The Impact of Social Elements on Clinical Bioethics Michael Cheng

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Transcript The Impact of Social Elements on Clinical Bioethics Michael Cheng

The Impact of Social
Elements on Clinical
Bioethics
Michael Cheng-tek Tai. Ph.D.
Dean, College of Medical Humanities & Social Sciences
Chungshan Medical University. Taichung. Taiwan
1
I. Introduction

What did Little Chiu’s anecdote or SARS’
experience reveal to us ?

Terrie Schiavo and Social Debate in US
2
II. Human and Social Factors
effecting Decision-making
1. Human-- righteous or biased ?
rational or irrational ?
altruistic or egoistic ?
pure or evil hearted ?
2. Society – moral or immoral ?
solidaritary or individualistic ?
organically functional or malfunctional ?
3. Should decision-making be subject to social factors ?
Deontological approach
Utilitarian approach
3
III. Ethos and the Formation of Ethics
1. Ethics derives from ethos
2. Ethos as fundamental spirit of a culture
3. What are our social ethos ?
Proactive : filial piety ( micro and macro).
Reactive : my wellbeing vs social
wellbeing
4
IV. Morality and Society
1.
Moral man in immoral society
2.
Immoral man in moral society
3.
The mutuality of moral man and moral
society
4.
Social phenomenon and social morality
5
V. Medical Ethics and Physicians
1.
The ethics of physicians in a moral society
2.
The ethics of physicians in immoral society
3.
The spontaneous nature of medical ethics
6
IV. The Attempt to Instill the Ethical
Manifestation
1.
medical education
2.
PGY
3.
continuing education
7
VII. Different Theories
1.
Functional Solidarity (organism)
2.
Adverse Conflict ( class struggle)
3.
Symbolic Interaction (freewill)
8
VIII. Conclusion
1.
Spontaneity and Artificiality
2.
Bioethics as an awareness. an attitude.
an application and a self-cultivation.
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