在本文中,我利用哲学中的实用主义传统,学术在临床伦理咨询中的集体智慧,并尝试将实用主义应用于临床伦理学,以发展一种称为新临床实用主义的临床伦理学实践的新视野。它认为临床伦理学方法论,从新临床实用主义者的角度来看,相当于建议顾问应定制一种方法论方法,借鉴各种可用的方法,根据具体情况的要求,并且应该避免试图确定一个“真正的”方法,但要避免这些尝试的不连贯和不可避免的失败。我认为,实用主义对实践智慧和实验的重视使新临床实用主义者能够做到这一点,同时避免了选择方法的非理性。我讨论了新临床实用主义者如何给出一个独特的,对临床伦理咨询关键方面的建设性观点,如共同道德的选择与医学方法的内在道德,工艺标准,生物伦理调解,和叙事伦理,并建议新临床实用主义的宽松方法选择方法如何鼓励顾问平衡对病例细节的关注与许多有见地的临床伦理学方法学者在过去发现有用的知识。我还认为,新临床实用主义与使临床伦理咨询专业化的努力是一致的。
In this paper, I leverage the pragmatist tradition in philosophy, the collective wisdom of scholarship in clinical ethics consultation, and earlier attempts to apply pragmatism in clinical ethics to develop a new vision of clinical ethics practice called New Clinical Pragmatism. It argues that clinical ethics methodology, from the New Clinical Pragmatist\'s perspective, amounts to the recommendation that consultants should customize a methodological approach, drawing on the various available methods, depending on the demands of the specific case, and should avoid attempts to identify a \'true\' methodology but to the incoherence and inevitable failure of those attempts. I argue that pragmatism\'s emphasis on practical wisdom and experimentation allow the New Clinical Pragmatist to do this while avoiding irrationality in choosing methods. I discuss how the New Clinical Pragmatist gives a unique, constructive perspective on key aspects of clinical ethics consultation such as the choice of common morality vs. internal morality of medicine approaches, process standards, bioethics mediation, and narrative ethics, and suggest how New Clinical Pragmatism\'s relaxed approach to choice of methodology encourages consultants to balance attention to the particulars of the case with knowledge of what the many insightful scholars of clinical ethics methodology have found useful in the past. I also argue that New Clinical Pragmatism is consistent with efforts to professionalize clinical ethics consultation.