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Building on the best-selling tradition of previous editions, Principles ofBiomedical Ethics, Sixth Edition, provides a highly original, practical, andinsightful guide to morality in the health professions. Acclaimed authors Tom L.Beauchamp and James F. Childress thoroughly develop and advocate for fourprinciples that lie at the core of moral reasoning in health care: respect forautonomy, nonmaleficence, beneficence, and justice. Drawing from contemporaryresearch--and integrating detailed case studies and vivid real-life examples andscenarios--they demonstrate how these prima facie principles can be expanded toapply to various conflicts and dilemmas, from how to deliver bad news to whetheror not to withhold or withdraw life-sustaining treatments. Illuminating both theory and method throughout, Principles of BiomedicalEthics, Sixth Edition, considers what constitutes moral character and addressesthe problem of moral status: what rights are due to people and animals, andwhen. It also examines the professional-patient relationship, surveys majorphilosophical theories--including utilitarianism, Kantianism, rights theory, andCommunitarianism--and describes methods of moral justification in bioethics.Ideal for courses in biomedical ethics, bioethics, and health care ethics, thetext is enhanced by hundreds of annotated citations and a substantialintroduction that clarifies key terms and concepts. Features of the Sixth Edition: * Integrates case studies throughout the text, rather than presenting them inan appendix as in previous editions * A new chapter on moral status (Chapter 3) * Extensively revised and expanded material on the theory of the commonmorality (Chapters 1 and 10) * A reworked discussion of the ethics of care as a form of virtue ethics(Chapter 2) * Revised and updated treatments of nonmaleficence and beneficence, which takeinto account recent legal and philosophical literature and discussions (Chapters5 and 6) * A new section on vulnerability and exploitation as it applies to justice(Chapter 7) * A more concise treatment of the principles of biomedical ethics throughoutthe text, featuring developed, refined, and modified perspectives
Table of Contents
|Moral Norms||p. 1|
|Normative and Nonnormative Ethics||p. 1|
|The Common Morality as Universal Morality||p. 2|
|Particular Moralities as Nonuniversal||p. 5|
|Moral Dilemmas||p. 10|
|A Framework of Moral Norms||p. 12|
|Conflicting Moral Norms||p. 14|
|Moral Character||p. 30|
|Moral Virtues||p. 30|
|Virtues in Professional Roles||p. 33|
|The Virtue of Caring||p. 36|
|Five Focal Virtues||p. 38|
|Moral Virtues and Action Guides||p. 45|
|Moral Ideals||p. 47|
|Moral Excellence||p. 51|
|Moral Status||p. 64|
|The Problem of Moral Status||p. 64|
|Theories of Moral Status||p. 66|
|From Theories to Practical Guidelines||p. 81|
|Vulnerable Populations||p. 89|
|Respect for Autonomy||p. 99|
|The Nature of Autonomy||p. 99|
|The Capacity for Autonomous Choice||p. 111|
|The Meaning and Justification of Informed Consent||p. 117|
|A Framework of Standards for Surrogate Decision Making||p. 135|
|The Concept of Nonmaleficence||p. 149|
|Distinctions and Rules Governing Nontreatment||p. 155|
|Optional Treatments and Obligatory Treatments||p. 166|
|Killing and Letting Die||p. 172|
|The Justification of Intentionally Arranged Deaths||p. 176|
|Protecting Incompetent Patients||p. 185|
|The Concept of Beneficence||p. 197|
|Obligatory Beneficence and Ideal Beneficence||p. 198|
|Paternalism: Conflicts between Beneficence and Autonomy||p. 206|
|Balancing Benefits, Costs, and Risks||p. 221|
|The Value and Quality of Life||p. 230|
|The Concept of Justice||p. 241|
|Theories of Justice||p. 244|
|Fair Opportunity and Unfair Discrimination||p. 248|
|Vulnerability and Exploitation||p. 253|
|National Health Policy and the Right to Health Care||p. 258|
|Global Health Policy and the Right to Health||p. 264|
|Allocating, Setting Priorities, and Rationing||p. 267|
|Professional-Patient Relationships||p. 288|
|The Dual Roles of Clinician and Investigator||p. 317|
|Theory and Method|
|Moral Theories||p. 333|
|Criteria for Theory Construction||p. 334|
|Rights Theory||p. 350|
|Convergence of Theories||p. 361|
|Method and Moral||p. 368|
|Justification in Ethics||p. 368|
|Top-Down Models: Theory and Application||p. 369|
|Bottom-Up Models: Cases and Analogy||p. 375|
|An Integrated Model Using Reflective Equilibrium||p. 381|
|Common-Morality Theory||p. 387|
|Table of Contents provided by Blackwell. All Rights Reserved.|