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45Placing 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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44AJOB Empirical Bioethics: A Home for Empirical Bioethics ScholarshipAJOB Empirical Bioethics 5 (1): 1-2. 2014.
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43Physicians' 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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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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41Medical ethics in the future: Commentary on Andre de vriesTheoretical Medicine and Bioethics 3 (1): 129-133. 1982.
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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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39A basic concept in the clinical ethics of managed care: Physicians and institutions as economically disciplined moral co-fiduciaries of populations of patientsJournal of Medicine and Philosophy 24 (1). 1999.Managed care employs two business tools of managed practice that raise important ethical issues: paying physicians in ways that impose conflicts of interest on them; and regulating physicians' clinical judgment, decision making, and behavior. The literature on the clinical ethics of managed care has begun to develop rapidly in the past several years. Professional organizations of physicians have made important contributions to this literature. The statements on ethical issues in managed care of …Read more
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38Philosophical 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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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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36A 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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35Consent: Informed, Simple, Implied and PresumedAmerican Journal of Bioethics 7 (12): 49-50. 2007.No 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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33Physicians’ Professionally Responsible Power: A Core Concept of Clinical EthicsJournal of Medicine and Philosophy 41 (1): 1-9. 2016.The gathering of power unto themselves by physicians, a process supported by evidence-based practice, clinical guidelines, licensure, organizational culture, and other social factors, makes the ethics of power—the legitimation of physicians’ power—a core concept of clinical ethics. In the absence of legitimation, the physician’s power over patients becomes problematic, even predatory. As has occurred in previous issues of the Journal, the papers in the 2016 clinical ethics issue bear on the prof…Read more
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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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32Contributions of Ethical Theory to Pediatric Ethics Pediatricians and Parents as Co-fiduciaries of Pediatric PatientsPediatric Bioethics. forthcoming.
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31Responsibly Managing Uncertainties In Clinical EthicsJournal of Medicine and Philosophy 37 (1): 1-5. 2012.It is well-recognized that uncertainty is an endemic feature and limitation of clinical judgment and practice that cannot be eliminated in many cases. Among the tasks of clinical ethics is the responsible management of uncertainties, first articulated in E. Haavi Morreim’s very nice concept of the "moral management of medical uncertainty." The papers in the 2012 Clinical Ethics issue of the Journal provide philosophically innovative and clinically applicable accounts of the varieties of uncertai…Read more
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31Trust, moral responsibility, the self, and well-ordered societies: The importance of basic philosophical concepts for clinical ethicsJournal of Medicine and Philosophy 27 (1). 2002.Although the work of clinical ethics is intensely practical, it employs and presumes philosophical concepts from the central branches of philosophy, including metaphysics, epistemology, ethics, and political philosophy. This essay introduces this issue in the Journal on clinical ethics by considering how the papers and book reviews included in it illuminate four such concepts: trust, moral responsibility, the self and well-ordered societies.
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30Responses to Open Peer Commentaries on "Physicians' Silent Decisions: Because Patient Autonomy Doesn't Always Come First"American Journal of Bioethics 7 (7): 1-3. 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. Justified s…Read more
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30Arboriculture in Clinical Ethics: Using Philosophical Critical Appraisal to Clear Away Underbrush in Ethical Analysis and ArgumentJournal of Medicine and Philosophy 36 (1): 1-5. 2011.This paper introduces the 2011 number of the Journal on Clinical Ethics. Philosophical critical appraisal is essential for the success of philosophical analysis and argument in clinical ethics. To clear away conceptual underbrush, papers in this Clinical Ethics number of the Journal address genetic engineering, conscience-based objections to forms of health care, placebos, and preventing exploitation of patients to be recruited to become research subjects
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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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29Special Supplement: Biomedical Ethics and the Shadow of NazismHastings Center Report 6 (4): 1. 1976.
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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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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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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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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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28Critical Appraisal of Clinical Judgment: An Essential Dimension of Clinical EthicsJournal of Medicine and Philosophy 38 (1): 1-5. 2013.The morally responsible practice of clinical medicine depends on many factors, the integrity of clinical judgment chief among them. Responsible clinical judgment requires that it be deliberative. The disciplines of the humanities, all of which contribute to clinical ethics—as the papers that follow illustrate—teach that deliberative reasoning includes critical self-awareness and self-scrutiny. Critical appraisal proves essential to achieving both. The papers in the 2013 Clinical Ethics number of…Read more
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27The Accidental BioethicistCambridge Quarterly of Healthcare Ethics 11 (4): 359-368. 2002.Albert Jonsen in The Birth of Bioethics notes that his career in bioethics began with a phone call to him from soon-to-be colleagues at the University of California at San Francisco Medical Center. Bioethics didn't begin with a bang but as an accident in the root sense—something that happened, not by necessity, but rather by chance. Indeed, the opening chapters of Jonsen's book chronicle a series of accidents that helped to create the field of bioethics. Principal among these was the fact that p…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 |