Doctrine of double effect

From WikiMD's Food, Medicine & Wellness Encyclopedia

Doctrine of Double Effect is a principle in ethics and philosophy that asserts it is morally permissible to perform an action that has two effects: one that is morally good or desirable and another that is morally bad or undesirable, provided that certain conditions are met. This doctrine is particularly relevant in discussions of moral dilemmas where choices must be made between actions that have both positive and negative outcomes.

Origins and Development[edit | edit source]

The Doctrine of Double Effect is often attributed to Thomas Aquinas, a 13th-century Scholastic philosopher and theologian, although the exact origins are debated. Aquinas discussed the concept in the context of self-defense, arguing that it is permissible to defend oneself even if it results in the death of an aggressor, provided that the death is an unintended side effect rather than the goal of the action.

Principles[edit | edit source]

The Doctrine of Double Effect is based on four main conditions that must be satisfied for an action with both good and bad effects to be considered morally permissible:

  1. The action itself must be morally good or at least morally neutral.
  2. The good effect must not be achieved by means of the bad effect.
  3. The intention of the actor must be to achieve the good effect, with the bad effect being only an unintended side effect.
  4. There must be a proportionately grave reason for permitting the bad effect.

Applications[edit | edit source]

The Doctrine of Double Effect has been applied in various ethical discussions, including those related to war, medicine, and law. In medicine, for example, it is used to justify treatments that relieve pain but may also hasten death, under the principle of palliative care. In the context of war, it can justify actions that unintentionally harm civilians if the action is directed towards a legitimate military target and all reasonable precautions are taken to minimize harm.

Criticism[edit | edit source]

Critics of the Doctrine of Double Effect argue that it can be used to justify actions that are clearly unethical or that it relies too heavily on the subjective assessment of intentions and proportionality. Some also question the distinction made between intended and unintended consequences, arguing that foreseeing an outcome is equivalent to intending it.

Conclusion[edit | edit source]

The Doctrine of Double Effect remains a significant concept in ethical theory, offering a framework for evaluating the morality of actions with mixed outcomes. It underscores the complexity of moral decision-making and highlights the importance of intention and proportionality in ethical judgments.

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Contributors: Prab R. Tumpati, MD