Discussions on bioethics in medical journals of Paraná, Brazil (1970-2005)

Abstract This article analyzes the discourses that enunciate bioethics in the medical field of Paraná between 1970 and 2005, identifying authors and meanings attributed to the term. This is a historiographical research on Arquivos journal, published by the Paraná Regional Medical Council since 1983, and Revista Médica do Paraná, published by the Medical Association of Paraná since 1931. The documentary corpus was analyzed from the perspective of cultural history. Bioethics was first mentioned in the journal Arquivos in 1988, in an article on brain death, and later in Revista Médica do Paraná, in 1996, in an article on the principles of bioethics, in an article on the principles of bioethics, both written by physicians and professors. Journals are educational devices, as they disseminate ethical and bioethical ideas of the medical class that have the potential to reverberate within the society and change behaviors. The bioethics listed in the sources is closely aligned with principlism and medical ethics.摘要 本文对1970年至2005年间巴西巴拉那州医疗领域中阐释生命伦理学（bioethics）的话语展开分析，厘清该术语的相关作者及其被赋予的内涵。本研究属于史学研究范畴，分析对象为1983年起由巴拉那州区域医疗委员会出版的《Arquivos》期刊，以及1931年起由巴拉那州医学会发行的《Revista Médica do Paraná》（巴拉那医学杂志）。本研究以文化史视角对文献语料库进行分析。生命伦理学首次在《Arquivos》期刊中被提及是在1988年的一篇关于脑死亡的文章中；随后于1996年出现在《Revista Médica do Paraná》的两篇主题为生命伦理学原则的文章中，两篇文章均由医师兼教授撰写。医学期刊作为教育载体，可传播医学界的伦理与生命伦理学理念，这些理念具备在社会中传播并改变公众行为的潜力。本研究文献中所涉及的生命伦理学，与原则主义（principlism）及医学伦理学高度契合。