Abstract:
:It is now widely accepted that a patient's ability to engage in autonomous decision-making can be seriously threatened when she denies significant aspects of her medical condition. In this paper I use a true case to reveal the harmful effects of physician denial upon patient autonomy and well-being. I suggest further that such physician denial may be more common than is generally acknowledged, since aspects of the contemporary medical ethos likely serve to reinforce rather than to undercut such denial.
journal_name
J Med Ethicsjournal_title
Journal of medical ethicsauthors
Meyers Cdoi
10.1136/jme.18.3.135keywords:
subject
Has Abstractpub_date
1992-09-01 00:00:00pages
135-7issue
3eissn
0306-6800issn
1473-4257journal_volume
18pub_type
杂志文章abstract:OBJECTIVES:To study the attitudes of health care staff in four postcommunist countries towards taking gifts from their clients--and their confessed experience of actually taking such gifts. DESIGN:Survey questionnaire administered to officials including health care staff, supplemented by focus-group discussions with t...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.26.5.305
更新日期:2000-10-01 00:00:00
abstract::This personal narrative tugs at the heart strings. However, personal narratives are not sufficient to justify public funding for any screening policy. We have to take seriously the 'just caring' problem. We have only limited resources to meet virtually unlimited health care needs. No doubt, screening tests often save ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2019-105884
更新日期:2020-04-01 00:00:00
abstract::The case of W v M and Others, in which the court rejected an application to withdraw artificial nutrition and hydration from a woman in a minimally conscious state, raises a number of profoundly important medico-legal issues. This article questions whether the requirement to respect the autonomy of incompetent patient...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2012-100907
更新日期:2013-09-01 00:00:00
abstract::The "standard position" on organ donation is that the donor must be dead in order for vital organs to be removed, a position with which we agree. Recently, Robert Truog and Walter Robinson have argued that (1) brain death is not death, and (2) even though "brain dead" patients are not dead, it is morally acceptable to...
journal_title:Journal of medical ethics
pub_type: 杂志文章,评审
doi:10.1136/jme.2004.010298
更新日期:2005-07-01 00:00:00
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
更新日期:2017-06-01 00:00:00
abstract::Therapeutic privilege (TP) is a defence that may be available to doctors who fail to disclose to the patient relevant information when seeking informed consent for treatment if they have a reasonable belief that providing that information would likely cause the patient concerned serious physical or mental harm. In a l...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2019-105792
更新日期:2021-01-01 00:00:00
abstract::In The Netherlands, neonatal euthanasia has become a legal option and the Groningen Protocol contains an approach to identify situations in which neonatal euthanasia might be appropriate. In the 5 years following the publication of the protocol, neither the prediction that this would be the first step on a slippery sl...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2013-101402
更新日期:2013-05-01 00:00:00
abstract::The United Kingdom Central Council for Nursing, Midwifery and Health Visitors (UKCC) document, Exercising Accountability, states that the role of patient's advocate is an essential aspect of good professional nursing practice (1). The author examines the case for and against the nurse being the best person to act as a...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.20.3.152
更新日期:1994-09-01 00:00:00
abstract::Dr Wells, a general practitioner, looks at the problem of barbiturate dependence from the point of view of the prescribing doctor who has to choose for his patients - of all ages - the drug, usually a hypnotic, which is sought for insomnia or states of anxiety and stress. He argues that it is wise to prescribe non-bar...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:
更新日期:1976-06-01 00:00:00
abstract::Judges face difficult choices when the birth and genetic mothers of a child are separate people who dispute maternal access; the views of the general population may help them. Fifty women were asked whether, if they were infertile and could have only one child, they would prefer to be birth mothers (to carry a baby wh...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.20.2.87
更新日期:1994-06-01 00:00:00
abstract:OBJECTIVE:To determine the views of people with multiple sclerosis (MS) and professionals in relation to confidentiality, consent and access to data within a proposed MS register in the UK. DESIGN:Qualitative study using focus groups (10) and interviews (13). SETTING:England and Northern Ireland. PARTICIPANTS:68 peo...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2008.025304
更新日期:2009-02-01 00:00:00
abstract::The public often believes that parents have a right to make medical decisions about their child. The idea that, in respect of children, doctors should do what parents tell them to do is problematic on the face of it. The effect of such a claim would be that a doctor who acted deliberately to harm a child would be maki...
journal_title:Journal of medical ethics
pub_type: 杂志文章,评审
doi:10.1136/medethics-2017-104705
更新日期:2018-07-01 00:00:00
abstract::Screening of newborns for permanent congenital or early-onset hearing impairment has emerged as an essential component of neonatal care in developed countries, following favourable outcomes from early intervention in the critical period for optimal speech and language development. Progress towards a similar programme ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2005.014720
更新日期:2006-10-01 00:00:00
abstract::In the past, a vast majority of medical assistance in dying (MAiD) patients were elderly patients with cancer who are not suitable for organ donation, making organ donation from such patients a rare event. However, more expansive criteria for MAiD combined with an increased participation of MAiD patients in organ dona...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2020-106456
更新日期:2020-12-10 00:00:00
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
更新日期:2012-06-01 00:00:00
abstract::This article is a response to Raphael Cohen-Almagor's paper entitled 'First do no harm: intentionally shortening lives of patients without their explicit request in Belgium'. His paper deals with very important matters of life and death, however its concept usage is in part misleading. For instance, the fact that medi...
journal_title:Journal of medical ethics
pub_type: 评论,杂志文章
doi:10.1136/medethics-2015-103128
更新日期:2016-09-01 00:00:00
abstract::Downie comments on Sieghart's article, "Professions as the conscience of society" (Journal of Medical Ethics 1985 Sep; 11(3): 117-122). He charges that Sieghart is blurring empirical, conceptual, and moral claims when he contends that the professional relationship is unique in that "altruism is paramount and self-int...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.12.2.64
更新日期:1986-06-01 00:00:00
abstract::In a recent article, Udo Schuklenk and Suzanne van de Vathorst argued in favour of a legal option of physician-assisted death for patients with 'treatment-resistant' depression. In this commentary, I contend that their argument neglects the important consideration of the professional integrity of physicians. In light ...
journal_title:Journal of medical ethics
pub_type: 评论,杂志文章
doi:10.1136/medethics-2015-103060
更新日期:2015-11-01 00:00:00
abstract:AIM:The primary aim of the study was to evaluate two different methods of communicating information on cardiopulmonary resuscitation (CPR) to patients admitted to general medical and elderly care wards. The information was either in the form of a detailed information leaflet (appendix I) or a summary document (appendix...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2002.002915
更新日期:2004-06-01 00:00:00
abstract:BACKGROUND:Although fair distribution of healthcare services for older patients is an important challenge, qualitative research exploring clinicians' considerations in clinical prioritisation within this field is scarce. OBJECTIVES:To explore how clinicians understand their professional role in clinical prioritisation...
journal_title:Journal of medical ethics
pub_type: 杂志文章,多中心研究
doi:10.1136/jme.2007.020693
更新日期:2008-05-01 00:00:00
abstract::A considerable amount of publicity has recently centred on a few Lesbian couples who have successfully obtained artificial insemination by donor (AID) in order to have a child. Advice was orginally sought on a private basis from the Journal on the following case: now the issue is public knowledge, the doctor presentin...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.4.2.91
更新日期:1978-06-01 00:00:00
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
更新日期:1985-09-01 00:00:00
abstract:OBJECTIVE:To study the preferences of patients for information related to elective procedures. METHODS:A survey was carried out using a sample of 187 women. The majority of whom were on a low-income, who obtained obstetric or gynaecological services at St Joseph Regional Medical Center in Milwaukee, Wisconsin, while t...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2005.014274
更新日期:2006-08-01 00:00:00
abstract::The emergence several years ago of SARS, with its high rate of infection and death among healthcare workers, resurrected a recurring ethical question: do health professionals have a duty to provide care to patients with deadly infectious diseases, even at some substantial risk to themselves and their families? The con...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2007.022038
更新日期:2008-06-01 00:00:00
abstract::It is argued that the current policy of the British Medical Association (BMA) on conscientious objection is not aligned with recent human rights developments. These grant a right to conscientious objection to doctors in many more circumstances than the very few recognised by the BMA. However, this wide-ranging right m...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2015-103222
更新日期:2017-04-01 00:00:00
abstract::David Shaw's response to Hugh McLachlan's criticism of his proposed new perspective on euthanasia is ineffectual, mistaken and unfair. It is false to say that the latter does not present an argument to support his claim that there is a moral difference between killing and letting die. It is not the consequences alone ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2011.044966
更新日期:2011-12-01 00:00:00
abstract::Article 3.4 of EC directive 89/381 requires member states to take "all necessary measures to promote Community self-sufficiency in human blood or human plasma" and, for this purpose, to "encourage the voluntary unpaid donation of blood and plasma". This paper presents an ethical case in support of the policy of volunt...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.23.2.96
更新日期:1997-04-01 00:00:00
abstract::Junior researchers can be abused and bullied by unscrupulous senior collaborators. This article describes the profile of a type of serial abuser, the White Bull, who uses his academic seniority to distort authorship credit and who disguises his parasitism with carefully premeditated deception. Further research into th...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2004.010553
更新日期:2005-09-01 00:00:00
abstract::Body art as expressed through non-therapeutic bodily modification is extremely popular, with techniques ranging from the commonplace such as ear piercing to the more esoteric forms such as tongue splitting. Scarification is one such body art practice that is becoming popular as an alternative to tattooing and ear pier...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2008.027615
更新日期:2009-10-01 00:00:00
abstract::Dr. Bernstein suggests that anti-vivisectionists should be able to fill in a directive requesting that they receive no medical treatment developed through work on animals. It is replied that this would only be reasonable if research not using animals had long been funded as adequately and its results were currently av...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.22.5.302
更新日期:1996-10-01 00:00:00