According to the work of Alasdair MacIntyre, there is an incommensurability between different theories of normative ethics. MacIntyre’s view on the incommensurability of ethical discourse casts doubt upon the pluralistic proposal of Magelssen and colleagues, since the insights gained from the various theories will themselves be incommensurate with one another. However, since there are obvious benefits provided both by arguments for pluralism and the insights of Magelssen and colleagues, I utilize some later work of MacIntyre to offer an alternative means (...) of conceiving of the role of ethical theories not as providing direct insights, but rather as imagined perspectives which will give rise to practical knowledge for the clinical ethicists, which can be used in developing their conclusions. (shrink)

This open peer commentary examines whether ethical theory is necessary for effective clinical ethics consultation. While acknowledging that knowledge of ethical theories can be helpful, it argues that high-quality critical engagement - rather than theoretical knowledge - is fundamental for good clinical ethics consultation. Drawing parallels with healthcare ethics education, the commentary suggests that critical analysis and reasoning skills can achieve key consultation functions while avoiding pitfalls like superficial application of theory or disconnection from moral intuitions.