Part One examines the development of historical traditions of medical ethics from the ancient Near East through Greece and the medieval West to Europe and North America in the 19th Century. In doing so, it advances the argument that the Hippocratic and Professional traditions of ethics do reflect substantive ethical concerns in medicine, and that the responses they offered to these can be better understood with reference to the social and historical context in which they were produced. Part Two considers the limitations of these traditions when faced with new moral concerns in medicine from the mid-20th Century onwards, and of the relationship between these concerns and the traditions themselves, before proceeding to examine how and why these concerns led to the growth of interdisciplinary efforts to tackle them. The section considers the contribution made by philosophy to these efforts, and concludes with a discussion of some criticisms of philosophical involvement in medical ethics from both within and outside the discipline. Part Three examines the development of Beauchamp and Childress 'four principles' approach to medical ethics from the 1 st to the 6th Editions of Principles of Biomedical Ethics, arguing that it has, thanks to changes in the authors' conception of philosophical moral theory, been able to productively incorporate the views of many of its critics over this time; that it is also able to incorporate features of different ethical approaches such as virtue ethics, narrative ethics and ethics of care; and that, properly understood, it continues to provide a good framework both for moral reflection in medicine and the provision of concrete action-guides. The thesis concludes by considering this view of the four principles in the light of the earlier sections' approach, and attempting to demonstrate further demonstrate their value through two case-studies.
...MoreDescription Defense date not indicated; cited by UMI in 2010. Cited in ProQuest, UMI Dissertations Publishing. Proquest Document ID: 1370199106.
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