Principles of Biomedical Ethics : Marking Its Fortieth Anniversary
Open accessAbstract
We are pleased to join the editors of AJOB in marking the 40th anniversary of our Principles of Biomedical Ethics (PBE). In this editorial, we will reflect back on the book’s original publication, ...
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Ethical problems can lead to conflicts between principles, values, and ways of acting.
“Whatever the cause, ethical problems can lead to conflicts between principles, values, and ways of acting [14].”
From Ethics education to support ethical competence learning in healthcare: an integrative systematic review (2022) · cites this paper as [14]
Most scholars agree that at minimum, decisions involving greater risk to life require a higher threshold of evidence of adequate mental capacity.
“most scholars agree that at minimum, decisions involving greater risk to life require a higher threshold of evidence of adequate mental capacity (33, 37, 59, 60).”
From Assisted death in eating disorders: a systematic review of cases and clinical rationales (2024) · cites this paper as [33]
The section “On Some Common Misunderstandings of PBE” discusses balancing autonomy against other ethical considerations, but does not address how to assess a person's mental capacity. Searches for mental capacity, decision-making competence, risk, and evidentiary thresholds found no passage saying that decisions posing greater risk to life require stronger evidence of capacity. The indexed passages provide no page numbers. (LLM, conf=0.74)
Experimental — accuracy not yet measuredSome evidence suggests that reporting requirements and safeguarding criteria are sometimes ignored and transgressed, especially in jurisdictions where transgressions are not always prosecuted.
“Some evidence suggests that reporting requirements and safeguarding criteria are sometimes ignored and transgressed, especially in jurisdictions where transgressions are not always prosecuted (33, 78–80).”
From Assisted death in eating disorders: a systematic review of cases and clinical rationales (2024) · cites this paper as [33]
The passages in “ON SOME COMMON MISUNDERSTANDINGS OF PBE” and “THE COMMON MORALITY” discuss ethical principles, not evidence that reporting requirements or safeguarding criteria are breached. Searches for those requirements and for non-prosecution in particular jurisdictions found no passage addressing the claim; page numbers were not available in our copy. (LLM, conf=0.76)
Experimental — accuracy not yet measuredBeauchamp and Childress later added four further principles based on behavioral norms-veracity, privacy, confidentiality, and fidelity.
“Beauchamp and Childress (87) later added four further principles based on behavioral norms—veracity (tell the truth), privacy (ensure no intruders or eavesdroppers), confidentiality, and fidelity (avoid conflicts of interest such as the potential for personal profit).”
From Planning and Evaluating Remote Consultation Services: A New Conceptual Framework Incorporating Complexity and Practical Ethics (2021) · cites this paper as [87]
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Greenhalgh, T., Rosen, R., Shaw, S. E., Byng, R., Faulkner, S., Finlay, T., Grundy, E., Husain, L., Hughes, G., Leone, C., et al. (2021) · Frontiers in Digital Health · doi:10.3389/fdgth.2021.726095 · Cited by 173 · see citing works
“Beauchamp and Childress (87) later added four further principles based on behavioral norms—veracity (tell the truth), privacy (ensure no intruders or eavesdroppers), confidentiality, and fidelity (avoid conflicts of interest such as the potential for personal profit).”
BackgroundBenzinger, L., Ursin, F., Balke, W.-T., Kacprowski, T., & Salloch, S. (2023) · BMC Medical Ethics · doi:10.1186/s12910-023-00929-6 · Cited by 95 · see citing works
Al-Ani, A., Rayyan, A., Maswadeh, A., Sultan, H., Alhammouri, A., Asfour, H., Alrawajih, T., Al Sharie, S., Al Karmi, F., Al-Azzam, A. M., et al. (2024) · BMC Medical Ethics · doi:10.1186/s12910-024-01008-0 · Cited by 21 · see citing works
Krishnamurti, L. (2020) · Hematology/Oncology and Stem Cell Therapy · doi:10.1016/j.hemonc.2019.12.008 · Cited by 5 · see citing works
- Authors
- Beauchamp, T., & Childress, J.
- Affiliations
- Georgetown University (US)
- University of Virginia (US)
- Corresponding author
- Beauchamp, Tom
- ORCID
- Childress, James
- Venue
- The American Journal of Bioethics
- Publisher
- Informa UK Limited
- Published
- 2019-10-24
- Volume
- 19
- Issue
- 11
- Pages
- 9-12
- ISSN
- 1526-5161 (ISSN-L)
- 1536-0075
- OpenAlex
- W2982152932
- Cited by
- 493
- References
- 0
- Citations by year
- 2026: 176 · 2025: 135 · 2024: 67 · 2023: 43 · 2022: 38 · 2021: 18 · 2020: 15
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The American Journal of Bioethics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Medical and Health Sciences Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics in Clinical Research
- Keywords
- Principles of Biomedical Ethics, history of bioethics, bioethics education
- MeSH terms
- Bioethics, Books, Humans, Bioethical Issues, History, 20th Century, History, 21st Century
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