Abstract

Bioethical phenomena of current medicine re-evaluate the universal validity of the bioethical principles of autonomy and justice. Individual areas of medicine feature various degrees of inherent paternalism in clinical situations. External paternalism in itself is not ethical. Abstract principles of medical ethics need to be (re)interpreted. From the bioethical point of view, clinical situations require methodological plurality, i.e., a combination of principilism and inductive models (casuistic ethics, ethics of care). At present, the main ethical clinical approach to patients is ethics of responsibility representing a holistic and continuous paradigm.