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Valid consentIn Peter Schaber & Andreas Müller (eds.), The Routledge Handbook of the Ethics of Consent, Routledge. 2018.
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Paternalism and the practitioner/patient relationshipIn Kalle Grill & Jason Hanna (eds.), The Routledge Handbook of the Philosophy of Paternalism, Routledge. 2018.
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147Mandatory Disclosure and Medical PaternalismEthical Theory and Moral Practice 19 (2): 409-424. 2016.Medical practitioners are duty-bound to tell their patients the truth about their medical conditions, along with the risks and benefits of proposed treatments. Some patients, however, would rather not receive medical information. A recent response to this tension has been to argue that that the disclosure of medical information is not optional. As such, patients do not have permission to refuse medical information. In this paper I argue that, depending on the context, the disclosure of medical i…Read more
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33Informed consent and justified hard paternalismDissertation, University of Birmingham. 2012.According to the doctrine of informed consent medical procedures are morally permissible when a patient has consented to the treatment. Problematically it is possible for a patient to consent to or refuse treatment which consequently leads to a decline in her best interests. Standardly, such conflicts are resolved by prioritising the doctrine of informed consent above the requirement that the medical practitioner acts in accordance with the duty of care. This means that patient free choice is re…Read more
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2Around the Bend: The Curious Power of the Hills around Queenstown, TasmaniaCultural Studies Review 18 (1). 2012.This article traces a concern with excess and waste, landscape and identity in a town on the western periphery of Tasmania. Queenstown’s bald hills have been a popular tourist drawcard since the turn of the century, sold in travel guides and brochures as a spectacular ‘moonscape’. A combination of a severe bushfire in 1896 and the emission of sulphurous gases from the pyritic smelting process at the Mt Lyell Copper Mine have resulted in Queenstown’s weird denuded landscape. But the locals have g…Read more
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7Nightmare on Shaw Street: Getting Lost in Shorty’s Private CollectionCultural Studies Review 18 (3). 2012.This article discusses the semiotic and affective affordances of a regional museum on the west coast of Australia’s only island state, Tasmania. Shorty’s Private Collection is a small museum displaying items collected from around the region, with a focus on resuscitated mining materials. The owner also creates figures derived from popular culture from these items. The article uses the methodology of creative non-fiction in order to situate the museum within the marginal community that it engages…Read more
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1100Knowing and Not‐knowing For Your Own Good: The Limits of Epistemic PaternalismJournal of Applied Philosophy 433-447. 2016.Epistemic paternalism is the thesis that a paternalistic interference with an individual's inquiry is justified when it is likely to bring about an epistemic improvement in her. In this article I claim that in order to motivate epistemic paternalism we must first account for the value of epistemic improvements. I propose that the epistemic paternalist has two options: either epistemic improvements are valuable because they contribute to wellbeing, or they are epistemically valuable. I will argue…Read more
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101Informed consent as waiver: the doctrine rethought?Ethical Perspectives 17 (4): 529-555. 2010.Neil Manson and Onora O’Neill have recently defended an original theory of informed consent in their book Rethinking Informed Consent in Bioethics (2007). The development of their ‘waiver’ model is premised on the failings of the theory of informed consent as disclosure, which is rejected on two counts: firstly, the disclosure model’s implicit reliance upon a ‘conduit-container’ model of communication means that the regulatory requirements of informed consent can rarely be achieved; secondly, th…Read more
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39Conference Report Interdisciplinary Workshop in the Philosophy of Medicine: Medical Knowledge, Medical DutiesJournal of Evaluation in Clinical Practice 20 (6): 994-1001. 2014.On 27 September 2013, the Centre for the Humanities and Health (CHH) at King's College London hosted a 1-day workshop on ‘Medical knowledge, Medical Duties’. This workshop was the fifth in a series of five workshops whose aim is to provide a new model for high-quality, open interdisciplinary engagement between medical professionals and philosophers. This report identifies the key points of discussion raised throughout the day and the methodology employed.
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28Reconsidering Consent and BiobankingBiobanks and Tissue Research The International Library of Ethics, Law and Technology 8 111-125. 2011.The acquisition of fully informed consent presents a central ethical problem for the procurement and storage of human tissue in biobanks. The tension lies between the apparent necessity of obtaining informed consent from potential research subjects and the projected future use of the tissue. Specifically, under the doctrine of informed consent medical researchers are required to inform their potential research subjects about the relevant risks and purposes of the proposed research (Declaration o…Read more
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63Conference report: Interdisciplinary workshop in the philosophy of medicine: Parentalism and TrustJournal of Evaluation in Clinical Practice 21 (3): 542-8. 2015.On the 13th June 2014, the Centre for the Humanities and Health (CHH) at King’s College London hosted a one-day workshop on ‘Parentalism and Trust.’ This workshop was the sixth in a series of workshops whose aim is to provide a new model for high-quality open interdisciplinary engagement between medical professionals and philosophers. The term ‘Parentalism’ rather than paternalism is chosen and used throughout because of some of the derisory and unfortunate gender connotations associated with pa…Read more
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96Assisted Dying and the Proper Role of Patient AutonomyIn Jukka Varelius & Michael Cholbi (eds.), New Directions in the Ethics of Assisted Suicide and Euthanasia, Springer Verlag. pp. 1-16. 2015.A governing principle in medical ethics is respect for patient autonomy. This principle is commonly drawn upon in order to argue for the permissibility of assisted dying. In this paper I explore the proper role that respect for patient autonomy should play in this context. I argue that the role of autonomy is not to identify a patient’s best interests, but instead to act as a side-constraint on action. The surprising conclusion of the paper is that whether or not it is in the best interests for …Read more
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123Free Choice and Patient Best InterestsHealth Care Analysis 24 (4): 374-392. 2016.In medical practice, the doctrine of informed consent is generally understood to have priority over the medical practitioner’s duty of care to her patient. A common consequentialist argument for the prioritisation of informed consent above the duty of care involves the claim that respect for a patient’s free choice is the best way of protecting that patient’s best interests; since the patient has a special expertise over her values and preferences regarding non-medical goods she is ideally place…Read more
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136A Normatively Neutral Definition of PaternalismPhilosophical Quarterly 65 (258): 1-21. 2015.In this paper, I argue that a definition of paternalism must meet certain methodological constraints. Given the failings of descriptivist and normatively charged definitions of paternalism, I argue that we have good reason to pursue a normatively neutral definition. Archard's 1990 definition is one such account. It is for this reason that I return to Archard's account with a critical eye. I argue that Archard's account is extensionally inadequate, failing to capture some cases which are clear in…Read more
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