Skip to main content
Log in

Respect for persons, respect for integrity

Remarks for the conceptualization of integrity in social ethics

  • Scientific Contribution
  • Published:
Medicine, Health Care and Philosophy Aims and scope Submit manuscript

Abstract

Even though respect for integrity is hailed in several authoritative legal and ethical documents, and is typically presented as a complement to respect for autonomy, it is largely neglected in many leading works in ethics. Is such neglect warranted, or does it express a prejudice? This article argues that the latter is the case, and that this is due to misplaced conceptual concerns. It offers some proposals as regards the conceptualization of integrity in social ethics in general and in biomedical ethics in particular. Five main directions of interpretation of “integrity” are discerned and shown to be relevant for different areas of biomedical ethics. The defense of respect for integrity is served by a softening of principlism and by greater attention to context among the initial critics of this principle.

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

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • M. Andersson (1994) Integritet som begrepp och princip Åbo Akademis förlag Åbo

    Google Scholar 

  • T.L. Beauchamp J.F. Childress (2001) Principles of Biomedical Ethics EditionNumber5 Oxford UP Oxford

    Google Scholar 

  • T.L. Beauchamp L.B. McCullough (1984) Medical Ethics: The Moral Responsibilities of Physicians Prentice Hall Englewood Cliffs, New York

    Google Scholar 

  • T.L. Beauchamp (1994) ‘The “Four-principles” Approach’ R. Gillon (Eds) Principles of Health Care Ethics John Wiley & Sons NY

    Google Scholar 

  • E. Bischofberger (1990a) ‘Människosyn, integritet och autonomi’ S.-O Andersson (Eds) Lidandet och makten Gothia Stockholm

    Google Scholar 

  • E. Bischofberger (1990b) ‘The Ideas of Integrity and Autonomy: Discussion’ P. Allebeck B. Jansson (Eds) Ethics in Medicine – Individual Integrity Versus Demands of Society Raven Press NY

    Google Scholar 

  • C. Blomquist (1971) Medicinsk etik Natur och Kultur Stockholm

    Google Scholar 

  • J. Blustein (1991) Care and Commitment: Taking the Personal Point of View Oxford University Press New York

    Google Scholar 

  • C. Boorse (1977) ArticleTitle‘Health as a Theoretical Concept’ Philosophy of Science 44 542–573 Occurrence Handle10.1086/288768

    Article  Google Scholar 

  • C. Calhoun (1995) ArticleTitle‘Standing for Something’ Journal of Philosophy 92 235–260

    Google Scholar 

  • D. Cox M La Caze M.P. Levine (2003) Integrity and the Fragile Self Ashgate Aldershot

    Google Scholar 

  • L. Curtin M.J. Flaherty (1982) Nursing Ethics: Theories and Pragmatics Prentice-Hall Bowie Maryland

    Google Scholar 

  • G. Dworkin (1988) The Theory and Practice of Autonomy Cambridge UP New York

    Google Scholar 

  • H.T. Engelhardt SuffixJr. (1986) The Foundations of Bioethics Oxford UP Oxford

    Google Scholar 

  • H.T. Engelhardt SuffixJr. (1991) Bioethics and Secular Humanism: The Search for a Common Morality SCM Press London

    Google Scholar 

  • R.R. Faden T.L. Beauchamp (1986) A History and Theory of Informed Consent Oxford UP New York

    Google Scholar 

  • R. Fjellström (2004) ArticleTitle‘ Varför människor har lika Värde’ Filosofisk tidskrift 68 5–20

    Google Scholar 

  • H.G. Frankfurt (1971) ArticleTitle‘Freedom of the Will and the Concept of a Person’ Journal of Philosophy 68 5–20

    Google Scholar 

  • R. Gaita (2000) Common humanity Routledge London

    Google Scholar 

  • J. Glover (1990) Causing Death and Saving Lives Penguin Books London

    Google Scholar 

  • Hermerén G. (1996) Forskningens pris, forskningsetiska problem och principer i humaniora och samhällsvetenskap Humanistisk-samhällsvetenskapliga forskningsrådet Stockholm

    Google Scholar 

  • H. Kelman (1977) ArticleTitle‘Privacy and Research with Human Beings’ Journal of Social Issues 33 169–195 Occurrence Handle11661565

    PubMed  Google Scholar 

  • Kemp P. et al. ed. (2000). Basic Ethical Principles in European Bioethics and Biolaw, Vol. I: Autonomy, Dignity, Integrity and Vulnerability. Centre for Ethics and Law, Copenhagen, Denmark, and Institut Borja de Bioética, Barcelona, Spain

  • M.E. Levine (1971) ArticleTitle‘Holistic Nursing’ Nursing Clinics of North America 6 253–264 Occurrence Handle5207059

    PubMed  Google Scholar 

  • B.L. Miller (1981) ArticleTitle‘Autonomy and the Refusal of Lifesaving Treatment’ Hastings Center Report. 11 IssueID4 22–28 Occurrence Handle7298320

    PubMed  Google Scholar 

  • L. Nordenfelt (1995) On the Notion of Health: An Action Theoretic Approach (2nd rev. ed) Kluwer Dordrecht

    Google Scholar 

  • R. Noggle (1999) ArticleTitle‘Integrity, the Self, and Desire-Based Accounts of the Good’ Philosophical Studies 96 303–331 Occurrence Handle10.1023/A:1004387711585

    Article  Google Scholar 

  • E.D. Pellegrino (1990) ‘The Relationships of Autonomy and Integrity in Medical Ethics’ P. Allebeck B. Jansson (Eds) Ethics in Medicine Raven Press New York

    Google Scholar 

  • E.D. Pellegrino (1994) ‘The Four Principles and the Doctor–Patient Relationship: the Need for a Better Linkage’ R. Gillon (Eds) Principles of Health Care Ethics John Wiley & Sons NY

    Google Scholar 

  • E.D. Pellegrino D.C. Thomasma (1988) For the Patient’s Good: The Restoration of Beneficience in Health Care Oxford University Press Oxford/NY

    Google Scholar 

  • M.E. Rogers (1970) An introduction to the theoretical basis of nursing A. Davis Philadelphia

    Google Scholar 

  • J. Savulescu (1999) ‘Rational Desires and the Limitation of Life-Sustaining Treatment’ H. Kuhse P. Singer (Eds) Bioethics Blackwell Oxford

    Google Scholar 

  • N. Schauber (1996) ArticleTitle‘Integrity, Commitment and the Concept of a Person’ American Philosophical Quarterly 33 119–129

    Google Scholar 

  • P. Sundström (1996) Sjukvårdens etiska grunder Daidalos Göteborg

    Google Scholar 

  • Taylor J.S. (1999). ‘The Theory of Autonomy’. Humane Studies Review. 12(3):

  • T. Torbjön (1998) Vårdetik Thales Sthlm

    Google Scholar 

  • K.E. Tranøy (1993) Medicinsk etik i vår tid Studentlitteratur Lund

    Google Scholar 

  • R. Young (1998) ‘Informed Consent and Patient Autonomy’ H. Kuhse P. Singer (Eds) A Companion to Bioethics. Blackwell Oxford

    Google Scholar 

  • Encyclopedia of Bioethics. (Vol. 3) (1995). Simon & Schuster, Macmillan, NY

  • Svensk ordbok. (1986). Göteborg: Språkdata & Esselte studium

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Roger Fjellstrom.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Fjellstrom, R. Respect for persons, respect for integrity. Med Health Care Philos 8, 231–242 (2005). https://doi.org/10.1007/s11019-004-7694-3

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11019-004-7694-3

Keywords

Navigation