Illustrating the contribution of Confucian philosophy through a reinterpretation of Beauchamp and Childress' principle of respect for autonomy.

IF 1.6 Q2 ETHICS
Charlene Tan, Ruth Neo
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引用次数: 0

Abstract

This article illustrates the contribution of Chinese philosophy to the field of medical humanities by focussing on the ideas and conduct of Confucius. Drawing on a Chinese philosophical classic, the Analects (Lunyu), this study proposes a Confucian reinterpretation of Beauchamp and Childress' principle of respect for autonomy in medical ethics. The paper begins by critiquing Beauchamp and Childress' three conditions of autonomous action, namely intentionality, understanding, and the absence of controlling influences that determine one's action. It is contended that the three conditions over-emphasise rationality and overlook the role of emotions and morality in autonomy. The second part of the article proposes a Confucian reformulation of the three conditions that is derived from the concepts of xin (heart-mind) and li (normative behaviour). The modified conditions are moral intentionality, the integration of understanding and emotions, and the absence of controlling influences that determine one's action and underlying values, beliefs, attitudes, feelings and predispositions. From a Confucian perspective, Beauchamp and Childress' positive obligation for the principle of respect for autonomy requires medical professionals to render empathetic treatment towards patients. By challenging and reconstructing major theories and assumptions in medical ethics, this paper demonstrates the saliency of non-Western philosophical traditions in medical humanities.

通过对波尚和柴尔德里斯尊重自治原则的重新阐释,说明儒家哲学的贡献。
本文以孔子的思想和行为为重点,阐述了中国哲学对医学人文领域的贡献。本研究以中国哲学经典《论语》为蓝本,对波尚和柴尔德里斯在医学伦理学中提出的尊重自主原则进行了儒家的重新诠释。论文首先批判了波尚和柴尔德里斯提出的自主行为的三个条件,即意向性、理解力和缺乏决定一个人行为的控制影响。认为这三个条件过分强调理性,而忽视了情感和道德在自主性中的作用。文章的第二部分提出了儒家对三个条件的重新表述,这三个条件来源于心(心)和礼(规范行为)的概念。改变的条件是道德意向性,理解和情感的整合,以及决定一个人的行动和潜在的价值观、信仰、态度、感情和倾向的控制影响的缺失。从儒家的角度来看,波尚和柴尔德里斯对尊重自主原则的积极义务要求医疗专业人员对患者进行移情治疗。本文通过对医学伦理学主要理论和假设的挑战和重构,论证了非西方哲学传统在医学人文学科中的突出地位。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.70
自引率
6.20%
发文量
16
期刊介绍: Monash Bioethics Review provides comprehensive coverage of traditional topics and emerging issues in bioethics. The Journal is especially concerned with empirically-informed philosophical bioethical analysis with policy relevance. Monash Bioethics Review also regularly publishes empirical studies providing explicit ethical analysis and/or with significant ethical or policy implications. Produced by the Monash University Centre for Human Bioethics since 1981 (originally as Bioethics News), Monash Bioethics Review is the oldest peer reviewed bioethics journal based in Australia–and one of the oldest bioethics journals in the world. An international forum for empirically-informed philosophical bioethical analysis with policy relevance. Includes empirical studies providing explicit ethical analysis and/or with significant ethical or policy implications. One of the oldest bioethics journals, produced by a world-leading bioethics centre. Publishes papers up to 13,000 words in length. Unique New Feature: All Articles Open for Commentary
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