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Rev Med Chil. 2004 Feb;132(2):243-52.

[Bioethics and psychotherapy: which moral assumptions sustain psychotherapeutical acts?].

[Article in Spanish]

Author information

  • 1Departamento de Psiquiatría, Escuela de Medicina, Universidad de Valparaiso. gufigueroa@terra.cl

Abstract

BACKGROUND:

Since about 1970 biomedical ethics crystallized into a full-fledged discipline. The so called "ethical turn" 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 "pragmatic turn" of bioethics.

RESULTS:

Research findings suggest that behavior, cognitive and psychodynamic 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 affects 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.

PMID:
15449562
[PubMed - indexed for MEDLINE]
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