'Despite Circumstance': The Principles of Medical Ethics and the Role of Hope

New Bioeth. 2018 Nov;24(3):258-267. doi: 10.1080/20502877.2018.1487703. Epub 2018 Jul 17.

Abstract

In this paper, I will examine how the role of hope can inform our interpretation of the classical principles of medical ethics. Defining hope as a future-oriented expectation for the good, I will look at how it can shape our understanding of justice, beneficence, respect for autonomy and non-maleficence. I will suggest that ethically engaging with these principles in medical practice requires placing value on the patient-practitioner relation as a mode of hope. Engaging the writings of Emmanuel Lévinas and Søren Kierkegaard, I will show how hope reveals itself through responsible and expectant relationship, even in the midst of suffering.

Keywords: Bioethics; embodiment; hope; medical ethics; principles.

MeSH terms

  • Beneficence
  • Bioethics
  • Ethics, Medical*
  • Hope*
  • Humans
  • Moral Obligations*
  • Personal Autonomy
  • Physician-Patient Relations*
  • Principle-Based Ethics*
  • Social Justice