Monological versus dialogical consciousness – two epistemological views on the use of theory in clinical ethical practice
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Bioethics 25 (7):361-369 (2011)
In this article, we argue that a critical examination of epistemological and anthropological presuppositions might lead to a more fruitful use of theory in clinical-ethical practice. We differentiate between two views of conceptualizing ethics, referring to Charles Taylors' two epistemological models: ‘monological’ versus ‘dialogical consciousness’. We show that the conception of ethics in the model of ‘dialogical consciousness’ is radically different from the classical understanding of ethics in the model of ‘monological consciousness’. To reach accountable moral judgments, ethics cannot be conceptualized as an individual enterprise, but has to be seen as a practical endeavor embedded in social interactions within which moral understandings are being negotiated. This view has specific implications for the nature and the role of ethical theory. Theory is not created in the individual mind of the ethicist; the use of theory is part of a joint learning process and embedded in a cultural context and social history. Theory is based upon practice, and serves practical purposes. Thus, clinical ethics support is both practical and theoretical
|Keywords||epistemology of ethics clinical ethics ethics experts dialogical ethics hermeneutics clinical ethics support service theory|
|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
No citations found.
Similar books and articles
Rouven Porz, Elleke Landeweer & Guy Widdershoven (2011). Theory and Practice of Clinical Ethics Support Services: Narrative and Hermeneutical Perspectives. Bioethics 25 (7):354-360.
Jos V. M. Welie (1998). Clinical Ethics: Theory or Practice? Theoretical Medicine and Bioethics 19 (3):295-312.
Guy Widdershoven, Tineke Abma & Bert Molewijk (2009). Empirical Ethics as Dialogical Practice. Bioethics 23 (4):236-248.
Peter Hucklenbroich (1998). Steps Towards a Theory of Medical Practice. Theoretical Medicine and Bioethics 19 (3):215-228.
Shane Ralston (2010). Dewey and Goodin on the Value of Monological Deliberation. Etica E Politica 12 (1):235-255.
Harry L. Keffer (1998). The Perception of Ethical Dilemmas in Clinical Practice. International Journal of Applied Philosophy 12 (1):79-87.
Hillel D. Braude (2012). Intuition in Medicine: A Philosophical Defense of Clinical Reasoning. The University of Chicago Press.
Henk Have (1994). The Hyperreality of Clinical Ethics: A Unitary Theory and Hermeneutics. Theoretical Medicine and Bioethics 15 (2).
Bert Molewijk, Dick Kleinlugtenbelt & Guy Widdershoven (2011). The Role of Emotions in Moral Case Deliberation: Theory, Practice, and Methodology. Bioethics 25 (7):383-393.
Italo Testa (2009). Recognition, Skepticism and Self-Consciousness in the Young Hegel. Fenomenologia E Società 32 (2):117-132.
Maya J. Goldenberg (2001 MA thesis). The Theory and Practice of Biomedical Ethics : A Troubled Divide. Dissertation, McGill University
Christopher Johns (2013). Becoming a Reflective Practitioner. John Wiley & Sons.
Albert R. Jonsen (1986). Casuistry and Clinical Ethics. Theoretical Medicine and Bioethics 7 (1).
Eric Racine (2008). Enriching Our Views on Clinical Ethics: Results of a Qualitative Study of the Moral Psychology of Healthcare Ethics Committee Members. [REVIEW] Journal of Bioethical Inquiry 5 (1):57-67.
Hillel D. Braude (2009). Clinical Intuition Versus Statistics: Different Modes of Tacit Knowledge in Clinical Epidemiology and Evidence-Based Medicine. Theoretical Medicine and Bioethics 30 (3):181-198.
Added to index2011-07-27
Total downloads14 ( #131,377 of 1,679,366 )
Recent downloads (6 months)1 ( #183,761 of 1,679,366 )
How can I increase my downloads?