David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
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Bioethics 23 (4):236-248 (2009)
In this article, we present a dialogical approach to empirical ethics, based upon hermeneutic ethics and responsive evaluation. Hermeneutic ethics regards experience as the concrete source of moral wisdom. In order to gain a good understanding of moral issues, concrete detailed experiences and perspectives need to be exchanged. Within hermeneutic ethics dialogue is seen as a vehicle for moral learning and developing normative conclusions. Dialogue stands for a specific view on moral epistemology and methodological criteria for moral inquiry. Responsive evaluation involves a structured way of setting up dialogical learning processes, by eliciting stories of participants, exchanging experiences in (homogeneous and heterogeneous) groups and drawing normative conclusions for practice. By combining these traditions we develop both a theoretical and a practical approach to empirical ethics, in which ethical issues are addressed and shaped together with stakeholders in practice. Stakeholders' experiences are not only used as a source for reflection by the ethicist; stakeholders are involved in the process of reflection and analysis, which takes place in a dialogue between participants in practice, facilitated by the ethicist. This dialogical approach to empirical ethics may give rise to questions such as: What contribution does the ethicist make? What role does ethical theory play? What is the relationship between empirical research and ethical theory in the dialogical process? In this article, these questions will be addressed by reflecting upon a project in empirical ethics that was set up in a dialogical way. The aim of this project was to develop and implement normative guidelines with and within practice, in order to improve the practice concerning coercion and compulsion in psychiatry.
|Keywords||psychiatry coercion empirical ethics hermeneutic ethics responsive evaluation|
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Citations of this work BETA
Dr med Sabine Salloch (2012). „Evidenzbasierte Ethik“? – Über hypothetische und kategorische Handlungsnormen in der Medizin. Ethik in der Medizin 24 (1):5-17.
Vicki Marsh, Francis Kombe, Raymond Fitzpatrick, Thomas N. Williams, Michael Parker & Sassy Molyneux (2013). Consulting Communities on Feedback of Genetic Findings in International Health Research: Sharing Sickle Cell Disease and Carrier Information in Coastal Kenya. [REVIEW] BMC Medical Ethics 14 (1):41.
Bert Molewijk & Guy A. M. Widdershoven (2012). Don't Solve the Issues! Cambridge Quarterly of Healthcare Ethics 21 (04):448-456.
A. H. G. van Elteren, T. A. Abma & G. A. M. Widdershoven (2012). Empirical Ethics Within Rapidly Changing Practices. Cambridge Quarterly of Healthcare Ethics 21 (04):493-504.
Guy Widdershoven, Bert Molewijk & Tineke Abma (2009). Improving Care and Ethics: A Plea for Interactive Empirical Ethics. American Journal of Bioethics 9 (6):99-101.
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