•  2
    Leibniz's earliest philosophy and its importance for his mature philosophy have not been examined in detail, particularly in the level of detail that one can achieve by placing Leibniz's philosophy in the context of the sources for two of the most basic concerns of his philosophical career: his metaphysics of individuals and the principle oftheir individuation. In this book I provide for the first time a detailed examination of these two Leibnizian themes and trace its implications for how we sh…Read more
  •  9
    Professional virtue of civility: responding to commentaries
    with John Coverdale and Frank A. Chervenak
    Journal of Medical Ethics 49 (10): 692-693. 2023.
    In our ‘The Professional Virtue of Civility and the Responsibilities of Medical Educators and Academic Leaders’,1 we provided an historically based conceptual account of the professional virtue of civility and the role of leaders of academic health centres in creating and sustaining an organisational culture of professionalism that promotes civility among healthcare professionals and between medical educators and learners. We emphasised that any adequate understanding of the virtues, including p…Read more
  •  2
    Expanding Disclosure of Conflicts of Interest: The Views of Stakeholders
    with Baruch A. Brody, Cheryl Anderson, S. Van McCrary, Robert Morgan, and Nelda Wray
    IRB: Ethics & Human Research 25 (1): 1. 2003.
  •  2
    Focus More on Causes and Less on Symptoms of Moral Distress
    with Tessy A. Thomas
    Journal of Clinical Ethics 28 (1): 30-32. 2017.
    In this commentary on Carse and Rushton’s call for reorientation of moral distress, we state agreement with the authors that the discourse of moral distress should refocus on the moral components of integrity. We then explain how our philosophical taxonomy of moral distress, mentioned by the authors, appeals to moral integrity. In this process, we clarify our taxonomy’s appeal to Aristotle’s concept of akrasia. We conclude by offering support of Carse and Rushton’s challenge to organizations to …Read more
  •  11
    Planned Home Birth in the United States and Professionalism: A Critical Assessment
    with F. A. Chervenak, A. Grünebaum, B. Arabin, M. I. Levene, and R. L. Brent
    Journal of Clinical Ethics 24 (3): 184-191. 2013.
    Planned home birth has been considered by some to be consistent with professional responsibility in patient care. This article critically assesses the ethical and scientific justification for this view and shows it to be unjustified. We critically assess recent statements by professional associations of obstetricians, one that sanctions and one that endorses planned home birth. We base our critical appraisal on the professional responsibility model of obstetric ethics, which is based on the ethi…Read more
  •  1
    The Threat of the New Managed Practice of Medicine to Patients’ Autonomy
    with F. A. Chervenak
    Journal of Clinical Ethics 6 (4): 320-323. 1995.
  •  9
    Preventive Ethics Strategies for Drug Abuse During Pregnancy
    with F. A. Chervenak
    Journal of Clinical Ethics 1 (2): 157-158. 1990.
  •  6
    Central concepts and consensus views in clinical ethics are marked by instability. The papers in this number of the Journal take up two such central concepts, quality of life and moral status, and two such consensus views, that germ-line gene transfer should not be undertaken for the purposes of enhancement of human traits and that the ethical obligation of physicians to treat HIV infected patients rests on consent of the physician. One outcome of these philosophical investigations is that these…Read more
  •  1
    Response to Brown
    The Leibniz Review 8 95-99. 1998.
  •  18
    Rethinking the Conceptual and Empirical Foundations of Clinical Ethics
    Journal 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
  •  26
    Responsibly Managing Uncertainties In Clinical Ethics
    Journal 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
  •  6
    La Frontera: Responsibly Managing Borders and Boundaries in Clinical Ethics
    Journal of Medicine and Philosophy 35 (1): 1-6. 2010.
    The papers in the 2010 “Clinical Ethics” number of the Journal of Medicine and Philosophy explore issues along La Frontera, the borders and boundaries of clinical ethics. The first three papers in this “Clinical Ethics” number of the Journal explore borders and boundaries drawn within clinical ethics, concerning the moral standing of complementary and alternative medicine, palliative sedation, and induced abortion and feticide. The fourth and fifth papers explore the borders and boundaries betwe…Read more
  •  4
    Cases in Point (review)
    Hastings Center Report 13 (5): 42. 1983.
    Book reviewed in this article: In That Case: Medical Ethics in Everyday Practice. By Alastair Campbell and Roger Higgs. Medical Genetics Casebook: A Clinical Introduction to Medical Ethics Systems Theory. By Colleen D. Clements. Cases in Bioethics from the Hastings Center Report. Edited by Carol Levine and Robert M. Veatch. Hastings‐on‐Hudson.
  •  29
    Consent: Informed, Simple, Implied and Presumed
    with Amy L. McGuire and Simon N. Whitney
    American Journal of Bioethics 7 (12): 49-50. 2007.
    No abstract
  •  23
    Critical Appraisal of Clinical Judgment: An Essential Dimension of Clinical Ethics
    Journal 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
  •  104
    Bioethics Education: Diversity and Critique
    with A. R. Jonsen
    Journal of Medicine and Philosophy 16 (1): 1-4. 1991.
  •  21
    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
  •  2
    Irrational and Pregnant
    with F. A. Chervenak
    Hastings Center Report 22 (3): 44-44. 2012.
  •  20
    Special Supplement: Biomedical Ethics and the Shadow of Nazism
    with Daniel Callahan, Arthur Caplan, Harold Edgar, Tabitha M. Powledge, Margaret Steinfels, Peter Steinfels, Robert M. Veatch, Joseph Walsh, Joel Colton, Lucy S. Dawidowicz, Milton Himmelfarb, and Telford Taylor
    Hastings Center Report 6 (4): 1. 1976.
  •  80
    The relationship between moral philosophy and medical ethics reconsidered
    Kennedy Institute of Ethics Journal 17 (3): 271-276. 2007.
    : Medical ethics often is treated as applied ethics, that is, the application of moral philosophy to ethical issues in medicine. In an earlier paper, we examined instances of moral philosophy's influence on medical ethics. We found the applied ethics model inadequate and sketched an alternative model. On this model, practitioners seeking to change morality "appropriate" concepts and theory fragments from moral philosophy to valorize and justify their innovations. Goldilocks-like, five commentato…Read more
  •  4
    Professional virtue of civility and the responsibilities of medical educators and academic leaders
    with John Coverdale and Frank A. Chervenak
    Journal of Medical Ethics 49 (10): 674-678. 2023.
    Incivility among physicians, between physicians and learners, and between physicians and nurses or other healthcare professionals has become commonplace. If allowed to continue unchecked by academic leaders and medical educators, incivility can cause personal psychological injury and seriously damage organisational culture. As such, incivility is a potent threat to professionalism. This paper uniquely draws on the history of professional ethics in medicine to provide a historically based, philos…Read more
  •  36
    Addressing the Ethical Challenges in Genetic Testing and Sequencing of Children
    with Ellen Wright Clayton, Leslie G. Biesecker, Steven Joffe, Lainie Friedman Ross, Susan M. Wolf, and For the Clinical Sequencing Exploratory Research Group
    American Journal of Bioethics 14 (3): 3-9. 2014.
    American Academy of Pediatrics (AAP) and American College of Medical Genetics (ACMG) recently provided two recommendations about predictive genetic testing of children. The Clinical Sequencing Exploratory Research Consortium's Pediatrics Working Group compared these recommendations, focusing on operational and ethical issues specific to decision making for children. Content analysis of the statements addresses two issues: (1) how these recommendations characterize and analyze locus of decision m…Read more
  •  57
    "Are Their Babies Different from Ours?": Dutch Culture and the Groningen Protocol
    with A. A. Eduard Verhagen, Pieter J. Sauer, Daniel Callahan, Frank A. Chervenak, Birgit Arabin, Tim Smith, and Georgia Goldfarb
    Hastings Center Report 38 (4): 4-7. 2008.
  •  4
    Robert Veatch’s Disrupted Dialogue and its implications for bioethics
    Theoretical Medicine and Bioethics 43 (4): 221-233. 2022.
    In his Disrupted Dialogue: Medical Ethics and the Collapse of Physician-Humanist Communication Robert Veatch presents a scholarly tour de force of eighteenth- and nineteenth-century Anglophone medical ethics to demonstrate how the easy communication between physicians and humanists in the Scottish Enlightenment progressively dissipated as medicine became detached from humanistic disciplines. In this paper I offer two comments—that the discourse of medical ethics in the Scottish Enlightenment was…Read more
  •  16
    Ethical considerations in the treatment of chronic psychosis in a periviable pregnancy
    with Michelle T. Nguyen, Eric Rafla-Yuan, Emily Boyd, Frank A. Chervenak, and Emily C. Dossett
    Clinical Ethics 18 (1): 113-119. 2023.
    Background: Treatment of psychotic disorders in pregnancy is often ethically and clinically challenging, especially when psychotic symptoms impair decision-making capacity. There are several competing ethical obligations to consider: the ethical obligation to maternal autonomy, the maternal and fetal beneficence-based obligations to treat peripartum psychosis, and the fetal beneficence-based obligation to minimize teratogenic exposure. Objective: This article outlines an ethical framework for cl…Read more
  •  7
    The best things in my Ufe have come to me by accident and this book results from one such accident: my having the opportunity, out of the blue, to go to work as H. Tristram Engelhardt, Jr. 's, research assistant at the Institute for the Medical Humanities in the University of Texas Medi cal Branch at Galveston, Texas, in 1974, on the recommendation of our teacher at the University of Texas at Austin, Irwin C. Lieb. During that summer Tris "lent" me to Chester Bums, who has done important schol a…Read more
  •  3
    Long Term Health Care: Providing a Spectrum of Services to the Aged
    with Rosalie A. Kane, Robert L. Kane, Philip W. Brickner, Anthony J. Lechich, Roberta Lipsman, and Linda K. Scharer
    Hastings Center Report 19 (5): 45. 1989.
    Book reviewed in this article: Long Term Care: Principles, Programs and Policies. By Rosalie A. Kane and Robert L. Kane. Long Term Health Care: providing a Spectrum of Services to the Aged. By Philip W. Brickner, Anthony J. Lechich, Roberta Lipsman, and Linda K. scharer.
  •  20
    In Response to COVID-19 Pandemic Physicians Already Know What to Do
    American Journal of Bioethics 20 (7): 9-12. 2020.
    Volume 20, Issue 7, July 2020, Page 9-12.