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249Default Positions in Clinical EthicsJournal of Clinical Ethics 34 (3): 258-269. 2023.Default positions, predetermined starting points that aid in complex decision-making, are common in clinical medicine. In this article, we identify and critically examine common default positions in clinical ethics practice. Whether default positions ought to be held is an important normative question, but here we are primarily interested in the descriptive, rather than normative, properties of default positions. We argue that default positions in clinical ethics function to protect and promote …Read more
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6Ethical Restraint Use With Incapable Absconding Patients: Goals, Proportionality, and SurrogatesAmerican Journal of Bioethics 22 (7): 95-97. 2022.Clinical ethicists are often presented with the question: Is this plan or action ethical? The simple answer, which is as predictable as it is glib, is always: “it depends.” Recognizing and analyzin...
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5Kansas State Senate Bill Seeks to Declare Surrogacy Contracts Against Public PolicyVoices in Bioethics 1. 2014.
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31Practising what we preach: clinical ethicists’ professional perspectives and personal use of advance directivesJournal of Medical Ethics 48 (2): 144-149. 2022.The field of clinical bioethics strongly advocates for the use of advance directives to promote patient autonomy, particularly at the end of life. This paper reports a study of clinical bioethicists’ perceptions of the professional consensus about advance directives, as well as their personal advance care planning practices. We find that clinical bioethicists are often sceptical about the value of advance directives, and their personal choices about advance directives often deviate from what cli…Read more
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457Ethical Allocation of RemdesivirAmerican Journal of Bioethics 20 (7): 84-86. 2020.As the federal government distributed remdesivir to some of the states COVID-19 hit hardest, policymakers scrambled to develop criteria to allocate the drug to their hospitals. Our state, Michigan, was among those states to receive an initial quantity of the drug from the U.S. government. The disparities in burden of disease in Michigan are striking. Detroit has a death rate more than three times the state average. Our recommendation to the state was that it should prioritize the communities tha…Read more
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Maintaining Quality of Care for Very Influential PatientsThe Clinical Teacher 2 (15): 175-177. 2018.
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A Smack on the Chin or a Nibble? Content Analysis of the Impact of the Oakwood TrilogyMichigan State University Journal of Medicine and Law 14 93-128. 2010.
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1Smokers Need Not Apply: A Legal and Ethical Defense of a Policy on Not Hiring SmokersHealth Care Ethics USA 3 (20): 2-8. 2012.
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Understanding Research Misconduct: A Comparative Analysis of 120 Cases of Professional WrongdoingAccountability in Research: Policies and Quality Assurance 5 (20): 320-338. 2013.
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36Conversion Disorder Diagnosis and Medically Unexplained SymptomsAmerican Journal of Bioethics 18 (5): 31-33. 2018.
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Caring for the transgender adolescent: It takes a villageJournal of Developmental Behavioral Pediatrics 5 (40): 397-399. 2019.
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Ethical and Professional Considerations in Integrated Behavioral HealthPediatric Clinics of North America. forthcoming.
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13Counter-Transference and the Clinical Ethics Encounter: What, Why, and How We Feel During ConsultationsCambridge Quarterly of Healthcare Ethics 29 (2): 317-326. 2020.One of the more draining aspects of being a clinical ethicist is dealing with the emotions of patients, family members, as well as healthcare providers. Generally, by the time a clinical ethicist is called into a case, stress levels are running high, patience is low, and interpersonal communication is strained. Management of this emotional burden of clinical ethics is an underexamined aspect of the profession and academic literature. The emotional nature of doing clinical ethics consultation may…Read more
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250Applying the Narrative Coherence Standard in non-Medical Assessments of CapacityAmerican Journal of Bioethics Neuroscience 11 (1): 31-33. 2020.
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15“I Know a Guy Who Once Heard…”: Contemporary Legends and Narratives in HealthcareJournal of Medical Humanities 41 (3): 323-340. 2020.Contemporary legends – also called urban legends – are common throughout our society. Distinct from mere rumors passed around social media, anecdotes of pseudoscientific discoveries, or medical misinformation, contemporary legends are important because, rather than merely transmitting false ideas or information about medicine, they model distinct and primarily antagonistic patterns of interaction between patients and providers via their narrative components. And, while legends that patients tell…Read more
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1402The Conditions For Ethical Application of RestraintsChest 155 (3): 617-625. 2018.Despite the lack of evidence for their effectiveness, the use of physical restraints for patients is widespread. The best ethical justification for restraining patients is that it prevents them from harming themselves. We argue that even if the empirical evidence supported their effectiveness in achieving this aim, their use would nevertheless be unethical, so long as well known exceptions to informed consent fail to apply. Specifically, we argue that ethically justifiable restraint use demands …Read more
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24Placebos and a New Exception to Informed ConsentAmerican Journal of Bioethics Neuroscience 9 (3): 200-202. 2018.
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5The Problem of Suffering in Psychiatric NosologyAmerican Journal of Bioethics Neuroscience 7 (3): 175-176. 2016.
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12Commentary: Clarifying Medical Decisionmaking—Who, How, and Why?Cambridge Quarterly of Healthcare Ethics 25 (3): 556-560. 2016.In its simplest interpretation, this is a case about goals of care and appropriate code status. At the outset, we must confess that we found this case to be extremely interesting—not for the novelty of the issues or its ethical complexity but because it is truly a case of the ordinary. Too often when teaching or discussing clinical ethics cases, we are distracted by the exotic and the unusual and ignore the mundane cases that every practicing clinical ethicist must be able to competently manage.…Read more
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934Should DBS for Psychiatric Disorders be Considered a Form of Psychosurgery? Ethical and Legal ConsiderationsScience and Engineering Ethics 24 (4): 1119-1142. 2018.Deep brain stimulation (DBS), a surgical procedure involving the implantation of electrodes in the brain, has rekindled the medical community’s interest in psychosurgery. Whereas many researchers argue DBS is substantially different from psychosurgery, we argue psychiatric DBS—though a much more precise and refined treatment than its predecessors—is nevertheless a form of psychosurgery, which raises both old and new ethical and legal concerns that have not been given proper attention. Learning f…Read more
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29The Cautionary Tale of the Initial Widespread Foray Into Psychiatric GeneticsAmerican Journal of Bioethics 17 (4): 22-24. 2017.
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67Environmental Factors Contributing to Wrongdoing in Medicine: A Criterion-Based Review of Studies and CasesEthics and Behavior 22 (3). 2012.In this article we describe our approach to understanding wrongdoing in medical research and practice, which involves the statistical analysis of coded data from a large set of published cases. We focus on understanding the environmental factors that predict the kind and the severity of wrongdoing in medicine. Through review of empirical and theoretical literature, consultation with experts, the application of criminological theory, and ongoing analysis of our first 60 cases, we hypothesize that…Read more
Tyler Gibb
Western Michigan University School Of Medicine
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Western Michigan University School Of MedicineProgram In Medical Ethics, Humanities & LawAssistant Professor
Areas of Specialization
2 more
Cultural Studies |
Literature |
Biomedical Ethics |
Public Health |
Medical Ethics |
Neuroethics |
Critical Race Theory |