David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
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Journal of Medicine and Philosophy 25 (3):323 – 341 (2000)
Principlism has been advocated as an approach to resolving concrete cases and issues in bioethics, but critics have pointed out that a main problem for principlism is its lack of a method for assigning priorities to conflicting ethical principles. A version of principlism referred to as 'specified principlism' has been put forward in an attempt to overcome this problem. However, none of the advocates of specified principlism have attempted to demonstrate that the method actually works in resolving detailed clinical cases. This paper shows that when one tries to use it, specified principlism fails to provide practical assistance in deciding how to resolve concrete cases. Proponents of specified principlism have attempted to defend it by arguing that it is superior to casuistry, but it can be shown that their arguments are faulty. Because of these reasons, specified principlism should not be considered a leading contender in the search for methods of making justifiable decisions in clinical cases.
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Citations of this work BETA
Stephen Buetow (2006). Opportunities to Elaborate on Casuistry in Clinical Decision Making. Commentary on Tonelli (2006). Integrating Evidence Into Clinical Practice: An Alternative to Evidence‐Based Approaches. Journal of Evaluation in Clinical Practice 12 (4):427-432.
John K. Davis (2007). Intuition and the Junctures of Judgment in Decision Procedures for Clinical Ethics. Theoretical Medicine and Bioethics 28 (1):1-30.
Wendy Lipworth & Miles Little (2014). Deriving and Critiquing an Empirically Based Framework for Pharmaceutical Ethics. Ajob Empirical Bioethics 5 (1):23-32.
Joseph P. Demarco & Paul J. Ford (2006). Balancing in Ethical Deliberation: Superior to Specification and Casuistry. Journal of Medicine and Philosophy 31 (5):483 – 497.
Eran Klein (2011). Is There a Need for Clinical Neuroskepticism? Neuroethics 4 (3):251-259.
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