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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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35A 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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32Getting 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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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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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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51Was 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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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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79A 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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13Letter 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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14Rethinking the conceptual and empirical foundations of clinical ethicsJournal of Medicine and Philosophy 33 (1): 1-5. 2008.The five papers in the 2008 “Clinical Ethics” number of the journal address the conceptual and empirical foundations of clinical ethics. Three articles take up the concept of professionalism in medicine, exploring its possibilities and implications. The fourth article provides a distinctive, phenomenological account of the “placebo effect,” a vexing topic of surprising durability in the clinical setting. The final article, a systematic review of the qualitative literature on bedside rationing of…Read more
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15Preventive Ethics and Subsequent Care of Patients Self-Administering Ovarian Stimulation for the Management of InfertilityJournal of Clinical Ethics 20 (3): 239-240. 2009.
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10Implications of Impaired Executive Control Functions for Patient Autonomy and Surrogate Decision MakingJournal of Clinical Ethics 12 (4): 397-405. 2001.
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18Professionally Responsible Clinical Ethical Judgments of FutilityAmerican Journal of Bioethics 15 (8): 54-56. 2015.
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115Medical ethics' appropriation of moral philosophy: The case of the sympathetic and the unsympathetic physicianKennedy Institute of Ethics Journal 17 (1): 3-22. 2007.Philosophy textbooks typically treat bioethics as a form of "applied ethics"-i.e., an attempt to apply a moral theory, like utilitarianism, to controversial ethical issues in biology and medicine. Historians, however, can find virtually no cases in which applied philosophical moral theory influenced ethical practice in biology or medicine. In light of the absence of historical evidence, the authors of this paper advance an alternative model of the historical relationship between philosophical et…Read more
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76Preventive ethics, professional integrity, and boundary setting: The clinical management of moral uncertaintyJournal of Medicine and Philosophy 20 (1): 1-11. 1995.
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26Response to commentaries on “patient autonomy for the management of chronic conditions: A two-component re-conceptualization”American 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 to the virtual exclusion of the capacity to execute the treatment plan. 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 capacity to plan, sequence, and carry out tasks as…Read more
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18Critically Appraising Prenatal Genetic Diagnosis to Prevent Disorders of Sexual Development: An Opportunity MissedAmerican Journal of Bioethics 13 (10). 2013.No abstract
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20Methodological concerns in bioethicsJournal of Medicine and Philosophy 11 (1): 17-37. 1986.Methodological concerns are moving to the top of the bioethics agenda for the next decade. This paper examines some of those concerns: (1) medical ethics as a subset of bioethics versus medical ethics as a subset of professional ethics; (2) a more in-depth examination of some methodological problems in treating medical ethics as professional ethics; (3) the senses in which bioethics constitutes an inquiry into secular undertakings in a pluralistic society; (4) ‘federal ethics’, the emergence to …Read more
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7""Taking seriously the" what then?" question: an ethical framework for the responsible management of medical disastersJournal of Clinical Ethics 21 (4): 321-327. 2010.When healthcare resources become overwhelmed in medical disasters, as they inevitably will, we have to ask, in an unflinching fashion, the question: “What then?” or more precisely, “What should we do when we run out of resources?” In a mass casualty event worthy of the designation, we will indeed run out of resources, perhaps quite quickly. This article provides an ethical framework for the responsible management of medical disasters in which the “What then?” question must be asked. The framewor…Read more
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47The critical turn in clinical ethics and its continous enhancementJournal of Medicine and Philosophy 30 (1). 2005.Taking the critical turn is one of the main tools of the humanities and inculcates an intellectual discipline that prevents ossification of thinking about issues and of organizational policies in clinical ethics. The articles in this "Clinical Ethics" number of the Journal take the critical turn with respect to cherished ways of thinking in Western clinical ethics, life extension, the clinical determination of death, physicians' duty to treat even at personal risk, clinical ethics at the interfa…Read more
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16The Threat of the New Managed Practice of Medicine to Patients’ AutonomyJournal of Clinical Ethics 6 (4): 320-323. 1995.
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15An Ethical Framework for the Responsible Management of Pregnant Patients in a Medical DisasterJournal of Clinical Ethics 22 (1): 20-24. 2011.The ethics of managing obstetric patients in medical disasters poses ethical challenges that are unique in comparison to other disaster patients, because the medical needs of two patients—the pregnant patient and the fetal patient—must be considered. We provide an ethical framework for doing so. We base the framework on the justice-based prevention of exploitation of populations of patients, both obstetric and non-obstetric, in medical disasters. We use the concept of exploitation to identify a …Read more
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42Hume's influence on John Gregory and the history of medical ethicsJournal of Medicine and Philosophy 24 (4). 1999.The concept of medicine as a profession in the English-language literature of medical ethics is of recent vintage, invented by the Scottish physician and medical ethicist, John Gregory (1724-1773). Gregory wrote the first secular, philosophical, clinical, and feminine medical ethics and bioethics in the English language and did so on the basis of Hume's principle of sympathy. This paper provides a brief account of Gregory's invention and the role that Humean sympathy plays in that invention, wit…Read more
Houston, Texas, United States of America
Areas of Specialization
Applied Ethics |
17th/18th Century Philosophy |
Areas of Interest
Applied Ethics |
17th/18th Century Philosophy |