•  75
    Feeling more like myself
    The Philosophers' Magazine 62 (62): 79-84. 2013.
    Speculative enhancement technologies are premised on the notion that I have a duty to be the best Me I can possibly be. This article takes a sceptical look at that claim.
  •  85
    Cutting to the Core: Exploring the Ethics of Contested Surgeries
    with Michael Benatar, Leslie Cannold, Dena Davis, Merle Spriggs, Julian Savulescu, Heather Draper, Neil Evans, Richard Hull, Stephen Wilkinson, David Wasserman, Guy Widdershoven, Françoise Baylis, Stephen Coleman, Rosemarie Tong, Hilde Lindemann, David Neil, and Alex John London
    Rowman & Littlefield Publishers. 2006.
    When the benefits of surgery do not outweigh the harms or where they do not clearly do so, surgical interventions become morally contested. Cutting to the Core examines a number of such surgeries, including infant male circumcision and cutting the genitals of female children, the separation of conjoined twins, surgical sex assignment of intersex children and the surgical re-assignment of transsexuals, limb and face transplantation, cosmetic surgery, and placebo surgery
  •  131
    Review of Mary Mahowald, Genes, Women, Equality
  •  112
    Abstract Gender and Ethics Committees: Where’s the Different Voice? Prominent international and national ethics commissions such as the UNESCO Bioethics Commission rarely achieve anything remotely resembling gender equality, although local research and clinical ethics committees are somewhat more egalitarian. Under-representation of women is particularly troubling when the subject matter of modern bioethics so disproportionately concerns women’s bodies, and when such committees claim to derive ‘…Read more
  •  159
    Editorial: Mental Capacity: In Search of Alternative Perspectives
    with Berghmans Ron and Meulen Ruud Ter
    Health Care Analysis 12 (4): 251-263. 2004.
    Editorial introduction to series of papers resulting from a European Commission Project on mental capacity
  •  126
    This book examines the moral luck paradox, relating it to Kantian, consequentialist and virtue-based approaches to ethics. It also applies the paradox to areas in medical ethics, including allocation of scarce medical resources, informed consent to treatment, withholding life-sustaining treatment, psychiatry, reproductive ethics, genetic testing and medical research. If risk and luck are taken seriously, it might seem to follow that we cannot develop any definite moral standards, that we are doo…Read more
  •  25
    Evidence-Based Medicine and Quality of Care
    with Paolo Vineis
    Health Care Analysis 10 (3): 243-259. 2002.
    In this paper we set out to examine thearguments for and against the claim thatEvidence-Based Medicine (EBM) will improve thequality of care. In particular, we examine thefollowing issues
  •  28
    Selecting Barrenness - A Response from Donna Dickenson
    Human Reproduction and Genetic Ethics 16 (1): 25-28. 2010.
    A response to Kavita Shah's article Selecting Barrenness
  •  137
    In Two Minds: A Casebook of Psychiatric Ethics
    with Bill Fulford and K. W. M. Fulford
    Oxford University Press. 2000.
    In Two Minds is a practical casebook of problem solving in psychiatric ethics. Written in a lively and accessible style, it builds on a series of detailed case histories to illustrate the central place of ethical reasoning as a key competency for clinical work and research in psychiatry. Topics include risk, dangerousness and confidentiality; judgements of responsibility; involuntary treatment and mental health legislation; consent to genetic screening; dual role issues in child and adolescent p…Read more
  •  25
    Medical criteria rooted in evidence-based medicine are often seen as a value-neutral ‘trump card’ which puts paid to any further debate about setting priorities for treatment. On this argument, doctors should stop providing treatment at the point when it becomes medically futile, and that is also the threshold at which the health purchaser should stop purchasing. This paper offers three kinds of ethical criteria as a counterweight to analysis based solely on medical criteria. The first set o…Read more
  •  24
    There has been a troublesome anomaly in the UK between cash payment to men for sperm donation and the effective assumption that women will pay to donate eggs. Some commentators, including Donald Evans in this journal, have argued that the anomaly should be resolved by treating women on the same terms as men. But this argument ignores important difficulties about property in the body, particularly in relation to gametes. There are good reasons for thinking that the contract model and payment for …Read more
  •  36
    Ethical issues in limb transplants
    with Guy Widdershoven
    Bioethics 15 (2). 2001.
    On one view, limb transplants cross technological frontiers but not ethical ones; the only issues to be resolved concern professional competence, under the assumption of patient autonomy. Given that the benefits of limb transplant do not outweigh the risks, however, the autonomy and rationality of the patient are not necessarily self‐evident. In addition to questions of resource allocation and informed consent, limb, and particularly hand, allograft also raises important issues of personal ident…Read more