Conscience is an idea that has significant currency in liberal democratic societies. Yet contemporary moral philosophical scholarship on conscience is surprisingly sparse. This paper seeks to offer a rigorous philosophical account of the role of conscience in moral life with a view to informing debates about the ethics of conscientious objection in medicine. I argue that conscience is concerned with a commitment to moral integrity and that restrictions on freedom of conscience prevent agents from living a moral life. In section (...) one I argue that conscience is a principle of moral awareness in rational agents, and that it yields an awareness of the personal nature of moral obligation. Conscience also monitors the coherence between an agent’s identity-conferring beliefs and intentions and their practical actions. In section two I consider how human beings are harmed when they are forced to violate their conscience. Restrictions on the exercise of conscience prevent people from living in accord with their own considered understanding of the requirements of morality and undermine one’s capacity for moral agency. This article concludes with a consideration of how a robust theory of conscience can inform our understanding of conscientious objection in medicine. I argue that it is in the interest of individual practitioners and the medical profession generally to foster moral agency among doctors. This provides a prima facie justification for permitting at least some kinds of conscientious objection. (shrink)

The literature on conscience in medicine has paid little attention to what is meant by the word ‘conscience.’ This article distinguishes between retrospective and prospective conscience, distinguishes synderesis from conscience, and argues against intuitionist views of conscience. Conscience is defined as having two interrelated parts: (1) a commitment to morality itself; to acting and choosing morally according to the best of one’s ability, and (2) the activity of judging that an act one has done or about which one is deliberating (...) would violate that commitment. Tolerance is defined as mutual respect for conscience. A set of boundary conditions for justifiable respect for conscientious objection in medicine is proposed. (shrink)

On most views of the nature of moral judgments, it is possible for a person to be mistaken in the belief that it is right to act in a certain way. When someone believes that it is right to do something, does that thing on the basis of such a belief, and yet in so doing commits deeds which are wrong by moral standards other than his own, we do not quite know whether to praise him for his conscientiousness while (...) condemning his actions. He acts according to his conscience and does what he believes to be right, but his beliefs are erroneous and his actions wrong. Shall we praise the man for his conscientiousness while condemning his actions? (shrink)

Australian democracy has recently seen a new emphasis on ‘conscience votes’ in parliament. However, despite this increasing awareness, the Australian media, public and governments have failed to examine closely the concept of a ‘conscience vote’, and the important question of what conscience really is. I will examine a number of statements made by politicians, media commentators and other groups surrounding conscience votes to show the problems that emerge from lacking a clear account of conscience. From this, I will outline two (...) different classical views of conscience: that of Bishop Joseph Butler and that of St. Thomas Aquinas, and show the implications for politicians of adopting either view. I will suggest that the contemporary Australian usage of conscience has more in common with Butler than Aquinas, but that the Thomistic view could serve to better inform both the contemporary Australian usage, and Butler’s views. I will briefly suggest some ways that adopting the Thomistic view of conscience would impact on the Australian democratic system, and explain the problems with a philosophical view that upholds the primacy of conscience and fails to appeal to external moral truth. -/- . (shrink)