Skip to main content

A Defense of Universal Principles in Biomedical Ethics

  • Chapter
  • First Online:
Biolaw and Policy in the Twenty-First Century

Part of the book series: International Library of Ethics, Law, and the New Medicine ((LIME,volume 78))

Abstract

The four principles of biomedical ethics are widely used in the world for bioethical deliberation. These theoretical guides are useful for the analysis and resolution of particularly complex ethical controversies arising in clinical and biomedical fields. This chapter develops an analysis of the basic universal principles , the common universal morality , and some characteristics of each principle. Then it discusses some problems posed by critics who have provided alternative frameworks of principles that are nonuniversal. Finally, it shows how universal moral principles are connected to human rights , how rules and rights are specified to become detailed and practical for certain moralities, and how these ideas are connected with problems of justification in bioethics and biolaw .

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

Notes

  1. 1.

    This term was coined by Danner Clouser and Bernard Gert.

  2. 2.

    For useful critical assessments of principlist views about common morality theory and its role, see Rauprich (2008), Wallace (2009), and Lindsay (2005).

  3. 3.

    More than one theory of the common morality is found in literature on the subject. For a variety of theories, see Donagan (1977), Gert (2007), and Ross (1939).

  4. 4.

    Rendtorff and Kemp write that “Generally, autonomy as a notion is an ideal, referring to the full self-control of the individual…. [It is an] ideal of the free and autonomous individual who can decide his or her own life .”

  5. 5.

    See, for example, Council of Europe , “Convention for the Protection of Human Rights and Fundamental Freedom ,” as amended by Protocol No. 11, Article 4, accessed November 12, 2008; Miers (2003), and United Nations Commissioner for Human Rights , Fact Sheet No.14, “Contemporary Forms of Slavery,” http://www.unhchr.ch/html/menu6/2/fs14.htm, accessed 5 Feb. 2015.

References

  • Beauchamp, T. L., & Childress, J. F. (2013). Principles of biomedical ethics (7th ed.). New York: Oxford University Press.

    Google Scholar 

  • Braybrooke, D. (1972). The firm but untidy correlativity of rights and obligations. Canadian Journal of Philosophy, 1, 351–363.

    Article  Google Scholar 

  • Clouser, D., & Gert, B. (1990). A critique of principlism. Journal of Medicine and Philosophy, 15, 219–236.

    Article  Google Scholar 

  • Daniels, N. (1979). Wide reflective equilibrium and theory acceptance in ethics. Journal of Philosophy, 76, 256–282.

    Article  Google Scholar 

  • Daniels, N. (1996). Wide reflective equilibrium in practice. In L. W. Sumner & J. Boyle (Eds.), Philosophical perspectives on bioethics (pp. 96–114). Toronto: University of Toronto Press.

    Google Scholar 

  • DeGrazia, D., & Beauchamp, T. L. (2001). Philosophical foundations and philosophical methods. In D. Sulmasy & J. Sugarman (Eds.), Methods of bioethics (pp. 33–36). Washington: Georgetown University Press.

    Google Scholar 

  • Dickenson, D. L. (1999). Cross-cultural issues in European bioethics. Bioethics, 13, 249–255.

    Article  Google Scholar 

  • Donagan, A. (1977). The theory of morality. Chicago: University of Chicago Press.

    Google Scholar 

  • Feinberg, J. (1980). Rights, justice, and the bounds of liberty. Princeton, NJ: Princeton University Press.

    Book  Google Scholar 

  • Feinberg, J. (1984). The moral limits of the criminal law. New York: Oxford University Press.

    Google Scholar 

  • Gert, B. (2005). Morality: Its nature and justification (2 Rev ed.). New York: Oxford University Pres.

    Book  Google Scholar 

  • Gert, B. (2007). Common morality: Deciding what to do. New York: Oxford University Press.

    Google Scholar 

  • Gert, B., Culver, C. H., & Clouser, D. (2006). Bioethics: A systematic approach. New York: Oxford University Press.

    Book  Google Scholar 

  • Gordon, J. S., Rauprich, O., & Vollman, J. (2011). Applying the four-principle approach. Bioethics, 25, 293–300.

    Article  Google Scholar 

  • Griffin, J. (2008). On human rights. Oxford: Oxford University Press.

    Book  Google Scholar 

  • Hart, H. L. A. (1973). Bentham on legal rights. In A. W. B Simpson (Ed.), Oxford essays in jurisprudence. Oxford: Clarendon Press.

    Google Scholar 

  • Holm, S. (1994). Not just autonomy—The principles of American biomedical ethics. Journal of Medical Ethics, 21, 332–338.

    Article  Google Scholar 

  • Kukla, R. (2014). Living with pirates. Cambridge Quarterly of Healthcare Ethics, 23, 75–85.

    Article  Google Scholar 

  • Lawson, R. (2007). Harmonising human rights in Europe. In J. Gunning & S. Holm (Eds.), Ethics, law, and society. Aldershot: Ashgate Publishing.

    Google Scholar 

  • Lindsay, R. A. (2005). Slaves, embryos, and nonhuman animals: Moral status and the limitations of common morality theory. Kennedy Institute of Ethics Journal, 15, 323–346.

    Article  Google Scholar 

  • Lyons, D. (1970). The correlativity of rights and duties. Nous, 4, 45–55.

    Article  Google Scholar 

  • Miers, S. (2003). Slavery in the twentieth century: The evolution of a global problem. Walnut Creek, CA: AltaMira Press.

    Google Scholar 

  • Pellegrino, E. (1994). The four principles and the doctor-patient relationship: The need for a better linkage. In R. Gillon (Ed.), Principles of health care ethics (pp. 353–367). Chichester: Wiley.

    Google Scholar 

  • Pellegrino, E., & Thomasma, D. (1988). For the patient’s good: The restoration of beneficence in health care. New York: Oxford University Press.

    Google Scholar 

  • Rauprich, O. (2008). Common morality: Comment on Beauchamp and childress. Theoretical Medicine and Bioethics, 29, 43–71.

    Article  Google Scholar 

  • Rauprich, O. (2013). Principlism. International encyclopedia of ethics. Wylie Online Library. http://onlinelibrary.wiley.com/doi/10.1002/9781444367072.wbiee658/abstract. Accessed February 20, 2015.

  • Rawls, J. (1971). A theory of justice. Cambridge MA: Harvard University Press.

    Google Scholar 

  • Rendtorff, J. D. & Kemp, P. (2000). Basic ethical principles in European bioethics and biolaw (Vols. 1–2). Copenhagen and Barcelona: Centre for Ethics and Law & Institut Borja de Bioetica.

    Google Scholar 

  • Richardson, H. S. (1990). Specifying norms as a way to resolve concrete ethical problems. Philosophy & Public Affairs, 19, 279–310.

    Google Scholar 

  • Richardson, H. S. (2000). Specifying, balancing, and interpreting bioethical principles. Journal of Medicine and Philosophy, 25, 285–307.

    Article  Google Scholar 

  • Ross, W. D. (1939). The foundations of ethics. Oxford: Oxford University Press.

    Google Scholar 

  • Sen, A. (1997a). Human rights and Asian values. New York: Carnegie Council on Ethics and International Affairs.

    Google Scholar 

  • Sen, A. (1997b). Resources, values and development. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Strong, C. (2000). Specified principlism. Journal of Medicine and Philosophy, 25, 285–307.

    Article  Google Scholar 

  • Wallace, K. A. (2009). Common morality and moral reform. Theoretical Medicine and Bioethics, 30, 55–68.

    Article  Google Scholar 

  • Wellman, C. P. (1995). Real rights. New York: Oxford University Press.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Tom L. Beauchamp .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Beauchamp, T.L. (2019). A Defense of Universal Principles in Biomedical Ethics. In: Valdés, E., Lecaros, J. (eds) Biolaw and Policy in the Twenty-First Century. International Library of Ethics, Law, and the New Medicine, vol 78. Springer, Cham. https://doi.org/10.1007/978-3-030-05903-3_1

Download citation

Publish with us

Policies and ethics