What is it to do good medical ethics? On the concepts of ‘good’ and ‘goodness’ in medical ethics

Solbakk, Jan Helge

doi:10.1136/medethics-2014-102310

Cited by 11 publications

(11 citation statements)

References 20 publications

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“…There is work to do to create an identity as an ethically good professional in traditional research institutions. For example, what is ‘goodness’ [ 40 ] concerning a citizen science researcher? From the ethics of care, values such as caring and relationships are essential, while from a more traditional ethical model, logic and reason are more critical virtues [ 35 ].…”

Section: Resultsmentioning

confidence: 99%

Ethics framework for citizen science and public and patient participation in research

Groot

Abma

2022

BMC Med Ethics

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Background Citizen science and models for public participation in health research share normative ideals of participation, inclusion, and public and patient engagement. Academic researchers collaborate in research with members of the public involved in an issue, maximizing all involved assets, competencies, and knowledge. In citizen science new ethical issues arise, such as who decides, who participates, who is excluded, what it means to share power equally, or whose knowledge counts. This article aims to present an ethics framework that offers a lens of understanding and heuristic guidelines to deal with ethical issues in citizen science. Methods We conducted seven case studies between 2015 and 2021 to attune and validate the ethics framework for the context of citizen science. The cases related to studies with older adults, people with a psychiatric vulnerability, people dependent on community care, people who are unemployed or living in poverty or both, and young adults with respiratory disease. Results Ethics in citizen science reaches beyond the ethical issues in traditional biomedical and health research. It entails more than following procedures about informed consent and privacy and submitting a proposal to a Medical Research Ethics Committee. Ethics in citizen science relates to everyday ethical issues during the study, including relational and moral complexities concerning collaboration, sharing power, and democratic decision-making. Dealing with these issues requires ethics work of researchers. This entails seeing ethically salient issues and reflecting on everyday ethical issues. Ethics work consists of seven features: framing work, role work, emotion work, identity work, reason work, relationship work, and performance work. All are relevant for researchers in citizen science. Conclusions Ethical issues in citizen science often relate to power differentials, partnership, and collaboration between academics and non-academics. The ethics framework prepares researchers for the work needed in citizen science to act responsibly and offers a heuristic guide to reflect on ethics. Reflection on ethics is a pathway towards ethical citizen science, especially if researchers collaboratively reflect in partnership with non-academics who are subject to the moral issue.

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Section: Resultsmentioning

confidence: 99%

Ethics framework for citizen science and public and patient participation in research

Groot

Abma

2022

BMC Med Ethics

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“…Solbakk engaged in a Socratic exploration of the question, “What is it to do good medical ethics?” and directly related both a ‘functional’ and an ‘hedonic’ answer to the alleviation of suffering [ 25 ]. In their exploration of the biopsychosocial model of clinical care, Borrell-Carrió, Suchman and Epstein calibrate the skill of a physician (to do good) based on their ability to “relieve the patient’s suffering” [ 11 ].…”

Section: Resultsmentioning

confidence: 99%

“…When discussing the role of bioethics, Solbakk [ 25 ] emphasises the importance of distinguishing between genuine inclusive dialogue with each participant on equal terms, and manipulative rhetoric aimed at coercing consensus by declaring ‘the good’ based on the most powerful, or most vocal, or most Weternised, etc., socio-cultural external construct. This is echoed by Giordano, Hutchison and Benedikter [ 21 ] who exhort us to look beyond the “market-place” with its dehumanising, socially prescriptive, economically based, proclamation of human ‘good’ as being “competition” [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

A meta-science for a global bioethics and biomedicine

Basser

2017

Philos Ethics Humanit Med

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BackgroundAs suggested by Shook and Giordano, understanding and therefore addressing the urgent international governance issues around globalizing bio-medical/technology research and applications is limited by the perception of the underlying science.MethodsA philosophical methodology is used, based on novel and classical philosophical reflection upon existent literature, clinical wisdoms and narrative theory to discover a meta-science and telos of humankind for the development of a relevant and defendable global biomedical bioethics.ResultsIn this article, through pondering an integrative systems approach, I propose a biomedical model that may provide Western biomedicine with leadership and interesting insight into the unity beyond the artificial boundaries of its traditional divisions and the limit between physiological and pathological situations (health and disease). A unified biomedicine, as scientific foundation, might then provide the basis for dissolution of similar reflected boundaries within bioethics. A principled and communitarian cosmopolitan bioethics may then be synonymous with a recently proposed principled and communitarian cosmopolitan neuroethics based on a novel objective meta-ethics. In an attempt to help facilitate equal and inclusive participation in inter-, multi-, and transdisciplinary intercultural discourse regarding the aforementioned international governance issues, I offer: (1) a meta-science derived through considering the general behaviour of activity, plasticity and balance in biology and; (2) a novel thought framework to encourage and enhance the ability for self-evaluation, self-criticism, and self-revision aimed at broadening perspective, as well as acknowledging and responding to the strengths and limitations of extant knowledge.ConclusionsThrough classical philosophical reflection, I evolve a theory of medicine to discover a telos of humankind which in turn provides an ‘internal’ moral grounding for a proposed global biomedical bioethics.

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“…All these rationed elements might set whether or not the action is virtuous (Hughes, 2001). The professional field of medicine claims medical ethicists to be able "to serve as genuine facilitators in public debate and policymaking and to assist in promoting knowledge-based understanding and moral wisdom‖ (Solbakk, 2015).…”

Section: Practical Relevance Of Science and Art Of Healingmentioning

confidence: 99%

The Art of Healing, More than Science, More than Practice

Marinescu

2022

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Traditionally, medicine has been considered a practical art. It seeks the patient’s well-being through technical means and specific skills in healing. On the other hand, healing means are connected to the life sciences, through which knowledge has developed systematically. Due to research and technological development, we can easily reveal the true meaning of medicine as science. Hippocratic practice and Aristotelian ethics have offered us a humanitarian approach, oriented to the sick person, which set the virtuous human character of each person who practices the virtues. The medicine people approached to the medicine preserving an ancient picture of the practice. They have know-how of the practice, recognize the characteristics of each field of art or science appreciating its utility and benefits, but often they don’t know why or where the boundary between the two fields, science and art, falls. They are scientists and artists, too. In this article I intend to fix what science means and what art means, based on Aristotelian arguments, which lead to a perspective of a virtuous professional life. Also, it is relevant to find its common issues. No physicians can successfully practice their profession without respecting the rigor of science and training their creativity. I plead for a moral practice, for the understanding of humanity's state in any medical act. Medicine is the moral community where practice meets science and arts merge both. Medicine is not between practice and science; it is the art itself of medical practice and science.

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What is it to do good medical ethics? On the concepts of ‘good’ and ‘goodness’ in medical ethics

Cited by 11 publications

References 20 publications

Ethics framework for citizen science and public and patient participation in research

Ethics framework for citizen science and public and patient participation in research

A meta-science for a global bioethics and biomedicine

The Art of Healing, More than Science, More than Practice

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