David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
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Theoretical Medicine and Bioethics 28 (1):1-30 (2007)
Moral decision procedures such as principlism or casuistry require intuition at certain junctures, as when a principle seems indeterminate, or principles conflict, or we wonder which paradigm case is most relevantly similar to the instant case. However, intuitions are widely thought to lack epistemic justification, and many ethicists urge that such decision procedures dispense with intuition in favor of forms of reasoning that provide discursive justification. I argue that discursive justification does not eliminate or minimize the need for intuition, or constrain our intuitions. However, this is not a problem, for intuitions can be justified in easy or obvious cases, and decision procedures should be understood as heuristic devices for reaching judgments about harder cases that approximate the justified intuitions we would have about cases under ideal conditions, where hard cases become easy. Similarly, the forms of reasoning which provide discursive justification help decision procedures perform this heuristic function not by avoiding intuition, but by making such heuristics more accurate. Nonetheless, it is possible to demand too much justification; many clinical ethicists lack the time and philosophical training to reach the more elaborate levels of discursive justification. We should keep moral decision procedures simple and user-friendly so that they will provide what justification can be achieved under clinical conditions, rather than trying to maximize our epistemic justification out of an overstated concern about intuition.
|Keywords||casuistry decision procedure discursive justification heuristic intuition judgment moral epistemology moral theory principles principlism|
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References found in this work BETA
Tom L. Beauchamp (2009). Principles of Biomedical Ethics. Oxford University Press.
W. D. Ross (2002). The Right and the Good. Clarendon Press.
Laurence BonJour (1998). In Defense of Pure Reason. Cambridge University Press.
John Rawls (1999). Collected Papers. Harvard University Press.
Citations of this work BETA
Jukka Varelius (2008). Ethics Consultation and Autonomy. Science and Engineering Ethics 14 (1):65-76.
John Miles Little (2010). Is There a Real Nexus Between Ethics and Aesthetics? Journal of Bioethical Inquiry 7 (1):91-102.
Miles Little (2009). The Role of Regret in Informed Consent. Journal of Bioethical Inquiry 6 (1):49-59.
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