•  118
    In that case
    Journal of Bioethical Inquiry 4 (1): 387-388. 2007.
    In that Case Content Type Journal Article DOI 10.1007/s11673-010-9261-3 Authors Malcolm Parker, School of Medicine, University of Queensland, Brisbane, Australia Journal Journal of Bioethical Inquiry Online ISSN 1872-4353 Print ISSN 1176-7529
  •  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
  •  75
    Experiments in clinical ethics: Review essay
    Theoretical Medicine and Bioethics 30 (4): 323-333. 2009.
  •  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
  •  68
    Patients as rational traders: Response to Stewart and DeMarco (review)
    Journal of Bioethical Inquiry 3 (3): 133-136. 2006.
    Stewart and DeMarco’s economic theory of patient decision-making applied to the case of diabetes is flawed by clinical inaccuracies and an unrealistic depiction of patients as rational traders. The theory incorrectly represents patients’ struggles to optimize their management as calculated trade-offs against the costs of care, and gives an unrealistic, inflexible account of such costs. It imputes to physicians the view that their patients’ lack of compliance is unreasonable, but physicians are a…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
  •  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
  •  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
  •  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
  •  46
    The convergence of complementary and alternative medicine (CAM) and evidence-based medicine (EBM) is a prominent feature of healthcare in western countries, but it is currently undertheorised, and its implications have been insufficiently considered. Two models of convergence are described – the totally integrated evidence-based model (TI) and the multicultural-pluralistic model (MP). Both models are being incorporated into general medical practice. Against the background of the reasons for the …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
  •  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
  •  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
  •  37
    Fulford has argued that (1) the medical concepts illness, disease and dysfunction are inescapably evaluative terms, (2) illness is conceptually prior to disease, and (3) a model conforming to (2) has greater explanatory power and practical utility than the conventional value-free medical model. This ‘reverse’ model employs Hare's distinction between description and evaluation, and the sliding relationship between descriptive and evaluative meaning. Fulford's derivative ‘Values Based Medicine’ (V…Read more
  •  32
    Shanachie and Norm
    Journal of Bioethical Inquiry 9 (2): 215-216. 2012.
    Shanachie and Norm Content Type Journal Article Category Case Studies Pages 1-2 DOI 10.1007/s11673-012-9356-0 Authors Malcolm Parker, School of Medicine, The University of Queensland, 288 Herston Road, Herston, QLD 4006, Australia Journal Journal of Bioethical Inquiry Online ISSN 1872-4353 Print ISSN 1176-7529
  •  31
    Journal of Bioethical Inquiry 4 (1): 29-31. 2007.
  •  30
    Diagnosis, Power and Certainty: Response to Davis (review)
    Journal of Bioethical Inquiry 7 (3): 291-297. 2010.
    Lennard Davis’s Biocultural Critique of the alleged certainty of diagnosis (Davis Journal of Bioethical Inquiry 7:227−235, 2010) makes errors of fact concerning psychiatric diagnostic categories, misunderstands the role of power in the therapeutic relationship, and provides an unsubstantiated and vague alternative to the management of psychological distress via a conceptually outdated model of the relationships between physical and psychological disease and illness. This response demonstrates th…Read more
  •  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
  •  24
  •  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
  •  19
    The United Nations Convention on the Rights of Persons with Disabilities urges and requires changes to how signatories discharge their duties to people with intellectual disabilities, in the direction of their greater recognition as legal persons with expanded decision-making rights. Australian jurisdictions are currently undertaking inquiries and pilot projects that explore how these imperatives should be implemented. One of the important changes advocated is to move from guardianship models to…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
  •  17
    An Anonymous Death: Five of Five Pieces
    Journal of Bioethical Inquiry 11 (2): 181-181. 2014.
    An Anonymous DeathThe comet, a white haired traveller, hauls its tail behind, thereby hangs its tale. Its particulate history swings away into black time as it skirts you.A million times a million fissions, fires in Andromeda, a surge of ice across a steppe, the moon’s impacted skin. Events escape their birth and move out at the roar of light, hurtling endlessly nowhere and everywhere colliding stray worlds, spinning and groping.At night through cat’s eye domes watchmen on the world’s clearest r…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.
  •  15
    Monday 7 a.m.: One of Five Pieces
    Journal of Bioethical Inquiry 11 (2): 137-137. 2014.
    I found a manin a roomsprawl awkwardat a dying angletickingat his bed’s endat his life’s endpast the end of his witsand his wife’sin a roomround the end of their lives.He trembled his vows againheld his cachectic bellepast her life’s endtheir last toast the mercy kill.I found himticking slowlyshe colddeliveredwaiting on his life.His survivalobliging inquiryof motiveof methodI hurriedhim off to hergentlest of homicides.Two mounds in a room, coolingpast fear, post suicide
  •  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
  •  14
    Senility: Two of Five Pieces
    Journal of Bioethical Inquiry 11 (2): 151-151. 2014.
    SenilityCalled from pleasuresI go tap-tapping down an old man’s backdown the skin of eighty summers wastingon a rib-ladder closingon a history of heart and lungs.These narrowly contracting bags I find, proclaim“Today his chest is clear as yours or mine.”This is the news requiredas the tide of vigilancelaps his sheets each surfacing dawn.“He’s doing very well.”He leans his gaze to the voice dintingthe routine of his roombut slides the focal point towards infinitypast those gatheredto the motes of…Read more
  •  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
  •  13