This book clarifies the meaning of the most important and pervasive concepts and tools in bioethical argumentation (principles, values, dignity, rights, duties, deliberation, prudence) and assesses the methodological suitability of the main methods for clinical decision-making and argumentation. The first part of the book is devoted to the most developed or promising approaches regarding bioethical argumentation, namely those based on principles, values and human rights. The authors then continue to deal with the contributions and shortcomings of these approaches and suggest further developments by means of substantive and procedural elements and concepts from practical philosophy, normative systems theory, theory of action, human rights and legal argumentation. Furthermore, new models of biomedical and health care decision-making, which overcome the aforementioned criticism and stress the relevance of the argumentative responsibility, and some legal and institutional reflection on international bioethics committees, are included.

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Pedro Serna (Universidad Internacional de La Rioja-Universidade da Coruña, Spain); Foreword.- 1. om L. Beauchamp; Georgetown University, U.S.) Principlism in bioethics.- 2. Diego Gracia (Fundación de Ciencias de la Salud, Madrid, Spain) Values and Bioethics.- 3. Roberto Andorno (University of Zurich, Switzerland); A human rights approach to bioethics.- 4. Carolina Pereira (Universidade da Coruña, Spain); Philosophical Imperialism? A Critical View of North American Principlist Bioethics.- 5. Óscar Vergara (Universidade da Coruña, Spain);Principlism and normative systems.- 6. Pilar Zambrano (University of Navarra, Pamplona, Spain); Types of action and criteria for individualizing them: the case of omission of life-saving care.- 7. José-Antonio Seoane (Universidade da Coruña, Spain); Bioethics, deliberation and argumentation.- 8. Juan Cianciardo (University of Navarra, Pamplona, Spain); Proportionality principle, rights theory and double effect doctrine.- 9. Vicente Bellver Capella (University of Valencia, Spain); International bioethics committees: conditions for a good deliberation.