臨床研究と生命倫理ジャーナル

概要

Further Development of Beauchamp and Childress' Theory Based on Empirical Ethics

Mette Ebbesen, Svend Andersen and Birthe D. Pedersen

The American ethicists Tom L. Beauchamp and James F. Childress developed a framework of four ethical principles which are useful to analyze ethical complex cases in biomedicine. These four principles are respect for autonomy, beneficence, nonmaleficence, and justice. Beauchamp and Childress believe that their approach to manage ethical difficult cases is cross cultural i.e. that it can be used in different cultures such as American, European, and Asian cultures. However, some of their critics claim that the framework of the four principles is American in nature and for this reason it cannot be used in other cultures.
Beauchamp and Childress’ theory is influential worldwide where it is taught to, and used by, students, nurses, physicians etc., therefore it is important to explore whether there are indications that this theory is actually useful in other cultures than the American and whether the theory should be modified for this purpose.
This article specifically examines how to investigate whether there are indications that the principles and method of Beauchamp and Childress are cross cultural. First, the theory of Beauchamp and Childress is introduced. Then a suitable method for studying the theory empirically is outlined. This empirical method was used for a Danish empirical study where Danish oncologists and Danish molecular biologists were interviewed. This study is reviewed in the article and it is pointed out that this study indicates that the four principles of Beauchamp and Childress are important for Danish biomedical practice. Lastly, it is concluded that similar empirical studies can be made in other cultural settings to investigate whether there are indications that the ‘principles approach’ of Beauchamp and Childress is cross cultural.