David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
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|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
John Miles Little (2010). Is There a Real Nexus Between Ethics and Aesthetics? Journal of Bioethical Inquiry 7 (1):91-102.
Jukka Varelius (2008). Ethics Consultation and Autonomy. Science and Engineering Ethics 14 (1):65-76.
Miles Little (2009). The Role of Regret in Informed Consent. Journal of Bioethical Inquiry 6 (1):49-59.
Similar books and articles
E. Goldberg & K. Podell (1999). Adaptive Versus Veridical Decision Making and the Frontal Lobes. Consciousness and Cognition 8 (3):364-377.
Marx W. Wartofsky (1986). Clinical Judgment, Expert Programs, and Cognitive Style: A Counter-Essay in the Logic of Diagnosis. Journal of Medicine and Philosophy 11 (1):81-92.
James Woodward & John Allman (2007). Moral Intuition: Its Neural Substrates and Normative Significance. Journal of Physiology-Paris 101 (4-6):179-202.
Albert W. Musschenga (2011). The Epistemic Value of Intuitive Moral Judgements. Philosophical Explorations 13 (2):113-128.
Hillel D. Braude (2012). Intuition in Medicine: A Philosophical Defense of Clinical Reasoning. The University of Chicago Press.
Oliver Black (1996). Legal Validity and the Infinite Regress. Law and Philosophy 15 (4):339 - 368.
Elijah Chudnoff (forthcoming). The Rational Roles of Intuition. In Anthony Booth & Darrell Rowbottom (eds.), Intuitions. Oxford University Press.
Marc Pauly (2007). Axiomatizing Collective Judgment Sets in a Minimal Logical Language. Synthese 158 (2):233 - 250.
Added to index2009-01-28
Total downloads26 ( #65,627 of 1,098,973 )
Recent downloads (6 months)2 ( #175,054 of 1,098,973 )
How can I increase my downloads?