Casuistry As A Method Of Teaching Medical Ethics

V. Slavova, A. Kerekovska
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Abstract

As a relatively young discipline, medical ethics faces a number of challenges, one of which is the development of a teaching methodology. Within this field there is a co-existence of different spheres of human knowledge – both scientific and social, however, ethics is above all a science of interpersonal relations. This requires the development of a sustainable and flexible toolkit for resolving ethical dilemmas. The purpose of this paper is to show that the method of casuistry has a very important role in developing certain skills in medical ethics students. Through solving cases, future medical professionals develop the ability to detect ethical conflicts, as well as to analyse them. The main objective of this work is to explore two of the fundamental ethical approaches – principlism and casuistry, with their respective advantages and disadvantages. In this way, arguments are put forward in favour of the statement that casuistry is complete and full value method only when it is based on theoretical knowledge. In conclusion: casuistry should be considered as a method and not as a theory; it must work in collaboration with fundamental moral theories; case solving develops students' ability to compare cases with paradigms, which facilitates their choice of solution; however, casuistry should not rely solely on thinking by analogy and learning case studies, as this would exclude all other factors (social, cultural, religious, philosophical) that influence good decision-making.
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医学伦理学教学中的诡辩方法
作为一门相对年轻的学科,医学伦理学面临着许多挑战,其中之一是教学方法的发展。在这一领域中,人类知识的不同领域——科学领域和社会领域——共存,然而,伦理学首先是一门关于人际关系的科学。这就需要开发一个可持续的、灵活的工具来解决道德困境。本文的目的是为了说明诡辩法在培养医学伦理学学生的某些技能方面具有非常重要的作用。通过破案,未来的医疗专业人员能够发现道德冲突,并对其进行分析。这项工作的主要目的是探讨两种基本的伦理方法-原则和诡辩,以及它们各自的优点和缺点。这样,就提出了支持诡辩只有在理论知识的基础上才是完整的、充分的价值方法的论点。总之,诡辩应该被视为一种方法,而不是一种理论;它必须与基本道德理论协同工作;案例解决培养学生将案例与范例进行比较的能力,有助于学生选择解决方案;然而,诡辩不应该仅仅依赖于类比思考和学习案例研究,因为这将排除影响良好决策的所有其他因素(社会,文化,宗教,哲学)。
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