Skip to main content
Journal of Medical Ethics logoLink to Journal of Medical Ethics
. 1998 Apr;24(2):127–133. doi: 10.1136/jme.24.2.127

An anthropological exploration of contemporary bioethics: the varieties of common sense.

L Turner 1
PMCID: PMC1377459  PMID: 9603001

Abstract

Patients and physicians can inhabit distinctive social worlds where they are guided by diverse understandings of moral practice. Despite the contemporary presence of multiple moral traditions, religious communities and ethnic backgrounds, two of the major methodological approaches in bioethics, casuistry and principlism, rely upon the notion of a common morality. However, the heterogeneity of ethnic, moral, and religious traditions raises questions concerning the singularity of common sense. Indeed, it might be more appropriate to consider plural traditions of moral reasoning. This poses a considerable challenge for bioethicists because the existence of plural moral traditions can lead to difficulties regarding "closure" in moral reasoning. The topics of truth-telling, informed consent, euthanasia, and brain death and organ transplantation reveal the presence of different understandings of common sense. With regard to these subjects, plural accounts of "common sense" moral reasoning exist.

Full text

PDF
127

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Blackhall L. J., Murphy S. T., Frank G., Michel V., Azen S. Ethnicity and attitudes toward patient autonomy. JAMA. 1995 Sep 13;274(10):820–825. [PubMed] [Google Scholar]
  2. Campbell C. S. Religious ethics and active euthanasia in a pluralistic society. Kennedy Inst Ethics J. 1992 Sep;2(3):253–277. doi: 10.1353/ken.0.0163. [DOI] [PubMed] [Google Scholar]
  3. Carrese J. A., Rhodes L. A. Western bioethics on the Navajo reservation. Benefit or harm? JAMA. 1995 Sep 13;274(10):826–829. [PubMed] [Google Scholar]
  4. Glick S. M. Unlimited human autonomy - a cultural bias? N Engl J Med. 1997 Mar 27;336(13):954–956. doi: 10.1056/NEJM199703273361312. [DOI] [PubMed] [Google Scholar]
  5. Koenig B. A., Gates-Williams J. Understanding cultural difference in caring for dying patients. West J Med. 1995 Sep;163(3):244–249. [PMC free article] [PubMed] [Google Scholar]
  6. Kunstadter P. Medical ethics in cross-cultural and multi-cultural perspectives. Soc Sci Med Med Anthropol. 1980 Nov;14B(4):289–296. doi: 10.1016/0160-7987(80)90054-x. [DOI] [PubMed] [Google Scholar]
  7. Murray T H. Moral reasoning in social context. J Soc Issues. 1993 Summer;49(2):185–200. doi: 10.1111/j.1540-4560.1993.tb00927.x. [DOI] [PubMed] [Google Scholar]
  8. Novack D. H., Plumer R., Smith R. L., Ochitill H., Morrow G. R., Bennett J. M. Changes in physicians' attitudes toward telling the cancer patient. JAMA. 1979 Mar 2;241(9):897–900. [PubMed] [Google Scholar]
  9. Orona C. J., Koenig B. A., Davis A. J. Cultural aspects of nondisclosure. Camb Q Healthc Ethics. 1994 Summer;3(3):338–346. doi: 10.1017/s0963180100005156. [DOI] [PubMed] [Google Scholar]
  10. Surbone A. Truth telling to the patient. JAMA. 1992 Oct 7;268(13):1661–1662. [PubMed] [Google Scholar]
  11. Wildes K. W. The priesthood of bioethics and the return of casuistry. J Med Philos. 1993 Feb;18(1):33–49. doi: 10.1093/jmp/18.1.33. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Medical Ethics are provided here courtesy of BMJ Publishing Group

RESOURCES