Part I. Moral foundations -- 1. Moral norms -- Normative and nonnormative ethics -- The common morality as universal morality -- Particular moralities as nonuniversal -- Moral dilemmas -- A framework of moral principles -- Conflicting moral norms -- Conclusion -- 2. Moral character -- The concept of moral virtue -- Virtues in professional roles -- The central virtue of caring -- Five focal virtues -- Moral ideals -- Moral excellence -- Conclusion -- 3. Moral status -- The problem of moral status -- Theories of moral status -- From theories to practical guidelines -- The moral significance of moral status -- Vulnerable populations and vulnerable individuals -- Conclusion -- Part II. Moral principles -- 4. Respect for autonomy and the principle of respect for autonomy -- The capacity for autonomous choice -- The meaning and justification of informed consent -- Disclosure -- Understanding -- Voluntariness -- Surrogate decision making for nonautonomous patients -- Conclusion -- 5. Nonmaleficence -- The concept and principle of nonmaleficence -- Distinctions and rules governing nontreatment decisions -- Optional treatments and obligatory treatments -- Killing and letting die -- Intentionally arranged deaths : When, if ever, are they justified? -- Protecting incompetent patients from harm -- Whose risks and whose benefits? Problems of underprotection and overprotection in research -- Conclusion -- 6. Beneficence -- The concept of beneficence and principles of beneficence -- Obligatory beneficence and ideal beneficence -- Paternalism : Conflicts between beneficence and respect for autonomy -- Balancing benefits, costs, and risks -- The value and quality of life -- Conclusion -- 7. Justice -- The concept of justice and principles of justice -- Traditional theories of justice -- Two theories closely connected to the value of health -- Fair opportunity and unfair discrimination -- Vulnerability, exploitation, and discrimination in research -- National health policy and the right to health care -- Global health policy and the right to health -- Allocating, setting priorities, and rationing -- Conclusion -- 8. Professional-patient relationships -- Veracity -- Privacy -- Confidentiality -- Fidelity -- The distinction between clinical ethics and research ethics -- Conclusion -- Part III. Theory and method -- 9. Moral theories -- Criteria for assessing moral theories -- Utilitarian theory -- Kantian theory -- Rights theory -- Virtue theory -- The convergence of theories on principles -- Conclusion -- 10. Method and moral justification -- Justification in ethics -- Top-down models : Theory and application -- Bottom-up models : Cases and analogical reasoning -- An integrated model : Reflective equilibrium -- Common-morality theory -- Conclusion.
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