CLARIFYING APPEALS TO DIGNITY IN MEDICAL ETHICS FROM AN HISTORICAL PERSPECTIVE
Identifieur interne : 001174 ( Main/Merge ); précédent : 001173; suivant : 001175CLARIFYING APPEALS TO DIGNITY IN MEDICAL ETHICS FROM AN HISTORICAL PERSPECTIVE
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Abstract
Over the past few decades the concept of (human) dignity has deeply pervaded medical ethics. Appeals to dignity, however, are often unclear. As a result some prefer to eliminate the concept from medical ethics, whereas others try to render it useful in this context. We think that appeals to dignity in medical ethics can be clarified by considering the concept from an historical perspective. Firstly, on the basis of historical texts we propose a framework for defining the concept in medical debates. The framework shows that dignity can occur in a relational, an unconditional, a subjective and a Kantian form. Interestingly, all forms relate to one concept since they have four features in common: dignity refers, in a restricted sense, to the ‘special status of human beings’; it is based on essential human characteristics; the subject of dignity should live up to it; and it is a vulnerable concept, it can be lost or violated. We argue that being explicit about the meaning of dignity will prevent dignity from becoming a conversation‐stopper in moral debate. Secondly, an historical perspective on dignity shows that it is not yet time to dispose of dignity in medical ethics. At least Kantian and relational dignity can be made useful in medical ethics.
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DOI: 10.1111/j.1467-8519.2008.00646.x
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<record><TEI><teiHeader><fileDesc><titleStmt><title>CLARIFYING APPEALS TO DIGNITY IN MEDICAL ETHICS FROM AN HISTORICAL PERSPECTIVE</title><author><name sortKey="Van Der Graaf, Rieke" uniqKey="Van Der Graaf R">RIEKE VAN DER GRAAF</name><affiliation wicri:level="3"><mods:affiliation>Julius center for Health Sciences and Primary Care, University Medical center, Utrecht</mods:affiliation><country>Pays-Bas</country><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName><wicri:orgArea>Julius center for Health Sciences and Primary Care, University Medical center</wicri:orgArea></affiliation><affiliation><mods:affiliation>Correspondence: Rieke van der Graaf, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Huispost STR 6.131, PO Box 85500, 3508 GA Utrecht, Netherlands. E‐mail: r.vandergraaf@umcutrecht.nl, Telephone 00 31 88 756 8640, Fax 00 31 88 756 8099</mods:affiliation><wicri:noCountry code="subField">Fax 00 31 88 756 8099</wicri:noCountry></affiliation></author><author><name sortKey="Van Delden, Johannes Jm" uniqKey="Van Delden J">JOHANNES JM VAN DELDEN</name><affiliation wicri:level="3"><mods:affiliation>Julius center for Health Sciences and Primary Care, University Medical center, Utrecht</mods:affiliation><country>Pays-Bas</country><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName><wicri:orgArea>Julius center for Health Sciences and Primary Care, University Medical center</wicri:orgArea></affiliation><affiliation><mods:affiliation>Correspondence: Rieke van der Graaf, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Huispost STR 6.131, PO Box 85500, 3508 GA Utrecht, Netherlands. E‐mail: r.vandergraaf@umcutrecht.nl, Telephone 00 31 88 756 8640, Fax 00 31 88 756 8099</mods:affiliation><wicri:noCountry code="subField">Fax 00 31 88 756 8099</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="RBID">ISTEX:905FFD541AD72E9DF676A38BC24763D433192C77</idno><date when="2009">2009</date><idno type="doi">10.1111/j.1467-8519.2008.00646.x</idno><idno type="url">https://api.istex.fr/document/905FFD541AD72E9DF676A38BC24763D433192C77/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">003D05</idno><idno type="wicri:Area/Istex/Curation">003D05</idno><idno type="wicri:Area/Istex/Checkpoint">001006</idno><idno type="MainMerge">001006</idno><idno type="wicri:Area/Main/Merge">001174</idno></publicationStmt><seriesStmt><idno type="ISSN">0269-9702</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Conceptual clarification</term><term>Dignity; euthanasia</term><term>History; human dignity</term><term>Research ethics</term><term>Respect for autonomy</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="eng">Over the past few decades the concept of (human) dignity has deeply pervaded medical ethics. Appeals to dignity, however, are often unclear. As a result some prefer to eliminate the concept from medical ethics, whereas others try to render it useful in this context. We think that appeals to dignity in medical ethics can be clarified by considering the concept from an historical perspective. Firstly, on the basis of historical texts we propose a framework for defining the concept in medical debates. The framework shows that dignity can occur in a relational, an unconditional, a subjective and a Kantian form. Interestingly, all forms relate to one concept since they have four features in common: dignity refers, in a restricted sense, to the ‘special status of human beings’; it is based on essential human characteristics; the subject of dignity should live up to it; and it is a vulnerable concept, it can be lost or violated. We argue that being explicit about the meaning of dignity will prevent dignity from becoming a conversation‐stopper in moral debate. Secondly, an historical perspective on dignity shows that it is not yet time to dispose of dignity in medical ethics. At least Kantian and relational dignity can be made useful in medical ethics.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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