Toward a Virtue-Based Normative Ethics for the Health Professions
Toward a Virtue-Based Normative Ethics for the Health Professions
复制标题
为卫生行业建立基于美德的规范伦理
DOI：
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发表时间：
1995
影响因子：
1.4
通讯作者：
E. Pellegrino
中科院分区：
文献类型：
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作者：
E. Pellegrino
美德是伦理史上最持久的概念，考虑到道德行为者在道德生活事件中的不可根除性，这是可以理解的。从历史上看，只要作为美德基础的哲学人类学和善的形而上学是可行的，美德就享有规范的力量。这一基础在普通伦理和医学伦理上都受到了侵蚀。如果美德要恢复到规范的地位，它的哲学基础必须重建。在一般伦理学中，这种重建似乎不太可能，因为就人类的利益达成一致的可能性很小。然而，在卫生专业的职业道德中，就治疗关系的目的达成一致更有可能出现，这是一种现实的可能性。然而，以美德为基础的伦理学必须在概念上和规范上与卫生专业的综合道德哲学中的其他伦理理论联系起来。
Virtue is the most perdurable concept in the history of ethics, which is understandable given the ineradicability of the moral agent in the events of the moral life. Historically, virtue enjoyed normative force as long as the philosophical anthropology and the metaphysics of the good that grounded virtue were viable. That grounding has eroded in both general and medical ethics. If virtue is to be restored to a normative status, its philosophical underpinnings must be reconstructed. Such reconstruction seems unlikely in general ethics, where the possibility of agreement on the good for humans is remote. However, it is a realistic possibility in the professional ethics of the health professions where agreement on the telos of the healing relationship is more likely to arise. Nevertheless, virtue-based ethics must be related conceptually and normatively to other ethical theories in a comprehensive moral philosophy of the health professions.