David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
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Bioethics 24 (5):242-255 (2010)
Since its origin bioethics has been a specialized, academic discipline, focussing on moral issues, using a vast set of globalized principles and rational techniques to evaluate and guide healthcare practices. With the emergence of a plural society, the loss of faith in experts and authorities and the decline of overarching grand narratives and shared moralities, a new approach to bioethics is needed. This approach implies a shift from an external critique of practices towards embedded ethics and interactive practice improvement, and from a legal defence of rights towards fostering interdependent practices of responsibility. This article describes these transitions within bioethics in relation to the broader societal and cultural dynamics within Western societies, and traces the implications for the methodologies and changing roles of the bioethicist. The bioethicist we foresee is not just a clever expert but also a relationally sensitive person who engages stakeholders in reciprocal dialogues about their practice of responsibility and helps to integrate various sorts of knowledge (embodied, experiential, visual, and cognitive-scientific). In order to illustrate this new approach, we present a case study. It concerns a project focusing on an innovation in elderly care, based on the participation of various stakeholders, especially older people themselves.
|Keywords||dialogical ethics practical wisdom participatory research elderly care empirical ethics responsibility practices practice improvement|
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Citations of this work BETA
Bjørn Hofmann, Anne Myhr & Søren Holm (2013). Scientific Dishonesty—a Nationwide Survey of Doctoral Students in Norway. BMC Medical Ethics 14 (1):1-9.
Bert Molewijk & Guy A. M. Widdershoven (2012). Don't Solve the Issues! Cambridge Quarterly of Healthcare Ethics 21 (04):448-456.
Bienke Janssen, Tineke A. Abma & Tine Van Regenmortel (2013). Paradoxes in the Care of Older People in the Community: Walking a Tightrope. Ethics and Social Welfare 8 (1):1-18.
Sabine Salloch, Jan Schildmann & Jochen Vollmann (2012). Empirical Research in Medical Ethics: How Conceptual Accounts on Normative-Empirical Collaboration May Improve Research Practice. BMC Medical Ethics 13 (1):5.
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