1、医德理论的困惑:论医学人道主义与功利主义之争摘 要 义利之争是伦理学理论的基本冲突,对于现代医学伦理学来说同样如此。医学人道主义从来就是医学伦理学的基本精神,面对功利主义与价值论,如何化解冲突有不同的态度。其中普遍的观点是调和冲突,甚至企图用相对伦理、折中伦理来根本化解冲突。这种企图其实是徒劳无益的。现代医学伦理学或生命伦理学引入的功利主义,并不能替代作为义务论的医学人道主义。在现代多元化的医学道德理论中,如何以医学人道主义为基础寻求“合理的平衡”,是当代生命伦理学理论的根本出路。 关键词 道德难题 人道主义 功利主义 义务论 Medical Moral Perplexity
2、: the Conflict between Utilitarianism and Deontology Abstract: The disputing between utilitarianism and deontology is basic conflict in ethnics’ theory, with the same so as the modern medical ethnics. Medical humanism is always the basic spirit of medical ethnics, confronting the utilitaria
3、nism and axiology, how to resolve the controversy has different attitudes. Among them, the general viewpoint is to meditate the conflict; someone even attempts to use urelative ethnics, eclectic ethnics to resolve the conflict at all. This attempt is actually in vain. The utilitarianism led
4、 into the modern medical ethnics or bioethics cannot displace the medical humanism in token of deontology. In modern diversified medical moral theories, how to pursuit “reasonable balance” based on medical humanism is the fundamental outlet of the contemporary bioethics. Key Word: moral dil