著者

朝倉 輝一

出版者

東洋大学法学会

雑誌

東洋法学 = TOYOHOGAKU (ISSN:05640245)

巻号頁・発行日

vol.64, no.3, pp.169-187, 2021-03-25

著者

朝倉 輝一

出版者

東洋大学法学会

雑誌

東洋法学 = TOYOHOGAKU

巻号頁・発行日

vol.60, no.3, pp.1(330)-22(309), 2017-03

著者

朝倉 輝一

出版者

東洋大学国際哲学研究センター

雑誌

国際哲学研究 = Journal of International Philosophy (ISSN:21868581)

巻号頁・発行日

no.1, pp.119-127, 2012-03

著者

朝倉 輝一

出版者

日本医学哲学・倫理学会

雑誌

医学哲学 医学倫理 (ISSN:02896427)

巻号頁・発行日

vol.23, pp.131-134, 2005-10-26 (Released:2018-02-01)

著者

朝倉 輝一

出版者

日本医学哲学・倫理学会

雑誌

医学哲学 医学倫理 (ISSN:02896427)

巻号頁・発行日

vol.23, pp.43-53, 2005-10-26 (Released:2018-02-01)

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Nurses often face ethical dilemmas involving issues of conscience and responsibility. Etymologically, "conscience" (συνειδησιs, conscientia) involves getting to know meaning of one's own act together with the internalized other. In order for a person to protect his or her identity when exposed to danger, conscience is "the internal surveillance organization" which judges orders according to his or her subjective restraint-norm" in relation to a specific act and features "a cognitive element and an influence-element". Not only does it mean the internal moral sense for distinguishing right from wrong freedom of an inside, but also it is inevitably accompanied by an external act in some form, such as an act or an omission. It is possible, however, that one's appeal to conscience makes a wrong decision because of incorrect information, groundless belief etc. But nurses should be allowed to refuse to carry out particular treatment or procedures based on personal appeal to conscience. Therefore the nurse appealing to conscience must undertake a step-by-step process of justification in order to fulfill a duty of care by carefully considering the patient's safety and welfare, based on acceptance of consequence and exact information. Administrators must discern whether the nurse appealing to conscience makes judgment based on appropriate knowledge and correct information and whether the proposed result is safe and acceptable. If so, administrators have a duty to support that result.Although the appeal to conscience is a fundamental right and can reveal someone's dishonesty (the whistle-blowing), it is not positively accepted in Japan. The dignity of each person's identity cannot be protected only by nurse's appeal to conscience. Consequently nursing practice committees or other ethics committees should discuss this and similar issues which include refusal based on a nurse's appeal to conscience.

著者

朝倉 輝一

出版者

日本医学哲学・倫理学会

雑誌

医学哲学 医学倫理 (ISSN:02896427)

巻号頁・発行日

vol.21, pp.55-70, 2003-10-05 (Released:2018-02-01)

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The fact that the conception of care has drawn our attention expands the definition of the moral realm of Kantian moral theory. It means that we must listen attentively to the "excluded other." And we must resolve the dichotomy between "reason, culture, and law belonging to man" and "nature and sensation belonging to woman." Therefore the concept of care should make us think anew about the relationship between care and the other in health care. Because I do not think that a modern moral theory that includes care which adequate to the way of life lived in complex modern societies can be formulated without some universalist specification of impartiality, I find it more fruitful to construct the concept of care not as a rejection of universalism, but rather as a contribution to the development of a non-formalist, contextually senstive, and postconventional understanding of ethical life. I will describe two conceptions of "care and the other" that delineate both moral perspectives and interactional structures in health care. Following Seyla Benhabib, I shall refer to the first as the standpoint of the "generalized" and the second as the "concrete" other.

著者

朝倉 輝一

出版者

日本医学哲学・倫理学会

雑誌

医学哲学 医学倫理 (ISSN:02896427)

巻号頁・発行日

vol.17, pp.32-41, 1999-10-01 (Released:2018-02-01)

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It is the purpose of this paper to argue the possibility of the application of discourse ethics (Diskursethik) to informed consent in bio-medical ethics. Discourse ethics, in general, is conceived as intersubjective acknowledgement of the validity-claims in acts of linguistic communication. The great progress in medical techniques is transforming the problems of substantial justification, i. e. grammar of life-form. Biomedical ethics also should take this current of time into consideration. The concept of informed consent forms important part of self-determination in medical care. It consists of the autonomy of the patient. And autonomy or self-detemination in medical care makes conditions for the patient's own intention, understanding and non-controlled. Self-determination in medical care contains the resistance to the abuse of paternalism in medical care and bio-medical experiments. But it is necessary in medical care,as many authors have pointed out,to balance self-determination, nonmaleficience and beneficience. Then what are these concepts founded on ? From the discourse ethics's view, self-determination (autonomy) and beneficience in informed consent adhere in dialogical communication as the validity-claims in acts of linguistic communication. The validity-claims are explicated through speech-act theory or pragmatics. Discourse ethics was proposed by J. Habermas about thirty years ago, but it seems there are few application studies. We are expecting more studies about the application of discourse ethics to medical care.

著者

朝倉 輝一

出版者

東洋大学法学会

雑誌

東洋法学 (ISSN:05640245)

巻号頁・発行日

vol.58, no.3, pp.270-251, 2015-03

著者

朝倉 輝一 アサクラ コウイチ Koichi Asakura

出版者

東洋大学法学会

雑誌

東洋法学 = Toyohogaku (ISSN:05640245)

巻号頁・発行日

vol.55, no.2, pp.314-300, 2011-12

著者

朝倉 輝一

出版者

沖縄大学人文学部

雑誌

沖縄大学人文学部紀要 (ISSN:13458523)

巻号頁・発行日

no.11, pp.31-42, 2009-01

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本稿では、道徳教育におけるケアの倫理の在り方を検討する。教育学者ノディングズのケアの倫理は、関わり合いの中での受容性や相互性を重視する。一方、クーゼは看護倫理の立場から、ケア一元論ではなく、患者にとっての最善と社会的正義を同時に追求できる選好功利主義を対置する。特に道徳判断力形成にとっては、二者択一的なモラルジレンマよりも、医療倫理にみられるようなケーススタディをモデルとしたモラルジレンマ解決のための対話が必要である。