Biomedical Ethics Ch2- Summary

Bioethics and Moral Theories

  • The moral life is dynamic, involving assertions and challenges to moral theories and statements.

  • Moral Theories: Attempt to define rightness and goodness, asserting principles that guide moral action.

    • Utilitarianism: Right actions produce the greatest happiness for all concerned.

    • Divine Command Theory: Actions commanded by God are considered right.

  • Moral judgments often occur without recognizing the underlying moral theory guiding them.

Understanding Moral Theories

  • Moral theories serve a role similar to scientific theories by explaining causes and justifying actions.

  • They help in assessing moral values and informing choices, particularly in bioethics.

  • Theories are categorized as:

    • Theories of obligation: Focus on right and wrong actions.

    • Virtue-based theories: Focus on the moral character of individuals.

  • Effective moral reasoning involves critical engagement with moral theories to evaluate their applicability in real-life situations.

The Role of Moral Judgments

  • Morality relies on both general moral principles and specific judgments about cases.

  • Considered judgments must be consistent with the relevant moral theory to ensure coherent decision-making.

  • Fallibility: Recognize that moral judgments can be flawed, necessitating reevaluation and correction based on moral theories.

Key Moral Theories

  • Consequentialist Theories: Rightness is determined by outcomes of actions (e.g., utilitarianism).

  • Deontological Theories: Rightness is based on adherence to rules or duties, irrespective of consequences (e.g., Kantian Ethics).

  • Natural Law Theory: Right actions conform to moral standards revealed through nature and reason.

  • Contractarianism (Rawls): Focuses on principles of justice derived from fair agreements among individuals.

  • Virtue Ethics: Emphasizes the importance of moral character and virtues in determining right action.

  • Feminist Ethics: Advocates for women’s rights while emphasizing relational aspects of moral decision-making.

Application of Moral Theories in Bioethics

  • Various moral theories can inform and critique ethical dilemmas encountered in bioethics, such as euthanasia, consent, and healthcare decisions.

  • The doctrine of double effect is used in moral reasoning, particularly in decisions involving ending suffering versus causing harm.

Criteria for Evaluating Moral Theories

  • Criteria for adequacy include:

    • Consistency with considered moral judgments.

    • Consistency with the facts of moral life.

    • Resourcefulness in solving moral problems.

  • A robust moral theory should help in understanding and resolving ethical dilemmas effectively, acknowledging both general principles and specific cases.