Critical Reconstruction of Care Ethics

2023 Fiscal Year Final Research Report

• Project/Area Number: 21K00007
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 01010:Philosophy and ethics-related
• Research Institution: University of Yamanashi
• Principal Investigator: Akiba Shunsuke 山梨大学, 大学院総合研究部, 講師 (80861012)
• Project Period (FY): 2021-04-01 – 2024-03-31
• Keywords: 人生の物語り / 自己の再構成・再創造 / 自己への配慮 / 自他関係 / 関係的自律 / ケア倫理 / 意思決定支援 / ACP

Outline of Final Research Achievements

(1) We have clarified that what supports decision-making in the "final stage of life" is an ethic of care as a "new family ethic.
(2) In order to reconstruct the ethics that support decision-making over life and death by focusing on the relationship between self and others, which is a fundamental and important element of "care," it was clarified that not only the relationship with others that exists before our eyes, but also the possible relationship between self and others that we have internalized within ourself is important.
(3)We have reconstructed the ethics supporting the theoretical framework of medical treatment and care in the "last stage of life" in a different way from the ethics of care as a "new family ethics," and have presented an "ethics for self-realization in possible self-other relationships," which is established by self-internalizing self-other relationships.

Free Research Field

生命・医療倫理、死生学

Academic Significance and Societal Importance of the Research Achievements

【学術的意義】家族や関係性、意思決定主体に着目しつつ行われた本研究によって再構成された「倫理」のひとつのかたちが示されることで、現代の医療やケアにおいて最重要な要素のひとつである意思決定をめぐる倫理に関する議論の促進・深化に寄与する。
【社会的意義】本研究の分析対象は、実際に臨床現場において活用されている数々のガイドラインや指針・提言等であり、これをもとに事例検討も行った。ガイドライン等に示された内容と事例、そしてこれを接続する理論・倫理を研究成果物において鮮明に示すことで、学術的な議論に寄与するのみならず、臨床現場の医療・ケア従事者にとっても十分に活用可能であることが見込まれる。