Ethical Thoughts

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    ETHICAL THOUGHTSFelipe A. Merano, RN, MSN

    BIOETHICS

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    Objectives

    To determine the origin of the established

    ethical thought of bioethics.

    To differentiate the ethical thoughts used

    in nursing.

    To determine the application of ethical

    thoughts in nursing and other in other field.

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    ETHICAL THOUGHTS

    KANTIAN ETHICS

    RAWLS ETHICS

    ST. THOMAS AQUINAS ROSS ETHICS

    7 UNIVERSAL PRINCIPLES OF

    BIOETHICS

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    7 UNIVERSAL (MAJOR)

    PRINCIPLES OF BIOETHICS

    AUTONOMY

    JUSTICE

    BENEFICENCE NON-MALEFICENCE

    ROLE FIDELITY

    VERACITY CONFIDENTIALITY

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    ETHICAL THOUGHTS

    1. KANTIAN ETHICS

    Kantian ethics is based upon the

    teachings of the philosopher,Immanuel Kant (17241804)

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    ETHICAL THOUGHTS

    1. KANTIAN ETHICS

    According to Kant, the concept

    ofmotive is the mostimportant factor in determining

    what is ethical. More specifically,

    Kant argued that a moral action

    is one that is performed out of a

    sense of duty.

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    ETHICAL THOUGHTS

    1. KANTIAN ETHICS

    For Kant, a moral action is not

    based upon feelings or pity. Noris it is not based on the

    possibility of reward. Instead, a

    moral action is one based on a

    sense of This is what I ought to

    do.

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    ETHICAL THOUGHTS

    1. KANTIAN ETHICS

    To use an example, with Kantian ethics

    helping an old lady across the streetbecause you feel pity for her is NOT a

    moral act. Likewise, helping an old lady

    because your coworker will think highly

    of you is NOT a moral act. However,

    helping an old lady because you have a

    sense of duty to help the elderly IS a

    moral act.

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    ATTRACTION OF KANTIAN ETHICS

    1. If the purpose of life were just to achieve

    happiness, then we would all seek

    pleasure and gratification and hope that

    it would lead to happiness. The problemis that happiness is not totally within our

    power to achieve; to a large extent,

    happiness is a matter of luck.Consequently, being happy and being

    good are two different things.

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    ATTRACTION OF KANTIAN ETHICS

    2. If we are to avoid skepticism or even

    nihilism and our ethics is to be rationally

    based, it must be unconditional (i.e., have

    no exceptions) and be universal (i.e., beapplicable to all human beings).

    Skepticism refers to any questioning attitude of knowledge,facts, or opinions/beliefs stated as facts

    Nihilism - that life is without objective meaning, purpose, or

    intrinsic value

    http://en.wikipedia.org/wiki/Purposehttp://en.wikipedia.org/wiki/Intrinsic_value_%28ethics%29http://en.wikipedia.org/wiki/Intrinsic_value_%28ethics%29http://en.wikipedia.org/wiki/Purpose
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    ATTRACTION OF KANTIAN ETHICS

    2.1. The Good Will is the only good without

    qualification.

    The good willis a will that acts for the sake

    of duty, as a "good-in-itself.

    2.2. Duty is the necessity of acting out of

    reverence for universal law. Moral value is

    essentially established by the intention of

    the person acting.

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    ATTRACTION OF KANTIAN ETHICS

    2.3.Practical Imperative: "Act to treat

    humanity, whether yourself or another, as

    an end-in-itself and never as a means."

    A. Don't use people in order to obtain your

    goals or seek an edge or unfair

    advantage.

    B. People have rights which would

    supersede, for example, the tyranny of the

    majority in utilitarianism.

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    ATTRACTION OF KANTIAN ETHICS

    C. Some difficulties in interpretation of the

    Kantian doctrine arise from these further

    questions: How far should respect for

    persons proceed? What if you areconstantly used by other persons? Does

    the practical imperative imply that we

    should have no goals in dealing with otherpersons and ourselves?

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    KANTIAN ETHICS

    Autonomy: At the heart of Kant's moral theory

    is the position that rational human wills are

    autonomous. The idea of freedom as

    autonomy thus goes beyond the merelynegative sense of being free from

    influences on our conduct originating outside

    of ourselves. It contains first and foremostthe idea of laws made and laid down by

    oneself, and, in virtue of this, laws that have

    decisive authority over oneself.

    http://plato.stanford.edu/entries/kant-moral/http://plato.stanford.edu/entries/kant-moral/
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    KANTIAN ETHICS

    Good Wil l, Moral Worth and DutyKant's analysis of commonsense ideas

    begins with the thought that the only thing

    good without qualification is a good will.While the phrases he's good hearted,

    she's good natured and she means well

    are common, the good will as Kant thinksof it is not the same as any of these

    ordinary notions. The idea of a good will

    is closer to the idea of a good person, or,

    more archaically, a person of good will

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    KANTIAN ETHICS

    Good Wil l, Moral Worth and DutyThe basic idea is that what makes a good

    person good is his possession of a will

    that is in a certain way determined by, ormakes its decisions on the basis of, the

    moral law. The idea of a good will is

    supposed to be the idea of one who onlymakes decisions that she holds to be

    morally worthy, taking moral considera-

    tions in themselves to be conclusive

    reasons for guiding her behavior.

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    KANTIAN ETHICSDuty and Respect for Moral Law

    According to Kant, what is singular about motivation

    by duty is that it consists of bare respect for

    lawfulness. What naturally comes to mind is this:

    Duties are created by rules or laws of some sort.For instance, the bylaws of a club lay down

    duties for its officers. City and state laws

    establish the duties of citizens. Thus, if we do

    something because it is our civic duty, or ourduty as a boy scout or a good Filipino, our

    motivation is respect for the code that makes it

    our duty. Thinking we are duty bound is simply

    respecting certain laws pertaining to us

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    KANTIAN ETHICSMoral Duty

    I give that you may do.

    Facio u t des

    I do that you may do. Du ut des

    I do that you may give.

    Du u t faciasI give that you may give

    Facio u t facias

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    RAWLS ETHICS

    John Rawls is best known for his liberaltheory of justice, or justice as fairness.

    Its defining characteristic is its acknowledg-

    ment that society is made up of individualswho espouse many disparate beliefs and

    conceptions of 'the good.' Government of

    a society which is based on certain

    conceptions of the good-- religious, moral,

    etc-- causes problems because people

    whose views differ end up straight

    disrespected by law.

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    RAWLS ETHICS

    The principals Rawls arrives at are:1) Each person shall be allowed the most

    extensive scheme of liberty compatible

    with a similar scheme for everyone else.2) Offices of power shall be attached to

    positions open to all.

    3) Inequality must benefit the leastadvantaged.

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    RAWLS ETHICS

    The principals Rawls arrives at are:For example, the practice of grading students for their

    performance in academic courses now includes a

    merit principle for determining most grades: the grade

    a student receives should reflect the quantity andquality of her work. It might be said in defense of such

    traditions that they have survived because they have

    proven more satisfactory to the parties affected,

    considered collectively, than other conceivablealternatives, such as giving everyone the same grade

    or handing out grades in accordance with the

    student's ability to pay.

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    RAWLS ETHICS

    John Rawls' principles of justice. Rawls argues that self-interested rational

    persons behind the veil of ignorance

    would choose two general principles ofjustice to structure society in the real

    world:

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    RAWLS ETHICS

    John Rawls' principles of justice.1) Principle of Equal Liberty: Each person

    has an equal right to the most extensive

    liberties compatible with similar libertiesfor all.

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    RAWLS ETHICS

    John Rawls' principles of justice.2) Difference Principle: Social and economic

    inequalities should be arranged so that

    they are both (a) to the greatest benefit ofthe least advantaged persons, and (b)

    attached to offices and positions open to

    all under conditions of equality of

    opportunity.

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    RAWLS ETHICS

    John Rawls' principles of justice.Example: policies that permit nuclear power

    plants which degrade the environment for

    nearby family farmers but provide jobs foralready well-paid professionals who come

    in from the big cities.

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    ST. THOMAS AQUINAS

    "The ultimate beatitude of

    man consists in the use

    of his highest function,

    which is the operation ofhis intellect...Hence...the

    blessed see the essence

    of God."

    (Summa Theologica)

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    ST. THOMAS AQUINAS

    A Catholic Priest in the Dominican Order andone of the most important Medieval

    philosophers and theologians. He was

    immensely influenced by scholasticismand Aristotle and known for his synthesis

    of the two aforementioned traditions.

    Although he wrote many works of

    philosophy and theology throughout hislife, his most influential work is the Summa

    Theologica which consists of three parts

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    ST. THOMAS AQUINAS

    The first part is on God. In it, he gives fiveproofs for Gods existence as well as an

    explication of His attributes. He argues for

    the actuality and incorporeality of God asthe unmoved mover and describes how

    God moves through His thinking and

    willing.

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    ST. THOMAS AQUINAS

    The second part is on Ethics. Thomas arguesfor a variation of the Aristotelian Virtue

    Ethics. However, unlike Aristotle, he

    argues for a connection between thevirtuous man and God by explaining how

    the virtuous act is one towards the

    blessedness of the Beatific Vision (beata

    visio)

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    ST. THOMAS AQUINAS

    The last part of the Summa is on Christ andwas unfinished when Thomas died. In it,

    he shows how Christ not only offers

    salvation, but represents and protectshumanity on Earth and in Heaven. This

    part also briefly discusses the sacraments

    and eschatology. The Summa remains the

    most influential ofThomass works and ismostly what will be discussed in this

    overview of his philosophy.

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    ST. THOMAS AQUINAS

    1. Translates Aristotle into the ChristianWorldview

    2. Adds the 'spiritual virtues' of Faith, Love,

    and Hope3. Distinguishes between 'Eternal Law,'

    'Natural Law,' 'Human Law' and 'Divine

    Law'4. Natural Law prescribes the fundamental

    precepts of morality and is grasped

    through reason and conscience

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    ST. THOMAS AQUINAS

    Good is to be done and promoted and evil tobe avoided' (ST I-II, 94, 2). Since this rule

    does not specify what is good, it cannot be

    further analyzed to find more specificmoral rules. It is a principle formally

    governing practical reasoning and in this

    sense

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    ST. THOMAS AQUINAS

    Thomas calls it the first precept of naturallaw. To determine what are the proximate

    natural goods for man. Aquinas suggests

    that reason naturally apprehends asgoods those objects that satisfy man's

    basic inclinations. On the lowest level are

    those physical goods that all beings

    incline to, such as self-preservation.

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    ST. THOMAS AQUINAS

    Thomas calls it the first precept of naturallaw. To determine what are the proximate

    natural goods for man. Aquinas suggests

    that reason naturally apprehends asgoods those objects that satisfy man's

    basic inclinations. On the lowest level are

    those physical goods that all beings

    incline to, such as self-preservation.

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    ST. THOMAS AQUINAS

    Second are biological goods that men tendtowards, as do all living things: the

    procreation and care of offspring, for

    instance.In the third and highest place he puts those

    values that satisfy man as a rational

    being: the knowledge of truth about God

    and the advantage of living in the society

    of other humans.

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    ST. THOMAS AQUINAS

    Fourth, Human Lawinvolves those civil lawsthat govern communities. These civil laws

    may indeed vary from town to town as

    long as they don't violate the precepts ofNatural Law.

    Finally, Divine Lawpertains to God's special

    plans for humanity and is revealed

    through, for example, sacred scripture.

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    ST. THOMAS AQUINAS

    Examples of these 'laws' could be(1) the law of gravity as governing the motion of

    physical objects,

    (2) prohibition of artificial birth control as violating

    our natural tendency toward procreation,

    (3) laws regulating the traffic in a particular city and

    disobedience with regard to laws that seek to

    destroy religious faith (through, for example, thebanning of Mass),

    (4) knowledge, through God's Grace, of our

    supernatural rewards (as revealed in the New

    Testament).

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    ST. THOMAS AQUINAS

    Fourth, Human Lawinvolves those civil lawsthat govern communities. These civil laws

    may indeed vary from town to town as

    long as they don't violate the precepts ofNatural Law.

    Finally, Divine Lawpertains to God's special

    plans for humanity and is revealed

    through, for example, sacred scripture.

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