•  8
    Intrinsic value and animal integrity are two key concepts in the debate on the ethics of the genetic engineering of laboratory animals. These concepts have, on the one hand, a theoretical origin and are, on the other hand, based on the moral beliefs of people not directly involved in the genetic modification of animals. This ‘external’ origin raises the question whether these concepts need to be adjusted or extended when confronted with the moral experiences and opinions of people directly invol…Read more
  •  309
    Social science and bioethics: morality from the ground up
    with L. Turner, K. Orfali, and C. L. Bosk
    Clinical Ethics 2 (1): 33-35. 2007.
  •  19
    Imperfect informed consent for prenatal screening: Lessons from the Quad screen
    with M. Constantine, M. Allyse, M. Wall, and T. Rockwood
    Clinical Ethics 9 (1): 17-27. 2014.
    Objective The study evaluated patient informed consent for the Quad screen and examined differences in IC between test acceptors and test refusers. A multidimensional model of IC was used. Methods Women seeking prenatal care at nine obstetrics clinics in a large Midwestern city completed surveys between February and December 2006. Surveys contained measures for three dimensions of IC: intention, understanding and controlling influence. Results 56.2% of women did not meet criteria for all three o…Read more
  •  123
    This paper analyses the concept of empirical ethics as well as three meta-ethical fallacies that empirical ethics is said to face: the is-ought problem, the naturalistic fallacy and violation of the fact-value distinction. Moreover, it answers the question of whether empirical ethics (necessarily) commits these three basic meta-ethical fallacies.
  •  11
    Did You Know?
    with B. C. Martinson
    Academic Medicine 82 (9). 2007.
  • First do no harm: Institutional Review Boards and behavioral health research
    with Deborah De Bruin and Andrew Goodgame
    Ethics and Behavior 14 (3): 351-368. 2004.
  •  11
    Moral Science: Ethical Argument and the Production of Knowledge about Place of Birth
    with Y. Paruchuri, K. Lorenz, and S. Vedam
    Journal of Clinical Ethics 24 (3): 225-238. 2013.
    Ethical arguments about caregiver responsibility and the limits of client autonomy rely on best evidence about the risks and benefits of medical interventions. But when the evidence is unclear, or when the peer-reviewed literature presents conflicting accounts of the evidence, how are clinicians and their clients to recommend or decide the best course of action? Conflicting evidence about the outcomes of home and hospital birth in the peerreviewed literature offers an opportunity to explore this…Read more
  •  15
    Ethics and the Architecture of Choice for Home and Hospital Birth
    with E. Bogdan-Lovis
    Journal of Clinical Ethics 24 (3): 192-197. 2013.
    In this issue of The Journal of Clinical Ethics, we offer a variety of perspectives on the moral and medical responsibilities of professionals with regard to a woman’s choice of where she will birth her baby. The articles in this special issue focus on place of birth, but they have larger resonance for clinicians whose decisions about providing the best possible care require them to sort through evidence, consider their own possible biases and the limitations of their training, and balance the w…Read more
  •  14
    Genetic Engineering and the Integrity of Animals
    Journal of Agricultural and Environmental Ethics 19 (5): 469-493. 2006.
    Genetic engineering evokes a number of objections that are not directed at the negative effects the technique might have on the health and welfare of the modified animals. The concept of animal integrity is often invoked to articulate these kind of objections. Moreover, in reaction to the advent of genetic engineering, the concept has been extended from the level of the individual animal to the level of the genome and of the species. However, the concept of animal integrity was not developed in …Read more
  •  36
    Intrinsic value and animal integrity are two key concepts in the debate on the ethics of the genetic engineering of laboratory animals. These concepts have, on the one hand, a theoretical origin and are, on the other hand, based on the moral beliefs of people not directly involved in the genetic modification of animals. This ‘external’ origin raises the question whether these concepts need to be adjusted or extended when confronted with the moral experiences and opinions of people directly invol…Read more
  •  129
    Genetic engineering and the integrity of animals
    Journal of Agricultural and Environmental Ethics 19 (5): 469-493. 2006.
    Genetic engineering evokes a number of objections that are not directed at the negative effects the technique might have on the health and welfare of the modified animals. The concept of animal integrity is often invoked to articulate these kind of objections. Moreover, in reaction to the advent of genetic engineering, the concept has been extended from the level of the individual animal to the level of the genome and of the species. However, the concept of animal integrity was not developed in …Read more
  • Why I am not a bioethicist
    Bioethics Examiner 6 (3): 1-2. 2002.
  •  32
    Health care ethics and health law in the dutch discussion on end-of-life decisions: A historical analysis of the dynamics and development of both disciplines
    with L. Kater, R. Houtepen, and G. Widdershoven
    Studies in History and Philosophy of Science Part C: Studies in History and Philosophy of Biological and Biomedical Sciences 34 (4): 669-684. 2003.
    Over the past three or four decades, the concept of medical ethics has changed from a limited set of standards to a broad field of debate and research. We define medical ethics as an arena of moral issues in medicine, rather than a specific discipline. This paper examines how the disciplines of health care ethics and health care law have developed and operated within this arena. Our framework highlights the aspects of jurisdiction (Abbott) and the assignment of responsibilities (Gusfield). This …Read more