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Rarely do everyday discussions of ethical issues invoke ethical theories. Even ethicists deploy ethical theories less frequently than one might expect. In my experience, the most powerful ethical arguments rarely appeal to an ethical theory. How is this possible? I contend that ethical argumentation can proceed successfully without invoking any ethical theory because the structure of good ethical argumentation involves leveraging a sturdy norm, where the norm is usually far more specific than a complete ethical theory. To illustrate this idea, I present the argumentative structure of five powerful articles in the ethics literature. I further argue that the present model of ethical argumentation is consistent with the coherence model of ethical justification, but the former need not--and usually should not--invoke the latter explicitly for various practical reasons. [ABSTRACT FROM AUTHOR]

Methodological pluralism is a characteristic feature of contemporary bioethics. Within interdiscursive research, a narrative approach has gradually emerged as part of a broader ethical reflection. This article aims to explore the relevance of the narrative approach in bioethics, where it is gaining a place alongside traditional normative approaches. After first analyzing two initiatives that have influenced the reflection on the inclusion of the narrative method in bioethical discourse, it focuses on an analysis of selected works by Martha C. Nussbaum, which explores the influence of narrative imagination on moral reasoning against the backdrop of the dialogue between literature and ethics. It also examines the method of reflective equilibrium, through which Nussbaum attempts to incorporate moral beliefs and intuitions gained through narrative-ethical analysis of literary works into the making of moral judgments. The last section of the article presents four of the most prominent forms of narrative representations in bioethics, against which the relevance of the narrative approach in bioethics can be assessed. [ABSTRACT FROM AUTHOR]

Education professionals, such as teachers, policymakers, and school leaders, come to ethical deliberation with diverse views based not only on their different role obligations but also on different epistemic and moral norms. In this paper Daniella Forster argues that mental normativity — the ethics of belief — has professional implications especially significant in education, given the narrowing of teacher education and the polarization of public discourse about educational issues. Using case studies may be useful method for increasing interpersonal reflective equilibrium about ethical issues in education; moreover, Forster suggests here that the moral evaluation of belief practices may also be amendable. Readers are invited to consider how generating insights into the moral evaluation of diverse beliefs and belief practices in education provides additional conceptual tools for elevating public dialogue through normative case‐based dilemmas. [ABSTRACT FROM AUTHOR]

The integration of normative analysis with empirical data often remains unclear despite the availability of many empirical bioethics methodologies. This paper sought bioethics scholars' experiences and reflections of doing empirical bioethics research to feed these practical insights into the debate on methods. We interviewed twenty-six participants who revealed their process of integrating the normative and the empirical. From the analysis of the data, we first used the themes to identify the methodological content. That is, we show participants' use of familiar methods explained as "back-and-forth" methods (reflective equilibrium), followed by dialogical methods where collaboration was seen as a better way of doing integration. Thereafter, we highlight methods that were deemed as inherent integration approaches, where the normative and the empirical were intertwined from the start of the research project. Second, we used the themes to express not only how we interpreted what was said but also how things were said. In this, we describe an air of uncertainty and overall vagueness that surrounded the above methods. We conclude that the indeterminacy of integration methods is a double-edged sword. It allows for flexibility but also risks obscuring a lack of understanding of the theoretical-methodological underpinnings of empirical bioethics research methods. [ABSTRACT FROM AUTHOR]

The question that this paper tries to answer is Q: "Can good academic bioethics be done without commitment to moral theory?" It is argued that the answer to Q is an unequivocal "Yes" for most of what we could call "critical bioethics," that is, the kind of bioethics work that primarily criticizes positions or arguments already in the literature or put forward by policymakers. The answer is also "Yes" for much of empirical bioethics. The second part of the paper then provides an analysis of Q in relation to "constructive bioethics," that is, bioethics work aimed at providing an argument for a particular position. In this part, it is argued that a number of the approaches or methods used that initially look like they involve no commitment to moral theory, nevertheless, involve such a commitment. This is shown to be the case for reflective equilibrium, mid-level theory, the use of theory fragments, and argument by analogy. [ABSTRACT FROM AUTHOR]

What exactly is the role of empirical beliefs in moral reflective equilibrium (RE)? And if they have a part to play, can changes in our empirical beliefs effectuate changes in the moral principles we adopt? Conversely, can empirical beliefs be adjusted in light of certain moral convictions? While it is generally accepted that empirical background theory is of importance to the method of wide reflective equilibrium (WRE), this article focuses on a different aspect, namely the role of empirical beliefs that is intrinsic to the coherence relation of moral beliefs in any (narrow or wide) conception of RE. First, it is shown that in the application of RE, empirical beliefs are crucial to the procedure of matching principles to considered judgments. Changes in our empirical beliefs may therefore upset the relevant coherence relation and motivate changes in the moral principles we adopt. This more detailed account of the interplay between empirical and moral beliefs can help evaluate the overall philosophical appeal of RE. Finally, it is argued that, at least in WRE, the relation between empirical and moral beliefs need not be a one-way street, that is, moral convictions can provide us with some epistemic means of adjudicating between competing empirical descriptions of the world. [ABSTRACT FROM AUTHOR]

The paper considers three possible definitions of what it is for an action to be 'morally' good: (1) that it is overall important to do; (2) that it is overall important to do in virtue of a universalisable principle; and (3) that it is overall important to do in virtue of a universalisable principle, belonging to a system of such principles, which includes almost all of certain moral fixed points. I defend (3) and show how we can reach such a system, starting from the basic beliefs with which we find ourselves, through the process of reflective equilibrium. Moral realism is then the doctrine that there is such a system of true moral beliefs. My optimistic view is that all human communities could eventually reach the same such system. But, if they cannot, then there will be two (or more) different such systems, and so two (or more) different senses of 'moral realism'. [ABSTRACT FROM AUTHOR]

The method of reflective equilibrium is typically characterized as a process of two kinds of adjustments: hold fixed one’s current set of commitments/intuitions and adjust rules/principles to account for them, then hold fixed those rules while making adjustments to one’s set of commitments. Repeat until no further adjustments are required. Such characterizations ignore the role of precedent, i.e., information about the commitments and rules of others and how those might serve as guides in one’s own process of deliberation. In this paper we develop a model that narrows in on a local part of a reflective equilibrium process in which a group of peer agents start with identical lists of commitments and work towards finding the rule that captures that set. If successful, we say they reach rest stop interpersonal convergence. The trouble is that, without precedent, reaching this convergence rests on implausible deterministic assumptions. We analyze how far the inclusion of a kind of soft precedent goes towards aiding the group in reaching said convergence when those assumptions are relaxed. [ABSTRACT FROM AUTHOR]

The goal of this paper is to re-assess reflective equilibrium (“RE”). We ask whether there is a conception of RE that can be defended against the various objections that have been raised against RE in the literature. To answer this question, we provide a systematic overview of the main objections, and for each objection, we investigate why it looks plausible, on what standard or expectation it is based, how it can be answered and which features RE must have to meet the objection. We find that there is a conception of RE that promises to withstand all objections. However, this conception has some features that may be unexpected: it aims at a justification that is tailored to understanding and it is neither tied to intuitions nor does it imply coherentism. We conclude by pointing out a cluster of questions we think RE theorists should pay more attention to. [ABSTRACT FROM AUTHOR]

Despite the rapidly growing literature on realism, there's little discussion of the ideology critique of John Rawls offered by one of its leading lights, Raymond Geuss. There is little understanding of what (most of) this critique consists in and few discussions of how Rawls' approach to political theorising may be defended against it. To remedy this situation, this article reconstructs the realist ideology critique of Rawls advanced by Raymond Geuss, which has three prongs: (1) Rawls' political theory offers insufficient tools to uncover and address distortions of our political values, beliefs, and intuitions; (2) it unacceptably reinforces these distortions by unduly legitimating them; and (3) it diverts attention from important features of real politics. With this done, I finish by considering how Rawlsians can respond, chiefly by employing a kind of reflective equilibrium, or reflective endorsement, broad enough to encompass different forms of genealogy and ideology critique. [ABSTRACT FROM AUTHOR]

Copyright of Felsefe ve Sosyal Bilimler Dergisi (FLSF) is the property of Felsefe ve Sosyal Bilimler Dergisi (FLSF) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Among the areas of knowledge that the method of reflective equilibrium (RE) has been applied to is that of logical validity. According to RE in logic, we come to be justified in believing a (deductive) logical theory in virtue of establishing some state of equilibrium between our initial judgements over the validity of specific (natural language) arguments and the logical principles which constitute our logical theory. Unfortunately, however, while relatively popular, RE with regards to logical theorizing is underspecified. In particular, it’s unclear what constitute: (1) the relevant logical “data”, (2) logical theories, so that they can be suitably tested, and (3) the mechanisms under which such theories are tested. Considering the various options for how to interpret the position, we argue that in order to be workable the advocate of RE about logic must embrace what we call an operationalised, wide and communal version of RE with a rich understanding of logical theories. Fortunately for the advocate of RE, there is an available account of logic’s epistemology which possesses just these properties, logical predictivism. However, equally unfortunately, logical predictivism commits the advocate of RE to certain further claims that they have historically been weary of holding. Consequently, it is unclear whether RE about logic itself is a viable proposal, or rather a similar but distinct epistemology of logic. [ABSTRACT FROM AUTHOR]

Rawls’ notion of reflective equilibrium has a hybrid character. It is embedded in the pragmatist tradition, but also includes various Kantian and other non-pragmatist elements. I argue that we should discard all non-pragmatist elements and develop reflective equilibrium in a consistently pragmatist manner. I argue that this pragmatist approach is the best way to defend reflective equilibrium against various criticisms, partly by embracing the critiques as advantages. I begin with discussing how each of the three versions of reflective equilibrium in Rawls’ work combines pragmatist and non-pragmatist elements. For Rawls, the primary purpose of reflective equilibrium is epistemic: namely, to construct moral theories or judgments. In a pragmatist approach, there are three connected purposes for moral inquiry: right action, reliable understanding and self-improvement. Depending on the specific context of a reflective equilibrium process, these general purposes can give rise to a variety of specific purposes. In the next sections, I develop a pragmatist approach to reflective equilibrium and discuss the implications of this approach for core elements of reflective equilibrium. These elements are: the initial convictions, facts, personal commitments and comprehensive views of life, coherence and additional methods for critical scrutiny. [ABSTRACT FROM AUTHOR]

This paper aims to flesh out the celebrated notion of reflective equilibrium within a probabilistic framework for epistemic rationality. On the account developed here, an agent’s attitudes are in reflective equilibrium when there is a certain sort of harmony between the agent’s credences, on the one hand, and what the agent accepts, on the other hand. Somewhat more precisely, reflective equilibrium is taken to consist in the agent accepting, or being prepared to accept, all and only claims that follow from a maximally comprehensive theory that is more probable than any other such theory. Drawing on previous work, the paper shows that when an agent is in reflective equilibrium in this sense, the set of claims they accept or are prepared to accept is bound to be logically consistent and closed under logical implication. The paper also argues that this account can explain various features of philosophical argumentation in which the notion of reflective equilibrium features centrally, such as the emphasis on evaluating philosophical theories holistically rather than in a piecemeal fashion. [ABSTRACT FROM AUTHOR]

The fact of reasonable pluralism in liberal democracies threatens the stability of such societies. John Rawls proposed a solution to this problem: The different comprehensive moral doctrines endorsed by the citizens overlap on a shared political conception of justice, e.g. his justice as fairness. Optimally, accepting the political conception is for each citizen individually justified by the method of wide reflective equilibrium. If this holds, society is in full reflective equilibrium. Rawls does not in detail investigate the conditions under which a full reflective equilibrium is possible or likely. This paper outlines a new strategy for addressing this open question by using the formal model of reflective equilibrium recently developed by Beisbart et al. First, it is argued that a bounded rationality perspective is appropriate which requires certain changes in the model. Second, the paper rephrases the open question about Rawlsian full reflective equilibrium in terms of the model. The question is narrowed down by focusing on the inferential connections between comprehensive doctrines and political conception. Rawls himself makes a demanding assumption about which connections are necessary for a full reflective equilibrium. Third, the paper presents a simulation study design that is focused on simplicity. The results are discussed, they fit with Rawls’s assumption. However, because of the strong idealisations, they provide a useful benchmark rather than a final answer. The paper presents suggestions for more elaborate study designs. [ABSTRACT FROM AUTHOR]

The concept of naturalness in biodiversity conservation remains polysemic, hampering decision‐making. Although some conservationists claim ecosystem naturalness should be primarily determined by composition (integrity), others argue it should be determined by the extent of freedom from anthropogenic influence (autonomy). Problems arise when deciding how to treat affected ecosystems. Although the integrity school promotes benchmark‐based active restoration, the autonomy school advocates a hands‐off policy, making these 2 approaches contradictory. Moreover, expected global changes have promoted advocacy for ecosystem resilience, further complicating the debate. We argue that autonomy, integrity, and resilience are all morally valid. The conflict between them is contained by recognizing that full naturalness is an unattainable goal; restoration and rewilding processes are not an act of curation, but a contrary‐to‐duty obligation; principle pluralism can accommodate integrity, resilience, and autonomy as pro tanto principles in a case‐specific approach; and naturalness, as an overarching value, gives unity to the plurality of principles. [ABSTRACT FROM AUTHOR]

For Van Rensselaer Potter (1911–2001), Global Bio-Ethics is about building on the legacy of Aldo Leopold (1887–1948), one of the most notable forest managers of the twentieth century who brought to light the importance of pragmatism in the sciences and showed us a new way to proceed with environmental ethics. Following Richard Huxtable and Jonathan Ives's methodological 'Framework for Empirical Bioethics Research Projects' called 'Mapping, framing, shaping,' published in BMC Medicine Ethics (2019)), we propose operationalizing a framework for Global Bio-Ethics by hybridizing approaches in empirical bioethics and ecosystem management. We explain this framework using the metaphor of forest management. This mixed approach is articulated through three phases: (1) mapping the "landscape" to build a working theory, (2) framing the "scene" to prepare the fieldwork, and (3) shaping bioethics "tools" to stimulate cooperation. Applying this methodology, an adaptive management cycle is outlined to help ensure that political processes are sustainable and socially acceptable, still based on strategic and ethical thinking, but also capable of reshaping failing policies. [ABSTRACT FROM AUTHOR]

I address the worry that reflective equilibrium is too weak as an account of justification because it fails to let differing views converge. I take up informal aspects of convergence and operationalise them in a formal model of reflective equilibrium. This allows for exploration by the means of computer simulation. Findings show that the formal model does not yield unique outputs, but still boosts agreement. I conclude from this that reflective equilibrium is best seen as a pluralist account of justification that cannot be accused of resulting in an "anything goes" relativism. [ABSTRACT FROM AUTHOR]

The paper presents a demarcation of a “minimalistic” concept of logical form, which nevertheless largely agrees with the way the term “logical form” is commonly used in contemporary logic and philosophy of logic. We see logical forms as formulas of formal languages assigned to (compounds of) sentences of a natural language (perhaps modulo notational variance). We thus reject the views of logical forms as underlying structures of thoughts or of the material reality that surrounds us. The assignment of the forms, we claim, aims at envisaging the logical (especially inferential) properties of the analyzed sentences, arguments, or other texts, as the analyzing formulas wear them, as it were, on their sleeves. Hence we suggest an “expressivist” and a pragmatic understanding of logical forms - they are used to expose (and fix) logical properties of sentences in textual contexts and the way of their employment is determined by the goals of the particular studies. [ABSTRACT FROM AUTHOR]

Reflective equilibrium is overdue a twenty-first century update. Despite its apparent popularity, there is scant evidence that theorists ever thoroughly implement the method, and fewer still openly and transparently publish their attempts to do so in print—stymying its supposed justificatory value. This paper proposes digitising reflective equilibrium as a solution. Inspired by the global open science movement, it advocates for coupling a novel, digital implementation of the equilibrating process with new publication norms that can capitalise on the inherent reproducibility of digital data. The argument is structured around three main claims: that digitising will make it easier to (a) methodically construct, (b) widely disseminate, and (c) thoroughly critique reflective equilibria. Practical guidance is also provided throughout. Altogether, it is argued that digitisation will not only help theorists to better realise reflective equilibrium’s latent theoretical potential, but also greatly extend its value as a justificatory device in contemporary academic discourses. [ABSTRACT FROM AUTHOR]

Cornell realism (CR), a prominent meta-ethical position that has emerged since the last decades of the twentieth century, proposes a non-reductionist naturalistic account of moral properties and facts. This paper argues that the best version of CR's chosen methodology for arriving at justified moral beliefs must be seen as a variant of reflective equilibrium. In comparison to the traditional versions, our proposal offers a 'social' reinterpretation of reflective equilibrium in delineating CR's epistemology. We argue that it satisfactorily accounts for objectivity and calls for the inclusion of the social nature of both moral and scientific inquiries. Emphasising the social dimension of their epistemological account also nudges debates in metaethics into incorporating the much-needed social dimension while dealing with questions of moral beliefs and facts that have been of CR's concern. [ABSTRACT FROM AUTHOR]

The main aim of this paper is to propose the inclusion of the expertise of a prudent agent within the procedure of reflective equilibrium by adding a disposition for identifying reasonable beliefs. This can be seen as the starting point of the method, and would safeguard against the criticism of conservatism and subjectivism. In order to do this, I will begin by analyzing the core characteristics of the method and its main weaknesses. I will then investigate the characteristics of prudence as a disposition for identifying an adequate means for achieving a good end. With this in mind, I will apply prudence to the procedure which is carried out by an agent who deliberates well and can identify reasonable moral beliefs. These beliefs must be justified according to their consistency with ethical principles and with the factual beliefs of relevant scientific theories. Finally, I will argue that this deliberative process is consistent with ethical pluralism and democracy, and can be interpreted as a kind of moral knowledge.

Nihilism about practical reasoning is the thesis that there is no such thing as practical rationality—as rationally figuring out what to do. While other philosophers have defended a theoretically oriented version of the thesis, usually called "error theory", a case is made for a fully practical version of it: that we are so bad at figuring out what to do that we do not really know what doing it right would so much as look like. In particular, much of our control of instrumental (or means-end) rationality is illusory, and we are almost entirely incompetent at managing the defeating conditions of our practical inferences—that is, of knowing when not to draw an apparently acceptable conclusion. If that is right, then instead of trying to reason more successfully, we should be trying to make failure pay. [ABSTRACT FROM AUTHOR]

One can often hear that intuitions are standardly “appealed to”, “relied on”, “accounted for”, or “used as evidence” in ethics. How should we interpret these claims? I argue that the typical understanding is what Bernard Molyneux calls “descriptive evidentialism”: the idea that intuition-states are treated as evidence of their propositional contents in the context of justification. I then argue that descriptive evidentialism is false- on any account of what intuitions are. That said, I admit that ethicists frequently rely on intuitions to clarify, persuade, discover, or to support things other than the intuitions’ contents. The contents of intuitions are also commonly used as starting premises of philosophical arguments. However claims about these practices need to be sharply distinguished from the prevalent dogma. [ABSTRACT FROM AUTHOR]

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Copyright of Journal for Business, Economics & Ethics / Zeitschrift für Wirtschafts und Unternehmensethik is the property of Nomos Verlagsgesellschaft mbH & Co. KG and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The main aim of this paper is to propose the inclusion of the expertise of a prudent agent within the procedure of reflective equilibrium by adding a disposition for identifying reasonable beliefs. This can be seen as the starting point of the method, and would safeguard against the criticism of conservatism and subjectivism. In order to do this, I will begin by analyzing the core characteristics of the method and its main weaknesses. I will then investigate the characteristics of prudence as a disposition for identifying an adequate means for achieving a good end. With this in mind, I will apply prudence to the procedure which is carried out by an agent who deliberates well and can identify reasonable moral beliefs. These beliefs must be justified according to their consistency with ethical principles and with the factual beliefs of relevant scientific theories. Finally, I will argue that this deliberative process is consistent with ethical pluralism and democracy, and can be interpreted as a kind of moral knowledge. [ABSTRACT FROM AUTHOR]

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During the coronavirus pandemic, communities have faced shortages of important healthcare resources such as COVID-19 vaccines, medical staff, ICU beds and ventilators. Public health officials in the U.S. have had to make decisions about two major issues: which infected patients should be treated first (triage), and which people who are at risk of infection should be inoculated first (vaccine distribution). Following Beauchamp and Childress’s principlism, adopted guidelines have tended to value both whole lives (survival to discharge) and life-years (survival for years past discharge). This process of collective moral reasoning has revealed our common commitment to both Kantian and utilitarian principles. For Kant, respecting people’s rights entails that we ought to value whole lives equally. Therefore we ought to allocate resources so as to maximise the number of patients who survive to discharge. By contrast, the principle of utility has us maximise life-years so that people can satisfy more of their considered preferences. Although people are treated impartially in the utilitarian calculus, it does not recognise their equal worth. Subjecting Kantian ethics and utilitarianism to the process of reflective equilibrium lends support to the idea that we need a pluralistic approach that would accommodate our moral intuitions regarding both the equal value of whole lives and the additive value of life-years.

The precautionary principle (PP) is an influential principle for making decisions when facing uncertain, but potentially severe, harm. However, there is a persistent disagreement about what the principle entails, exactly. It exists in a multitude of formulations and has potentially conflicting ideas associated with it. Is there even such a thing as 'the precautionary principle'? This paper analyses the debate between unificationists and pluralists about 'the PP', arguing that the debate is hindered by neglecting the question of justification. It introduces reflective equilibrium as a method of justification, and sketches how it could be applied to justify a PP. [ABSTRACT FROM AUTHOR]

On Evidence in Philosophy sketches an epistemology of philosophy itself, a method for philosophical inquiry. Part 1 defends a version of Moore's method of "common sense," in which humble, boring everyday facts like "I have hands" and "I had breakfast earlier today" trump the a priori philosophical premises of arguments for various eliminative idealisms and skepticisms. Part 2 exhibits the deeper poverty of philosophical method, arguing that philosophy cannot prove or even refute any interesting thesis. But Part 3 defends intuitions as giving us good prima facie reason to accept the judgments they support, and then develops the method of wide reflective equilibrium in the context of a broader explanatory‐coherentist epistemology. [ABSTRACT FROM AUTHOR]

Neural language models (NLMs) are susceptible to producing inconsistent output. This paper proposes a new diagnosis as well as a novel remedy for NLMs' incoherence. We train NLMs on synthetic text corpora that are created by simulating text production in a society. For diagnostic purposes, we explicitly model the individual belief systems of artificial agents (authors) who produce corpus texts. NLMs, trained on those texts, can be shown to aggregate the judgments of individual authors during pre-training according to sentence-wise vote ratios (roughly, reporting frequencies), which inevitably leads to so-called discursive dilemmas: aggregate judgments are inconsistent even though all individual belief states are consistent. As a remedy for such inconsistencies, we develop a self-training procedure—inspired by the concept of reflective equilibrium—that effectively reduces the extent of logical incoherence in a model's belief system, corrects global mis-confidence, and eventually allows the model to settle on a new, epistemically superior belief state. Thus, social choice theory helps to understand why NLMs are prone to produce inconsistencies; epistemology suggests how to get rid of them.

Reflective equilibrium (RE)—the idea that we have to justify our judgments and principles through a process of mutual adjustment—is taken to be a central method in philosophy. Nonetheless, conceptions of RE often stay sketchy, and there is a striking lack of explicit and traceable applications of it. This paper presents an explicit case study for the application of an elaborate RE conception. RE is used to reconstruct the arguments from Thomson’s paper “Turning the Trolley” for why a bystander must not divert a runaway trolley from five workmen onto one. Analyzing Thomson’s resulting position with the RE-criteria has two main results: Firstly, the adjustment of one of her commitments can be defended. Secondly, no justified position in RE was reached. With respect to RE as a method, the main results from this application are: (1) There is at least one conception of RE that is sufficiently specified to be applicable; (2) the RE criteria put real constraints on the process of justification; and (3) an explicit application of RE has benefits in terms of clarity while at the same time providing guidance for how the justificatory process could be continued. [ABSTRACT FROM AUTHOR]

Background: Shared decision-making (SDM) is often considered the ideal for decision-making in oncology. Views of specific groups such as ethnic minorities have seldom been considered in its development. Aim: In this study we seek to assess in oncology if there is a need for adaptation of the current SDM model to ethnic minorities and to formulate possible adjustments. Design: This study is embedded in empirical bioethics, an interdisciplinary approach integrating empirical data with ethical reasoning to formulate normative conclusions regarding a practice. For the empirical social scientific part, a cross-sectional qualitative study will be conducted; for the ethical reflection the Reflective Equilibrium will be used to develop a coherent view on the application of SDM among ethnic minorities in oncology. Method: Semi-structured interviews combined with visual methods (timelines and relational maps) will be held with healthcare professionals (HCPs), ethnic minority patients, and their relatives to identify values steering the behavior of these actors in SDM. In addition, focus groups (FGs) will be held with ethnic minority community members to identify value structures at the group level. Respondents will be recruited through organizations with access to ethnic minorities and collaborating hospitals. Data will be analyzed using a reflexive thematic analysis through the lens of Schwartz's value theory. The results of the empirical phase will be included in the RE to formulate possible adjustments of the SDM model, if needed. Discussion: The integration of empirical data with ethical reflection is an innovative method in decision-making. This method enables a systematic and profound assessment of the need for adaptation of SDM and the formulation of theoretically and empirically based suggestions for adaptations of the model. Findings of this study may enrich the SDM model. [ABSTRACT FROM AUTHOR]