Abstract
Contemporary liberal democracies contain multiple cultural, religious, and philosophical traditions. Within these societies, different interpretive communities provide divergent models for understanding health, illness, and moral obligations. Bioethicists commonly draw upon models of moral reasoning that presume the existence of shared moral intuitions. Principlist bioethics, case-based models of moral deliberation, intuitionist frameworks, and cost-benefit analyses all emphasise the uniformity of moral reasoning. However, religious and cultural differences challenge assumptions about common modes of moral deliberation. Too often, bioethicists minimize or ignore the existence of multiple traditions of moral inquiry. Careful consideration of the presence of multiple horizons for moral deliberation generates challenging questions about the capacity of bioethicists to effectively resolve complex cases and social policy disputes.
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References
Beauchamp, Tom L. and James F. Childress: 1989, Principles of Biomedical Ethics, 3rd edition. Oxford: Oxford University Press.
Brock, Dan W.: 1995, ‘Public Moral Discourse’, in: Ruth Ellen Bulger, Elizabeth Meyer Bobby and Harvey V. Fineberg (eds.), Society's Choices: Social and Ethical Decision Making in Biomedicine (Washington, D.C.: National Academy Press), pp. 215–240.
Callahan, Daniel: 1990, ‘Religion and the Secularization of Bioethics’, Hastings Center Report July/August, 2–4.
Campbell, Courtney S.: 1990, ‘Religion and Moral Meaning in Bioethics’, Hastings Center Report July/August, 4–10.
Campbell, Courtney S.: 1992, ‘Religious Ethics and Active Euthanasia in a Pluralistic Society’, Kennedy Institute of Ethics Journal 2(3), 253–277.
Engelhardt, H. Tristram, Jr.: 1989, ‘Can Ethics Take Pluralism Seriously?’ Hastings Center Report September/October, 33–34.
Fadiman, Anne: 1998, The Spirit Catches You and You Fall Down. New York: Farrar Straus & Giroux.
Fins, Joseph J.: 1994, ‘Encountering Diversity: Medical Ethics and Pluralism’, Journal of Religion and Health 33(1), 23–27.
Fish, Stanley: 1989, Doing What Comes Naturally: Change, Rhetoric, and the Practice of Theory in Literary and Legal Studies. Durham: Duke University Press.
Fleck, Ludwik: [1935] 1981, Genesis and Development of a Scientific Fact. Chicago: The University of Chicago Press.
Fox, Renee C. and Judith P. Swazey: 1984, ‘Medical Morality is Not Bioethics — Medical Ethics in China and The United States’, Perspectives in Biology and Medicine 27(3) Spring, 336–360.
Geertz, Clifford: 1983, Local Knowledge: Futher Essays in Interpretive Anthropology. USA: Basic Books, Inc.
Gombrich, E.H.: 1969, Art and Illusion: A Study in the Psychology of Pictorial Representation. Princeton: Princeton University Press.
Grant, George: [1974] 1985, English-Speaking Justice. Toronto: Anansi.
Hauerwas, Stanley: 1981, A Community of Character: Toward a Constructive Christian Social Ethic. Notre Dame, Indiana: University of Notre Dame Press.
Hunter, James Davison: 1991, Culture Wars: The Struggle to Define America. USA: Basic Books.
Jecker, Nancy S., Joseph A. Carrese and Robert A. Pearlman: 1995, ‘Caring for Patients in Cross-Cultural Settings’, Hasting Center Report January–February, 6–14.
Jonsen, Albert R. and Stephen Toulmin: 1988, The Abuse of Casuistry: A History of Moral Reasoning. Berkeley: University of California Press.
Kaptchuk, Ted J. and David M. Eisenberg: 2001, ‘Varieties of Healing. 1: Medical Pluralism in the United States’, Annals of Internal Medicine 135, 189–195.
Kleinman, Arthur: 1995, Writings at the Margin: Discourse Between Anthropology and Medicine. Berkeley: University of California Press.
Kuhn, Thomas S.: 1970, The Structure of Scientific Revolutions. Chicago: The University of Chicago Press.
Kunstadter, Peter: 1980, ‘Medical Ethics in Cross-Cultural and Multi-Cultural Perspectives’, Social Science and Medicine 14B, 289–296.
Kymlicka, Will: 1993, ‘Moral Philosophy and Public Policy: The Case of NRTs’, Bioethics 7(1), 1–26.
Lieban, Richard W.: 1990, ‘Medical Anthropology and The Comparative Study of Medical Ethic’, in: George Weisz (ed.), Social Science Perspectives on Medical Ethics (Boston: Kluwer Academic Publishers), pp. 221–229.
MacIntyre, Alasdair: 1988, Whose Justice? Which Rationality? Notre Dame, Indiana: University of Notre Dame Press.
Marshall, Patricia A.: 1992, ‘Anthropology and Bioethics’, Medical Anthropology Quarterly 6(1), 49–73.
Marshall, Patricia, David C. Thomasma and Jurrit Bergsma: 1994, ‘Intercultural Reasoning: The Challenge for International Bioethics’, Cambridge Quarterly of Healthcare Ethics 3, 321–328.
Michel, Vicki: 1994, ‘Factoring Ethnic and Racial Differences into Bioethics Decision Making’, Generations, 23–26.
Minogue, Brendan P.: 1990, ‘The Exclusion of Theology from Public Policy: The Case of Euthanasia’, Second Opinion 14, 85–93.
Muir Gray, J.A.: 1999, ‘Postmodern Medicine’, The Lancet 354, 1550–1553.
Muller, Jessica H.: 1994, ‘Anthropology, Bioethics, and Medicine: A Provocative Trilogy’, Medical Anthropology Quarterly 8(4), 448–467.
Nie, Jing-Bao: 2000, ‘The Plurality of Chinese and American Medical Moralities: Toward an Interpretive Cross-Cultural Bioethics’, Kennedy Institute of Ethics Journal 10(3), 239–260.
O'Callaghan, F.V.O. and N. Jordan: 2003, ‘Postmodern Values, Attitudes and the Use of Complementary Medicine’, Complementary Therapy in Medicine 11, 28–32.
Shweder, Richard A.: 1991, Thinking Through Cultures: Expeditions in Cultural Psychology. Harvard: Harvard University Press.
Stout, Jeffrey: 1988, Ethics After Babel: The Languages of Morals and Their Discontents. Boston: Beacon Press.
Toulmin, Stephen E.: 1987, ‘The National Commission on Human Experimentation: Procedures and Outcomes’, in: H. Tristram Engelhardt, Jr. and Arthur L. Caplan (eds.), Scientific Controversies: Case Studies in the Resolution and Closure of Disputes in Science and Technology (Cambridge: Cambridge University Press), pp. 599–613.
Toulmin, Stephen: 1981, ‘The Tyranny of Principles’, The Hastings Center Report 11(6), 31–39.
Wildes, Kevin Wm. S.J.: 1993, ‘The Priesthood of Bioethics and The Return of Casuistry’, The Journal of Medicine and Philosophy 18, 33–49.
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Turner, L. Bioethics in pluralistic societies. Med Health Care Philos 7, 201–208 (2004). https://doi.org/10.1023/B:MHEP.0000034330.44606.9c
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DOI: https://doi.org/10.1023/B:MHEP.0000034330.44606.9c