This book is the first in a series of planned volumes focused on
preserving the character of the development of bioethics in particular
cultural contexts. As the first of these volumes, Leo Pessini, Christian
de Paul de Barchifontaine, and Fernando Lolas Stepke's work has
succeeded well. It has brought together accounts by sch- ars who were
crucial to the emergence of bioethics in the Ibero-American cultural
domain. This trail-blazing work in the history of bioethics will be of
enduring s- nificance. I am deeply in their debt for having shouldered
this far from easy task. Bioethics is the product of very particular
socio-historical developments. Most prominent among them have been (1)
the secularization of the dominant culture of North America, Western
Europe, and now Central and South America as well, (2) a deflation of
the status and authority of physicians as moral authorities able to
guide their own profession, and (3) the salience of a post-traditional
animus that gives c- tral place to persons as isolated atomic sources of
moral authority. Bioethics initially took shape in North America as a
post-Christian, post-professional, post-traditional social movement.
This bioethics sought to establish a moral discourse for the public
forum, a moral practice able to give practical guidance in hospitals and
other insti- tions, and a body of undergirding and justifying
theoretical reflections.