Principlist and Personalist Bioethics: A descriptive analysis and its implications for the discussion on euthanasia

Authors

DOI:

https://doi.org/10.33448/rsd-v14i12.50301

Keywords:

Bioethics, Euthanasia, Principlism, Personalism.

Abstract

The objective of this study is to analyze euthanasia from a bioethical perspective, according to the principlist (Beauchamp Childress) and personalist (Sgreccia) schools of thought. Bioethics examines ethical issues in health and life sciences, addressing dilemmas such as euthanasia. Data were collected from secondary sources, including scientific articles and specialized books. A systematic search was conducted in the SciELO, MEDLINE, BVS, and Lilacs databases, using keywords such as “bioethics,” “principlist bioethics,” “personalist bioethics,” “euthanasia,” and “distanasia.” Initially, this article provides a historical overview of the consolidation of bioethics as a science, highlighting the influence of principlism and its four principles: autonomy, non-maleficence, beneficence, and justice, as well as critiques of this model. Next, the concept of the human person is analyzed to support the implications of the term on personalism and its currents, highlighting the ontologically based bioethics of Elio Sgreccia and its principles: defense of physical life; totality or therapeutic; freedom and responsibility; sociality and subsidiarity. The debate on euthanasia involves a reflection on death, as it can be related to the suffering of serious, chronic, or degenerative diseases, which raises important ethical challenges related to the preservation of human dignity. Finally, the concept of euthanasia is discussed in relation to the bioethical principles of each model and how these can inform and guide the development of a more secure and enriching position on euthanasia.

References

Almeida, R. T. de. (2013). Evolução histórica do conceito de pessoa: enquanto categoria ontológica.Revista Interdisciplinar de Direito, 10(1). https://revistas.faa.edu.br/FDV/article/view/202/167

Antonucci, A. T., Candido, I. P. de S., Rodrigues Neto, A., Schiavini, M., Lehmann, M. F., Sganzerla, A., & Siqueira, J. E. (2023). Morte, diagnóstico e evento. Revista Bioética, 31. https://doi.org/10.1590/1983-803420233356pt

Antonucci, A. T., Sganzerla, A., Schiavini, M., Rodrigues Neto, A., Lehmann, M. F., & Siqueira, J. E. (2022). Morte encefálica como problema bioético na formação médica. Revista Bioética, 30, 272–283. https://doi.org/10.1590/1983-80422022302524PT

Barbosa, G. S. da S., & Federico, L. (2018). Eutanásia no Brasil: entre o Código Penal e a dignidade da pessoa humana. Revista de Investigações Constitucionais, 5(2), 165-186. https://doi.org/10.5380/rinc.v5i2.52151

Beauchamp, T. L. (2006). The “four principles” approach to health care ethics. Principles of Health Care Ethics, 3–10. https://doi.org/10.1002/9780470510544.ch1

Braus, A. J. (2025). Compassionate principlism: Towards a novel alternative to standard principlism in bioethics. Journal of Bioethical Inquiry, 22(2), 279–291. https://doi.org/10.1007/s11673-024-10373-9

Burgos Velasco, J. M. (2013). What is personalistic bioethics? An analysys of its specificity and its theoretical foundations. Cuadernos de Bioetica : Revista Oficial de La Asociacion Espanola de Bioetica Y Etica Medica, 24(80), 17–30. https://pubmed.ncbi.nlm.nih.gov/23745815/

Childress, J. F. (1990). The Place of Autonomy in Bioethics. The Hastings Center Report, 20(1), 12–17. https://doi.org/10.2307/3562967

Clouser, K. D., & Gert, B. (1990). A critique of principlism. The Journal of Medicine and Philosophy, 15(2), 219–236. https://doi.org/10.1093/jmp/15.2.219

Conti, P. H. B., & Souza, P. V. S. (2021). Bioética e seus paradigmas teóricos. Revista Bioética, 29(4), 716–726. https://doi.org/10.1590/1983-80422021294505

Dale, S. (2023). A Critique of Principlism. Voices in Bioethics, 9(9). https://doi.org/10.52214/vib.v9i.10522

Felix, Z. C., Costa, S. F. G. da, Alves, A. M. P. de M., Andrade, C. G. de, Duarte, M. C. S., & Brito, F. M. de. (2013). Eutanásia, distanásia e ortotanásia: revisão integrativa da literatura. Ciência & Saúde Coletiva, 18, 2733–2746. https://doi.org/10.1590/S1413-81232013000900029

Figueiredo, A. M. (2018). Bioética: Crítica ao principialismo, Constituição brasileira e princípio da dignidade humana. Revista Bioética, 26(4), 494–505. https://doi.org/10.1590/1983-80422018264267

Gil, A. C. (2002). Como elaborar projetos de pesquisa. São Paulo Atlas.

Goldim, J. R. (2006). Bioética: Origens e complexidade. Revista HCPA, 26(2), 86–92. https://lume.ufrgs.br/handle/10183/164730

Harris, J. (1995). Euthanasia and the value of life. In J. Keown (Ed.), Euthanasia Examined: Ethical, Clinical and Legal Perspectives (pp. 6–22). chapter, Cambridge: Cambridge University Press. https://doi.org/10.1017/CBO9780511663444.003

Hoffmann, W. (2019). A bioética personalista como resposta à crise de sentido. Brazilian Journal of Development, 5(10), 18941–18948. https://doi.org/10.34117/bjdv5n10-132.

Holm, S. (1995). Not just autonomy--the principles of American biomedical ethics. Journal of Medical Ethics, 21(6), 332–338. https://doi.org/10.1136/jme.21.6.332

Kono, M., Arai, N., & Takimoto, Y. (2023). Identifying practical clinical problems in active euthanasia: A systematic literature review of the findings in countries where euthanasia is legal. Palliative and Supportive Care, 21(4), 1–9. https://doi.org/10.1017/s1478951522001699

Machek, D. (2016). Using Our Selves: An Interpretation of the Stoic Four-personae Theory in Cicero’s De Officiis I. Apeiron, 49(2). https://doi.org/10.1515/apeiron-2015-0057

Massimi, M. (2025). A pessoa e o seu conhecimento: algumas etapas significativas de um percurso conceitual. Memorandum: Memória E História Em Psicologia, 18, 10–26. https://periodicos.ufmg.br/index.php/memorandum/article/view/6635

Pereira, A. S. et al. (2018). Metodologia da pesquisa científica. [free ebook]. Santa Maria. Editora da UFSM. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1

Ramos, D. L. de P., & Lucato, M. C. (2010). O Conceito De Pessoa Humana Da Bioética Personalista (Personalismo Ontologicamente Fundado). Revista Pistis Praxis, 2(1), 57. https://doi.org/10.7213/pp.v2i1.13505

Revon, G., & J. Reiss, M. (2025). Principlism in Bioethics: How to Consolidate Autonomy? A Scoping Review. Bioethics Open Research, 3, 1. https://doi.org/10.12688/bioethopenres.17704.1

Rodríguez-Díaz, A., Marín-Conde, E., & Gómez-Tatay, L. (2025). Personalist Bioethics as a Guide to Assessing Emerging Anti-aging Therapies. The Linacre Quarterly. https://doi.org/10.1177/00243639251361196

Rother, E. T. (2007). Systematic Literature Review X Narrative Review. Acta Paulista de Enfermagem, 20(2), v–vi. https://www.scielo.br/j/ape/a/z7zZ4Z4GwYV6FR7S9FHTByr/?lang=en

Salvadori, M. (2016). Principialismo e Dworkin: algumas considerações acerca da eutanásia. Aufklärung: Journal of Philosophy, 2(1), 105–134. https://www.redalyc.org/pdf/4715/471555231005.pdf

Scariot, F. (2016). Questões éticas em pacientes terminais segundo o personalismo ontológico de Elio Sgreccia [Dissertação de mestrado, Universidade de Caxias do Sul]. https://repositorio.ucs.br/handle/11338/1186

Sgreccia, E. (2016). Manual de bioética: Fundamentos e ética biomédica (5a ed.). Edições Loyola.

Sgreccia, E. (2013). Persona Humana Y Personalismo. Cuadernos de Bioética, XXIV(1), 115–123. https://www.redalyc.org/articulo.oa?id=87527461012

Siqueira-Batista, R., & Schramm, F. R. (2004). Eutanásia: pelas veredas da morte e da autonomia. Ciência & Saúde Coletiva, 9(1), 31–41. https://doi.org/10.1590/s1413-81232004000100004

Soares, F. J. P., Garrafa, V., Santos, J. L. da S., & Santos, R. V. dos. (2024). Brazilian Code of Medical Ethics from the perspective of principlist bioethics. Revista Bioética, 32. https://doi.org/10.1590/1983-803420243585en

Published

2025-12-13

Issue

Section

Review Article

How to Cite

Principlist and Personalist Bioethics: A descriptive analysis and its implications for the discussion on euthanasia. Research, Society and Development, [S. l.], v. 14, n. 12, p. e110141250301, 2025. DOI: 10.33448/rsd-v14i12.50301. Disponível em: https://www.rsdjournal.org/rsd/article/view/50301. Acesso em: 2 jan. 2026.