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Biomedical Ethics. Introduction to Philosophy. “ Philos ” = Love “Sophia” = Wisdom “Philosophy” = Love of Wisdom. A Formal Definition of Philosophy:. The rational, critical investigation of the fundamental questions of life that resist solutions by empirical science. Ethics. The Study of
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Introduction to Philosophy “Philos” = Love “Sophia” = Wisdom “Philosophy” = Love of Wisdom
A Formal Definition of Philosophy: • The rational, critical investigation of the fundamental questions of life that resist solutions by empirical science
Ethics • The Study of Right or Correct Behavior
Ethics ObjectivismRelativism AbsolutismContextualConventionalismSubjectivism Absolutism
Objectivism • There are universally valid moral principles
Relativism • There are no universally valid moral principles
Absolutism • There is one universally valid moral principle • Immanuel Kant
Contextual Absolutism • There are several universally valid moral principles and context decides which one to follow • The Ten Commandments • Aristotle
Conventionalism • Society decides moral principles • Ruth Benedict
Subjectivism • The individual decides moral principles • Jean Paul Sartre • Friedrich Nietzsche
Meta-Ethics • The study of • Concepts • Methods of Justification • and Knowledge • of Ethics
Normative Ethics • The study of rational guidelines for behavior • How people “ought” to act
Descriptive Ethics • The study of how people do act • Describes how people do act
Naturalistic Fallacy • Confusing what “is” • With what “ought” to be • Confusing how people do act • With how they “ought” to act • “Ought” does not equal “is”
Normative Ethics • Biomedical ethics is a branch of normative ethics • Business ethics • Sports ethics • Etc.
Biomedical Ethics • Ethical issues associated with the practice of medicine • Advance reasoned analysis to clarify and resolve ethical issues • Practice of medicine in most inclusive way
Criteria for Ethical Theories • 1. Clear, well-defined concepts • 2. Consistent statement • No Contradictions
3. Should tell us how to act in all situations • Abortion • Euthanasia • Death Penalty • Sex and Love
4. The Simpler the better • Occam’s Razor • Less likely to make mistake • Easier to follow
5. Should be based upon the most complete evidence available • Many decisions lead to wrong action because of incorrect information
Consequentialist Theories • Moral theories that judge right / correct behavior based upon the consequences of the actions
Utilitarianism • John Stuart Mill • The right action in any situation is that action which creates the greatest amount of happiness
Cost-Benefit Analysis • A form of Utilitarianism Actions are evaluated based upon their corresponding cost and the anticipated benefits of the action
John Stuart Mill (1806-1873) English Member of Parliament Wrote on many subjects
Utilitarianism The Greatest Happiness Principle Jeremy Bentham
Act to create the Greatest amount of happiness For the greatest number of people As per a disinterested spectator
Greatest Number of People • Everybody that your action will effect
Disinterested Spectator • Your happiness cannot be more important than anyone else’s
Happiness defined Pleasure Absence of Pain
Hedonism • The goal is to experience as much pleasure as possible • Usually physical pleasure
Epicureanism • The goal is to experience as much pleasure as possible without experiencing any pain • Only the best wine, food • No hangovers
Different Kinds of Pleasure Quality Quantity Mental and Physical
Quality of Pleasure • How many McDonald’s hamburgers equals a Filet Mignon? • None because the quality is different! • Some pleasures are simply better than others
Quantity of Pleasure • Whatever you enjoy, isn’t more of it better?
Point of Diminishing Returns • But we reach a point in our pleasure where more is not better but actually painful • How many pieces of candy do you like? • 5,10,15,? • How about a 1,000?
Paradox of Hedonism • The more pleasure you derive from something, the more you need of it next time to receive the same amount of pleasure • Drugs and Alcohol
Mental v. Physical Which is Superior? Mental
Why? Based upon empirical evidence Ask those who have experienced both They agree that mental is superior
Why is Mental Superior? 1. Greater Permanence 2. Safer 3. Less Expensive
Act Utilitarianism An action is right if it produces more total happiness than any other alternative action available at the time
Visit Aunt Go to Beach Me -10 +10 My Mom +8 -8 My Dad +6 -6 My Aunt +10 -10 My Friends 0 0 Total +14 -14
Rule Utilitarianism After many acts, we develop a principle that if general followed would create the greatest amount of happiness for all people involved
Criticisms 1. Requires too much 2. Focuses too exclusively on the future 3. Can lead to injustice
Deontological Ethics • Greek: “Deon” = “Duty” • Moral theories that judge right / correct behavior based upon the intrinsic value of human beings