Clinical Bioethics A Search for the Foundations
A theory of Clinical Bioethics based on the integration of the moral logic of health care practice ("internal morality") and the larger social concerns and processes ("external morality") Clinical Bioethics. A Search for the Foundations compares major the
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INTERNATIONAL LIBRARY OF ETHICS, LAW, AND THE NEW MEDICINE Founding Editors DAVID C. THOMASMA† DAVID N. WEISSTUB, Université de Montréal, Canada THOMASINE KIMBROUGH KUSHNER, University of California, Berkeley, U.S.A.
Editor DAVID N. WEISSTUB, Université de Montréal, Canada
Editorial Board TERRY CARNEY, University of Sydney, Australia MARCUS DÜWELL, Utrecht University, Utrecht, the Netherlands SØREN HOLM, University of Cardiff, Wales,United Kingdom GERRIT K. KIMSMA, Vrije Universiteit, Amsterdam, the Netherlands DAVID NOVAK, University of Toronto, Canada EDMUND D. PELLEGRINO, Georgetown University, Washington D.C., U.S.A. DOM RENZO PEGORARO, Fondazione Lanza and University of Padua, Italy DANIEL P. SULMASY, Saint Vincent Catholic Medical Centers, New York, U.S.A. LAWRENCE TANCREDI, New York University, New York, U.S.A.
VOLUME 26 The titles published in this series are listed at the end of this volume.
Clinical Bioethics A Search for the Foundations
Edited by
CORRADO VIAFORA University of Padua, Italy
A C.I.P. Catalogue record for this book is available from the Library of Congress.
ISBN-10 ISBN-10 ISBN-13 ISBN-13
1-4020-3592-6 (HB) 1-4020-3593-4 (e-book) 978-1-4020-3592-6 (HB) 978-1-4020-3593-4 (e-book)
Published by Springer, P.O. Box 17, 3300 AA Dordrecht, The Netherlands. www.springeronline.com
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All Rights Reserved © 2005 Springer No part of this work may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording or otherwise, without written permission from the Publisher, with the exception of any material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Printed in the Netherlands.
TABLE OF CONTENTS PREFACE ................................................................................................................... vii INTRODUCTION CORRADO VIAFORA.................................................................................... ix PART 1. CLINICAL BIOETHICS: COMPARING THEORETICAL MODELS Clinical Bioethics in a Post Modern Age ............................................................ 3 DAVID C.THOMASMA The "Telos" of Medicine and the Good of the Patient....................................... 21 EDMUND PELLEGRINO The Foundation of Medical Ethics in the Democratic Evolution of Modern Society............................................................................................................... 33 DIEGO GRACIA A Communitarian Approach to Clinical Bioethics............................................ 41 HENK TEN HAVE A Hermeneutical Approach to Clinical Bioethics ............................................. 53 BRUNO CADORÉ A Deliberative Approach to Clinical Bioethics ................................................. 61 MICHAEL PARKER PART 2. TOWARD CLINICAL BIOETHICS INTEGRATING "INTERNAL MORALITY" AND "EXTERNAL MORALITY" "A Helping and Caring Profession": Medicine as a Normativ
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