitt FJ

    更新日期:1992-12-01 00:00:00

  • To stop or not to stop: dissent and undue burden as reasons to stop participation in paediatric research.

    abstract::Children participating in clinical research may show signs of discomfort, discontent, dissent and so on, that cannot be solved by comforting the child. When, and on what ground, should such signs lead to the decision to withdraw the child from the trial? In order to adequately protect children participating in clinica...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2016-103788

    authors: Bos W,Westra A,de Beaufort I,van de Vathorst S

    更新日期:2017-08-01 00:00:00

  • Medical professionalism in the age of online social networking.

    abstract::The rapid emergence and exploding usage of online social networking forums, which are frequented by millions, present clinicians with new ethical and professional challenges. Particularly among a younger generation of physicians and patients, the use of online social networking forums has become widespread. In this ar...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2009.029231

    authors: Guseh JS 2nd,Brendel RW,Brendel DH

    更新日期:2009-09-01 00:00:00

  • Random paired scenarios--a method for investigating attitudes to prioritisation in medicine.

    abstract:OBJECTIVE:This article describes a method for investigating attitudes towards prioritisation in medicine. SETTING:University of Kuopio, Finland. DESIGN:The method consisted of a set of 24 paired scenarios, which were imaginary patient cases, each containing three different ethical indicators randomly selected from a ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.22.4.238

    authors: Ryynänen OP,Myllykangas M,Vaskilampi T,Takala J

    更新日期:1996-08-01 00:00:00

  • Ethical reasoning in mixed nurse-physician groups.

    abstract:OBJECTIVES:To study the ethical reasoning of nurses and physicians, and to assess whether or not modified focus groups are a valuable tool for this purpose. DESIGN:Discussion of cases in modified focus groups, each consisting of three physicians and three nurses. The discussion was taped and analysed by content analys...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.22.3.168

    authors: Holm S,Gjersøe P,Grode G,Hartling O,Ibsen KE,Marcussen H

    更新日期:1996-06-01 00:00:00

  • Direct to consumer genetic testing and the libertarian right to test.

    abstract::I sketch a libertarian argument for the right to test in the context of 'direct to consumer' (DTC) genetic testing. A libertarian right to genetic tests, as defined here, relies on the idea of a moral right to self-ownership. I show how a libertarian right to test can be inferred from this general libertarian premise,...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2015-102827

    authors: Loi M

    更新日期:2016-09-01 00:00:00

  • Instruments of health and harm: how the procurement of healthcare goods contributes to global health inequality.

    abstract::Many healthcare goods, such as surgical instruments, textiles and gloves, are manufactured in unregulated factories and sweatshops where, amongst other labour rights violations, workers are subject to considerable occupational health risks. In this paper we undertake an ethical analysis of the supply of sweatshop-prod...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2020-106286

    authors: Trueba ML,Bhutta MF,Shahvisi A

    更新日期:2020-08-24 00:00:00

  • Pregnancy in a severely mentally handicapped adult.

    abstract::What happens when we discover that a severely mentally handicapped girl, resident under our care, is heavily pregnant? What options are open to us in her management? What are the legal and ethical issues involved? How do we ensure that she receives the best possible care and protection and will the involvement of the ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.15.4.197

    authors: O'Hara J

    更新日期:1989-12-01 00:00:00

  • Medical decision making in scarcity situations.

    abstract::The issue of the allocation of resources in health care is here to stay. The goal of this study was to explore the views of physicians on several topics that have arisen in the debate on the allocation of scarce resources and to compare these with the views of policy makers. We asked physicians (oncologists, cardiolog...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2003.003681

    authors: van Delden JJ,Vrakking AM,van der Heide A,van der Maas PJ

    更新日期:2004-04-01 00:00:00

  • After Cologne: male circumcision and the law. Parental right, religious liberty or criminal assault?

    abstract::Non-therapeutic circumcision violates boys' right to bodily integrity as well as to self-determination. There is neither any verifiable medical advantage connected with the intervention nor is it painless nor without significant risks. Possible negative consequences for the psychosexual development of circumcised boys...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2012-101284

    authors: Merkel R,Putzke H

    更新日期:2013-07-01 00:00:00

  • Supporting whistleblowers in academic medicine: training and respecting the courage of professional conscience.

    abstract::Conflicts between the ethical values of an organisation and the ethical values of the employees of that organisation can often lead to conflict. When the ethical values of the employee are considerably higher than those of the organisation the potential for catastrophic results is enormous. In recent years several hig...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2003.006940

    authors: Faunce T,Bolsin S,Chan WP

    更新日期:2004-02-01 00:00:00

  • In vitro fertilisation with preimplantation genetic testing: the need for expanded insurance coverage.

    abstract::Technological advances in genetic testing have enabled prospective parents to learn about their risk of passing a genetic condition to their future children. One option for those who want to ensure that their biological children do not inherit a genetic condition is to create embryos through in vitro fertilisation (IV...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2019-105879

    authors: Kilbride MK

    更新日期:2020-08-19 00:00:00

  • Attitudes toward euthanasia and physician-assisted suicide: a study of the multivariate effects of healthcare training, patient characteristics, religion and locus of control.

    abstract::Public and healthcare professionals differ in their attitudes towards euthanasia and physician-assisted suicide (PAS), the legal status of which is currently in the spotlight in the UK. In addition to medical training and experience, religiosity, locus of control and patient characteristics (eg, patient age, pain leve...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2012-100729

    authors: Hains CA,Hulbert-Williams NJ

    更新日期:2013-11-01 00:00:00

  • Publication ethics and the research assessment exercise: reflections on the troubled question of authorship.

    abstract::The research assessment exercise (RAE) forms the basis for determining the funding of higher education institutions in the UK. Monies are distributed according to a range of performance criteria, the most important of which is "research outputs". Problems to do with publication misconduct, and in particular, issues of...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.26.6.422

    authors: Sheikh A

    更新日期:2000-12-01 00:00:00

  • Experiment on identical siblings separated at birth: ethical implications for researchers, universities, and archives today.

    abstract::Several films, including Three Identical Strangers, examined ethical problems in an experiment that involved identical siblings who were adopted as infants and separated into different families to examine the effects of nature versus nurture. The study was primarily designed and directed by Dr Peter Neubauer. The expe...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2019-105983

    authors: Klitzman RL,Kelmenson AM

    更新日期:2020-05-04 00:00:00

  • Developing ethics guidance for HIV prevention research: the HIV Prevention Trials Network approach.

    abstract::More than 25 years into the HIV epidemic, in excess of 2 million new infections continue to occur each year. HIV prevention research is crucial for groups at heightened risk for HIV, but the design and conduct of HIV prevention research with vulnerable populations worldwide raises considerable ethical challenge...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2010.035444

    authors: Rennie S,Sugarman J

    更新日期:2010-12-01 00:00:00

  • Can the Catholic Church agree to condom use by HIV-discordant couples?

    abstract::Does the position of the Roman Catholic Church on contraception also imply that the usage of condoms by HIV-discordant couples is illicit? A standard argument is to appeal to the doctrine of double effect to condone such usage, but this meets with the objection that there exists an alternative action that brings about...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2009.030767

    authors: Bovens L

    更新日期:2009-12-01 00:00:00

  • Resuscitation and senility: a study of patients' opinions.

    abstract::In the context of 'Do-not-resuscitate' (DNR) decisions, there is a lack of information in the UK on the opinions of patients and prospective patients. Written anonymous responses to questionnaires issued to 322 out-patient subjects showed that 97 per cent would opt for cardiopulmonary resuscitation (CPR) in their curr...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.19.2.104

    authors: Robertson GS

    更新日期:1993-06-01 00:00:00

  • Communication with the seriously ill: physicians' attitudes in Saudi Arabia.

    abstract:OBJECTIVES:To study some ethical problems created by accession of a previously nomadic and traditional society to modern invasive medicine, by assessment of physicians' attitudes towards sharing information and decision-making with patients in the setting of a serious illness. DESIGN:Self-completion questionnaire admi...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.22.5.282

    authors: Mobeireek AF,al-Kassimi FA,al-Majid SA,al-Shimemry A

    更新日期:1996-10-01 00:00:00

  • Fair and equitable subject selection in concurrent COVID-19 clinical trials.

    abstract::Clinical trials emerged in rapid succession as the COVID-19 pandemic created an unprecedented need for life-saving therapies. Fair and equitable subject selection in clinical trials offering investigational therapies ought to be an urgent moral concern. Subject selection determines the distribution of risks and benefi...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2020-106590

    authors: Jansen MO,Angelos P,Schrantz SJ,Donington JS,Madariaga MLL,Zakrison TL

    更新日期:2021-01-01 00:00:00

  • Non-equivalent stringency of ethical review in the Baltic States: a sign of a systematic problem in Europe?

    abstract::We analyse the system of ethical review of human research in the Baltic States by introducing the principle of equivalent stringency of ethical review, that is, research projects imposing equal risks and inconveniences on research participants should be subjected to equally stringent review procedures. We examine seve...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2009.035030

    authors: Gefenas E,Dranseika V,Cekanauskaite A,Hug K,Mezinska S,Peicius E,Silis V,Soosaar A,Strosberg M

    更新日期:2010-07-01 00:00:00