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12Re-Examining Different Stakeholder Views on Changes in Personality: Adding Nuance to the DiscussionAmerican Journal of Bioethics Neuroscience 14 (3): 302-304. 2023.Neuroethicists have paid significant attention to reports of personality changes in patients being treated with deep brain stimulation (DBS), to the point where some have suggested that theoretical...
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17Stakeholders’ Ethical Concerns Regarding Psychiatric Electroceutical Interventions: Results from a US Nationwide SurveyAJOB Empirical Bioethics 15 (1): 11-21. 2024.Background Psychiatric electroceutical interventions (PEIs) use electrical or magnetic stimulation to treat mental disorders and may raise different ethical concerns than other therapies such as medications or talk therapy. Yet little is known about stakeholders’ perceptions of, and ethical concerns related to, these interventions. We aimed to better understand the ethical concerns of a variety of stakeholder groups (patients with depression, caregivers of patients, members of the public, and ps…Read more
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20“They Are Invasive in Different Ways.”: Stakeholders’ Perceptions of the Invasiveness of Psychiatric Electroceutical InterventionsAmerican Journal of Bioethics Neuroscience 14 (1): 1-12. 2023.Medical interventions are usually categorized as “invasive” when they involve piercing the skin or inserting an object into the body. Beyond this standard definition, however, there is little discussion of the concept of invasiveness in the medical literature, despite evidence that the term is used in ways that do not reflect the standard definition of medical invasiveness. We interviewed psychiatrists, patients with depression, and members of the public without depression to better understand t…Read more
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The hierarchy of evidence, meta-analysis, and systematic reviewIn Miriam Solomon, Jeremy R. Simon & Harold Kincaid (eds.), The Routledge Companion to Philosophy of Medicine, Routledge. 2016.
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Introduction to philosophy of psychiatryIn Şerife Tekin & Robyn Bluhm (eds.), The Bloomsbury Companion to Philosophy of Psychiatry, Bloomsbury. 2019.
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33Self-implant ambiguity? Understanding self-related changes in deep brain stimulationPhilosophical Explorations 25 (3): 367-385. 2022.Deep brain stimulation (DBS) uses electrodes implanted in the brain to modulate dysregulated brain activity related to a variety of neurological and psychiatric conditions. A number of people who use DBS have reported changes that affect their sense of self. In the neuroethics literature, there has been significant debate over the exact nature of these changes. More recently, there have been suggestions that this debate is overblown and detracts from clinically-relevant ways of understanding the…Read more
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20Self-implant ambiguity? Understanding self-related changes in deep brain stimulationTandf: Philosophical Explorations 1-19. 2022.Deep brain stimulation (DBS) uses electrodes implanted in the brain to modulate dysregulated brain activity related to a variety of neurological and psychiatric conditions. A number of people who use DBS have reported changes that affect their sense of self. In the neuroethics literature, there has been significant debate over the exact nature of these changes. More recently, there have been suggestions that this debate is overblown and detracts from clinically-relevant ways of understanding the…Read more
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12Editors' NoteInternational Journal of Feminist Approaches to Bioethics 15 (1): 97-97. 2022.This section of the journal consists of reflections on the COVID-19 pandemic by feminist bioethicists. We wanted to have a record in IJFAB of the ways in which feminist bioethicists/feminist bioethics were and are affected by the pandemic and also record how our community sees feminist approaches to bioethics as providing resources for understanding and addressing ethical themes raised by the pandemic. The contributions we received cover a wide range of personal, professional, and theoretical is…Read more
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8Philosophy of medicine encompasses a broad range of methodological approaches and theoretical perspectives—from the uses of statistical reasoning and probability theory in epidemiology and evidence-based medicine to questions about how to recognize the uniqueness of individual patients in medical humanities, person-centered care, and values-based practice; and from debates about causal ontology to questions of how to cultivate epistemic and moral virtue in practice. Apart from being different wa…Read more
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14Challenges and Opportunities of Creating Conceptual MapsAmerican Journal of Bioethics Neuroscience 12 (2-3): 187-189. 2021.
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2From the EditorsInternational Journal of Feminist Approaches to Bioethics 14 (1): 1-1. 2021.COVID-19 has meant that the past year has been difficult for everybody and terrifying and heartbreaking for many. We here at IJFAB found ourselves, for the first time, separated by physical distances and pandemic-era planning that precluded those necessary in-person meetings and less formal interactions during conferences and other social occasions that connect so much of the feminist bioethics community. The editorial team has been variously in lockdown, shielding because of health vulnerabilit…Read more
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9Fostering Neuroethics Integration: Disciplines, Methods, and FrameworksAmerican Journal of Bioethics Neuroscience 11 (3): 194-196. 2020.
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17Deep Brain Stimulation and Relational Agency: Negotiating RelationshipsInternational Journal of Feminist Approaches to Bioethics 13 (1): 155-161. 2020.Timothy Brown invites us to think about the ways in which people who are being treated with deep brain stimulation might come to interact with their devices. He suggests that a framework of relational agency can help us to understand both the benefits and the challenges of DBS because DBS systems are, while not full fellow agents, more than mere props; users must sometimes "negotiate and collaborate with their stimulators". We agree that it is important to develop conceptual frameworks that both…Read more
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40What we (Should) Talk about when we Talk about Deep Brain Stimulation and Personal IdentityNeuroethics 13 (3): 289-301. 2019.A number of reports have suggested that patients who undergo deep brain stimulation may experience changes to their personality or sense of self. These reports have attracted great philosophical interest. This paper surveys the philosophical literature on personal identity and DBS and draws on an emerging empirical literature on the experiences of patients who have undergone this therapy to argue that the existing philosophical discussion of DBS and personal identity frames the problem too narro…Read more
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16Interpreting Patients’ Beliefs About Deep Brain Stimulation for Treatment-Resistant Depression: The Need for Caution and for ContextAmerican Journal of Bioethics Neuroscience 9 (4): 230-232. 2018.
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43Comparison of philosophical concerns between professionals and the public regarding two psychiatric treatmentsAJOB Empirical Bioethics 9 (4): 252-266. 2018.Background: Psychiatric interventions are a contested area in medicine, not only because of their history of abuses, but also because their therapeutic goal is to affect emotions, thoughts, beliefs...
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26It’s Not Just Counting that Counts: a Reply to Gilbert, Viaña, and IneichenNeuroethics 14 (1): 23-26. 2018.Gilbert et al. argue that discussions of self-related changes in patients undergoing DBS are overblown. They show that there is little evidence that these changes occur frequently and make recommendations for further research. We point out that their framing of the issue, their methodology, and their recommendations do not attend to other important questions about these changes.
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101The Bloomsbury Companion to Philosophy of PsychiatryBloomsbury. 2019.This book explores the central questions and themes lying at the heart of a vibrant area of philosophical inquiry. Aligning core issues in psychiatry with traditional philosophical areas, it presents a focused overview of the historical and contemporary problems dominating the philosophy of psychiatry. Beginning with an introduction to research issues, it addresses what psychiatry is and distinguishes it from other areas of medical practice, other health care professions and psychology. With ea…Read more
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41An Epistemic Argument for Research-Practice Integration in MedicineJournal of Medicine and Philosophy 43 (4): 469-484. 2018.Arguments in favor of greater research-practice integration in medicine have tended to be ethical, political, or pragmatic. There are good epistemic reasons to pursue greater integration, and it is important to think through these reasons in order to avoid inadvertently designing new systems in ways that replicate the epistemic elitism common within current systems. Meaningful transformation within health care is possible with close attention to all reasons in favor of greater research-practice …Read more
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971New Directions in Philosophy of MedicineIn James Marcum (ed.), Bloomsbury Companion to Contemporary Philosophy of Medicine, Bloomsbury Academic. pp. 343-367. forthcoming.The purpose of this chapter is to describe what we see as several important new directions for philosophy of medicine. This recent work (i) takes existing discussions in important and promising new directions, (ii) identifies areas that have not received sufficient and deserved attention to date, and/or (iii) brings together philosophy of medicine with other areas of philosophy (including bioethics, philosophy of psychiatry, and social epistemology). To this end, the next part focuses on what we…Read more
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102Explanation, understanding, objectivity and experienceJournal of Evaluation in Clinical Practice 19 (3): 415-421. 2013.
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777Philosophy, medicine and health care – where we have come from and where we are goingJournal of Evaluation in Clinical Practice 20 (6): 902-907. 2014.
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167Philosophy, ethics, medicine and health care: the urgent need for critical practiceJournal of Evaluation in Clinical Practice 16 (2): 249-259. 2010.
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806Reason and value: making reasoning fit for practiceJournal of Evaluation in Clinical Practice 18 (5): 929-937. 2012.Editors' introduction to 3rd thematic issue on philosophy of medicine
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IntroductionIn Robyn Bluhm, Anne Jaap Jacobson & Heidi Lene Maibom (eds.), Neurofeminism: issues at the intersection of feminist theory and cognitive science, Palgrave-macmillan. 2012.
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20Beyond the Technology: Attribution and Agency in Treatments for Mental DisordersAmerican Journal of Bioethics Neuroscience 8 (2): 92-94. 2017.
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11From the EditorsInternational Journal of Feminist Approaches to Bioethics 10 (2): 1-3. 2017.With this issue of IJFAB, we mark the end of one phase of the journal’s life and take our first steps into the next. It was eleven years ago, in 2007, that the first issue of IJFAB, then based at Stony Brook University and published by Indiana University Press, appeared with Mary Rawlinson as editor. That first issue was made possible by long months of work on the part of Mary and a group of others who were convinced that for feminist bioethics to develop as a field, it needed its own journal wi…Read more
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71The need for new ontologies in psychiatryPhilosophical Explorations 20 (2): 146-159. 2017.Although researchers in psychiatry have been trying for decades to elucidate the pathophysiology underlying mental disorders, relatively little progress has been made. One explanation for this failure is that diagnostic categories in psychiatry are unlikely to track underlying neurological mechanisms. Because of this, the US National Institutes of Mental Health has recently developed a novel ontology to guide research in biological psychiatry: the Research Domain Criteria. In this paper, I argue…Read more
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