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Autonomy, subject-relativity, and subjective and objective theories of well-being in bioethics.

Among the different approaches to questions of biomedical ethics, there is a view that stresses the importance of a patient's right to make her own decisions in evaluative questions concerning her own well-being. This approach, the autonomy-based approach to biomedical ethics, has usually led to the adoption of a subjective theory of well-being on the basis of its commitment to the value of autonomy and to the view that well-being is always relative to a subject. In this article, it is argued that these two commitments need not lead to subjectivism concerning the nature of well-being.

Ethical Relativism↗

Use and abuse of empirical knowledge in contemporary bioethics.

In 1997 a debate broke out about the ethical acceptability of using placebo as a comparative alternative to establish effective treatment in trials conducted in developing countries for the purpose of preventing perinatal HIV-transmission. The debate has now been going on for more than five years. In spite of extensive and numerous attempts at resolving the controversy, the case seems far from being settled. The aim of this paper is to provide an updated account of the debate, by identifying empirical arguments employed in the controversy and by critically assessing their use in the debate. A notion of resolution of moral conflicts will be introduced that makes it possible to give a more positive verdict on the moral results of this controversy. Finally, the procedural problem of safeguarding the selection of empirical arguments against undue forms of normative bias will be addressed.

Acquired Immunodeficiency Syndrome↗

Bioethic$ Inc.

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Bioethics↗