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The Impact of Social Elements on Clinical Bioethics. Michael Cheng-tek Tai. Ph.D. Dean, College of Medical Humanities & Social Sciences Chungshan Medical University. Taichung. Taiwan. I. Introduction. What did Little Chiu’s anecdote or SARS’ experience reveal to us ?
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The Impact of Social Elements on Clinical Bioethics Michael Cheng-tek Tai. Ph.D. Dean, College of Medical Humanities & Social Sciences Chungshan Medical University. Taichung. Taiwan
I. Introduction • What did Little Chiu’s anecdote or SARS’ experience reveal to us ? • Terrie Schiavo and Social Debate in US
II. Human and Social Factors effecting Decision-making 1. Human-- righteous or biased ? rational or irrational ? altruistic or egoistic ? pure or evil hearted ? 2. Society – moral or immoral ? solidaritary or individualistic ? organically functional or malfunctional ? 3. Should decision-making be subject to social factors ? Deontological approach Utilitarian approach
III. Ethos and the Formation of Ethics 1. Ethics derives from ethos 2. Ethos as fundamental spirit of a culture 3. What are our social ethos ? Proactive : filial piety ( micro and macro). Reactive : my wellbeing vs social wellbeing
IV. Morality and Society • Moral man in immoral society • Immoral man in moral society • The mutuality of moral man and moral society • Social phenomenon and social morality
V. Medical Ethics and Physicians • The ethics of physicians in a moral society • The ethics of physicians in immoral society • The spontaneous nature of medical ethics
IV. The Attempt to Instill the Ethical Manifestation • medical education • PGY • continuing education
VII. Different Theories • Functional Solidarity (organism) • Adverse Conflict ( class struggle) • Symbolic Interaction (freewill)
VIII. Conclusion • Spontaneity and Artificiality • Bioethics as an awareness. an attitude. an application and a self-cultivation.