The experience of the last thirty years has shown that whether the different methodologies used in clinical ethics work well or not depends on certain external factors, such as the mentality with which they are used. This article aims to analyze two of these mentalities: the “dilemmatic” and the “problematic.” The former uses preferably the decision-making theory, whilst the latter emphasizes above all the role of deliberation. The author considers that Clinical Ethics must be deliberationist, and that only in this context the different methodologies can be used correctly
Keywords decision-making  clinical ethics  deliberation  ethical methodologies
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Reprint years 2004
DOI 10.1023/A:1011445128427
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Refining Deliberation in Bioethics.Miguel Kottow - 2009 - Medicine, Health Care and Philosophy 12 (4):393-397.

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