In Defense of Four Principles Approach in Medical Ethics

Principlism, in general and Four Principles Approach in particular is largely discussed in current medical ethics. Accord­ing to principlism, the ethical relationship between physician and patient has to be categorized based on some princi­ples, the prin­ciples which are general, action-guiding and...

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Main Author: S Dabbagh
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2008-03-01
Series:Iranian Journal of Public Health
Subjects:
Online Access:https://ijph.tums.ac.ir/index.php/ijph/article/view/2888
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author S Dabbagh
author_facet S Dabbagh
author_sort S Dabbagh
collection DOAJ
description Principlism, in general and Four Principles Approach in particular is largely discussed in current medical ethics. Accord­ing to principlism, the ethical relationship between physician and patient has to be categorized based on some princi­ples, the prin­ciples which are general, action-guiding and could help both the patient and the physician to arrange their ethical behav­ior. Four Principles Approach which is a principlistic view, has formulated the princi­ples which have to be considered in medi­cal ethics in the light of Rossian ethical framework as follows: respect for auton­omy, nonmalefi­cience, beneficence and jus­tice. Ethical Particularism, on the other hand, strongly criticizes princi­plism and repudi­ates the very idea of generalizabil­ity in the realm of ethics. According to particularists, the way in which a mor­ally relevant feature like fidelity and justice be­have in different ethical occasions is fully con­text-dependent so that they can­not be patternable in advance. It follows from this that fidelity, for instance, is not a good-making feature, generally speak­ing. In this paper, firstly, the Rossian ethics is discussed in order to make Four Principles Approach intelligible. Sec­ondly, the main particularists' argument against principlism is formulated. Finally, Particularists' argument is evalu­ated and its plau­si­bility is discussed.
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spelling doaj.art-2013a89d060b4a7f930ef46d57ef2f532022-12-21T21:11:39ZengTehran University of Medical SciencesIranian Journal of Public Health2251-60852251-60932008-03-0137Supple 1In Defense of Four Principles Approach in Medical Ethics S Dabbagh0 Principlism, in general and Four Principles Approach in particular is largely discussed in current medical ethics. Accord­ing to principlism, the ethical relationship between physician and patient has to be categorized based on some princi­ples, the prin­ciples which are general, action-guiding and could help both the patient and the physician to arrange their ethical behav­ior. Four Principles Approach which is a principlistic view, has formulated the princi­ples which have to be considered in medi­cal ethics in the light of Rossian ethical framework as follows: respect for auton­omy, nonmalefi­cience, beneficence and jus­tice. Ethical Particularism, on the other hand, strongly criticizes princi­plism and repudi­ates the very idea of generalizabil­ity in the realm of ethics. According to particularists, the way in which a mor­ally relevant feature like fidelity and justice be­have in different ethical occasions is fully con­text-dependent so that they can­not be patternable in advance. It follows from this that fidelity, for instance, is not a good-making feature, generally speak­ing. In this paper, firstly, the Rossian ethics is discussed in order to make Four Principles Approach intelligible. Sec­ondly, the main particularists' argument against principlism is formulated. Finally, Particularists' argument is evalu­ated and its plau­si­bility is discussed.https://ijph.tums.ac.ir/index.php/ijph/article/view/2888ParticularismPrinciplismmorally relevant featureFour Principles Approach
spellingShingle S Dabbagh
In Defense of Four Principles Approach in Medical Ethics
Iranian Journal of Public Health
Particularism
Principlism
morally relevant feature
Four Principles Approach
title In Defense of Four Principles Approach in Medical Ethics
title_full In Defense of Four Principles Approach in Medical Ethics
title_fullStr In Defense of Four Principles Approach in Medical Ethics
title_full_unstemmed In Defense of Four Principles Approach in Medical Ethics
title_short In Defense of Four Principles Approach in Medical Ethics
title_sort in defense of four principles approach in medical ethics
topic Particularism
Principlism
morally relevant feature
Four Principles Approach
url https://ijph.tums.ac.ir/index.php/ijph/article/view/2888
work_keys_str_mv AT sdabbagh indefenseoffourprinciplesapproachinmedicalethics