BIOETHICS CRITICALLY RECONSIDERED
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1 BIOETHICS CRITICALLY RECONSIDERED
2 Philosophy and Medicine VOLUME 100 Founding Co-Editor Stuart F. Spicker Senior Editor H. Tristram Engelhardt, Jr., Department of Philosophy, Rice University, and Baylor College of Medicine, Houston, Texas Associate Editor Lisa M. Rasmussen, Department of Philosophy, University of North Carolina at Charlotte, Charlotte, North Carolina Assistant Editor Jeffrey P. Bishop, Gnaegi Center for Health Care Ethics, Saint Louis University, St. Louis, Missouri Editorial Board George J. Agich, Department of Philosophy, Bowling Green State University, Bowling Green, Ohio Nicholas Capaldi, College of Business Administration, Loyola University, New Orleans, Louisiana Edmund Erde, University of Medicine and Dentistry of New Jersey, Stratford, New Jersey Christopher Tollefsen, Department of Philosophy, University of South Carolina, Columbia, South Carolina Kevin Wm. Wildes, S.J., President Loyola University, New Orleans, Louisiana For further volumes:
3 BIOETHICS CRITICALLY RECONSIDERED Having Second Thoughts Edited by H. TRISTRAM ENGELHARDT, JR. Rice University, Houston, TX, USA 123
4 Editor H. Tristram Engelhardt, Jr. Ph.D. Main St HOUSTON Texas USA ISSN ISBN e-isbn DOI / Springer Dordrecht Heidelberg London New York Library of Congress Control Number: Springer Science+Business Media B.V No part of this work may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording or otherwise, without written permission from the Publisher, with the exception of any material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Printed on acid-free paper Springer is part of Springer Science+Business Media (
5 Contents 1 A Skeptical Reassessment of Bioethics... 1 H. Tristram Engelhardt, Jr. Part I History of Bioethics: Four Perspectives 2 Beginning Bioethics Michael S. Yesley 3 Genesis of a Totalizing Ideology: Bioethics Inner Hippie Griffin Trotter 4 Bioethics and Professional Medical Ethics: Mapping and Managing an Uneasy Relationship Laurence B. McCullough 5 Two Rival Understandings of Autonomy, Paternalism, and Bioethical Principlism Aaron E. Hinkley Part II The Practice of Bioethics and Clinical Ethics Consultation: Three Views 6 Bioethics as Political Ideology Mark J. Cherry 7 The s in Bioethics: Past, Present and Future Ana S. Iltis and Adrienne Carpenter 8 Why Clinical Bioethics So Rarely Gives Morally Normative Guidance H. Tristram Engelhardt, Jr. v
6 vi Contents Part III The Incredible Search for Bioethical Professionalism: Some Final Critical Reflections on Circular Thinking 9 On the Social Construction of Health Care Ethics Consultation Jeffrey P. Bishop Index
7 Contributors Jeffrey P. Bishop Albert Gnaegi Center for Health Care Ethics, Saint Louis University, Salus Center, Room 527, 3545 Lafayette Ave, St. Louis, MO 63104, USA, Adrienne Carpenter Albert Gnaegi Center for Health Care Ethics, Saint Louis University, St. Louis, MO 63104, USA, Mark J. Cherry The Dr. Patricia A. Hayes Professor in Applied Ethics, Professor of Philosophy, Department of Philosophy, St. Edward s University, Austin, TX 78704, USA, markc@stedwards.edu H. Tristram Engelhardt, Jr. Department of Philosophy, MS-14, Rice University, Houston, TX 77005, USA, htengelh@rice.edu Aaron E. Hinkley Department of Philosophy, MS-14, Rice University, Houston, TX 77005, USA, hinkley@rice.edu Ana S. Iltis Center for Bioethics, Health and Society, Wake Forest University, Winston-Salem, NC 27109, USA, iltisas@wfu.edu Laurence B. McCullough Dalton Tomlin Chair in Medical Ethics and Health Policy, Baylor College of Medicine, Center for Medical Ethics and Health Policy, Houston, TX , USA, mccullou@bcm.edu Griffin Trotter Albert Gnaegi Center for Health Care Ethics, Salus Center, Saint Louis University, St. Louis, MO 63104, USA, trotterc@slu.edu Michael S. Yesley Independent Consultant, Bainbridge Island, WA 98110, USA, myesley@earthlink.net vii
8
9 Notes on Contributors Jeffrey P. Bishop, M.D., Ph.D., is director of the Albert Gnaegi Center for Health Care Ethics and Tenet Chair of Health Care Ethics at Saint Louis University, St. Louis, Missouri. Adrienne Carpenter, is professor at the Albert Gnaegi Center for Health Care Ethics at Saint Louis University, St. Louis, Missouri. Mark J. Cherry, Ph.D., is the Dr. Patricia A. Hayes Professor in Applied Ethics, Department of Philosophy, St. Edward s University Austin, Texas. H. Tristram Engelhardt, Jr., Ph.D., M.D., is professor, department of philosophy, Rice University, and professor emeritus, departments of medicine and community medicine, Baylor College of Medicine, Houston, Texas. Aaron E. Hinkley, ABD, is a doctoral candidate in the department of philosophy, Rice University, Houston, Texas and an adjunct professor of philosophy at Houston Baptist University. He is also the senior managing editor of The Journal of Medicine and Philosophy. Ana S. Iltis, Ph.D., is Director of the Center for Bioethics, Health and Society and associate professor of philosophy at Wake Forest University in Winston-Salem, North Carolina. Laurence B. McCullough, Ph.D., is the associate director for Education and inaugural holder of the Dalton Tomlin Chair in Medical Ethics and Health Policy in the Center for Medical Ethics and Health Policy, Baylor College of Medicine, where is he also professor of Medicine and Medical Ethics. Griffin Trotter, M.D., Ph.D., is professor at the Center for Health Care Ethics at Saint Louis University, St. Louis, Missouri. He also has an appointment in the Department of Surgery, Emergency Medical Division in School of Medicine at Saint Louis University. Michael S. Yesley, J.D., is an attorney and writes about bioethics, particularly issues in genetics and research with human subjects. He recently retired from Los Alamos National Laboratory (LANL). ix
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