This anthology is the culmination of some 20 years of interest in the field of bioethics. I began my studies in the philosophy of science while at the Massachusetts Institute of Technology in 1970. My interest then, as now, continues to be the complex interrelationship between science and the humanities. While grounded in philosophy and molecular biology, I yearned for a more applied realm for exploration and integration of the value laden nature of science in the public policy arena. After receiving my medical degree from the Albert Einstein College of Medicine, I continued my work in medical ethics focusing primarily on the ethics of human experimentation, newborn and reproductive technologies, and human genetics. As I completed my clinical training at the University of California at Los Angeles and at Harvard, I had the opportunity to use philosophical ethics in an attempt to understand, frame and resolve moral dilemmas in clinical practice. As a professor of medical ethics at Boston University for the past decade, I have taught bioethics at the undergraduate, graduate and post doctoral levels. Over these years I have become increasingly frustrated by the state of contemporary bioethics. Medicine continues to serve as an interesting paradigm for philosophers to explore novel theories about life, death, mind, suffering and meaning. Philosophy, however, has not served medicine quite so well as a source of knowledge and discipline to resolve the contemporary moral dilemmas found in health care.

What is Bioethics? What are its goals and theoretical assumptions? Is it a unique discipline? Must medical ethics be grounded in clinical experience? How can ethical inquiry inform medicine's theory and practice? Must one have a definition of medicine before one can have a medical ethic? Does medicine have a unique or demarcating body of knowledge, methodology, or philosophy? These troubling questions are addressed by a distinguished roster of philosophers, theologians, lawyers, social scientists, physicians and scientists. The unifying theme of this text is a philosophical exploration of the history, nature, scope and foundations of bioethics. There is a critical evaluation of principled, communitarian, legal, narrative and feminist approaches. The book's interdisciplinary focus allows for a lively dialogue which includes papers and accompanying commentaries. Audience: Philosophers of science and medical ethicists, physicians, lawyers, policy makers.

What is bioethics? What are its goals and theoretical assumptions? Is it a unique discipline? Must medical ethics be grounded in clinical experience? How can ethical inquiry inform medicine's theory and practice? Must one have a definition of medicine before one can have a medical ethic? Does medicine have a unique or demarcating body of knowledge, methodology, or philosophy? These questions are addressed by a distinguished roster of philosophers, theologians, lawyers, social scientists, physicians and scientists. The unifying theme of this text is a philosophical exploration of the history, nature, scope and foundations of bioethics. There is a critical evaluation of principled, communitarian, legal, narrative and feminist approaches. The book's interdisciplinary focus allows for a lively dialogue which includes papers and accompanying commentaries. It should be of interest to philosophers of science and medical ethicists, physicians, lawyers and policy makers.

Structured around eight chapters, this book introduces ethical theory and practice to healthcare students and professionals, including medicine, nursing, public health, dentistry, and research. Increasingly, students and professionals within healthcare are faced with difficult questions and decisions: medical progress and technological innovation are widening the therapeutic scope, thereby both allowing for new, exciting possibilities but also making clinical decisions more intricate. That’s why it is no longer enough to provide healthcare students and professionals with some basics in biomedical ethics; rather, what is needed is also an accessible guide to ethical theories and practices, which does not presuppose any background or training in philosophy while at the same time not renouncing the fundamental questions at the core of the medical profession – this book aims to be exactly that ethical guide.

This is the first book in bioethics that explains how it is that you actually go about doing good bioethics. Bioethics has made a mistake about its methods, and this has led not only to too much theorizing, but also fragmentation within bioethics. The unhelpful disputes between those who think bioethics needs to be more philosophical, more sociological, more clinical, or more empirical, continue. While each of these claims will have some point, they obscure what should be common to all instances of bioethics. Moreover, they provide another phantom that can lead newcomers to bioethics down blind alleyways stalked by bristling sociologists and philosophers. The method common to all bioethics is bringing moral reason to bear upon ethical issues, and it is more accurate and productive to clarify what this involves than to stake out a methodological patch that shows why one discipline is the most important. This book develops an account of the nature of bioethics and then explains how a number of methodological spectres have obstructed bioethics becoming what it should. In the final part, it explains how moral reason can be brought to bear upon practical issues via an 'empirical, Socratic' approach.

Graber (philosophy, U. of Tennessee) and Thomasma (medical humanities, Loyola U., Stritch School of Medicine) address the modes of analysis and the conclusions they foster. Annotation copyrighted by Book News, Inc., Portland, OR

This book arms both students and professionals with the knowledge to tackle situations of moral uncertainty in clinical practice.