Conflicts and Challenges of Truth-Telling in Dentistry: A Case-Based Ethical Analysis

Objectives: The basis of truth-telling is respecting the autonomy of patients and developing an ability to make informed decisions with valid consent. The purpose of this study was to ethically analyze the conflicts about truth-telling in dentistry. Materials and Methods: This case analysis focused on the issues of truth-telling in medicine and dentistry. The challenges encountered by dentists with respect to ethical issues related to truth-telling were discussed and analyzed by the research team. Results: The literature review showed that the issue of truth-telling in dentistry has been addressed from three aspects: Truth-telling about other dentists’ medical errors, truth-telling about dangerous, refractory, or incurable diseases, and truth-telling to children or incompetent individuals for decision-making. Conclusion: When the duty of the dentist in truth-telling is conflicted with some other moral obligations, the conflict between the prima facie duties arises. The principle-based ethical theories provide a suitable conceptual framework for moral judgement in such conflicts. In cases of conflicts related to truth-telling, a balance should be maintained between principles and rules such as fidelity, respect for autonomy, maintaining trust in dentist-patient relation, and best interest of patients. The decision in truth-telling should be made individually for each patient based on the specific contextual conditions.

Applying ethical theories to the Iranian health system governance: a critical empirical assessment

The policies of health systems are inspired by ethical priorities. A critical review of policies can reveal the ethical theories/justice schools behind them. This study aimed to identify the ethical theory(ies) underpinning the Iranian health system governance over the past 50 years. This was a qualitative study conducted in two stages during 2019. First, we identified and constructed the key concepts and distinctive notions of prominent ethical theories/justice schools. Then, we spotted and selected 24 strategic laws and policy documents in the Iranian health system governance during the past 50 years and analyzed their content to surmise their underlying ethical theory. The results showed that the dominant theory affecting the policies of the Iranian health system governance over the past 50 years was egalitarian liberalism and then objective utilitarianism and relativist communitarianism. Retrospective empirical application of ethical theories to health system governance is methodologically doable, and this application reveals the mood or priorities of the politics. Also, highlighting the underpinning ethical theories of health system governance as well as the gap between ambitions versus realization are insightful and may prospectively empower and strengthen egalitarianism

Setting Health-Care Priorities: A Reply to Massimo Reichlin

This is a short reply to Professor Reichlin’s comment on my book Setting Health-Care Priorities. What Ethical Theories Tell Us. The version of prioritarianism I rely on in the book is defended as the most plausible one. The general claim that there is convergence between all plausible theories on distributive justice is also defended with regard to assisted reproduction, disability, and enhancement.

Ethics as attention to context: recommendations for the ethics of artificial intelligence

This article shows that current ethics guidance documents and initiatives for artificial intelligence (AI) tend to be dominated by a principled approach to ethics. Although this brings value to the field, it also entails some risks, especially in relation to the abstraction of this form of ethics that makes it poorly equipped to engage with and address deep socio-political issues and the material impacts of AI. This is particularly problematic considering the risk for AI to further entrench already existing social inequalities and injustices and contribute to environmental damage. To respond to this challenge posed by AI ethics today, this article proposes to complement the existing principled approach with an approach to ethics as attention to context and relations. It does so by drawing from alternative ethical theories to the dominant principled one, especially the ethics of care or other feminist approaches to ethics. Related to this, it encourages the inclusion of social sciences and humanities in the development, deployment and use of AI, as well as in AI ethics discussions and initiatives. This article presents this proposal for an ethics as attention to context and formulates a series of practical recommendations to implement this proposal concretely.

The AI ethicist’s dilemma: fighting Big Tech by supporting Big Tech

Assume that a researcher uncovers a major problem with how social media are currently used. What sort of challenges arise when they must subsequently decide whether or not to use social media to create awareness about this problem? This situation routinely occurs as ethicists navigate choices regarding how to effect change and potentially remedy the problems they uncover. In this article, challenges related to new technologies and what is often referred to as ‘Big Tech’ are emphasized. We present what we refer to as the AI ethicist’s dilemma, which emerges when an AI ethicist has to consider how their own success in communicating an identified problem is associated with a high risk of decreasing the chances of successfully remedying the problem. We examine how the ethicist can resolve the dilemma and arrive at ethically sound paths of action through combining three ethical theories: virtue ethics, deontological ethics and consequentialist ethics. The article concludes that attempting to change the world of Big Tech only using the technologies and tools they provide will at times prove to be counter-productive, and that political and other more disruptive avenues of action should also be seriously considered by ethicists who want to effect long-term change. Both strategies have advantages and disadvantages, and a combination might be desirable to achieve these advantages and mitigate some of the disadvantages discussed.

The Ethics of Human–Robot Interaction and Traditional Moral Theories

The rapid introduction of different kinds of robots and other machines with artificial intelligence into different domains of life raises the question of whether robots can be moral agents and moral patients. In other words, can robots perform moral actions? Can robots be on the receiving end of moral actions? To explore these questions, this chapter relates the new area of the ethics of human–robot interaction to traditional ethical theories such as utilitarianism, Kantian ethics, and virtue ethics. These theories were developed with the assumption that the paradigmatic examples of moral agents and moral patients are human beings. As this chapter argues, this creates challenges for anybody who wishes to extend the traditional ethical theories to new questions of whether robots can be moral agents and/or moral patients.

ETHICS IN PUBLIC RELATIONS: ETHICAL THEORIES, CODES AND CONFLICTS

Public relations, an important element of the media society, is a management function which helps establish and nurture the links of mutual communication, understanding, acceptance and cooperation between the organization and the surrounding public. The development of the public relations profession is commonly seen as a progressive evolution from unsophisticated and unethical early practice to the planned, strategic, ethical campaigns of the modern age. However, when discussing the practice of public relations in the XXI century, there are certain doubts, or rather, ethical conflicts. Being the key moral principle and the fundamental philosophical concept, truth should be the goal of every relationship and communication. However, in the public relations practice, truth is occasionally suppressed due to its partial placement. The process of communication itself functions to a significant extent through the mass media, and the violation of ethics in that respect is the trade in media space, which is a difficult form of violation of the philosophy of morality. The main purpose of this paper is to provide an overview of ethics and its development in public relations. This paper analyzes the ethics of public relations as a self-regulation platform for this profession. The application of ethical theories based on utilitarian and deontological approaches has also been discussed. In addition, codes of ethics applied in the PR profession are presented, as well as examples of unethical actions in the public relations profession.

Ethical Theories as Methods of Ethics

This chapter presents a new argument for thinking of traditional ethical theories not as criteria of rightness and wrongness, but rather as methods that can be used in first-order moral inquiry. It begins from outlining how ethical theories such as consequentialism and contractualism are flexible frameworks in which different versions of these theories can be formulated to correspond to different first-order ethical views. This chapter then argues that, as a result, the traditional ethical theories cannot be evaluated in terms of their truth or correctness. Instead, it suggests that these theories should be understood as providing different kinds of ways of thinking about difficult moral problems. Finally, the chapter recommends a certain kind of an attitude of pragmatic pluralism as something that should guide our theory choice in normative ethics—it may well be that different moral problems are better approached through different ethical theories.

Oxford Studies in Normative Ethics Volume 11

This series aims to provide, on an annual basis, some of the best contemporary work in the field of normative ethical theory. Each volume features new chapters that contribute to an understanding of a wide range of issues and positions in normative ethical theory, and represents a sampling of recent developments in this field. This 11th volume brings together 13 new essays that collectively cover a range of fundamental topics in the field, including moral conscientiousness and moral wrongness; impartiality and the boundaries of morality; moral testimony; Kant’s categorical imperative; and ethical theories as methods of ethics.