Philosophy of Medicine and Bioethics A Twenty-Year Retrospective and

Papers presented at a symposium on philosophy and medicine at the Institute for the Medical Humanities at the University of Texas Medical Branch in 1974 were published in the inaugural volume of this series. To help celebrate more than 20 years of extraor

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Philosophy and Medicine VOLUME 50 Editors H. Tristram Engelhardt, Jr., Center for Ethics, Medicine, and Public Issues, Baylor College of Medicine, Houston, Texas and Philosophy Department, Rice University, Houston, Texas Stuart F. Spicker, Center for Ethics, Medicine, and Public Issues, Baylor College of Medicine, Houston, Texas Associate Editor Kevin W. Wildes, S.J., Department of Philosophy, Washington, D.C.

Georgetown University,

Editorial Board George J. Agich, School of Medicine, Southern Illinois University, Springfield, Illinois Edmund Erde, University of Medicine and Dentistry of New Jersey, Stratford, New Jersey E. Haavi Morreim, Department of Human Values and Ethics, College of Medicine, University of Tennessee, Memphis, Tennessee Becky White, Department of Philosophy, California State University, Chico, California

PHILOSOPHY OF MEDICINE AND BIOETHICS A TWENTY-YEAR RETROSPECTIVE AND CRITICAL APPRAISAL

Edited by

RONALD A. CARSON Institute for the Medical Humanities, University of Texas Medical Branch, Galveston, Texas, U.S.A.

CHESTER R. BURNS Institute for the Medical Humanities, University of Texas Medical Branch, Galveston, Texas, U.S.A.

KLUWER ACADEMIC PUBLISHERS NEW YORK, BOSTON, DORDRECHT, LONDON, MOSCOW

eBook ISBN: Print ISBN:

0-306-48133-2 0-7923-3545-7

©2002 Kluwer Academic Publishers New York, Boston, Dordrecht, London, Moscow Print ©1997 Kluwer Academic Publishers Dordrecht All rights reserved No part of this eBook may be reproduced or transmitted in any form or by any means, electronic, mechanical, recording, or otherwise, without written consent from the Publisher Created in the United States of America Visit Kluwer Online at: and Kluwer's eBookstore at:

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TABLE OF CONTENTS

Ronald A. Carson and Chester R. Burns / Introduction

SECTION I

ix

HISTORY AND THEORY

Edmund D. Pellegrino / Bioethics as an Interdisciplinary Enterprise: Where Does Ethics Fit in the Mosaic of Disciplines?

1

K. Danner Clouser / Humanities in the Service of Medicine: Three Models

25

Stephen Toulmin / The Primacy of Practice: Medicine and Postmodernism

41

Marx W. Wartofsky / What Can the Epistemologists Learn from the Endocrinologists? Or Is the Philosophy of Medicine Based on a Mistake?

55

Edmund D. Pellegrino / Praxis as a Keystone for the Philosophy and Professional Ethics of Medicine: The Need for an Arch-Support: Commentary on Toulmin and Wartofsky 69 H. Tristram Engelhardt, Jr. / Bioethics and the Philosophy of Medicine Reconsidered

85

Henk ten Have / From Synthesis and System to Morals and Procedure: The Development of Philosophy of Medicine

105

Stuart F. Spicker / The Philosophy of Medicine and Bioethics: Commentary on ten Have and Engelhardt

v

125

TABLE OF CONTENTS

vi

SECTION II

PRACTICE AND THEORY

Larry R. Churchill / Bioethics in Social Context

137

Judith Andre / The Week of November Seventh: Bioethics as Practice

153

Thomas R. Cole / Toward a Humanist Bioethics: Commentary on Churchill and Andre

173

Ronald A. Carson