La revista Cuadernos de Bioética, órgano oficial de la Asociación Española de Bioética y Ética Médica, publica cuatrimestralmente artículos y recensiones bibliográficas sobre todas las áreas de la bioética: fundamentación, ética de la investigación, bioética clínica, biojurídica, etc. Estos proceden de los aceptados en la revisión tutelada por los editores de la revista como de otros que por encargo el comité editorial solicite a sus autores.

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The Globethics.net library contains articles of Cuadernos de Bioética as of vol. 12(2006) no. 46 to current.

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  • El lugar del hombre y la antropología en la bioética

    Tomar Romero, Francisca (Asociación Española de Bioética y Ética Médica, AEBI, 2013)
    A partir del análisis de su estatus epistemológico, el artículo se centra en la fundamentación filosófica de la bioética, destacando la necesidad de una auténtica antropología como referente o punto de partida. Por tratarse de una ética aplicada, la primera fundamentación de la bioética está en la ética. Se muestra cómo únicamente una ética personalista puede ofrecer un criterio objetivo y universal, al adoptar como referente la naturaleza o esencia del hombre. La antropología filosófica estudia al hombre como un todo, de una manera íntegra, desde la perspectiva de su naturaleza o aspectos fundamentales de su ser. Se analiza la distinción y relación entre la antropología filosófica y las antropologías positivas, así como con las ciencias físicas, humanas y sociales. Finalmente, se reflexiona sobre la actual crisis antropológica y sus consecuencias en el orden ético.
  • Discursos de género y bioética

    Aparisi Miralles, Angela (Asociación Española de Bioética y Ética Médica, AEBI, 2014)
    The purpose of this paper is to present some of the contributions of the gender discourse to the bioethical debate, specifically in the field of nursing. At the same time, it will explain the contribution of the different feminist theories to the recognition and respect of human dignity. Basically, it will describe the three fundamental models in the gender discourse: the egalitarian model, the difference model, and the model of reciprocity or complementarity. The starting point is that even though the first two models have made significant contributions in the field of bioethics, they have nonetheless brought with them some deficiencies and reductionisms inherent in their thinking. The complementarity model, on the contrary, when properly understood, allows for the combination of the principles of equality and difference between man and woman, which places it at a much more enriching standpoint within the bioethical debate
  • Una aproximación al pensamiento de Edmund D. Pellegrino (II)

    Santiago, Manuel de (Asociación Española de Bioética y Ética Médica, AEBI, 2014)
    This second approach to the doctrine and thinking of Edmund D. Pellegrino presents the basics of the author�s proposal to reform medical ethics, based on the rehabilitation of beneficence principle in health care. It describes the research and interest of our bioethicist towards the concept of �good� of the patient and his four components. Pellegrino�s classic concepts of �healing� and �help� are also analyzed, as distinctive aspects of the new ethics structure. Ultimately, the debate about the identity of Medicine is also introduced, along with the concepts of essentialism and its social constructivism, a capital issue for the author for the future of Medicine
  • Una aproximación al pensamiento de Edmund D. Pellegrino (I)

    Santiago, Manuel de (Asociación Española de Bioética y Ética Médica, AEBI, 2014)
    This essay contains an approach to the moral thinking of Pellegrino. This first part addresses the elementary sources of Medicine identity, as seen by the author, which was the starting point for his research on the role of both physicians and Medicine, and led him to his proposal to reform medical ethics. His thinking is developed in four different scopes: 1) the ideal of medical education; 2) Medicine as a moral enterprise; 3) the medical humanities in the formation and professional life of physicians; 4) the philosophy of Medicine as source and origin of medical ethics
  • La relación con el paciente desde la perspectiva personalista. Saber comunicar, un imperativo ético

    Montaner Abasolo, María del Carmen; Soler Company, Enrique (Asociación Española de Bioética y Ética Médica, AEBI, 2012)
    The ability to communicate with patients is part of health care practice and contributes to the humanization of such care and to the objectives. With basic coaching tools and personalized attention, the life of the patient can be transformed from the first moments of intervention. Beyond words, patient, in all their multidimensionality, need to be comforted and fell that they are being taken care of. The health care professionals transmits information verbally and non-verbally. «Positive» consultations are described as warm, friendly, firm and reassuring, and there exists an emphatic response to the cognitive and emotional concerns of the patient. The opposite approach involves the assumption of roles and a lack of empathy (paternalism, servility, authoritarianism, laissez-faire, etc.). The ability to communicate is an ethical need in health care training. A personalized perspective, open to transcendence, is especially suitable in the health field, where communication must take into account the complex reality that the patient is living.
  • Problemas éticos en la selección de embriones con finalidad terapéutica

    Collazo Chao, Eliseo (Asociación Española de Bioética y Ética Médica, AEBI, 2010)
    The first saviour sibling produced entirely in Spain was born in Hospital Virgen del Rocío of Seville in October 2008. The consequente mass media coverage has unleashed multiple requests for similar treatments to be curried on throughout the country. The process, its methodology and efficiency are revised. Their anthropological, ethical and deontological foundations are explored in order to assess their fulfilment. Umbilical cord banking blood is proposed as an alternative.
  • La progresiva desprotección jurídica de la vida humana embrionaria en España: de la ley 35/ 1988 a las leyes 14/ 2006 y 14/2007

    Germán Zurriaráin, Roberto (Asociación Española de Bioética y Ética Médica, AEBI, 2009)
    Este artículo analiza la Leyes españolas de Reproducción Humana Asistida y de Investigación Biomédica. Éstas permiten el uso de óvulos, embriones y fetos humanos. Junto a las dificultades técnicas y éticas que comporta la investigación con células troncales embrionarias, el descubrimiento de la reprogramación inducida de células adultas al estado embrionario (iPS) abre nuevas perspectivas en medicina regenerativa que hacen innecesario el uso de embriones congelados o producidos por transferencia nuclear. Estas razones implicarían una revisión de la legislación española en esta materia, para que la vida humana sea límite ético y fundamento para una verdadera investigación biomédica.
  • Dignidad y ética del cuidar en las enfermedades neurodegenerativas

    Russo, Teresa (2015)
    In the context of neurodegenerative diseases the doctor is called more than in other areas to respond not only to the simple question of health, but also to the need of assistance, which implicates the necessity of relationship, too. The scheme of symptom-diagnosis-treatment-healing is to be replaced in these cases with a treatment based on an open system of uncertain length and results. It is a model called “medicine of incurable”, which aims to combat the discomfort of the disease rather than the fight against the disease. In this perspective, the commitment to ensure a quality of life to the sick in itself means attention to his dignity, which is expressed in acting towards him treating him always as a person, that is protagonist of his life, and then to recognize his right to be assisted in physical, psychological and spiritual dimensions. In this model it becomes particularly important to converse with the patient, even if affected by cognitive pathologies, as well as to stimulate hope, with the belief that human being, if properly supported, is still able, even in extremely critical situations, to make out of his personal experience a chance to grow, thanks to the construction of new balances, however weak they may be.
  • Medicina y crimen contra la humanidad. El legado de la doctora Adélaïde Hautval

    Bea Pérez, Emilia (2016)
    This article approaches the testimony of the Alsatian psychiatrist Dr Adélaïde Hautval on the pseudomedicine that was practiced in the Medical experimentation Block 10 of Auschwitz Birkenau, and on her refusal to take part in this crime against humanity. By reading her deportation diary and the acts of a peculiar judgment in Auschwitz that was celebrated in London in 1964, we are confronted with the ethical and professional dilemmas that doctors, who were themselves prisoners, had to face in this situation, and that incited them to resist inhumanity by acts, to disobey their superiors, and to be solidary with the victims. This attitude enlightens us on the course to follow in front of the bio-political policies of today.
  • Identidad de la medicina en el pensamiento de Edmund D. Pellegrino

    Santiago, Manuel de (2016)
    This essay addresses Pellegrino’s thought on Philosophy of Medicine; it also provides an approach to his concerns on the changing relationship between patients and physicians which took place in the late twentieth century in the United States and, finally, to his contribution to the identity of Medicine debate. From an Aristotelian-Thomist way of thinking, and from a phenomenological approach to the medical act, he identifies the ending of Medicine and also its limits concerning to “healing”, in his two moments, curing and helping, which includes caring. Medicine –the essence of Medicine− tends to healing, for this relationship between patient and physician tends to a “good” which ultimately ends up being its finality. Medical ethics germinates within this relationship, the clinical encounter, as a universal experience of illness, pain and humane limitation. Therefore, healing is the essence of Medicine and truly its genuine identity. Besides healing any other act is not strictly medical. From the doctrine of Pellegrino emerges that original and classic idea of “the good of the patient” as the main and ruling principle of medical ethics. Medical act is no longer just a technique –a technical act− but also a moral enterprise, which our teacher relates to the so called “medical virtues”. But this “good” may not be understood nowadays in the old Hippocratic terms and should also be related to the dignity of the patients and to his or her moral autonomy. And accordingly an updating of the concept of good is demanded by the teacher who, to this intent, stresses four main aspects which are summoned in the article.
  • La realidad humana como pauta ética en la filosofía de Xavier Zubiri

    García, Juan José (Asociación Española de Bioética y Ética Médica, AEBI, 2005)
    This work explains the fundamental concepts of Xavier Zubiri about man as a moral reality. It covers the ground of this conceptualization and the reasons why its approach is diametrically opposed to ethical relativism, even though it stresses the inexorable exercise of freedom on the part of man to make his own life "in order to realize himself", in the precise sense which this expression has in the Zubirian system. Moreover the work critiques the interpretation and extensions of Zubiri's succinct ethical thought as proposed by Diego Gracia after Zubiri's death, based on works published posthumously. Specifi cally, the present work points out that an ethical form of the good, similar to Kant's position, is not congruent with what Zubiri has explicitly affirmed.
  • La realidad humana como pauta ética en la filosofía de Xavier Zubiri

    García, Juan José (Asociación Española de Bioética y Ética Médica, AEBI, 2005)
    Este trabajo explicita las nociones fundamentales de Xavier Zubiri sobre el hombre como realidad moral: el fundamento de esta conceptualización y las razones por las que su planteamiento se encuentra en las antípodas de un relativismo ético, aun cuando enfatice el inexorable ejercicio de la libertad por parte del hombre para hacer su vida -para "realizarse", en el preciso sentido que tiene este término en el sistema zubiriano. A continuación se hace una crítica a parte de la prolongación y de la interpretación del sucinto pensamiento ético del filósofo español -inédito hasta después de su muerte- propuestas por Diego Gracia. Concretamente se señala que una "ética formal del bienes", tan próxima desde su óptica a una postura kantiana, no parece congruente con lo explícitamente afirmado por Zubiri.
  • The culture war, modern economics, and environmental education in the United States

    Hargrove, Eugene C. (2016)
    Teaching ethics in public schools in the United States has been made almost impossible because of the Culture War and Modern Economics. When Catholics began to migrate to the United States in the early nineteenth century, they found that Protestant religion and ethics were taught in public schools and they created their own parochial schools. This controversy has continued for two hundred years. To encourage the Catholics to send their children to the public schools, by 1860 religion and ethics had been removed from the public schools. Concern about the teaching of ethics spread to other religious and non-religious groups. These groups attack the teaching of ethics as the indoctrination of the personal values of teachers, and when teachers include alternative ethical views to avoid indoctrination they are accused of relativism. According to Modern Economics, value terms are meaningless unless they have been translated into economic terms based on willingness to pay. This approach overlooks the social values that make up the cultural heritage of a society. Although children acquire these social values tacitly, since they are not taught these values as a common heritage, they come to believe that they invented them ahistorically and that they are just how they feel (ethical emotivism). By teaching children social values as a common heritage, the charges of indoctrination and relativism and the replacement of these values with economic terms can be avoided, later permitting a more objective role for ethics in public affairs among adults.
  • La conciencia del médico, cláusulas de conciencia y creencia religiosa: una perspectiva católica

    Pellegrino, Edmund D. (Asociación Española de Bioética y Ética Médica, AEBI, 2014)
    This Essay explores how physicians may handle conflicts or conscience facing Roman Catholic Health practitioners regarding �human life� issues, especially through conscience clauses. In five parts, the author examines �first, why conscientious objection is so important in our day; second, the moral grounding for freedom in the exercise of conscience; third, the components of the physician�s conscience; fourth, specific conflicts of conscience for Catholic physicians and institutions; and fifth, competing models of conflict resolution�
  • The centrality of philosophical anthropology to (a future) environmental ethics

    Gare, Arran (2016)
    While environmental ethics has successfully established itself in philosophy, as presently conceived it is still largely irrelevant to grappling the global ecological crisis because, as Alasdair MacIntyre has argued, ethical philosophy itself is in grave disorder. MacIntyre’s historically oriented recovery of virtue ethics is defended, but it is argued that even MacIntyre was too constrained by received assumptions to overcome this disorder. As he himself realized, his ideas need to be integrated and defended through philosophical anthropology. However, it is suggested that current defenders of philosophical anthropology have not done it justice. To appreciate its importance it is necessary accept that we are cultural beings in which the core of culture is the conception of what are humans. This is presupposed not only in thought but in social practices and forms of life. This was understood by Aristotle, but modernity has been straightjacketed by the Seventeenth Century scientific revolution and Hobbes’ philosophical anthropology, identifying knowledge and with techno-science and eliminating any place for questioning this conception of humans. The only conception of humanity that could successfully challenge and replace Hobbes’ philosophical anthropology, it is argued, is Hegel’s philosophical anthropology reformulated and developed on naturalistic foundations. This involves subordinating science to a reconceived humanities with a fundamentally different role accorded to ethics, placing it at the center of social life, politics and economics and at the centre of the struggle to transform culture and society to create an ecologically sustainable civilization.
  • La deontología de las corporaciones sanitarias

    González Jurado, Máximo A. (Asociación Española de Bioética y Ética Médica, AEBI, 2005)
  • Derecho, legisladores, jueces y juristas ante la bioética y la deontología médica

    Moral García, Antonio del (Asociación Española de Bioética y Ética Médica, AEBI, 2005)
  • Política de Estado ante el final de la vida: la transformación de la deontología médica

    Serrano Ruiz-Calderón, José Miguel (Asociación Española de Bioética y Ética Médica, AEBI, 2012)
    The contemporary state invades privacy in ways that affect even the end of life process. It develops public policies that can affect medical ethics. This limitation of power leaves the doctor�s attention to the profession and may become a convenient code.
  • Estudio comparativo de tres modelos occidentales de códigos deontológicos para odontólogos

    Macpherson Mayol, Ignacio; Roqué Sánchez, María Victoria; Gonzalvo Cirac, Margarita; Ribot, Eduard de (Asociación Española de Bioética y Ética Médica, AEBI, 2013)
    We performed a comparative analysis of the codes of ethics of three official organizations in Dentistry professional ethics: Code of Ethics for Dentists in the European Union, drawn up by the Council of European Dentists (CED); Código Español de Ética y Deontología Dental, published by the Consejo General de Colegios de Odontólogos y Estomatólogos de España (CGCOE); and Principles of Ethics and Code of Professional Conduct, of the American Dental Association (ADA). The analysis of the structure of the codes allows the discovery of different approaches governing professional ethics according to the ethical and legislative tradition from which they derive. While there are common elements inherent in Western culture, there are nuances in the grounds, the layout and wording of articles that allows to deduce the ethical foundations that underlie each code, and reflects the real problems encountered by dentists in the practice of their profession.

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