This paper examines and evaluates the models and the most important methods for solving clinical cases; namely, 1) principlism, 2) deontologism, 3) consequentialism, 4) casuistry, 5) virtue ethics and 6) ethics centered on the person. The strengths and weaknesses of each are weighed and an instrument is proposed to facilitate this type of analysis. As a group, the preference is for a methodology that articulates three models: the virtue approach, the person-centered approach, and these two in harmony with an ethics (...) centered on principles. The reasons for this comprehensive option are based primarily on recognition of the primacy of the dignity of the human person and on acknowledgement that complex clinical situations require a comprehensive view of both the person and clinical practice. The latter requires virtues, ethical principles and recognition of the human person as being endowed with inherent dignity and, in turn, as the foundation of ethics and clinical practice. DOI: 10.5294/pebi.2016.20.1.2. (shrink)

El artículo plantea dudas sobre la interpretación que Crelier hace de la ética kantiana en relación con los conflictos de deberes o dilemas. Argumentamos que, a pesar de las declaraciones de Crelier en sentido contrario, él no logra articular una interpretación de la ética de Kant en la que los dilemas morales sean admisibles. En la interpretación de Crelier, sostenemos, los dilemas que son admisibles son sólo aparentes o epistémicos. Pero no queda cabida para aquellos dilemas en los que ninguno (...) de los deberes es, objetivamente, superior a otro deber en conflicto. (shrink)