Therapeutic privilege: between the ethics of lying and the practice of truth.

abstract：:This paper argues that the four prima facie principles-beneficence, non-maleficence, respect for autonomy and justice-afford a good and widely acceptable basis for 'doing good medical ethics'. It confronts objections that the approach is simplistic, incompatible with a virtue-based approach to medicine, that it requir...

journal_title：Journal of medical ethics

authors： Gillon R

更新日期：2015-01-01 00:00:00

abstract：:Moral evaluation of risk/benefit in early phase studies requires assessing the clinical promise of a candidate intervention using preclinical evidence. Yet, there is little to guide ethics committees, investigators, sponsors or other stakeholders morally charged with making these assessments ('evaluators'). In what fo...

journal_title：Journal of medical ethics

authors： Kimmelman J,Henderson V

更新日期：2016-01-01 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

authors： Hain RDW

更新日期：2018-07-01 00:00:00

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

authors： Cribb A,Entwistle V,Mitchell P

更新日期：2020-02-01 00:00:00

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

authors： Hooper CR,Agule C

更新日期：2009-06-01 00:00:00

abstract：:There are various ways in which medicine and literature interact, but this paper concentrates on the contribution which literature can make to 'whole person understanding'. Scientific understanding is concerned with seeing events and actions in terms of patterns or similarities. But 'whole person understanding' is con...

journal_title：Journal of medical ethics

authors： Downie RS

更新日期：1991-06-01 00:00:00

abstract：OBJECTIVE:Informed consent and protection of patient confidentiality are central to the conduction of clinical research. Consent for chart review and contact (CCRC) allows a patient chart to be screened for research by persons outside the direct circle-of-care and for the patient to be contacted regarding potential stu...

journal_title：Journal of medical ethics

authors： Druce I,Ooi TC,McGuire D,Sorisky A,Malcolm J

更新日期：2015-05-01 00:00:00

abstract：:This paper looks at the issue of consent from children and whether the test of Gillick competency, applied in medical and healthcare practice, ought to extend to participation in research. It is argued that the relatively broad usage of the test of Gillick competency in the medical context should not be considered app...

journal_title：Journal of medical ethics

authors： Hunter D,Pierscionek BK

更新日期：2007-11-01 00:00:00

abstract：:Teaching medical ethics by the case method may be enriched by adding to the principles-and-rules approach to practical reasoning modes of inquiry and interpretation that engage the moral imagination. :Carson and Higgs are strong advocates of the use of case studies in the teaching of medical ethics. Carson maintains...

journal_title：Journal of medical ethics

authors： Carson RA

更新日期：1986-03-01 00:00:00

abstract：:In this paper, I provide a brief sketch of the purposes that medical ethics serves and what makes for good medical ethics. Medical ethics can guide clinical practice and biomedical research, contribute to the education of clinicians, advance thinking in the field, and direct healthcare policy. Although these are disti...

journal_title：Journal of medical ethics

authors： Rhodes R

更新日期：2015-01-01 00:00:00

abstract：:Reflecting on the contribution by Rahul Kumar to the symposium, I consider the following topics in relation to risks in research: (1) treating someone as a mere means; (2) aggregation; (3) different conceptions of contractualism; (4) uncertainty; (5) paternalism and complicity. ...

journal_title：Journal of medical ethics

authors： Kamm FM

更新日期：2017-02-01 00:00:00

abstract：OBJECTIVES:To evaluate the UK undergraduate medical ethics curricula against the Institute of Medical Ethics (IME) recommendations; to identify barriers to teaching and assessment of medical ethics and to evaluate perceptions of ethics faculties on the preparation of tomorrow's doctors for clinical practice. DESIGN:Qu...

journal_title：Journal of medical ethics

authors： Brooks L,Bell D

更新日期：2017-09-01 00:00:00

abstract：:Whenever some form of beneficent killing--for example, voluntary euthanasia--is advocated, the proposal is greeted with a flood of slippery-slope arguments warning of the dangers of a Nazi-style slide into genocide. This paper is an attempt systematically to evaluate arguments of this kind. Although there are slippery...

journal_title：Journal of medical ethics

authors： Burgess JA

更新日期：1993-09-01 00:00:00

abstract：:Why do we persist in the relentless pursuit of artificial nourishment and other treatments to maintain a permanently unconscious existence? In facing the future, if not the present world-wide reality of a huge number of persistent vegetative state (PVS) patients, will they be treated because of our ethical commitment ...

journal_title：Journal of medical ethics

authors： Mitchell KR,Kerridge IH,Lovat TJ

更新日期：1993-06-01 00:00:00

abstract：:The current COVID-19 pandemic has raised many questions and dilemmas for modern day ethicists and healthcare providers. Are physicians, nurses and other healthcare workers morally obligated to put themselves in harm's way and treat patients during a pandemic, occurring a great risk to themselves, their families and po...

journal_title：Journal of medical ethics

authors： Solnica A,Barski L,Jotkowitz A

更新日期：2020-07-01 00:00:00

abstract：:Reproductive autonomy is central to women's welfare both because childbearing takes place in women's bodies and because they are generally expected to take primary responsibility for child rearing. In 2005, the factors that influence their autonomy most strongly are poverty and belief systems that devalue such autonom...

journal_title：Journal of medical ethics

authors： Purdy L

更新日期：2006-05-01 00:00:00

abstract：:The Liverpool Care Pathway for the Dying Patient (LCP), a framework introduced for providing comfortable care at the last stage of life, has recently become highly contentious. Among the most serious allegations levelled against it, has been that the LCP may be used as a covert form of euthanasia by withdrawal of clin...

journal_title：Journal of medical ethics

authors： Nowarska A

更新日期：2015-08-01 00:00:00

abstract：:Since the mid-1990s most EU Member States have established a national forensic DNA database. These mass repositories of DNA profiles enable the police to identify DNA stains which are found at crime scenes and are invaluable in criminal investigation. Governments have always brushed aside privacy objections by stressi...

journal_title：Journal of medical ethics

authors： Van Camp N,Dierickx K

更新日期：2008-08-01 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

authors： Thornton JG,McNamara HM,Montague IA

更新日期：1994-06-01 00:00:00

abstract：:With the recent developments in the Human Genome Mapping Project and the new technologies that are developing from it there is a renewal of concern about eugenic applications. Francis Galton (b1822, d1911), who developed the subject of eugenics, suggested that the ancient Greeks had contributed very little to social t...

journal_title：Journal of medical ethics

authors： Galton DJ

更新日期：1998-08-01 00:00:00

abstract：:A deaf lesbian couple who sought a sperm donor with a family history of deafness in order to have a child they hoped would be deaf have attracted a lot of criticism. They have been criticised for deliberately creating a deaf child, for denying their child a hearing aid, and for raising the child in a homosexual househ...

journal_title：Journal of medical ethics

authors： Spriggs M

更新日期：2002-10-01 00:00:00

abstract：AIM:To examine the hypothesis that knowledge about physician-assisted suicide (PAS) and euthanasia is associated with a more restrictive attitude towards PAS. DESIGN:A questionnaire about attitudes towards PAS, including prioritization of arguments pro and contra, was sent to Swedish veterinary surgeons. The results w...

journal_title：Journal of medical ethics

authors： Lerner H,Lindblad A,Algers B,Lynöe N

更新日期：2011-05-01 00:00:00

abstract：:This paper summarises the features of my paper, 'Voluntary Active Euthanasia', and a later jointly authored paper, 'Moral Fictions', which I believe are examples of good medical ethics. ...

journal_title：Journal of medical ethics

authors： Brock DW

更新日期：2015-01-01 00:00:00

abstract：PURPOSE:Explore public attitudes towards the trade-offs between justice and medical outcome inherent in organ allocation decisions. BACKGROUND:The US Task Force on Organ Transplantation recommended that considerations of justice, autonomy and medical outcome be part of all organ allocation decisions. Justice in this c...

journal_title：Journal of medical ethics

authors： Stahl JE,Tramontano AC,Swan JS,Cohen BJ

更新日期：2008-02-01 00:00:00

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

authors： Lipworth W,Axler R

更新日期：2016-07-01 00:00:00

abstract：:In healthcare, a tension sometimes arises between the injunction to do as much good as possible with scarce resources and the injunction to rescue identifiable individuals in immediate peril, regardless of cost (the "Rule of Rescue"). This tension can generate serious ethical and political difficulties for public poli...

journal_title：Journal of medical ethics

authors： Cookson R,McCabe C,Tsuchiya A

更新日期：2008-07-01 00:00:00

abstract：:Fourteen experienced psychiatric nurses participated in a pilot study aimed at describing the experiential aspect of making decisions for the patient. In-depth interviews focused on conflicts, were transcribed, coded, and categorized according to the Grounded Theory method. The theoretical construct, 'modifying autono...

journal_title：Journal of medical ethics

authors： Lützén K,Nordin C

更新日期：1994-06-01 00:00:00

abstract：:In his critical comment on our paper in this journal, Shaw argues that 'false assumptions' which we have criticised are in fact correct ('Neuroenhancers, addiction and research ethics'). He suggests that the risk of addiction to neuroenhancers may not be relevant, and that safety and research in regard to neuroenhance...

journal_title：Journal of medical ethics

authors： Heinz A,Kipke R,Müller S,Wiesing U

更新日期：2014-04-01 00:00:00

abstract：BACKGROUND:Although genetic research into Alzheimer disease (AD) is increasing, the ethical aspects of this kind of research and the differences between ethical issues related to genetic and non-genetic research into AD have not yet received much attention. OBJECTIVES:(1) To identify and compare the five ethical issue...

journal_title：Journal of medical ethics

authors： van der Vorm A,Vernooij-Dassen MJ,Kehoe PG,Olde Rikkert MG,van Leeuwen E,Dekkers WJ

更新日期：2009-02-01 00:00:00

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

authors： Bartlett ET

更新日期：1995-10-01 00:00:00