•  13
    Prenatal diagnosis: Discrimination, medicalisation and eugenics
    Monash Bioethics Review 25 (3): 41-53. 2006.
    Prenatal Diagnosis includes diagnostic procedures carried out during the antenatal period, together with Preconception Screening of prospective parents, and prenatal genetic diagnosis. The purpose of all these procedures is to provide prospective parents with opportunities to decide whether or not to have a child who will be diseased or disabled. Selection decisions determine what kinds of children are brought into existence; the ability to make these decisions is of huge ethical significance. I…Read more
  •  14
    Doctors’ perceptions of how resource limitations relate to futility in end-of-life decision making: a qualitative analysis
    with Eliana Close, Ben P. White, Lindy Willmott, Cindy Gallois, Nicholas Graves, and Sarah Winch
    Journal of Medical Ethics 45 (6): 373-379. 2019.
    ObjectiveTo increase knowledge of how doctors perceive futile treatments and scarcity of resources at the end of life. In particular, their perceptions about whether and how resource limitations influence end-of-life decision making. This study builds on previous work that found some doctors include resource limitations in their understanding of the concept of futility.SettingThree tertiary hospitals in metropolitan Brisbane, Australia.DesignQualitative study using in-depth, semistructured, face…Read more
  •  5
    Contemporary Bioethics, Medical Values, and the Doctor-Patient Relationship
    Australian Bioethics Association First National Conference 253-263. 1991.
  •  7
    The Human Fertilisation and Embryology Authority have recently granted a licence to perform preimplanation genetic diagnosis (PGD) for the homozygous form of familial hypercholesterolaemia (FH), explicitly excluding its use for the heterozygous form. The grounds for such decisions centre on how serious a condition is thought to be as well as on the availability of effective treatment, and decisions are made on a case-by-case basis. The case for licensing homozygous FH is discussed and compared w…Read more
  •  37
    Healthcare professionals' and researchers' understanding of cancer genetics activities: a qualitative interview study
    with N. Hallowell, S. Cooke, G. Crawford, and A. Lucassen
    Journal of Medical Ethics 35 (2): 113-119. 2009.
    Aims: To describe individuals’ perceptions of the activities that take place within the cancer genetics clinic, the relationships between these activities and how these relationships are sustained. Design: Qualitative interview study. Participants: Forty individuals involved in carrying out cancer genetics research in either a clinical (n = 28) or research-only (n = 12) capacity in the UK. Findings: Interviewees perceive research and clinical practice in the subspecialty of cancer genetics as in…Read more
  •  7
    Across the Rubicon: Medicalisation, Natural Death & Euthanasia
    Monash Bioethics Review 20 (4): 7-29. 2001.
    The recently published BMA Guidelines on Withholding and Withdrawing Medical Treatment encourage a balance between deriving maximal benefit from medical treatment, and achieving as natural a death as possible in the circumstances. I argue that the concepts of burdensomeness, natural death and medicalised death are of greater fundamental importance than that of intention, and do not help constitute a moral distinction between withdrawal of treatment and active assistance to die. Nor should they c…Read more
  •  57
    Moral intuition, good deaths and ordinary medical practitioners
    Journal of Medical Ethics 16 (1): 28-34. 1990.
    Debate continues over the acts/omissions doctrine, and over the concepts of duty and charity. Such issues inform the debate over the moral permissibility of euthanasia. Recent papers have emphasised moral sensitivity, medical intuitions, and sub-standard palliative care as some of the factors which should persuade us to regard euthanasia as morally unacceptable. I argue that these lines of argument are conceptually misdirected and have no bearing on the bare permissibility of voluntary euthanasi…Read more
  •  39
    Orr and Siegler have recently defended a restrictive view concerning posthumous sperm retrieval and conception, which would limit insemination to those cases where the deceased man has provided explicit consent for such a procedure. The restrictive view dominates current law and practice. A permissible view, in contrast, would allow insemination and conception in all but those cases where the posthumous procedure has been explicitly refused, or where there is no reasonable evidence that the dece…Read more
  •  73
    The best possible child
    Journal of Medical Ethics 33 (5): 279-283. 2007.
    Julian Savulescu argues for two principles of reproductive ethics: reproductive autonomy and procreative beneficence, where the principle of procreative beneficence is conceptualised in terms of a duty to have the child, of the possible children that could be had, who will have the best opportunity of the best life. Were it to be accepted, this principle would have significant implications for the ethics of reproductive choice and, in particular, for the use of prenatal testing and other reprodu…Read more
  •  88
    Autonomy, problem-based learning, and the teaching of medical ethics
    Journal of Medical Ethics 21 (5): 305-310. 1995.
    Autonomy has been the central principle underpinning changes which have affected the practice of medicine in recent years. Medical education is undergoing changes as well, many of which are underpinned, at least implicitly, by increasing concern for autonomy. Some universities have embarked on graduate courses which utilize problem-based learning (PBL) techniques to teach all areas, including medical ethics. I argue that PBL is a desirable method for teaching and learning in medical ethics. It i…Read more
  •  19
    Public deliberation and private choice in genetics and reproduction
    Journal of Medical Ethics 26 (3): 160-165. 2000.
    The development of human genetics raises a wide range of important ethical questions for us all. The interpersonal dimension of genetic information in particular means that genetics also poses important challenges to the idea of patient-centredness and autonomy in medicine. How ought practical ethical decisions about the new genetics be made given that we appear, moreover, no longer to be able to appeal to unquestioned traditions and widely shared communitarian values? This paper argues that any…Read more
  •  21
    What is the role of clinical ethics support in the era of e-medicine?
    Journal of Medical Ethics 27 (suppl 1): 33-35. 2001.
    The internet is becoming increasingly important in health care practice. The number of health-related web sites is rising exponentially as people seek health-related information and services to supplement traditional sources, such as their local doctor, friends, or family. The development of e-medicine poses important ethical challenges, both for health professionals and for those who provide clinical ethics support for them. This paper describes some of these challenges and explores some of the…Read more
  •  54
    Ethics and research governance: the views of researchers, health-care professionals and other stakeholders
    with N. Hallowell, S. Cooke, G. Crawford, and A. Lucassen
    Clinical Ethics 3 (2): 85-90. 2008.
    The objective of this study is to describe researchers', health-care providers' and other stakeholders' views of ethical review and research governance procedures. The study design involved qualitative semi-structured interviews. Participants included 60 individuals who either undertook research in the subspecialty of cancer genetics (n = 40) or were involved in biomedical research in other capacities (n = 20), e.g. research governance and oversight, patient support groups or research funding. W…Read more
  •  11
    Concern for families and individuals in clinical genetics
    Journal of Medical Ethics 29 (2): 70-73. 2003.
    Clinical geneticists are increasingly confronted with ethical tensions between their responsibilities to individual patients and to other family members. This paper considers the ethical implications of a “familial” conception of the clinical genetics role. It argues that dogmatic adherence to either the familial or to the individualistic conception of clinical genetics has the potential to lead to significant harms and to fail to take important obligations seriously.Geneticists are likely to co…Read more
  •  6
    Reasons doctors provide futile treatment at the end of life: a qualitative study
    with Lindy Willmott, Benjamin White, Cindy Gallois, Nicholas Graves, Sarah Winch, Leonie Kaye Callaway, Nicole Shepherd, and Eliana Close
    Journal of Medical Ethics 42 (8): 496-503. 2016.
  •  7
    The role of law in decisions to withhold and withdraw life-sustaining treatment from adults who lack capacity: a cross-sectional study
    with Benjamin P. White, Lindy Willmott, Gail Williams, and Colleen Cartwright
    Journal of Medical Ethics 43 (5): 327-333. 2017.
  •  27
    Law as Clinical Evidence: A New ConstitutiveModel of Medical Education and Decision-Making
    with Lindy Willmott, Ben White, Gail Williams, and Colleen Cartwright
    Journal of Bioethical Inquiry 15 (1): 101-109. 2018.
    Over several decades, ethics and law have been applied to medical education and practice in a way that reflects the continuation during the twentieth century of the strong distinction between facts and values. We explain the development of applied ethics and applied medical law and report selected results that reflect this applied model from an empirical project examining doctors’ decisions on withdrawing/withholding treatment from patients who lack decision-making capacity. The model is critiqu…Read more
  •  17
    New Perspectives on the End of Life
    with Ian Kerridge, Paul A. Komesaroff, and Elizabeth Peter
    Journal of Bioethical Inquiry 6 (3): 269-270. 2009.
  •  75
    Experiments in clinical ethics: Review essay
    Theoretical Medicine and Bioethics 30 (4): 323-333. 2009.
  •  51
    Whither our art? Clinical wisdom and evidence-based medicine
    Medicine, Health Care and Philosophy 5 (3): 273-280. 2002.
    The relationship between evidence-based medicine (EBM) and clinical judgement is the subject of conceptual and practical dispute. For example, EBM and clinical guidelines are seen to increasingly dominate medical decision-making at the expense of other, human elements, and to threaten the art of medicine. Clinical wisdom always remains open to question. We want to know why particular beliefs are held, and the epistemological status of claims based in wisdom or experience. The paper critically ap…Read more
  •  44
    Two concepts of empirical ethics
    Bioethics 23 (4): 202-213. 2009.
    The turn to empirical ethics answers two calls. The first is for a richer account of morality than that afforded by bioethical principlism, which is cast as excessively abstract and thin on the facts. The second is for the facts in question to be those of human experience and not some other, unworldly realm. Empirical ethics therefore promises a richer naturalistic ethics, but in fulfilling the second call it often fails to heed the metaethical requirements related to the first. Empirical ethics…Read more
  •  46
    Republication: In that case (review)
    Journal of Bioethical Inquiry 4 (2): 373-373. 2007.
    Republication: In That Case Content Type Journal Article DOI 10.1007/s11673-010-9264-0 Authors Malcolm Parker, School of Medicine, University of Queensland, Brisbane, Australia Journal Journal of Bioethical Inquiry Online ISSN 1872-4353 Print ISSN 1176-7529
  •  8
    Misconceiving Medical Leadership
    Perspectives in Biology and Medicine 56 (3): 387-406. 2013.
  •  24
  •  9
    Blowing the virtue-ethics whistle: Response to Faunce
    Monash Bioethics Review 23 (4): 56-59. 2004.
  •  9
    Vaccination Day: Three of Five Pieces
    Journal of Bioethical Inquiry 11 (2): 161-161. 2014.
    They enterin curves and stoopslimping and tappinga file of bare armscreased faces upliftedred eyelids poutingeyes curtained in cataract.The syringes are magazined at his hip.A pinch of skinin a chill autumn morninga stinging spreads outat the borders of shouldersthe grim supplicationfor all his attentionthe trembling smileon his remembering a name.Swabs spent in bucketsthe names all collecteda shifting and amblingacross the lawns to their liveson small porchesand in dim echoing cells.Washing his…Read more
  •  10
    Republication: In That Case
    Journal of Bioethical Inquiry 7 (4): 373-373. 2010.
  •  31
    Rejoinder
    Journal of Bioethical Inquiry 4 (1): 29-31. 2007.
  •  6
    In That Case
    Journal of Bioethical Inquiry 7 (2): 273-273. 2010.