Principlism, Uncodifiability, and the Problem of Specification

Camb Q Healthc Ethics. 2024 Jan 15:1-22. doi: 10.1017/S0963180123000622. Online ahead of print.

Abstract

In this paper I critically examine the implications of the uncodifiability thesis for principlism as a pluralistic and non-absolute generalist ethical theory. In this regard, I begin with a brief overview of W.D. Ross's ethical theory and his focus on general but defeasible prima facie principles before turning to 2) the revival of principlism in contemporary bioethics through the influential work of Tom Beauchamp and James Childress; 3) the widespread adoption of specification as a response to the indeterminacy of abstract general principles and the limitations of balancing and deductive approaches; 4) the challenges raised to fully specified principlism by the uncodifiability thesis and 5) finally offer a defense of the uncodifiability thesis against various critiques that have been raised.

Keywords: casuistry; ethical theory; metaethics; principlism; specification; uncodifiability.