Document Detail

Specified principlism: what is it, and does it really resolve cases better than casuistry?
MedLine Citation:
PMID:  10852337     Owner:  NLM     Status:  MEDLINE    
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.
C Strong
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of medicine and philosophy     Volume:  25     ISSN:  0360-5310     ISO Abbreviation:  J Med Philos     Publication Date:  2000 Jun 
Date Detail:
Created Date:  2000-10-04     Completed Date:  2000-10-04     Revised Date:  2005-03-18    
Medline Journal Info:
Nlm Unique ID:  7610512     Medline TA:  J Med Philos     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  323-41     Citation Subset:  E; IM    
Department of Human Values and Ethics, College of Medicine, University of Tennessee, Memphis 38163, USA.
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MeSH Terms
Abnormalities, Multiple
Decision Making
Esophageal Atresia
Ethics, Medical
Infant, Newborn
Patient Care
Philosophy, Medical
Treatment Refusal
Comment In:
J Med Philos. 2000 Jun;25(3):348-60   [PMID:  10852338 ]
J Med Philos. 2000 Jun;25(3):342-7   [PMID:  11023381 ]

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