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 .
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
Notes
- 1.
This term was coined by Danner Clouser and Bernard Gert.
- 2.
- 3.
- 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.
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.
Braybrooke, D. (1972). The firm but untidy correlativity of rights and obligations. Canadian Journal of Philosophy, 1, 351–363.
Clouser, D., & Gert, B. (1990). A critique of principlism. Journal of Medicine and Philosophy, 15, 219–236.
Daniels, N. (1979). Wide reflective equilibrium and theory acceptance in ethics. Journal of Philosophy, 76, 256–282.
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.
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.
Dickenson, D. L. (1999). Cross-cultural issues in European bioethics. Bioethics, 13, 249–255.
Donagan, A. (1977). The theory of morality. Chicago: University of Chicago Press.
Feinberg, J. (1980). Rights, justice, and the bounds of liberty. Princeton, NJ: Princeton University Press.
Feinberg, J. (1984). The moral limits of the criminal law. New York: Oxford University Press.
Gert, B. (2005). Morality: Its nature and justification (2 Rev ed.). New York: Oxford University Pres.
Gert, B. (2007). Common morality: Deciding what to do. New York: Oxford University Press.
Gert, B., Culver, C. H., & Clouser, D. (2006). Bioethics: A systematic approach. New York: Oxford University Press.
Gordon, J. S., Rauprich, O., & Vollman, J. (2011). Applying the four-principle approach. Bioethics, 25, 293–300.
Griffin, J. (2008). On human rights. Oxford: Oxford University Press.
Hart, H. L. A. (1973). Bentham on legal rights. In A. W. B Simpson (Ed.), Oxford essays in jurisprudence. Oxford: Clarendon Press.
Holm, S. (1994). Not just autonomy—The principles of American biomedical ethics. Journal of Medical Ethics, 21, 332–338.
Kukla, R. (2014). Living with pirates. Cambridge Quarterly of Healthcare Ethics, 23, 75–85.
Lawson, R. (2007). Harmonising human rights in Europe. In J. Gunning & S. Holm (Eds.), Ethics, law, and society. Aldershot: Ashgate Publishing.
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.
Lyons, D. (1970). The correlativity of rights and duties. Nous, 4, 45–55.
Miers, S. (2003). Slavery in the twentieth century: The evolution of a global problem. Walnut Creek, CA: AltaMira Press.
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.
Pellegrino, E., & Thomasma, D. (1988). For the patient’s good: The restoration of beneficence in health care. New York: Oxford University Press.
Rauprich, O. (2008). Common morality: Comment on Beauchamp and childress. Theoretical Medicine and Bioethics, 29, 43–71.
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.
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.
Richardson, H. S. (1990). Specifying norms as a way to resolve concrete ethical problems. Philosophy & Public Affairs, 19, 279–310.
Richardson, H. S. (2000). Specifying, balancing, and interpreting bioethical principles. Journal of Medicine and Philosophy, 25, 285–307.
Ross, W. D. (1939). The foundations of ethics. Oxford: Oxford University Press.
Sen, A. (1997a). Human rights and Asian values. New York: Carnegie Council on Ethics and International Affairs.
Sen, A. (1997b). Resources, values and development. Cambridge, MA: Harvard University Press.
Strong, C. (2000). Specified principlism. Journal of Medicine and Philosophy, 25, 285–307.
Wallace, K. A. (2009). Common morality and moral reform. Theoretical Medicine and Bioethics, 30, 55–68.
Wellman, C. P. (1995). Real rights. New York: Oxford University Press.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
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
DOI: https://doi.org/10.1007/978-3-030-05903-3_1
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-05902-6
Online ISBN: 978-3-030-05903-3
eBook Packages: Religion and PhilosophyPhilosophy and Religion (R0)