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To: K-list
Recieved: 2002/05/21 03:19
Subject: Re: [K-list] The Ego/Morality Debate
From: lionessbleu1


On 2002/05/21 03:19, lionessbleu1 posted thus to the K-list:

My two cents worth:

Morals are personal and/or cultural standards of behaviour.
Values are our own personal beliefs of right and wrong.
Ethics is the study and science where morals and values
interface...where the rightness and the wrongness of behavior clash.

As a medical professional it is not unusual to make moral decisions
based on my values almost every day.

There are 5 principles that guide me:

Beneficience: to do good and to alleviate sufferring

Non-maleficence: To do no harm.

(this is often in conflict on a daily basis)

Autonomy: Ability to have self determination for my patient and/or
me. "I decide, I choose for me...."
*Autonomy is comprised of 3 concepts...
1. Informed consent or informed refusal
2. Capacity or the ability to take all the knowledge in to make an
informed decision.
3. Advanced directives- for patients it is the ability to spell out
my decisions while I am in able (in a health care context). This is
used in making decisions on whether or not to use extreme or heroic
measures to prolong life when the patient can no longer speak for
themselves.

Duty: Descibes our relationship with those we serve.
*Duty involves 3 understandings:
1. Truth (veracity)is to to tell our patients (and the family) the
truth.
2. Fidelity is the agreement we have with our patients to not abandon
them.
3. Protect minors. We have a duty to protect those who cannot speak
for themselves.

Justice: To treat people equally.

In many, many cultures duty (particularly duty to family and or tribe)
often comes before autonomy. It is only those cultures who have a
system based on the reverence for the individual and his/her choices
( such as in the US of A where this is considered a sacred and
unalienable right) who stress autonomy over duty. It is still far
more prevalent in our world cultures to stress duty over autonomy.

So what you are asking is really a question of personal ethics.
Hopefully, with me providing this guideline you will be able to adapt
that and develop your own ethics.

What is immoral and unethical is sometimes legal.

And the reverse can be true...what is moral and ethical can be
illegal.

Susan



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