CONTENTSundpress/tocs/P01232-toc.pdfH. Tristram Engelhardt, Jr., and Fabrice Jotterand I TOWARD A PHILOSOPHY OF MEDICINE Philosophical Foundations of Medicine 1 What the Philosophy

C O N T E N T S

Acknowledgments xi

Apologia for a Medical Truant xiiiEdmund D. Pellegrino

An Introduction: Edmund D. Pellegrino’s Project 1H. Tristram Engelhardt, Jr., and Fabrice Jotterand

I T O W A R D A P H I L O S O P H Y O F M E D I C I N E

P h i l o s o ph i c a l F ounda t i o n s o f Med i c i n e

1 What the Philosophy of Medicine Is 232 Philosophy of Medicine: Should It Be Teleologically 49

or Socially Construed? 3 The Internal Morality of Clinical Medicine: A Paradigm 62

for the Ethics of the Helping and Healing Professions

T h e Med i c a l P r o f e s s i o n

4 Humanistic Basis of Professional Ethics 875 The Commodifi cation of Medical and Health Care: 101

The Moral Consequences of a Paradigm Shift from a Professional to a Market Ethic

6 Medicine Today: Its Identity, Its Role, and the Role 127 of Physicians

7 From Medical Ethics to a Moral Philosophy 147of the Professions

© 2008 University of Notre Dame Press

viii T H E P H I L O S O P H Y O F M E D I C I N E R E B O R N

I I P H Y S I C I A N - P A T I E N T R E L A T I O N S H I P

T h e Hea l i n g R e l a t i o n s h i p

8 Moral Choice, the Good of the Patient, and the 163 Patient’s Good

9 The Four Principles and the Doctor-Patient Relationship: 187The Need for a Better Linkage

10 Patient and Physician Autonomy: Confl icting Rights and 204Obligations in the Physician-Patient Relationship

I I I V I R T U E I N M E D I C A L P R A C T I C E

T h e Ph y s i c i a n a s Mo r a l A gen t

11 Character, Virtue, and Self-Interest in the Ethics of the 231Professions

12 Toward a Virtue-Based Normative Ethics for the Health 255Professions

13 The Physician’s Conscience, Conscience Clauses, 281and Religious Belief: A Catholic Perspective

I V H U M A N I S M A N D H I P P O C R A T E S : F A C I N G T H E F U T U R E

Human i t i e s i n Med i c i n e

14 The Most Humane of the Sciences, the Most Scientifi c of 309the Humanities

15 The Humanities in Medical Education: Entering the 332Post-Evangelical Era

16 Agape and Ethics: Some Refl ections on Medical Morals 349from a Catholic Christian Perspective

17 Bioethics at Century’s Turn: Can Normative Ethics 375Be Retrieved?

© 2008 University of Notre Dame Press

An Introduction ix

H i p po c r a t i c Tr a d i t i o n

18 Toward an Expanded Medical Ethics: The Hippocratic 401Ethic Revisited

19 Medical Ethics: Entering the Post-Hippocratic Era 424

Appendix: Biography of Edmund D. Pellegrino 440

Index 442

© 2008 University of Notre Dame Press