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9The ethical concept of medicine as a profession: its origins in modern medical ethics and implications for physiciansAdvances in Bioethics 10 17-27. 2006.
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28Justified Limits on Refusing InterventionHastings Center Report 21 (2): 12-18. 1991.Physicians may justifiably limit patients' refusals of medical interventions when the refusal is based on a negative right to noninterference coupled with a request for an unreasonable alternative.
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16Response to Commentaries on “A Critical Analysis of the Concept and Discourse of 'Unborn Child'”American Journal of Bioethics 8 (7): 4-6. 2008.Despite its prominence in the abortion debate and in public policy, the discourse of ‘unborn patient’ has not been subjected to critical scrutiny. We provide a critical analysis in three steps. First, we distinguish between the descriptive and normative meanings of ‘unborn child.’ There is a long history of the descriptive use of ‘unborn child.’ Second, we argue that the concept of an unborn child has normative content but that this content does not do the work that opponents of abortion want it…Read more
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43Philosophical Provocation: The Lifeblood of Clinical EthicsJournal of Medicine and Philosophy 42 (1): 1-6. 2017.The daily work of the clinical ethics teacher and clinical ethics consultant falls into the routine of classifying clinical cases by ethical type and proposing ethically justified alternatives for the professionally responsible management of a specific type of case. Settling too far into this routine creates the risk of philosophical inertia, which is not good either for the clinical ethicist or for the field of clinical ethics. The antidote to this philosophical inertia and resultant blinkered …Read more
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47Placing and Evaluating Unproven Interventions Within a Clinical Ethical Taxonomy of Treatments for Ebola Virus DiseaseAmerican Journal of Bioethics 15 (4): 50-53. 2015.
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73Patient autonomy for the management of chronic conditions: A two-component re-conceptualizationAmerican Journal of Bioethics 9 (2). 2009.The clinical application of the concept of patient autonomy has centered on the ability to deliberate and make treatment decisions (decisional autonomy) to the virtual exclusion of the capacity to execute the treatment plan (executive autonomy). However, the one-component concept of autonomy is problematic in the context of multiple chronic conditions. Adherence to complex treatments commonly breaks down when patients have functional, educational, and cognitive barriers that impair their capacit…Read more
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12Bioethics in the twenty-first century: Why we should pay attention to eighteenth- century medical ethicsKennedy Institute of Ethics Journal 6 (4): 329-333. 1996.In lieu of an abstract, here is a brief excerpt of the content:Bioethics in the Twenty-First Century: Why We Should Pay Attention to Eighteenth-Century Medical EthicsLaurence B. McCullough (bio)Those of us who work in the field of bioethics tend to think that, because the word “bioethics” is new, so too the field is new in all respects, but we are not the first to do bioethics. John Gregory (1724–1773) did bioethics just as we do it, at least two centuries before we thought to do it (Gregory 177…Read more
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30Preventive ethics, managed practice, and the hospital ethics committee as a resource for physician executivesHEC Forum 10 (2): 136-151. 1998.
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81Ethics Committees at Work: Organs for Undocumented Aliens? A Transplantation DilemmaCambridge Quarterly of Healthcare Ethics 4 (2): 229. 1995.
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76Moral authority, power, and trust in clinical ethicsJournal of Medicine and Philosophy 24 (1). 1999.Moral concerns about the authority, power, and trustworthiness of physicians have become important topics in clinical ethics during the past three decades. These concerns have come to greater prominence with the increasing involvement of large-scale private institutions in the organization and delivery of medical services, especially managed care organizations, and with the increasing involvement of government in the payment for and organization and delivery of medical services. When physicians …Read more
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26The nature and limits of the physician's professional responsibilities: Surgical ethics, matters of conscience, and managed careJournal of Medicine and Philosophy 29 (1). 2004.The nature and limits of the physician's professional responsibilities constitute core topics in clinical ethics. These responsibilities originate in the physician's professional role, which was first examined in the modern English-language literature of medical ethics by two eighteenth-century British physician-ethicists, John Gregory and Thomas Percival. The papers in this annual clinical ethics number of the Journal explore the physician's professional responsibilities in the areas of surgica…Read more
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26The Professional Responsibility Model of Respect for Autonomy in Decision Making About Cesarean DeliveryAmerican Journal of Bioethics 12 (7). 2012.The American Journal of Bioethics, Volume 12, Issue 7, Page 1-2, July 2012
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28Towards a professional ethics model of clinical ethicsJournal of Medicine and Philosophy 32 (1). 2007.This Article does not have an abstract
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33Getting back to the fundamentals of clinical ethicsJournal of Medicine and Philosophy 31 (1). 2006.This Article does not have an abstract
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38Reification and synergy in clinical ethics and its adequacy to the managed practice of medicineJournal of Medicine and Philosophy 21 (1): 1-6. 1996.
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37A Case Study in Junk Bioethics Run AmokAmerican Journal of Bioethics 11 (12): 59-61. 2011.The American Journal of Bioethics, Volume 11, Issue 12, Page 59-61, December 2011
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28Laying Medicine Open: Innovative Interaction Between Medicine and the HumanitiesKennedy Institute of Ethics Journal 9 (1): 1-5. 1999.In lieu of an abstract, here is a brief excerpt of the content:Laying Medicine Open: Innovative Interaction Between Medicine and the HumanitiesLaurence B. McCullough and Warren Thomas ReichThe past three decades have witnessed the emergence and remarkable success of the fields of bioethics and medical humanities. The intellectual landscape of medicine and that of the humanities have been remarkably altered in the process. Twenty-five to 30 years ago in the United States there existed but a few c…Read more
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32Contributions of Ethical Theory to Pediatric Ethics Pediatricians and Parents as Co-fiduciaries of Pediatric PatientsPediatric Bioethics. forthcoming.
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57Was bioethics founded on historical and conceptual mistakes about medical paternalism?Bioethics 25 (2): 66-74. 2010.Bioethics has a founding story in which medical paternalism, the interference with the autonomy of patients for their own clinical benefit, was an accepted ethical norm in the history of Western medical ethics and was widespread in clinical practice until bioethics changed the ethical norms and practice of medicine. In this paper I show that the founding story of bioethics misreads major texts in the history of Western medical ethics. I also show that a major source for empirical claims about th…Read more
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54An Ethically Justified Framework for Clinical Investigation to Benefit Pregnant and Fetal PatientsAmerican Journal of Bioethics 11 (5): 39-49. 2011.Research to improve the health of pregnant and fetal patients presents ethical challenges to clinical investigators, institutional review boards, funding agencies, and data safety and monitoring boards. The Common Rule sets out requirements that such research must satisfy but no ethical framework to guide their application. We provide such an ethical framework, based on the ethical concept of the fetus as a patient. We offer criteria for innovation and for Phase I and II and then for Phase III c…Read more
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90Molecular medicine, managed care, and the moral responsibilities of patients and physiciansJournal of Medicine and Philosophy 23 (1). 1998.This Article does not have an abstract
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80A Case Study in Unethical Transgressive Bioethics: “Letter of Concern from Bioethicists” About the Prenatal Administration of DexamethasoneAmerican Journal of Bioethics 10 (9): 35-45. 2010.On February 3, 2010, a “Letter of Concern from Bioethicists,” organized by fetaldex.org, was sent to report suspected violations of the ethics of human subjects research in the off-label use of dexamethasone during pregnancy by Dr. Maria New. Copies of this letter were submitted to the FDA Office of Pediatric Therapeutics, the Department of Health and Human Services (DHHS) Office for Human Research Protections, and three universities where Dr. New has held or holds appointments. We provide a cri…Read more
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14Letter to the EditorsAmerican Journal of Bioethics 11 (10). 2011.The American Journal of Bioethics, Volume 11, Issue 10, Page 34-35, October 2011
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28The History of Medical Ethics Is Crucial for a Critical Perspective in the Continuing Development of Ethics ConsultationAmerican Journal of Bioethics 1 (4): 55-57. 2001.(2001). The History of Medical Ethics Is Crucial for a Critical Perspective in the Continuing Development of Ethics Consultation. The American Journal of Bioethics: Vol. 1, No. 4, pp. 55-57
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17Preventive Ethics and Subsequent Care of Patients Self-Administering Ovarian Stimulation for the Management of InfertilityJournal of Clinical Ethics 20 (3): 239-240. 2009.
Houston, Texas, United States of America
Areas of Specialization
Applied Ethics |
17th/18th Century Philosophy |
Areas of Interest
Applied Ethics |
17th/18th Century Philosophy |