Integrating theory with realistic case studies, this book examines the practical application of moral theory in clinical decision-making. With forty composite cases based on actual clinical experiences, the author describes key moral problems raised by modern medicine. He then demonstrates how these dilemmas can be resolved using a problem-solving framework termed pluralistic casuistry. This approach is pluralistic in that it accepts the relevance of many different moral grounds, drawn from different traditional moral theories, each of which may seem self-contained and hence in conflict with other claims. Consequently, the author stresses the need to achieve a synthesis of these traditional moral theories, rather than treating them as competitors. His approach is casuistrical in the sense that it considers the important differences between the cases at issue and applies the different moral appeals in different ways. The richly detailed case studies will challenge readers, clarify the ethical issues involved, and indicate how theory and practice can be integrated. Containing a multiplicity of factors faced in clinical crises, they are ideal for group discussions concerning the ways in which theory relates to actual life-or-death situations.

This book analyzes the major issues of research ethics through a careful review of the treatment in official policies on research ethics developed throughout the world (especially North America, Western Europe, and the Pacific Rim). Among the issues covered are animal research, research on human subjects, epidemiological research, genetic research, reproductive research, research on vulnerable subjects, clinical trials, drug approval and the research process, and research on women and minorities. Brody also evaluates the content and the methods of developing these policies in light of his philosophical position of pluralistic casuistry. This is the only book that analyzes all the major issues in research ethics. It is the only book which deals with these issues from an international perspective rather than just a US perspective. Major official policies from important research-intensive countries are reprinted in the appendix (close to 200 plates of otherwise difficult material).

"When it comes to morality as it is practiced in medicine, Brody makes clear that the ethical issues are never as simple as black and white - that there are myriad factors and fine nuances that can and should challenge decision making as it is commonly practiced in difficult medical cases. In this collection, delving thoughtfully and systematically into methodology, research ethics, clinical ethics, and Jewish medical ethics, he tackles thorny life-and-death questions head-on and fearlessly. He casts a light into all the corners of end-of-life decisions - a field in which he has exemplary credentials - while illuminating a new understanding of morality and ethics." "The introduction outlines much of Brody's approach, defines the terminology used, and contrasts his ethical positions with much of the competing literature, Taking Issue will be invaluable to students and scholars in medical ethics, bioethics, and the philosophy of medicine." "Baruch A. Brody is the Leon Jaworski Professor Biomedical Ethics and director of the Center for Medical Ethics and Health Policy at Baylor College of Medicine. He is also a professor of philosophy at Rice University and director of the Ethics program at the Methodist Hospital."--BOOK JACKET