Ethical Practice in Clinical Medicine by William J. Ellos S.J.

By William J. Ellos S.J.

The training and perform of clinical ethics in a medical surroundings calls for the various related buildings and dynamics because the studying and perform of scientific medication. during this learn, easy but arguable concerns reminiscent of dying and death, truth-telling, confidentiality, and physician/patient relationships are taken care of in nice intensity. "Ethical perform in scientific drugs" offers the theoretical assets of advantage ethics after which works via a couple of clinical ethics circumstances utilizing the fabrics from the resources. moreover, it addresses at once functional medical difficulties from an ancient standpoint through the use of vintage texts via philosophers similar to Plato, Aristotle, Thomas Aquinas, William James and John Dewey.

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Should, as a result, abstract treatises on medical ethics be somewhat suspect in that they are too removed from the actual case situation? Many, perhaps all, of these questions can only be resolved by a practical consideration in detail of precise aspects of intellectual THE ARISTOTELIAN FRAME 31 and moral virtues. Aristotle is often accused of having a too simplistically rigid ethics. He is portrayed as seeing human nature as a very fixed and unchanging reality. To understand ethics we have only to understand the structures of human nature.

This happens only when we are consciously treating patients in a specialty such as cardiology or oncology. The skilled cardiologist is more and more precisely aware of practicing good cardiology. Actions of medical practice become more habitual. There is also a danger here in that one can concentrate too much on one or another speciality. An oncologist might become too fixed on attempts to cure a cancer and so overlook or not enough emphasize other medical aspects of the case. The same problem occurs in ethics.

At its worst this would simply be a counsel to non-activity. Even at its best it would not seem to be very good ethical advice. It would seem to prefer a kind of indecision or non-involvement as an ethical ideal. Seen in the context in which it is here presented quite another interpretation seems possible. In the practice of the moral virtues there must be a constant testing of one virtue against the other. This is a rather tense interplay and interaction. Too much temperance or too much courage lead not only to unethical but to silly behavior.

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