Respect for persons, respect for integrity: remarks for the conceptualization of integrity in social ethics.
Even though respect for integrity is hailed in several authoritative legal and ethical documents, and is typically presented as a complement to respect for autonomy, it is largely neglected in many leading works in ethics. Is such neglect warranted, or does it express a prejudice? This article argues that the latter is the case, and that this is due to misplaced conceptual concerns. It offers some proposals as regards the conceptualization of integrity in social ethics in general and in biomedical ethics in particular. Five main directions of interpretation of "integrity" are discerned and shown to be relevant for different areas of biomedical ethics. The defense of respect for integrity is served by a softening of principlism and by greater attention to context among the initial critics of this principle.
Fjellstrom
Roger
R
Department of Philosophy and Linguistics, Umeå University, SE-901 87 Umeå, Sweden. roger.fjellstrom@philos.umu.se
D004992:Ethics, Medical; D006801:Humans; D026706:Paternalism / Q000941:ethics; D026684:Personal Autonomy; D010817:Physician-Patient Relations / Q000941:ethics; D028662:Principle-Based Ethics; D012945:Social Values