Bioethics & Ethical Theory (2) Flashcards

1
Q

What is the Smith’s Hospital Visit Thought Experiment?

A

The Smith’s Hospital Visit Thought Experiment challenges the idea that calculating consequences alone justifies morally lacking actions. It suggests that even if someone were to calculate that an action brings more happiness than unhappiness, there might still be moral concerns.

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2
Q

What is Virtue Ethics?

A

Virtue ethics challenges Utilitarianism and Deontology by emphasizing moral character over obligations. It asserts that people of truly virtuous character do the right things for the right reasons.

(Virtue ethics = not very action guided)

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3
Q

How does Virtue Ethics differ from Utilitarianism and Deontology?

A

Instead of focusing on actions and duties, Virtue Ethics focuses on character development and cultivating good habits of character. It is more concerned with being than doing and seeks to produce excellent persons.

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4
Q

What is a key principle of Virtue Ethics?

A

A key principle of Virtue Ethics is to “always act as a virtuous person would.”

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5
Q

What are some challenges of applying Virtue Ethics to moral dilemmas?

A

While Virtue Ethics has appeal and popularity, it does not easily provide answers to moral dilemmas. It may be difficult to determine what a good person would do in complex situations.

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6
Q

What is the Trolley Car Thought Experiment?

A

The Trolley Car Thought Experiment presents a scenario where a person must make a moral decision about diverting a trolley to save several strangers at the expense of their own loved one.

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7
Q

What is the common intuition in scenarios like the Trolley Car Thought Experiment?

A

Most people intuitively feel entitled to prioritize their own family or loved ones in situations like this, within reason.

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8
Q

How do Utilitarianism and Deontology typically handle situations like the Trolley Car Thought Experiment?

A

Neither Utilitarianism nor Deontology, in their standard forms, adequately account for the prioritization of loved ones in scenarios like the Trolley Car Thought Experiment.

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9
Q

Why have Feminist philosophers challenged Utilitarianism and Deontology?

A

Feminist philosophers have challenged Utilitarianism and Deontology because these traditional moral frameworks do not adequately address the importance of caring and close relationships, which are significant in moral decision-making.

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10
Q

What is the Ethics of Care?

A

The Ethics of Care is a moral theory proposed by Carol Gilligan in 1982, suggesting that men and women have different approaches to morality. Women’s morality tends to focus on caring for others, being concerned about their interests, and attending to their needs.

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11
Q

How does Carol Gilligan characterize men’s approach to morality?

A

Carol Gilligan suggests that men tend to think in terms of the application of abstract moral principles, base their decisions on rational calculation, impersonal duty, and respect contracts.

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12
Q

How does the Ethics of Care differ from traditional moral approaches?

A

The Ethics of Care emphasizes caring, empathy, feeling with others, and being sensitive to each other’s feelings as better guides to morality than abstract rules of reason or rational calculation.

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13
Q

According to Virginia Held, what may be necessary components of an adequate morality?

A

According to Virginia Held in 1990, caring, empathy, feeling with others, and being sensitive to each other’s feelings may be necessary components of an adequate morality.

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14
Q

Are the differences between men and women in morality as clear as suggested by some authors?

A

The supposed differences between men and women in morality may not be as clear or significant as these authors suggest, but their challenge to male-dominated ethics is plausible.

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15
Q

What considerations does the Ethics of Care emphasize in morality?

A

The Ethics of Care emphasizes considerations such as caring, empathy, sympathy, and emotion as relevant in ethics.

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16
Q

What is emphasized in the Ethics of Care regarding relationships?

A

The Ethics of Care not only focuses on promoting good relationships and including emotional considerations in our thinking but also emphasizes the importance of special relationships, such as family relationships.

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17
Q

How has the Ethics of Care been received in bioethics?

A

While the Ethics of Care approach is not dominant, it has been taken up by some bioethicists, possibly due to the nature of medical practice.

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18
Q

What is Social Contract Theory or Contractarianism?

A

Social Contract Theory posits that moral norms are valid because they are what we would all agree to if we negotiated them in a reasonable and unbiased way. Moral rules are considered a kind of (unwritten) social contract that we agree to uphold.

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19
Q

Who is a well-known modern proponent of Social Contract Theory?

A

John Rawls, in his work “A Theory of Justice,” is a well-known modern proponent of Social Contract Theory.

20
Q

How does John Rawls propose determining the principles of justice in society?

A

John Rawls proposes that the principles of justice should be determined by asking what a representative group of citizens would rationally agree to if they were to negotiate these principles.

21
Q

What is the concept of the “veil of ignorance” in John Rawls’ theory?

A

The “veil of ignorance” is a concept proposed by John Rawls where negotiators behind the veil do not know what society they are negotiating about, who they are in that society, what position or rank they hold, or even what their personal values are.

22
Q

What is a weakness of Social Contract Theory?

A

A weakness of Social Contract Theory is that it focuses solely on what humans owe each other and may not adequately address concerns about animals, the environment, and those who cannot negotiate (the disabled).

23
Q

What is African Moral Theory, specifically Ubuntu?

A

African Moral Theory, or Ubuntu, is based on a strong sense of belonging to a community. It asserts that our moral duties stem from our mutual dependence, encapsulated in the phrase “I am because we are” or “A person is a person through other persons.”

24
Q

What is the essence of Ubuntu?

A

The essence of Ubuntu lies in relational ethics, emphasizing the promotion of harmonious relationships within the community. It asserts that authentic personhood is achieved through our relationships with others.

25
Q

How does Ubuntu define harmonious relationships?

A

Harmonious relationships, according to Ubuntu, are achieved through identification with others, cooperation towards common goals, helping others, and seeking the well-being of both ourselves and others.

26
Q

How does Ubuntu integrate with other moral theories?

A

Ubuntu integrates elements of deontology by emphasizing adherence to social norms and practices, and utilitarianism by promoting the well-being of others and ourselves. However, its primary focus remains on relationships, caring, sharing, and maintaining harmony.

27
Q

What are the problems accounted with Ubuntu? (4)

A
  • Inherently conservative
  • Do individuals have to conform to what the community expects?
  • Only applies to small scale communities
  • Cultural relativism
28
Q

What are the challenges to Western views in terms of Ubuntu? (4)

A
  • Put the heart back into ethics (caring, relationships)
  • Importance of seeing people in their relational/communal context
  • Too individualist?
  • Should we not take family and community into account in decisions?
29
Q
  • In response to abuses such as Nuremberg Doctors crimes & Tuskegee Syphilis trial, bioethicists began to develop codes for acceptable research practices on human participants
  • Belmont Report
  • 3 main principles were proposed:
A

– Respect for persons
– Beneficence
– Justice

  • Useful principles, but conceived in terms of research ethics only
30
Q

True or False
Principlism is the most dominant theory in the medical space

A

True

31
Q

What is the challenge in applying ‘high’ ethical theory to bioethical cases?

A

Applying ‘high’ ethical theory directly to bioethical cases is not always easy, especially for practitioners with little ethics training.

32
Q

What is one of the most successful attempts to provide accessible ethics guidelines?

A

One of the most successful attempts is Beauchamp & Childress’ “Principles of Biomedical Ethics,” first published in 1979 and now in its 7th edition.

33
Q

What are the foundational principles of Beauchamp & Childress’ approach?

A

Beauchamp & Childress built on the three principles of the Belmont Report, which outlines principles of respect for persons, beneficence, and justice.

34
Q

What is Principlism in bioethics?

A

Principlism, developed by Beauchamp & Childress, is an approach that has become dominant in almost all areas of bioethics. It is based on second-order moral principles derived from common morality.

35
Q

What is Common Morality according to Beauchamp & Childress?

A

Common Morality refers to obligations and standards of moral character shared by people of all cultures and eras, historically proven to be good for society.

36
Q

What are the four principles of Principlism? (4)

A
36
Q

What are the strengths of principlism? (5)

A

– Relatively easy to understand & apply
– Avoids too much difficult engagement with ‘high theory’
– Does reflect some common intuitions about morality
– Provides a ‘common language’ for biomedical issues
– Is accessible enough to be communicated to the public –
enhancing the possibility of transparenc

37
Q

What are the weaknesses of principlism? (2)

A

– Too simplistic & reductionist

– No hierarchy for when principles conflict

38
Q

Principlism open to same challenges as Utilitarianism & Deontology

  • Ethics of Care & Ubuntu: (2)
A
  • Lacks ‘heart’, too rationalist, about applying abstract principles.
  • Doesn’t account for prioritising personal relationships, family etc
39
Q

Principlism open to same challenges as Utilitarianism & Deontology

  • Virtue ethics & Ubuntu:
A
  • Motivation & character count
40
Q

Principlism open to same challenges as Utilitarianism & Deontology

  • Communitarianism & Ubuntu: (3)
A
  • Notion of autonomy too individualistic and ‘western’
  • Autonomy abandons patients to own irrational choices
  • Some critics claim that autonomy takes de facto precedence
41
Q
A

Ethics of Care

42
Q
A
43
Q
A

Utilitarianism

44
Q
A
45
Q
A

Contractarianism

46
Q
A

Ubuntu