CATHOLIC ETHICS Chapter 8
CATHOLIC ETHICS Chapter 8
CATHOLIC ETHICS Chapter 8
1. Our study of medical ethics from the Catholic perspective is grounded in the RECOGNITION OF EACH
PERSON’S INHERENT DIGNITY, and the need to respect and uphold this dignity through the entire
spectrum of human life. THE FOLLOWING ARE THE PRINCIPLES REGARDING PATIENT-PROFESSIONAL
RELATIONSHIP:
2. The Principles of Beneficence and Nonmalfeasance. The Principle of Beneficence states that we must
always do good. Health Care Professionals (HCPs) must always do what is in their patient’s best
interests, and strive to maintain their patients’ dignity in every situation.
3. The Principle of Nonmalfeasance states that we must do not harm. The HCP must never knowingly
harm a patient, or at least must do the least amount of harm necessary to achieve the patient’s health
or well-being.
4. The Principle of Self-determination means that individuals possess the ability and the right to make
decisions for themselves. (this is a very debatable principle… please read this in the book.)
5. The Principle of Integrity and Totality. The Principle of Integrity states that all the dimensions of the
human person (physical, psychological, spiritual, social…) must be fully considered, differentiated and
developed. HCPs should not neglect any dimension of the human being, but must develop each of these
dimensions to the greatest extent possible.
6. The Principle of Totality asserts that one has duty to promote the good of the whole in one’s moral
decisions, and in promoting this overall good one can (and should) remove that which threatens it. It
means that when a part of a body threatens the body’s overall good it can be sacrificed.
7. The Principle of Informed Consent refers to a patient’s agreement to undergo a medical treatment or
procedure, or to participate in a clinical trial, after determining that the particular treatment, procedure,
or participation is in his or her best interests. Patients must be informed always of his/her medical
situation, so that he/she decides on her own! This includes the illness, the medical procedure to be
undertaken, the risks, benefits, probable results, and alternatives. They must be able to understand their
medical condition. If patient cannot understand due to age, language barrier or mental capacity, then a
third party (a family member or someone appointed by the court) should act in the patient’s best
interest. This is called “proxy consent”.
8. The Principle of Truth-Telling maintains that HCPs have a general obligation to tell patients the truth
about their conditions (and vice versa). Patients need to know the truth about their conditions so they
can exercise self-determination and make informed decisions about their care. Patients should also tell
HCPs about their true symptoms or the factors that contributed to their conditions. (This is a little
tricky… please read the book as to the reason why)
9. The Principle of Confidentiality refers to keeping sensitive information private. Unauthorized persons
must be excluded from obtaining a patient’s medical information, and those who have access to this
information must never reveal it to outside parties. (this is not absolute though… pls read the book)
10. THE SUCCEEDING PRINCIPLES CONCERN WITH THE PROVISION OF HEALTH CARE:
11. The Principle of Double Effect consists of four parts, each of which must be fulfilled in order for the
principle as a whole to be applied. A) The action in question is not intrinsically evil or is neutral. B) One
intends only the good effect of the action in question, and does not intend its harmful side-effects. C)
The evil consequences of the action is not the means by which the good consequence is achieved. D)
The harmful consequences of the action do not exceed its good consequences; or there is a
proportionate reason for permitting the evil consequences. (Remember that this principle of double
effect is not only applicable to medical ethics, but in many ethical cases as well!)
12. The Principle of Legitimate Cooperation establishes the parameters by which an individual (or
institution) may legitimately cooperate with another in the performance of a morally evil act. The two
elements of this principle are formal cooperation and material cooperation. Formal cooperation occurs
when one knowingly and freely commits a morally evil act, or when one assents to the evil intention of a
person performing an evil act through advice, encouragement or counsel. Material cooperation means
that while one does not share the viewpoint of the person performing the evil act (one may even be
morally opposed to it), one participates in the performance of the act in some way. (Please the various
differentiations of material cooperation)
13. When we go to Special Questions in Ethics (Ethics 2) we will study some medical issues pertaining to the
beginning of life. The following are some of these issues: a) The Status of the embryo b) reproductive
technology: In Vitro Fertilization (IVF), Zygote Intrafallopian Transfer (ZIFT), Tubal Embryo Transfer (TET)
and Pronuclear Stage Embryo Transfer (PROST), Intracytoplasmic Sperm Injection (ICSI), Gamete
Intrafallopian Transfer (GIFT) c) general evaluations of reproductive technology