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Toward Critical Bioethics

Published online by Cambridge University Press:  26 February 2015

VILHJÁLMUR ÁRNASON
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Abstract:

This article deals with the question as to what makes bioethics a critical discipline. It considers different senses of criticism and evaluates their strengths and weaknesses. A primary method in bioethics as a philosophical discipline is critical thinking, which implies critical evaluation of concepts, positions, and arguments. It is argued that the type of analytical criticism that restricts its critical role to critical thinking of this type often suffers from other intellectual flaws. Three examples are taken to demonstrate this: premature criticism, uncritical self-understanding of theoretical assumptions, and narrow framing of bioethical issues. Such flaws can lead both to unfair treatment of authors and to uncritical discussion of topics. In this context, the article makes use of Häyry’s analysis of different rationalities in bioethical approaches and argues for the need to recognize the importance of communicative rationality for critical bioethics. A radically different critical approach in bioethics, rooted in social theory, focuses on analyses of power relations neglected in mainstream critical thinking. It is argued that, although this kind of criticism provides an important alternative in bioethics, it suffers from other shortcomings that are rooted in a lack of normative dimensions. In order to complement these approaches and counter their shortcomings, there is a need for a bioethics enlightened by critical hermeneutics. Such hermeneutic bioethics is aware of its own assumptions, places the issues in a wide context, and reflects critically on the power relations that stand in the way of understanding them. Moreover, such an approach is dialogical, which provides both a critical exercise of speech and a normative dimension implied in the free exchange of reasons and arguments. This discussion is framed by Hedgecoe’s argument that critical bioethics needs four elements: to be empirically rooted, theory challenging, reflexive, and politely skeptical.

Keywords

bioethicsbiotechnologycritiquedialoguehermeneuticsnormativitypowerrationality
Type
Special Section: Philosophical Bioethics—Its State and Future
Information
Cambridge Quarterly of Healthcare Ethics , Volume 24 , Issue 2 , April 2015 , pp. 154 - 164
Copyright
Copyright © Cambridge University Press 2015 

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References

Notes

1. The Critical Thinking Community. Defining Critical Thinking; available at http://www.criticalthinking.org/pages/defining-critical-thinking/766 (last accessed 15 Sept 2014).

2. Habermas, J. The Future of Human Nature. Beister, H, Pensky, M, Rehg, W, trans. Cambridge: Polity Press; 2003.Google Scholar (English translation of Die Zukunft der menschlichen Natur: Auf dem Weg zur einer liberalen Eugenik. Frankfurt am Main: Suhrkamp; 2001.)

3. Harris, J. No sex selection please, we’re British. Journal of Medical Ethics 2005;31:286–8, at 286.CrossRefGoogle ScholarPubMed

4. Quoted in Rawls, J. Lectures on the History of Moral Philosophy. Cambridge, MA: Harvard University Press; 2000, at xvi.Google Scholar

5. Baldwin, T. Reproductive liberty and elitist contempt: Reply to John Harris. Journal of Medical Ethics 2005;31:288–90, at 290.CrossRefGoogle ScholarPubMed

6. Prusak, BG. Rethinking “liberal eugenics”: Reflections and questions on Habermas on bioethics. Hastings Center Report 2005;35(6):31–42, at 32.CrossRefGoogle ScholarPubMed

7. See note 6, Prusak 2005, at 32.

8. See note 3, Harris 2005, at 286.

9. See note 6, Prusak 2005, at 39.

10. Harris, J. Enhancing Evolution: The Ethical Case for Making Better People. Princeton, NJ: Princeton University Press; 2007, at 137.Google Scholar

11. See note 10, Harris 2007, at 138.

12. See note 3, Harris 2005, at 288.

13. Cf. Ehni H-J, Aurenque, D. On moral enhancement from a Habermasian perspective. Cambridge Quarterly of Healthcare Ethics 2012;21(2):223–34.Google Scholar See also, Árnason, V. From species ethics to social concerns: Habermas’s critique of “liberal eugenics” evaluated. Theoretical Medicine and Bioethics 2014;35(5): 353–67.CrossRefGoogle ScholarPubMed

14. Cf. Gadamer, H-G. On the scope and function of Hermeneutical reflection. In: Linge, DE, ed. Philosophical Hermeneutics. Berkeley: University of California Press; 1976:18–43.Google Scholar

15. See note 14, Gadamer 1976, at 27.

16. See note 2, Habermas 2003.

17. Häyry, M. Rationality and the Genetic Challenge: Making People Better? Cambridge: Cambridge University Press; 2010.CrossRefGoogle Scholar

18. See note 17, Häyry 2010, at xii.

19. See note 17, Häyry 2010, at 47.

20. See note 17, Häyry 2010, at 179.

21. Weber, M. Economy and Society. Roth, G, Wittich, C, eds. New York: Bedminster Press; 1968, at 24–6.Google Scholar

22. On this topic, see Árnason, V. Nonconfrontational rationality or critical reasoning. Cambridge Quarterly of Healthcare Ethics 2011;20(2):228–37.CrossRefGoogle ScholarPubMed

23. Rehg, W. Insight and Solidarity: The Discourse Ethics of Jürgen Habermas. Berkeley: University of California Press; 1997.Google Scholar

24. Cf. Ricoeur, P. Freud and Philosophy: An Essay on Interpretation. Savage, D, trans. New Haven, CT: Yale University Press; 1970, at 32–6.Google Scholar

25. Following John Harris, I use the term “biotechnology” to mean “the use of technology in the application of the biological sciences, especially genetics.” Harris, J. Clones, Genes, and Immortality: Ethics and the Genetic Revolution. Oxford: Oxford University Press; 1998, at 3.Google Scholar

26. Habermas, J. On the pragmatic, the ethical and the moral employments of practical reason. In: Justification and Application. Cronin, C, trans. Cambridge, UK: Polity Press; 1993, at 9.Google Scholar

27. Hedgecoe, A. The Politics of Personalized Medicine: Pharmacogenetics in the Clinic. Cambridge: Cambridge University Press; 2004, at 17.CrossRefGoogle Scholar

28. See note 27, Hedgecoe 2004, at 1.

29. Hakonarson, H, Gulcher, JR, Stefansson, K. deCODE Genetics Inc. company profile. Pharmacogenomics 2003;4:7.CrossRefGoogle Scholar

30. I have discussed this in Árnason, V. Databanks research: Public and private interests. Cambridge Quarterly of Healthcare Ethics 2011;20(4):563–71.CrossRefGoogle Scholar

31. Held, D. Models of Democracy. Cambridge: Polity Press; 2006, at 245.Google Scholar

32. Gutmann, A, Thompson, D. Deliberating about bioethics. The Hastings Center Report 1997;27:38–41, at 38.CrossRefGoogle ScholarPubMed

33. I have discussed this in Árnason, V. Scientific citizenship, benefit, and protection in population based research. In: Solbakk, JH, Holm, S, Hoffman, B, eds. Ethics of Research Biobanking. Dordrecht: Springer Verlag; 2009:131–41.CrossRefGoogle Scholar

34. I have discussed this in Árnason, V. The personal is political. Ethical Perspectives 2012;19(1):103–22.Google Scholar

35. Eckenwiler, LA, Cohn, FG. Introduction. In: Eckenwiler, LA, Cohn, FG, eds. The Ethics of Bioethics. Baltimore, MD: John Hopkins University Press; 2007, at xix.Google Scholar

36. Rose, N, Novas, C. Biological citizenship. In: Ong, A, Collier, SJ, eds. Global Assemblages: Technology, Politics, and Ethics as Anthropological Problems. Oxford: Blackwell; 2004:439–63.Google Scholar

37. See note 36, Rose, Novas 2004, at 448.

38. See note 36, Rose, Novas 2004, at 454.

39. Cf. De Vries, R, Turner, L, Orfali, K, eds. The View from Here: Bioethics and the Social Sciences. Oxford: Blackwell; 2007.Google Scholar

40. I have discussed this in Árnason, V. Scientific citizenship in a democratic society. Public Understanding of Science 2013;22(8):927–40.CrossRefGoogle Scholar

41. See note 36, Rose, Novas 2004, at 447.

42. See note 36, Rose, Novas 2004, at 448.

43. See note 36, Rose, Novas 2004, at 456.

44. Sirnes, T, Brekke, OA. Biosociality, biocitizenship and the new regime of hope and despair: Interpreting “Portraits of Hope” and the “Mehmet Case.” New Genetics and Society 2011;30(4):347–74.Google Scholar

45. See note 44, Sirnes, Brekke 2011, at 369.

46. Hedgecoe, A. Critical bioethics: Beyond the social science critique of applied ethics. Bioethics 2004;18:120–43, at 135.CrossRefGoogle ScholarPubMed

47. See note 46, Hedgecoe 2004, at 135.

48. See note 46, Hedgecoe 2004, at 134.

49. Cf. van der Scheer, L, Widdershoven, G. Integrated empirical ethics: Loss of normativity? Journal of Medicine, Health Care and Philosophy 2004;7:71–9.CrossRefGoogle ScholarPubMed I have criticized this position in Árnason, V. Sensible discussion in bioethics: Reflections on interdisciplinary research. Cambridge Quarterly of Healthcare Ethics 2005;14(3):322–8.CrossRefGoogle ScholarPubMed

50. Widdershoven, G, Abma, T, Molewijk, B. Empirical ethics as dialogical practice. Bioethics 2009;23(4):236–48, at 248.CrossRefGoogle ScholarPubMed

51. See note 46, Hedgecoe 2004, at 140.

52. See note 46, Hedgecoe 2004, at 143.

53. See note 46, Hedgecoe 2004, at 138.