Monological versus dialogical consciousness: two epistemological views on the use of theory in clinical ethical practice.

Abstract:

:In this article, we argue that a critical examination of epistemological and anthropological presuppositions might lead to a more fruitful use of theory in clinical-ethical practice. We differentiate between two views of conceptualizing ethics, referring to Charles Taylors' two epistemological models: 'monological' versus 'dialogical consciousness'. We show that the conception of ethics in the model of 'dialogical consciousness' is radically different from the classical understanding of ethics in the model of 'monological consciousness'. To reach accountable moral judgments, ethics cannot be conceptualized as an individual enterprise, but has to be seen as a practical endeavor embedded in social interactions within which moral understandings are being negotiated. This view has specific implications for the nature and the role of ethical theory. Theory is not created in the individual mind of the ethicist; the use of theory is part of a joint learning process and embedded in a cultural context and social history. Theory is based upon practice, and serves practical purposes. Thus, clinical ethics support is both practical and theoretical.

journal_name

Bioethics

journal_title

Bioethics

authors

Ohnsorge K,Widdershoven G

doi

10.1111/j.1467-8519.2011.01912.x

subject

Has Abstract

pub_date

2011-09-01 00:00:00

pages

361-9

issue

7

eissn

0269-9702

issn

1467-8519

journal_volume

25

pub_type

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