'Medical ethics'--an alternative approach

J Med Ethics. 1986 Sep;12(3):145-50. doi: 10.1136/jme.12.3.145.

Abstract

Contemporary medical ethics is generally concerned with the application of ethical theory to medico-moral dilemmas and with the critical analysis of the concepts of medicine. This paper presents an alternative programme: the development of a medical philosophy which, by taking as its starting point the two questions: what is man? and, what constitutes goodness in life? offers an account of health as one of the primary concepts of value. This view of the subject resembles that implied by ancient theories of goodness, and in later sections of the paper it is shown how Aristotle points us towards a coherent theory of human nature as psycho-physical, which overcomes the inadequacies of dualism and physicalist reductionism. What is on offer therefore, is the prospect of an integrated account of human nature and of what constitutes its flourishing: to be healthy is to be an active unity-of-parts in equilibrium.

KIE: Haldane offers a philosophical alternative to the concern of medical ethics with the application of ethics theory to special problems arising in medicine. He proposes the development of a philosophy of medical ethics that, by starting with two basic questions, What is man? and What constitutes goodness in life?, views health as one of the primary concepts of value. Tracing his line of thought from the theories of Aristotle, he suggests that the conception of health as a unity-of-parts-in-equilibrium could be the foundation for transforming our understanding of the content and methods of medical ethics and for relocating medical ethics at the heart of the philosophical enterprise.

MeSH terms

  • Ethical Theory
  • Ethics
  • Ethics, Medical*
  • Health
  • Humans
  • Interdisciplinary Communication
  • Philosophy*
  • Social Values