Living ethics: a stance and its implications in health ethics.

IF 2.3 2区 哲学 Q1 ETHICS Medicine Health Care and Philosophy Pub Date : 2024-06-01 Epub Date: 2024-03-13 DOI:10.1007/s11019-024-10197-9
Eric Racine, Sophie Ji, Valérie Badro, Aline Bogossian, Claude Julie Bourque, Marie-Ève Bouthillier, Vanessa Chenel, Clara Dallaire, Hubert Doucet, Caroline Favron-Godbout, Marie-Chantal Fortin, Isabelle Ganache, Anne-Sophie Guernon, Marjorie Montreuil, Catherine Olivier, Ariane Quintal, Abdou Simon Senghor, Michèle Stanton-Jean, Joé T Martineau, Andréanne Talbot, Nathalie Tremblay
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Abstract

Moral or ethical questions are vital because they affect our daily lives: what is the best choice we can make, the best action to take in a given situation, and ultimately, the best way to live our lives? Health ethics has contributed to moving ethics toward a more experience-based and user-oriented theoretical and methodological stance but remains in our practice an incomplete lever for human development and flourishing. This context led us to envision and develop the stance of a "living ethics", described in this inaugural collective and programmatic paper as an effort to consolidate creative collaboration between a wide array of stakeholders. We engaged in a participatory discussion and collective writing process known as instrumentalist concept analysis. This process included initial local consultations, an exploratory literature review, the constitution of a working group of 21 co-authors, and 8 workshops supporting a collaborative thinking and writing process. First, a living ethics designates a stance attentive to human experience and the role played by morality in human existence. Second, a living ethics represents an ongoing effort to interrogate and scrutinize our moral experiences to facilitate adaptation of people and contexts. It promotes the active and inclusive engagement of both individuals and communities in envisioning and enacting scenarios which correspond to their flourishing as authentic ethical agents. Living ethics encourages meaningful participation of stakeholders because moral questions touch deeply upon who we are and who we want to be. We explain various aspects of a living ethics stance, including its theoretical, methodological, and practical implications as well as some barriers to its enactment based on the reflections resulting from the collaborative thinking and writing process.

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生活伦理:一种立场及其对健康伦理的影响。
道德或伦理问题至关重要,因为它们影响着我们的日常生活:什么是我们可以做出的最佳选择,什么是在特定情况下应采取的最佳行动,以及最终什么是我们生活的最佳方式?健康伦理学有助于将伦理学推向更加以经验为基础、更加以用户为导向的理论和方法论立场,但在我们的实践中,它仍然是人类发展和繁荣的一个不完整的杠杆。在这一背景下,我们构想并发展了 "生活伦理学 "的立场,并在这篇首篇集体和计划性论文中加以阐述,以努力巩固广泛的利益相关者之间的创造性合作。我们开展了一个参与式讨论和集体写作过程,即工具主义概念分析。这一过程包括初步的地方咨询、探索性的文献回顾、由 21 位共同作者组成的工作组的组建,以及 8 次支持协作思考和写作过程的研讨会。首先,"活的伦理 "是一种关注人类经验和道德在人类生存中所扮演角色的立场。其次,"活的伦理 "代表着一种持续不断的努力,即对我们的道德经验进行审视和检查,以促进人与环境的适应。它提倡个人和社群积极地、包容性地参与设想和制定与他们作为真正的道德主体的繁荣相适应的方案。活生生的伦理鼓励利益攸关方有意义的参与,因为道德问题深深触及我们是谁以及我们想成为谁。我们解释了生活伦理立场的各个方面,包括其理论、方法和实践意义,以及基于合作思考和写作过程中的反思而产生的一些实施障碍。
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来源期刊
CiteScore
4.30
自引率
4.80%
发文量
64
期刊介绍: Medicine, Health Care and Philosophy: A European Journal is the official journal of the European Society for Philosophy of Medicine and Health Care. It provides a forum for international exchange of research data, theories, reports and opinions in bioethics and philosophy of medicine. The journal promotes interdisciplinary studies, and stimulates philosophical analysis centered on a common object of reflection: health care, the human effort to deal with disease, illness, death as well as health, well-being and life. Particular attention is paid to developing contributions from all European countries, and to making accessible scientific work and reports on the practice of health care ethics, from all nations, cultures and language areas in Europe.
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