Comments on an obstructed death -- a case conference revisited: commentary 1.

Abstract:

:The paper comments on Scott Dunbar's "An obstructed death and medical ethics," arguing contra Dunbar that we should not view truth-telling to the terminally ill as primarily governed by principles of veracity and respect for autonomy. All such rules are of limited value in medical ethics. We should instead turn to an ethics deriving from the centrality of moral relationships and virtues. A brief analysis of the connections between moral relationships and moral rules is offered. Such an ethics would lower the value that philosophical fashion places on truth-telling and autonomy and leave decisions about truth-telling and the terminally ill more dependent on the circumstances of particular cases.

journal_name

J Med Ethics

authors

Byrne P

doi

10.1136/jme.16.2.88

keywords:

subject

Has Abstract

pub_date

1990-06-01 00:00:00

pages

88-9

issue

2

eissn

0306-6800

issn

1473-4257

journal_volume

16

pub_type

杂志文章
  • Differences between death and dying.

    abstract::With so much attention being paid to the development and refinement of appropriate criteria and tests for death, little attention has been given to the broader conceptual issues having to do with its definition or with the relation of a definition to its criterion. The task of selecting the correct criterion is, howev...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.21.5.270

    authors: Bartlett ET

    更新日期:1995-10-01 00:00:00

  • The multiple self objection to the prudential lifespan account.

    abstract::Multiple self approaches purport that to have equal concern about all stages of one's life is not a requirement of rationality. This poses a challenge to the prudential lifespan account which Norman Daniels advocates in Just health: meeting health needs fairly. Daniels has criticised the multiple self approach in earl...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2008.024380

    authors: Schefczyk M

    更新日期:2009-01-01 00:00:00

  • The costs and benefits of a cigarette ban.

    abstract::The death toll from tobacco is staggering: it might contribute to one billion premature deaths over the course of the 21st century. In 'The case for banning cigarettes', Kalle Grill and Kristin Voigt argue that the well-being and equality benefits of a complete ban on cigarettes more than justify the restrictions on a...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2017-104172

    authors: Doucet M

    更新日期:2017-06-01 00:00:00

  • Terrible choices in the septic child: a response to the PALOH trial round table authors.

    abstract::In this response article, we challenge a core assumption that lies at the centre of a round table discussion regarding the Pharmacogenetics to Avoid Loss of Hearing trial. The round table regards a genetic test for a variant (mt.1555A>G) that increases the risk of deafness if a carrier is given the antibiotic gentamic...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2020-106807

    authors: Parker J,Wright D

    更新日期:2021-02-01 00:00:00

  • Misused honorary authorship is no excuse for quantifying the unquantifiable.

    abstract::Kovacs argues that honorary authorship and regarding each co-author of multi-authored papers as if they were sole authors when the performance of researchers is being evaluated by their publications mean that we should require authors to identify what proportion of each publication should be attributed to each co-auth...

    journal_title:Journal of medical ethics

    pub_type: 评论,杂志文章

    doi:10.1136/medethics-2012-100939

    authors: Dyck MJ

    更新日期:2013-08-01 00:00:00

  • The deadly business of an unregulated global stem cell industry.

    abstract::In 2016, the Office of the State Coroner of New South Wales released its report into the death of an Australian woman, Sheila Drysdale, who had died from complications of an autologous stem cell procedure at a Sydney clinic. In this report, we argue that Mrs Drysdale's death was avoidable, and it was the result of a p...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2016-104046

    authors: Lysaght T,Lipworth W,Hendl T,Kerridge I,Lee TL,Munsie M,Waldby C,Stewart C

    更新日期:2017-11-01 00:00:00

  • Scientific misconduct from the perspective of research coordinators: a national survey.

    abstract:OBJECTIVE:To report results from a national survey of coordinators and managers of clinical research studies in the US on their perceptions of and experiences with scientific misconduct. METHODS:Data were collected using the Scientific Misconduct Questionnaire-Revised. Eligible responses were received from 1645 of 530...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2006.016394

    authors: Pryor ER,Habermann B,Broome ME

    更新日期:2007-06-01 00:00:00

  • Do-not-resuscitate decision: the attitudes of medical and non-medical students.

    abstract:OBJECTIVES:To study the attitudes of both medical and non-medical students towards the do-not-resuscitate (DNR) decision in a university in Hong Kong, and the factors affecting their attitudes. METHODS:A questionnaire-based survey conducted in the campus of a university in Hong Kong. Preferences and priorities of part...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2005.014423

    authors: Sham CO,Cheng YW,Ho KW,Lai PH,Lo LW,Wan HL,Wong CY,Yeung YN,Yuen SH,Wong AY

    更新日期:2007-05-01 00:00:00

  • Interests.

    abstract::Explorations of bioethical issues frequently raise the question of an entity's "moral standing," or its right to moral consideration by rational agents. Many contemporary philosophers subscribe to Leonard Nelson's view that only beings that have interests have moral standing. Kuhse attempts to define interests and t...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.11.3.146

    authors: Kuhse H

    更新日期:1985-09-01 00:00:00

  • Advance directives are the solution to Dr Campbell's problem for voluntary euthanasia.

    abstract::Dr Neil Campbell suggests that when patients suffering extremes of protracted pain ask for help to end their lives, their requests should be discounted as made under compulsion. I contend that the doctors concerned should be referred to and then act upon advance directives made by those patients when of sound and calm...

    journal_title:Journal of medical ethics

    pub_type: 评论,杂志文章

    doi:10.1136/jme.25.3.245

    authors: Flew A

    更新日期:1999-06-01 00:00:00

  • Scientific evidence and best patient care practices should guide the ethics of Lyme disease activism.

    abstract::Johnson and Stricker published an opinion piece in the Journal of Medical Ethics presenting their perspective on the 2008 agreement between the Infectious Diseases Society of America (IDSA) and the Connecticut Attorney General with regard to the 2006 IDSA treatment guideline for Lyme disease. Their writings indicate t...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2009.032896

    authors: Auwaerter PG,Bakken JS,Dattwyler RJ,Dumler JS,Halperin JJ,McSweegan E,Nadelman RB,O'Connell S,Sood SK,Weinstein A,Wormser GP

    更新日期:2011-02-01 00:00:00

  • What (or sometimes who) are organoids? And whose are they?

    abstract::In terms of ethical implications, Boers, van Delden and Bredenoord (2018) have made an interesting step forward with their model of organoids as hybrids, which seeks to find a balance between subject-like value and object-like value. Their framework aims to introduce effective procedures not to exploit donors and to i...

    journal_title:Journal of medical ethics

    pub_type: 评论,杂志文章

    doi:10.1136/medethics-2018-105268

    authors: Lavazza A

    更新日期:2019-02-01 00:00:00

  • Whatever happened to medical politics?

    abstract::This paper argues the case for coming to see 'medical politics' as a topic or subject within medical education. First, its absence is noted from the wide array of paramedical subjects (medical ethics, history of medicine, the medical humanities, etc) currently given attention in both the medical education literature a...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2010.041277

    authors: Emmerich N

    更新日期:2011-10-01 00:00:00

  • Wish-fulfilling medicine in practice: the opinions and arguments of lay people.

    abstract:BACKGROUND:Wish-fulfilling medicine appears to be on the rise. It can be defined as 'doctors and other health professionals using medical means (medical technology, drugs, and so on) in a medical setting to fulfil the explicitly stated, prima facie non-medical wish of a patient'. Some instances of wish fulfilling medic...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2013-101480

    authors: Asscher EC,Schermer M

    更新日期:2014-12-01 00:00:00

  • Position statement on ethics, equipoise and research on charged particle radiation therapy.

    abstract::The use of charged-particle radiation therapy (CPRT) is an increasingly important development in the treatment of cancer. One of the most pressing controversies about the use of this technology is whether randomised controlled trials are required before this form of treatment can be considered to be the treatment of c...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2012-101290

    authors: Sheehan M,Timlin C,Peach K,Binik A,Puthenparampil W,Lodge M,Kehoe S,Brada M,Burnet N,Clarke S,Crellin A,Dunn M,Fossati P,Harris S,Hocken M,Hope T,Ives J,Kamada T,London AJ,Miller R,Parker M,Pijls-Johannesma M,

    更新日期:2014-08-01 00:00:00

  • Psychopharmacology and memory.

    abstract::Psychotropic and other drugs can alter brain mechanisms regulating the formation, storage, and retrieval of different types of memory. These include "off label" uses of existing drugs and new drugs designed specifically to target the neural bases of memory. This paper discusses the use of beta-adrenergic antagonists t...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章,评审

    doi:10.1136/jme.2005.012575

    authors: Glannon W

    更新日期:2006-02-01 00:00:00

  • The case of biobank with the law: between a legal and scientific fiction.

    abstract::According to estimates more than 400 biobanks currently operate across Europe. The term 'biobank' indicates a specific field of genetic study that has quietly developed without any significant critical reflection across European societies. Although scientists now routinely use this phrase, the wider public is still co...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2010.041632

    authors: Sándor J,Bárd P,Tamburrini C,Tännsjö T

    更新日期:2012-06-01 00:00:00

  • Family presence during cardiopulmonary resuscitation: who should decide?

    abstract::Whether to allow the presence of family members during cardiopulmonary resuscitation (CPR) has been a highly contentious topic in recent years. Even though a great deal of evidence and professional guidelines support the option of family presence during resuscitation (FPDR), many healthcare professionals still oppose ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2012-100715

    authors: Lederman Z,Garasic M,Piperberg M

    更新日期:2014-05-01 00:00:00

  • What does 'quality' add? Towards an ethics of healthcare improvement.

    abstract::In this paper, we argue that there are important ethical questions about healthcare improvement which are underexplored. We start by drawing on two existing literatures: first, the prevailing, primarily governance-oriented, application of ethics to healthcare 'quality improvement' (QI), and second, the application of ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2019-105635

    authors: Cribb A,Entwistle V,Mitchell P

    更新日期:2020-02-01 00:00:00

  • Ensuring appropriate assessment of deemed consent in Wales.

    abstract::Albertsen, in his recent article, offers an assessment of the recently introduced opt-out system for organ donation in Wales. However, he focuses on whether concerns raised prior to the enactment of the new system have been realised, rather than any positive impact on the number of actual donors. This side-lining of t...

    journal_title:Journal of medical ethics

    pub_type: 评论,杂志文章

    doi:10.1136/medethics-2018-104935

    authors: Parsons JA

    更新日期:2019-03-01 00:00:00

  • Stem cells, embryos, and the environment: a context for both science and ethics.

    abstract::Debate on the potential and uses of human stem cells tends to be conducted by two constituencies-ethicists and scientists. On many occasions there is little communication between the two, with the result that ethical debate is not informed as well as it might be by scientific insights. The aim of this paper is to high...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2003.002386

    authors: Towns CR,Jones DG

    更新日期:2004-08-01 00:00:00

  • Blameworthy bumping? Investigating nudge's neglected cousin.

    abstract::The realm of non-rational influence, which includes nudging, is home to many other morally interesting phenomena. In this paper, I introduce the term bumping, to discuss the category of unintentional non-rational influence. Bumping happens constantly, wherever people make choices in environments where they are affecte...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2018-105179

    authors: Miyata-Sturm A

    更新日期:2019-04-01 00:00:00

  • Towards a bioethics of innovation.

    abstract::In recent years, it has become almost axiomatic that biomedical research and clinical practice should be 'innovative'-that is, that they should be always evolving and directed towards the production, translation and implementation of new technologies and practices. While this drive towards innovation in biomedicine mi...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2015-103048

    authors: Lipworth W,Axler R

    更新日期:2016-07-01 00:00:00

  • Analogy in moral deliberation: the role of imagination and theory in ethics.

    abstract::This paper develops themes addressed in an article by Eric Wiland in the Journal of Medical Ethics 2000;26:466-8, where he aims to contribute to the debate concerning the moral status of abortion, and to emphasise the importance of analogies in moral argument. In the present paper I try to secure more firmly a novel u...

    journal_title:Journal of medical ethics

    pub_type: 评论,杂志文章

    doi:10.1136/jme.28.4.244

    authors: Smith B

    更新日期:2002-08-01 00:00:00

  • Dealing with the brain-damaged old--dignity before sanctity.

    abstract::The present and future rapid increase in the hospital population of geriatric patients is discussed with particular reference to the problem of advanced brain degeneration. The consequences of various clinical management options are outlined and it is suggested that extreme attempts either to preserve or terminate lif...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.8.4.173

    authors: Robertson GS

    更新日期:1982-12-01 00:00:00

  • Are patents for methods of medical treatment contrary to the ordre public and morality or "generally inconvenient"?

    abstract::"No one has advanced a just and logical reason why reward for service to the public should be extended to the inventor of a mechanical toy and denied to the genius whose patience, foresight, and effort have given a valuable new [discovery] to mankind" (Katopis CJ. Patents v patents: policy implications of recent paten...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2002.000786

    authors: Mitnovetski O,Nicol D

    更新日期:2004-10-01 00:00:00

  • Can artificial parthenogenesis sidestep ethical pitfalls in human therapeutic cloning? An historical perspective.

    abstract::The aim of regenerative medicine is to reconstruct tissue that has been lost or pathologically altered. Therapeutic cloning seems to offer a method of achieving this aim; however, the ethical debate surrounding human therapeutic cloning is highly controversial. Artificial parthenogenesis-obtaining embryos from unferti...

    journal_title:Journal of medical ethics

    pub_type: 历史文章,杂志文章,评审

    doi:10.1136/jme.2004.010199

    authors: Fangerau H

    更新日期:2005-12-01 00:00:00

  • Publish or be damned: Individual Funding Requests and the publicity condition.

    abstract::Many jurisdictions have processes to consider Individual Funding Requests but, with few exceptions, the decisions made with respect to these are not made public. Drawing upon Daniels and Sabin's account of the requirements of procedural justice, Accountability for Reasonableness, this paper considers several arguments...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2013-101578

    authors: Jonas M,Kolbe A,Warin B

    更新日期:2014-12-01 00:00:00

  • Tobacco regulation: autonomy up in smoke?

    abstract::Over the past few decades, "Big Tobacco" has spread its tentacles across the developing world with devastating results. The global incidence of smoking has increased exponentially in Africa, Asia and South America and it is leading to an equally rapid increase in the incidence of smoking-induced morbidity and mortalit...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2008.027847

    authors: Hooper CR,Agule C

    更新日期:2009-06-01 00:00:00

  • FY1 doctors' ethicolegal challenges in their first year of clinical practice: an interview study.

    abstract:BACKGROUND:There is little evidence of junior trainee perspectives in the design and implementation of medical ethics and law (MEL) curriculum in UK medical schools. AIM:To determine the ethical issues the foundation year 1 (FY1) doctors (first year after graduation)  encountered during clinical practice and the skill...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章,多中心研究

    doi:10.1136/medethics-2011-100391

    authors: Vivekananda-Schmidt P,Vernon B

    更新日期:2014-04-01 00:00:00