Skip to main content

The Empirical Limits of Consensus: Can Theory and Practice be Reconciled?

  • Chapter

Part of the book series: Philosophy and Medicine ((PHME,volume 46))

Abstract

The discussion in this volume has focused on the philosophical or theoretical issues concerning moral consensus. That “consensus” has become an important feature of bioethical analysis with hospital ethics committees and national commissions has also been noted along with the recognition of certain benefits to be achieved through this process. According to Engelhardt [12], consensus has the benefit of reducing conflicts among political groups and thereby increasing cooperation for intended goals. Consensus also provides a mechanism whereby diverse community groups and consumers of health care services (such as those who desire embryo transfer and in vitro fertilization procedures) can have their viewpoints considered. In time, a chronicle of moral positions could be created to provide the framework for a “rational” base for future decisions in these matters. However, the problems of consensus as a method for arriving at moral “rightness” are also well described by Bayertz and Engelhardt, as well as Moreno, who have thought deeply about these issues ([3]; [12]; [27]; [28]; see also [40]; [18]). The main presentations have articulated the important conceptual concerns in assessing the relevance of consensus as an approach to ethical decisions in biomedicine.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Bibliography

  1. Applebaum, P. and Roth, L.H.: 1981, ‘Clinical Issues in the Assessment of Competency’, American Journal of Psychiatry 138, 1462–1467.

    Google Scholar 

  2. Ashton, R.H. and Ashton, A.H.: 1990, ‘Evidence-Responsiveness in Profession Judgment — Effects of Positive Versus Negative Evidence and Presentation Mode’, Organizational Behavior and Human Decision Processes 46, 1–19.

    Article  Google Scholar 

  3. Bayertz, K.: 1994, ‘The Concept of Moral Consensus’, Philosophical Reflections in this volume, pp. 41–57.

    Google Scholar 

  4. Bell, B.E. and Loftus, E.F.: 1989, ‘Trivial Persuasion in the Courtroom: The Power of (a Few) Minor Details’, Journal of Personality and Social Psychology 56, 669–679.

    Article  Google Scholar 

  5. Bell, D.E.; Raiffa, H. and Tversky, A. (eds.): 1988, Decision Making: Descriptive, Normative, and Prescriptive Interactions, Cambridge University Press, Massachusetts.

    Google Scholar 

  6. Caplan, C. and Miller, B.: 1987, ‘Group Decision Making and Normative Versus Informational Influence: Effects of Type of Issue and Assigned Decision Rule’, Journal of Personality and Social Psychology 53, 306.

    Article  Google Scholar 

  7. Casper, J.D. et al.: 1989, ‘Juror Decision Making, Attitudes, and the Hindsight Bias’, Law and Human Behavior 13, 291–310.

    Article  Google Scholar 

  8. Chaiken, S.: 1979, ‘Communicator, Physical Attractiveness and Persuasion’, Journal of Personality and Social Psychology 37, 1387–1397.

    Article  Google Scholar 

  9. Conley, J.M. et al..: 1978, ‘The Power of Language: Presentational Style in the Courtroom’, Duke Law Journal 6, 1375–1399.

    Google Scholar 

  10. Dane, F.C.: 1982, ‘Effects of Defendant’s and Victim’s Characteristics on Juror’s Verdicts’, in N.L. Kerr and R.M Bray (eds.), The Psychology of the Courtroom, Academic Press, New York, pp. 83–115.

    Google Scholar 

  11. Davis, R.: 1980, ‘Group Decision and Procedural Justice’, in M. Fishbein (ed.), Progress in Social Psychology, Volume I, L. Earlbaum Associates Incorp., Hillsdale, N.J.

    Google Scholar 

  12. Engelhardt, H.T. Jr.: 1994, ‘Consensus: How Much Can We Hope for? A Conceptual Exploration Illustrated by Recent Debates Regarding the Use of Human Reproductive Technologies’, in this volume, pp. 19–40.

    Google Scholar 

  13. Fischhoff, B.: 1975, ‘Hindsight/Foresight: The Effect of Outcome Knowledge on Judgment Under Uncertainty’, Journal of Experimental Psychology: Human Perception and Performance 15, 190–194.

    Google Scholar 

  14. Fischhoff, B. et al.: 1978, ‘How Safe is Safe Enough? A Psychometric Study of Attitudes Towards Technological Risks and Benefits’, Policy Science 9, 127–152.

    Article  Google Scholar 

  15. Greene, E. et al.: 1989, ‘The Impact of Physical Attractiveness, Gender, and Teaching Philosophy on Teacher Evaluations’, Journal of Educational Research 82, 172–177.

    Google Scholar 

  16. Hastie, et al.: 1983, Inside the Jury, Harvard University Press, Cambridge, Massachusetts.

    Google Scholar 

  17. Hulka, B.S. et al.: 1979, ‘Peer Review in Ambulatory Care: Use of Explicit Criteria and Implicit Judgments’, Medical Care (Sup) 17 (3), 1–73.

    Google Scholar 

  18. Jennings, B.: 1991, ‘Possibilities of Consensus: Toward Democratic Moral Discourse’, The Journal of Medicine and Philosophy 16, 447–463.

    Google Scholar 

  19. Kalven, H. and Zeisel, H.: 1986, The American Jury, University of Chicago Press, Chicago.

    Google Scholar 

  20. Kassin, S.M.: 1990, ‘The American Jury: Handicapped in the Pursuit of Justice’, Ohio State Law Journal 51, 687.

    Google Scholar 

  21. Koran, L.M.: 1975, ‘The Reliability of Clinical Methods, Data and Judgments’, New England Journal of Medicine 293, Part 1, 642–646.

    Article  Google Scholar 

  22. Lakoff, G. and Johnson, M.: 1980, Metaphors We Live By, University of Chicago Press, Chicago & London.

    Google Scholar 

  23. Loftus, E. and Palmer, J.: 1974,‘Reconstruction of Automobile Destruction: An Example of the Interaction Between Language and Memory’, Journal of Verbal Learning and Verbal Behavior 13, 585–589.

    Article  Google Scholar 

  24. Mabry, E.A.: 1989, ‘Some Theoretical Implications of Female and Male Interaction in Unstructured Small-Groups’, Small Group Behavior 20, 536–550.

    Article  Google Scholar 

  25. Marder, N.: 1987, Note: Gender Dynamics and Jury Deliberations, Yale Law Review 96, 593.

    Article  Google Scholar 

  26. McNeil, B.J. et al.: 1982, ‘On the Elicitation of Preferences for Alternative Therapies’, New England Journal of Medicine 27; 306 (21), 1259–1262.

    Article  Google Scholar 

  27. Moreno, J.D.: 1991, ‘Consensus, Contracts and Committees’, The Journal of Medicine and Philosophy 16, 393–408.

    Google Scholar 

  28. Moreno, J.D.: 1994, ‘Consensus by Committee: Philosophical and Social Aspects of Ethics Committees’, in this volume, pp. 145–162.

    Google Scholar 

  29. Noll, R.G.: 1971, Reforming Regulation, Brookings Institution, Washington, D.C.

    Google Scholar 

  30. Noll, R.G. (ed.): 1985, Regulatory Policy and the Social Sciences, University of California Press, Berkeley.

    Google Scholar 

  31. Pallak, S.R.: 1983, ‘Salience of a Communicator’s Physical Attractiveness and Persuasion: A Heuristic Versus Systematic Processing Interpretation’, Soc. Cognition 2, 158–170.

    Article  Google Scholar 

  32. Payne, B.C.: 1977, ‘Research in Quality Assessment and Utilization Review in Hospital and Ambulatory Settings’, in P.Y. Ertel and M.G. Aldridge (eds.), Medical Peer Review Theory and Practice, C.V. Mosby Co., St. Louis, pp. 335–355.

    Google Scholar 

  33. Richardson, S.M.: 1972, ‘Peer Review of Medical Care’, Medical Care 10,29–39.

    Google Scholar 

  34. Sigall, H. and Ostrove, N.: 1975, ‘Beautiful but Dangerous: Effects of Offender Attractiveness and Nature of the Crime on Juridic Judgment’, Journal of Personality and Social Psychology 31, 410–414.

    Article  Google Scholar 

  35. Slovic, P. et al.: 1979, ‘Rating and Risks’, Environment 21, 14–39.

    Article  Google Scholar 

  36. Somer, R.: 1961, ‘Leadership in Group Geography’, Sociometry 24, 99–110.

    Article  Google Scholar 

  37. Swann, W.B. et al.: 1982, ‘Where Leading Questions Can Lead: The Power of Conjecture in Social Interaction’, Journal of Personality and Social Psychology 42,1025–103

    Article  Google Scholar 

  38. Tancredi, L. and Weisstub, D.N.: 1986, ‘The Ideology of Epidemiological Discourse in Law and Psychiatry: Ethical Implications’ in L. Tancredi (ed.), Ethical Issues in Epidemiological Research, Rutgers University Press, New Brunswick, pp. 157–1

    Google Scholar 

  39. Tversky, A. and Kahneman, D.: 1974, ‘Judgment Under Uncertainty: Heuristic and Biases’, Science 185, 1124–1131.

    Article  Google Scholar 

  40. Veatch, R.M.: 1991, ‘Consensus of Expertise: The Role of Consensus of Experts in Formulating Public Policy and Estimating Facts’, The Journal of Medicine and Philosophy 16, 427–446.

    Google Scholar 

  41. Zuckerman, M. et al.: 1981, ‘Verbal and Non-Verbal Communication of Deception’, Advances in Experimental Social Psychology 14, 1–59.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1994 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Tancredi, L.R. (1994). The Empirical Limits of Consensus: Can Theory and Practice be Reconciled?. In: Bayertz, K. (eds) The Concept of Moral Consensus. Philosophy and Medicine, vol 46. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-0860-7_10

Download citation

  • DOI: https://doi.org/10.1007/978-94-011-0860-7_10

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-4371-7

  • Online ISBN: 978-94-011-0860-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics