Jaromír Matějek Conscience in Medical Practice. Conscience in medical practice Structure:...
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Transcript of Jaromír Matějek Conscience in Medical Practice. Conscience in medical practice Structure:...
Conscience in medical practice
Structure: Casuistics I. and its commentary
Conscience in ethical codices
Conscience in psychology
Conscience in philosophy
Summary
Casuistic for reflection of students: II., III.
Casuistics I.
The doctor, her patient suffers in terminal stadium of the disease.
Patient is her good friend and asks for assistance with suicide.
The is against the assisted suicide both personally and professionally.
But there are frendship and natural sympathy.
Casuistics I.
Question:
Should not the doctor contrary to her personal and
professional conviction help her friend per assisted
suicide?
Conscience in medical codices
Code of Ethics of Czech Medical Chamber:
„The doctor could not be forced to those medical
practices or collaboration, which is against his/her
conscience“
Conscience in medical codices
Code of Ethics of Czech Medical Chamber:
The doctor should know the laws and regulation valid for his/her work, and abide them.
He/she need not feel obligated, when these laws and regulation acts againts medical ethics or human rights.
Conscience in medical codices
Code of Nurses: The nurse provides indicated cure, but denies to
participate in activities which is against ethics or her conscience.
Conscience in medical codices
Code of Nursers (CZ): The human conscience and love of people are the
only one and genuine sources of morality.
Conscience in psychology
Gestalt psychology differs between mood ant conscience rozlišuje mezi náladou a svědomím.
On one hand, conscience is built on mood and
emotions
On the other hand, conscience is an accentuation
of a reason against emotions.
Conscience in psychology
Logotherapy is directed to meaningfulness of concrete in context of the structure of previous and actual life.
Conscience, „organ of meaning“. (V. E. Frankl).
Conscience in psychology
Analytical psychology: Archetype as a pattern of behavior.
Conscience arises from a collision of this archetype.
Conscience in philosophy
Conscience is some of key topics in philosophy, it is a centre of human persons.
From this point of view we can understand the medical ethics as very strongly anthropocentricly founded.
Large european philosophic tradition do not understand the conscience as alibistic excuse of human acts.
Conscience warns against bad acts and leads the human life to the fullest experience with its own human dignity.
Conscience in philosophy
Plato: Daimon tells to Socrates, what he should not do. It is a rational reflection of future acts. (Apology, Timaios)
Conscience in philosophy
Thomas Aquinas: Synderesis: good is to be done and pursued, and
evil is to be avoided. Consciencia: conscience is an act of practical
reason, as opposed to speculative reason, and thus has "the good" as its object in relation to particular further actions.
In relation to those particular further actions, the action of conscience may be either antecedent or consequent.
Conscience in philosophy
Kant: Pre-critial period: Conscience as an internal court. Duty to oneself. Critical period: Conscience as inborne judge, the different persons
involved in it (the “accuser”, “defender” and “judge”)
Svědomí ve filozofii
Hegel: Tension between Subjective (individual) and
Objective (society).
What is objective, is good.
We should accept this objective Good. (Phänomenologie des Geistes, Enzyklopädie der
phil. Wissenschaften, Grundlinie der Philosophie des Rechts)
Conscience in philosophy
Nietzsche: A great critic of judeo-christian morality He condemned institutionalized Christianity for
emphasizing a morality of pity, which assumes an inherent illness in society.
He emphasises all the good, joy, beauty and life. A criterion is idea o enternal return: 'This life as you now live it and have lived it, you
will have to live once more and innumerable times more' .
Conscience in philosophy
Heidegger: Conscience calls as from inauthentic to authentic
Dasein (Way of life).