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23L. W. Beck’s Proposal of Meta-Critique and the “Critique of Judgment”Kant Studien 74 (3): 261-270. 1983.
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5Narrative and Method in Ethics ConsultationIn Stuart G. Finder & Mark J. Bliton (eds.), Peer Review, Peer Education, and Modeling in the Practice of Clinical Ethics Consultation: The Zadeh Project, Springer Verlag. pp. 139-150. 2018.Method in ethics consultation has at least three distinguishable components: a canon – that is, the rules that guide actions, cognitions, judgments, and perceptions involved in performing an ethics consultation; a discipline – that is, a mastery, or at least possession, of the specific types of actions and intentions of ethics consultation which are guided by the rules that are embodied in the actions of competent ethics consultants; and a history – that is, the narrative of, and critical reflec…Read more
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50Joining the team: Ethics consultation at the Cleveland clinic (review)HEC Forum 15 (4): 310-322. 2003.
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73For Experts Only? Access to Hospital Ethics CommitteesHastings Center Report 21 (5): 17-24. 1991.How closely involved with hospital ethics committees should patients and their families become? Should they routinely have access to committees, or be empowered to initiate consultations? To what extent should they be informed of the content or outcome of committee deliberations? Seeing ethics committees as the locus of competing responsibilities allows us to respond to the questions posed by a patient rights model and to acknowledge more fully the complex moral dynamics of clinical medicine.
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57Ethics Expert Testimony: Against the SkepticsJournal of Medicine and Philosophy 22 (4): 381-403. 1997.There is great skepticism about the admittance of expert normative ethics testimony into evidence. However, a practical analysis of the way ethics testimony has been used in courts of law reveals that the skeptical position is itself based on assumptions that are controversial. We argue for an alternative way to understand such expert testimony. This alternative understanding is based on the practice of clinical ethics
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31Facing the ethical questions in facial transplantationAmerican Journal of Bioethics 4 (3). 2004.This Article does not have an abstract
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38Incentives and obligations under prospective paymentJournal of Medicine and Philosophy 12 (2): 123-144. 1987.In this paper I analyze the alleged conflict between economic incentives to efficiently utilize health care resources and the obligation to provide patients with the best possible medical care. My analysis is developed in four stages. First, I discuss briefly the nature of prospective payment systems and economic incentives as well as the issue of professional autonomy. Second, I disscuss the notion of an incentive for action both as an economic incentive and as a concept of moral psychology. Th…Read more
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25Ethical Theory and Clinical Ethics Consultation: Toward Understanding the RelationshipAmerican Journal of Bioethics 16 (9): 36-37. 2016.
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62Defense Mechanisms in Ethics ConsultationHEC Forum 23 (4): 269-279. 2011.While there is no denying the relevance of ethical knowledge and analytical and cognitive skills in ethics consultation, such knowledge and skills can be overemphasized. They can be effectively put into practice only by an ethics consultant, who has a broad range of other skills, including interpretive and communicative capacities as well as the capacity effectively to address the psychosocial needs of patients, family members, and healthcare professionals in the context of an ethics consultatio…Read more
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37Ethics and innovation in medicineJournal of Medical Ethics 27 (5): 295-296. 2001.How should one think about innovation in medicine and surgery? Increasingly, the answer to this question has involved reference to what might be called the regulatory ethics paradigm (REP). The regulatory ethics paradigm holds that deviations from standard care involve a degree or kind of experimentation that requires the application of a set of procedures designed to assure the protection of the rights and welfare of the subjects of research. In REP, innovative treatments are regarded as questi…Read more
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25Ethics Consultation: Critical Distance/Clinical CompetenceAmerican Journal of Bioethics 18 (6): 45-47. 2018.
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53Authority in Ethics ConsultationJournal of Law, Medicine and Ethics 23 (3): 273-283. 1995.Authority is an uneasy, political notion. Heard with modern ears, it calls forth images of oppression and power. In institutional settings, authority is everywhere present, and its use poses problems for the exercise both of individual autonomy and of responsibility. In medical ethics, the exercise of authority has been located on the side of the physician or the health care institution, and it has usually been opposed by appeal to patient autonomy and rights. So, it is not surprising, though st…Read more
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30Authority in Ethics ConsultationJournal of Law, Medicine and Ethics 23 (3): 273-283. 1995.Authority is an uneasy, political notion. Heard with modern ears, it calls forth images of oppression and power. In institutional settings, authority is everywhere present, and its use poses problems for the exercise both of individual autonomy and of responsibility. In medical ethics, the exercise of authority has been located on the side of the physician or the health care institution, and it has usually been opposed by appeal to patient autonomy and rights. So, it is not surprising, though st…Read more
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7Understanding the Underlying Causes of Tensions That Arise in ICU Care for Older PatientsJournal of Clinical Ethics 34 (2): 148-157. 2023.Objective: We hypothesized that the reasons behind this tension are complex and can be understood better by applying social psychology theory.Design: A qualitative methodology was drawn on for data collection and thematic analysis, with focus group discussions adopted for interviews with patient families and ICU physicians. Additionally, we used a social psychology theory, the reasoned action approach (RAA) framework, to understand these tensions.Setting: Two 15-bedded ICUs of an academic univer…Read more
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2The question of technology in medicineIn Stephen Skousgaard (ed.), Phenomenology and the understanding of human destiny, University Press of America. 1981.
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5A phenomenological approach to bioethicsIn Richard E. Ashcroft (ed.), Case analysis in clinical ethics, Cambridge University Press. pp. 187. 2005.
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4Dependence and Autonomy in Old Age: An Ethical Framework for Long-term CareCambridge University Press. 2003.Respecting the autonomy of disabled people is an important ethical issue for providers of long-term care. In this influential book, George Agich abandons comfortable abstractions to reveal the concrete threats to personal autonomy in this setting, where ethical conflict, dilemma and tragedy are inescapable. He argues that liberal accounts of autonomy and individual rights are insufficient, and offers an account of autonomy that matches the realities of long-term care. The book therefore offers a…Read more