Essay about Conscience, As Related To Medical Ethics

What is morality? Where does our sense of morality come from and why is it important for us to know? The cognitive scientist, psychologist, linguist, and scholar, Steven Pinker discusses this in his essay, “The Moral Instinct”. In this essay, Pinker claims that our morality sense is innate, it constantly changes, and it is universal among each culture. Pinker also explains that moral sense shapes our judgement as it is something that we value and seek in other people. The science of the moral sense is important since it shows how morality impacts our actions and it explains why we act in certain ways.

Each person is in control of their actions in life. Although conscience may make each individuals actions seem honorable, the truth is they might be.

While some the Conscience clause protects ethical and moral views, it can cause a negative impact on the other end of the spectrum. One of

Rebecca Saxe’s Do the Right Thing: Cognitive Science’s Search for a Common Morality analyzes multiple research studies performed on the ethical ideas of morality. Saxe uses three current studies to validate her argument, including a Harvard internet study, research on the cognitive activity in the brains of an infant, and analysis of brain imaging using an fMRI. She uses logos and ethos in this essay to support her argument that scientific research will never fully explain the process that a human takes to make a sound, moral judgement, despite all of the innovative studies being performed. Saxe begins her argument by presenting a scenario that helps the reader to further understand the topic being discussed: moral dilemmas. The scenario includes

The Catechism of the Catholic Church defines conscience as, “ a judgment of reason whereby the human person recognizes the moral quality of a concrete act that he is going to perform, is in the process of performing, or has already completed” (CCC, 1778). There are other dictionary definitions of conscience, but they do not take Catholic morals into consideration. While conscience can be affected by many deteriorating factors like peer pressure, the Catholic Church provides methods on how a conscience should act. There are many examples of ethical problems people face in their everyday lives, and techniques like the SEER method help them get through those moral dilemmas. There are many things people assume a conscience is and is not. The Catholic

Every day we are faced with certain situations that challenge us with how to act in an ethical manner. It can be human nature to feel unsure or conflicted with the correct moral choice. Some can say that one should know how to handle such dilemmas and others may say that there should be a reference of some sort to help guide through such conflicts. Sometimes we know the answers and sometimes we are unsure of how to handle certain situations. Most times we go through life wondering what we should do. As I become further educated on the different theories of ethics, I believe there are answers that are available in guiding one through an ethical dilemma and or judgment. I will discuss Vincent Ruggiero’s three basic criteria, Robert Kegan’s order of consciousness, the three schools of ethics and the correlation between all three.

The book starts to build up the framework for resolving right versus right based off of Aristotle’s view of sleep ethics. Sleep ethics relies on “insights, feelings, and instincts” (Badaracco, 42) to solve moral dilemma and is also known as ethics intuition. Aristotle highly view intuition because it is “more reliable in deliberation than detached intellectual judgments” (Badaracco, 52) and that it “could penetrate to the essence of the issue” (Badaracco, 52). Aristotle’s sleep ethics supplements criteria to denounce me-ism and support development of ethical character. He purposefully made the criteria vague for people “to reflect on who they are and what they hope to become, to feel and act on what they cares the most deeply about, to make commitments and try to live by them” (Badaracco,

This paper will compare the usefulness of character-based and consequence-based approaches in making moral decisions. In a character-based approach, the consideration of the moral agent is central in making decisions, and actions are made in order to reflect and strengthen good character. In a consequence-based approach, the consideration of the outcome is central in making moral decisions, and actions are judged based on the outcome. Usefulness will be defined in terms of three aspects: consistency, convenience and assurance, with assurance being defined as the confidence that the decision made is correct. Through the comparison of the two approaches, it becomes clear that a character-based approach is more useful in making a decision.

In his second essay of the Geneaology of Morals, Nietzsche attempts to identify and explain the origin of the conscience. He does not adopt the view of the conscience that is accepted by the “English Psychologists”, such as Bentham, J. Mill, J.S. Mill and Hume, as the result of an innate moral feeling. Rather, it is his belief that the moral content of our conscience is formed during childhood under the influence of society. Nietzsche defines the conscience as an introspective phenomenon brought about by a feeling of responsibility, in which one analyzes their own morality due to the internalization of the values of society. This definition holds the position that the conscience is not something innate to

Since man is the only creature to have free will and a conscience, these must be central to a good life for a human.

Man’s development of “bad conscience” is a complicated process that sees its beginnings in slave morality’s doubling of the doer and the deed. According to Nietzsche, the slave (the weaker man) had developed ressentiment towards the noble (the stronger man), labeling the noble as evil and blaming him for slave’s suffering (20-22). The slave separated the noble (the doer) from his instinctive actions (the deeds) and claimed the noble possessed “free will;” the slave believed “the strong are free to be weak” (26). The slave set up the ideal of his own weak and passive instincts being “good” and the strong and active instincts of the nobles being “evil” (26-27). As stated by JHarden, when defining his weakness as good, “the slave turned [his] natural condition of suffering at the hands of others into a condition which should be desired” (JHarden). As religions developed, and the slave morality became dominant, this ideal of good and evil prevailed and forced man to become conscious of his instincts as separate from himself, something he could control.

Conscience, in modern usage, term denoting various factors in moral experience. Thus, the recognition and acceptance of a principle of conduct as binding is called conscience. In theology and ethics, the term refers to the inner sense of right and wrong in moral choices, as well as to the satisfaction that follows action regarded as right and the dissatisfaction and remorse resulting from conduct that is considered wrong. In earlier ethical theories, conscience was regarded as a separate faculty of the mind having moral jurisdiction, either absolute or as a representative of God in the human soul.

Professionals in every field are always confronted with some kind of ethical issues. It has however been noted that these ethical issues become high in magnitude and extent when public officials are involved. Due to the involvement of human life, an industry like healthcare holds ethics in highest regard. Even though these healthcare practitioners are highly trained to deal with issues of these kinds, their decisions can sometimes have a lasting impact on their professional and personal lives (Edwards 2009).

Imagine you are injured or sick and have sought a doctor’s help. Although you trusted your doctor, something, something seemingly very in control of the doctor, went wrong. You are angry and confused, but also think of the commonality of medical malpractice. So, why do doctors, who are supposed to help, harm? Though many flaws influence it, malpractice can be, and often is unintentional. Most doctors aren’t trained to harm their patients. Inexperience and lack of medical discovery led to unintentional suffering of the patient. Personal flaws, like lack of willingness to abandon previous medical methods and shortcomings in communication also harm patients. Further reasons why doctors harm are socio-medical understandings that breed hate, prejudices stemming from a society’s belief about certain people, such as the medical practice under the Nazi regime. Additionally, displayed in the case of Ignác Semmelweis, judgement of one to oneself can be detrimental to any progress one’s ideas could make. We will examine these concepts through Jerome Groopman’s “Flesh-and-Blood Decision Making”, Sherwin Nuland’s The Doctors’ Plague and Barbara Bachrach’s “In the Name of Public Health”. Those who practice medicine are, unfortunately, unfree from the imperfections that plague all of humanity. Through these intimate and varied faults, doctors do harm.

Evaluation of the Claim that Conscience is a Realiable Guide in Ethical Decision Making In order to decide whether or not our consciences can be relied upon, we must first examine what we mean by conscience. In order for conscience to be consistently and absolutely reliable, infallible, it must stem from an infallible source - God. Alternatively, conscience might have a potential of ultimate reliability, if the faculty of conscience was dynamic and capable of solving problems i.e. if it was an innate part of human nature. Conscience could even be totally fallible - an arbitrary by-product of experience and biology.