Highlights
As you have learned from the introduction to this course, the very idea of an “applied” ethics presents a series of challenges. On the one hand, we cannot simply and blindly learn a theory in ethics and mechanically apply it to a particular case. After all, there is no single accepted theory in ethics. But, on the other hand, we cannot hope to have any consistency in our behavior if we fail to have any guiding theory at all! HCPs and others find themselves called upon to make decisions in urgent and complex situations, and it seems arbitrary and equally problematic to deny such persons any guiding principles of ethics that might help lead toward justifiable solutions. As such, Biomedical Ethics is a field that always moves between theory and practice, or between the abstract (theories) and the concrete (cases). Indeed, it should be very clear to you that biomedical ethics becomes both interesting and relevant when we bring into play real world cases and situations that provide an opportunity to observe our theories in action and to test them out to see if they need to be revised.
Thus, one of the key methodologies in Biomedical Ethics is the method of “Case Studies,” which presents an analysis of the ethical questions arising from real-world situations as they are faced by healthcare professionals, patients, and families. In fact, some textbooks in biomedical ethics teach exclusively through the exploration of cases, and this is particularly useful for professional courses. But since we have the luxury of approaching biomedical ethics via philosophy, in this course we aim for a balance between theory and cases. Such an approach creates the responsibility of establishing a careful foundation in ethical concepts and undertaking a careful exploration of the ethically relevant facts of the case at hand. Your writing assignment for this course offers you the chance to develop your ability to find this balance.
As with many forms of writing, there are alternative ways of structuring a “case study.” Some writers strictly adhere to the type of approach suggested in this tutorial, whereas others tend organize their presentation differently or tend to combine various aspects with other creative ways of presenting their analysis. In this course, I highly recommend that you follow the structure suggested in this tutorial in order to ensure that you cover all of the relevant aspects of the assignment.
In this assignment, I recommend that you include 4 sections corresponding to the following list, or at least address all that they contain if you choose to vary the format. Again, I highly recommend you work with this structure:
A) Introduction (1-2 paragraphs): Identify the main topic of concern using the terminology, concepts, and arguments learned from our course lectures, readings, and website. Also, clearly identify the “morally relevant facts” of the case as well as any other key concepts or facts. Although you should give your reader a sense of the key parts of the “story,” this introduction should not merely be a “recounting” of the case story, but should be an actual identification of what is ethically significant about the situation, and why. It should give your reader an overview of the case and demonstrate what is significant to consider in terms of ethics. Also, your introduction should include a thesis statement in which you indicate what “side” you will be supporting in the end. This statement will structure your conclusion (see section D, below).
Once you have established the key facts of the case and what is morally relevant, you now should turn to offer a consideration of both sides of the case. The goal here is to present the strongest possible ethical arguments and reasons for both sides. These middle paragraphs should also provide an analysis and an evaluation of these arguments (Are they strong? Are there problems with certain claims or definitions within one line of argumentation?) Thus, your introduction should be followed by two sections:
B) Argument(s) for side #1: Identify the strongest argument(s) you can think of for ONE side of the debate. Be sure to include reasons supporting the argument(s) and how they relate to the theories and concepts we have learned in the course. Also include some evaluation of side #1 (What are the strengths and weaknesses of the argument? Are there possible objections? Are there controversial definitions that are presupposed by the argument? Are there slippery slope consequences? etc.)
C) Argument(s) for side #2: Identify the strongest argument(s) you can think of for the OTHER side of the debate. Go beyond simply repeating the story, and give reasons (and possible objections) to this side as well (as described in the previous paragraph).
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