Bioética y psicoterapia: ¿cuáles supuestos morales actúan cuando ejecutamos un acto psicoterapéutico? / Bioethics and psychotherapy: which moral assumptions sustain psychotherapeutical acts
Rev. méd. Chile
;
132(2): 243-252, feb. 2004. ilus
Article
in Spanish
| LILACS
| ID: lil-361502
RESUMO
Background: Since about 1970 biomedical ethics crystallized into a full-fledged discipline. The so called ½ethical turn¼ is a fundamental conceptual challenge for the field of medicine and has generated heated controversy. Today, the ancient psychotherapeutic framework is under the severest strain in its long history. Aim: To review the relationship between psychotherapy and the conceptual shift in moral theory. Material and method: To forge a new model for the patient-physician relationship, speech acts and nature of man derived from a ½pragmatic turn¼ of bioethics. Results: Research findings suggest that behavior, cognitive and psychodinamic psychotherapies are speech-acts constituted by a hierarchy of subordinate acts distributed on three levels: the level of the locutionary act, the act of saying; the level of the illocutionary act (or force), what we do in saying; and the level of the perlocutionary act, what we provoke by the fact that we speak. Conclusions: Advances in linguistic research have led to a more sophisticated understanding of how psychotherapy affect ethical issues. These developments point towards a new era of psychotherapeutical theory and practice in which specific modes of psychotherapy can be designed to target specific dilemmas of medical ethics.
Full text:
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Index:
LILACS (Americas)
Main subject:
Psychotherapy
/
Bioethics
Type of study:
Prognostic study
Limits:
Humans
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2004
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Universidad de Valparaíso/CL
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