Abstract
The literature on conscience in medicine has paid little attention to what is meant by the word ‘conscience.’ This article distinguishes between retrospective and prospective conscience, distinguishes synderesis from conscience, and argues against intuitionist views of conscience. Conscience is defined as having two interrelated parts: (1) a commitment to morality itself; to acting and choosing morally according to the best of one’s ability, and (2) the activity of judging that an act one has done or about which one is deliberating would violate that commitment. Tolerance is defined as mutual respect for conscience. A set of boundary conditions for justifiable respect for conscientious objection in medicine is proposed.
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Notes
In a brief essay it is impossible to say much more. Specifying exactly when a practice for which proponents seek tolerance is itself intolerant is a complicated matter. But in a rough and ready way, the plain person can grasp the self-contradiction of certain demands for tolerance. For example, it seems obvious that it is contradictory for the Taliban to demand tolerance for their religious belief that no other religion be tolerated.
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Sulmasy, D.P. What is conscience and why is respect for it so important?. Theor Med Bioeth 29, 135–149 (2008). https://doi.org/10.1007/s11017-008-9072-2
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DOI: https://doi.org/10.1007/s11017-008-9072-2