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48The 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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16An 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
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65Improving Informed Consent: The Medium Is Not the MessageIRB: Ethics & Human Research 25 (5). 2003.
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44Physicians' silent decisions: Because patient autonomy does not always come firstAmerican Journal of Bioethics 7 (7). 2007.Physicians make some medical decisions without disclosure to their patients. Nondisclosure is possible because these are silent decisions to refrain from screening, diagnostic or therapeutic interventions. Nondisclosure is ethically permissible when the usual presumption that the patient should be involved in decisions is defeated by considerations of clinical utility or patient emotional and physical well-being. Some silent decisions - not all - are ethically justified by this standard. Justifi…Read more
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25Deliberative Clinical Ethics: Getting Back to Basics in the Work of Clinical Ethics and Clinical EthicistsJournal of Medicine and Philosophy 39 (1): 1-7. 2014.The six papers in the 2014 clinical ethics number of the Journal get us back to the basics in the work of clinical ethics and clinical ethicists: getting clear about concepts that should be used in achieving deliberative clinical ethics. The papers explore the concepts of the best interests of the patient, health and disease understood in their proper relationship to autonomy in our species, the therapeutic obligation, and the therapeutic imperative. The final paper appraises the systematic revi…Read more
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67Pluralism, philosophies of medicine and the varieties of medical ethics: A commentary on Thomasma and PellegrinoMetamedicine 2 (1): 13-17. 1981.Some problems that arise in the account given by Thomasma and Pellegrino [6] of the foundations of medical ethics in a philosophy of medicine are addressed, in particular questions of a conceptual character about treating therelatum of medicine as health. Which concept of health is appropriate and which will bear the burden of the position thomasma and Pellegrino advance? It is argued that the proper relationship of medicine is one between a healer and developing embodied minds. As a consequence…Read more
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40Respect as an organizing normative category for research ethicsAmerican Journal of Bioethics 5 (1). 2005.Rosamond Rhodes calls for a reconceptualization of research ethics and a fundamental shift in attitude toward both research subjects and scientific investigators. She recognizes the limits of the e...
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28A methodology for teaching ethics in the clinical setting: A clinical handbook for medical ethicsTheoretical Medicine and Bioethics 15 (1). 1994.The pluralism of methodologies and severe time constraints pose important challenges to pedagogy in clinical ethics. We designed a step-by-step student handbook to operate within such constraints and to respect the methodological pluralism of bioethics and clinical ethics. The handbook comprises six steps: Step 1: What are the facts of the case?; Step 2: What are your obligations to your patient?; Step 3: What are your obligations to third parties to your relationship with the patient?; Step 4: …Read more
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Normalizing Atypical Genitalia: How a Heated Debate Went Astray (vol 42, pg 32, 2012)Hastings Center Report 43 (1): 7-7. 2013.
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133On 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 Office for Human Research Protections, and three universities where Dr. New has held or holds appointments. We provide a critical a…Read more
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74Hume, bioethics, and philosophy of medicineJournal of Medicine and Philosophy 24 (4). 1999.This Article does not have an abstract
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35Should we create a health care system in the united states?Journal of Medicine and Philosophy 19 (5): 483-490. 1994.An orthodoxy has arisen which claims that there is a crisis in the United States health care system such that the system needs to be reformed. This essay challenges that orthodoxy by showing that we do not have a health care system in the United States. We have a non-system of health care, just as we do for virtually all basic social institutions. Challenging the current orthodoxy surfaces two ethical issues that have been ignored: creating a health care system will (a) cause resurgent paternali…Read more
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13Professional Responsibility and Individual Conscience: Protecting the Informed Consent Process from Impermissible BiasJournal of Clinical Ethics 19 (1): 24-25. 2008.
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17John Gregory (1724 - 1773) and the Invention of Professional Relationships in MedicineJournal of Clinical Ethics 8 (1): 11-21. 1997.
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48The Cambridge world history of medical ethics (edited book)Cambridge University Press. 2008.The Cambridge World History of Medical Ethics is the first comprehensive scholarly account of the global history of medical ethics. Offering original interpretations of the field by leading bioethicists and historians of medicine, it will serve as the essential point of departure for future scholarship in the field. The volumes reconceptualize the history of medical ethics through the creation of new categories, including the life cycle; discourses of religion, philosophy, and bioethics; and the…Read more
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23Finely crafted distinctions and the art of clinical ethicsJournal of Medicine and Philosophy 26 (1). 2001.Making finely crafted distinctions and deploying them in intellectually rigorous and clinically applicable judgments define, to a considerable degree, the art of clinical ethics. The papers in this Clinical Ethics number of the Journal of Medicine and Philosophy demonstrate the art of clinical ethics in their consideration of respect for autonomy vs. respect for persons, the role of risk in triggering assessment of decisional capacity vs. the role of risk in the concept and assessment of decisio…Read more
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25Professional Responsibility to and for Patients and the Ethics of Health PolicyAmerican Journal of Bioethics 13 (8): 16-18. 2013.Nancy Jecker (2013) mounts a sustained and formidable critique of Norman Daniels's prudential lifespan account (PLA) as a reliable basis for justice between age groups in the responsible allocation...
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Areas of Specialization
Applied Ethics |
17th/18th Century Philosophy |
Areas of Interest
Applied Ethics |
17th/18th Century Philosophy |