The morality of risks in research: reflections on Kumar.

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_name

J Med Ethics

authors

Kamm FM

doi

10.1136/medethics-2016-103416

subject

Has Abstract

pub_date

2017-02-01 00:00:00

pages

128-131

issue

2

eissn

0306-6800

issn

1473-4257

pii

medethics-2016-103416

journal_volume

43

pub_type

杂志文章
  • Views regarding the training of ethics consultants: a survey of physicians caring for patients in ICU.

    abstract:BACKGROUND:Despite the expansion of ethics consultation services, questions remain about the aims of clinical ethics consultation, its methods and the expertise of those who provide such services. OBJECTIVE:To describe physicians' expectations regarding the training and skills necessary for ethics consultants to contr...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2006.016287

    authors: Chwang E,Landy DC,Sharp RR

    更新日期:2007-06-01 00:00:00

  • Functional neuroimaging and withdrawal of life-sustaining treatment from vegetative patients.

    abstract::Recent studies using functional magnetic resonance imaging of patients in a vegetative state have raised the possibility that such patients retain some degree of consciousness. In this paper, the ethical implications of such findings are outlined, in particular in relation to decisions about withdrawing life-sustainin...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2008.029165

    authors: Wilkinson DJ,Kahane G,Horne M,Savulescu J

    更新日期:2009-08-01 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

  • Doctor's views on disclosing or withholding information on low risks of complication.

    abstract:BACKGROUND:More and more quantitative information is becoming available about the risks of complications arising from medical treatment. In everyday practice, this raises the question whether each and every risk, however low, should be disclosed to patients. What could be good reasons for doing or not doing so? This wi...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2005.014936

    authors: Palmboom GG,Willems DL,Janssen NB,de Haes JC

    更新日期:2007-02-01 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

  • Autonomy in the face of a devastating diagnosis.

    abstract::Literary accounts of traumatic events can be more informative and insightful than personal testimonials. In particular, reference to works of literature can give us a more vivid sense of what it is like to receive a devastating diagnosis. In turn this can lead us to question some common assumptions about the nature of...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.24.2.123

    authors: Spriggs M

    更新日期:1998-04-01 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

  • Ethical considerations in international HIV vaccine trials: summary of a consultative process conducted by the Joint United Nations Programme on HIV/AIDS (UNAIDS).

    abstract::Research that is initiated, designed or funded by sponsor agencies based in countries with relatively high social and economic development, and conducted in countries that are relatively less developed, gives rise to many important ethical challenges. Although clinical trials of HIV vaccines began ten years ago in the...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.26.1.37

    authors: Guenter D,Esparza J,Macklin R

    更新日期:2000-02-01 00:00:00

  • Can 'Best Interests' derail the trolley? Examining withdrawal of clinically assisted nutrition and hydration in patients in the permanent vegetative state.

    abstract::In this paper, I explore under what circumstances it might be morally acceptable to transplant organs from a patient lacking capacity. I argue, with a developed hypothetical based around a mother and son, that (1) 'Best interests' should be interpreted broadly to include the interests that people have previously expre...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2015-103045

    authors: Fritz Z

    更新日期:2017-07-01 00:00:00

  • Patient consultation survey in an ophthalmic outpatient department.

    abstract:INTRODUCTION:Consultation methods differ between medical practitioners depending on the individual setting. However, the central tenet to the doctor-patient relationship is the issue of confidentiality. This prospective survey highlights patient attitudes towards consultation methods in the setting of an ophthalmic out...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2006.016899

    authors: Aslam SA,Colapinto P,Sheth HG,Jain R

    更新日期:2007-03-01 00:00:00

  • 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

  • Ancillary care duties: the demands of justice.

    abstract::Ancillary care is care that research participants need that is not essential to make the research safe or scientifically valid and is not needed to remedy injuries that eventuate as a result of the research project itself. Ancillary care duties have recently been defended on the grounds of beneficence, entrustment, ut...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2010.035758

    authors: Hooper CR

    更新日期:2010-11-01 00:00:00

  • Children, Gillick competency and consent for involvement in research.

    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

    pub_type: 杂志文章

    doi:10.1136/jme.2006.018853

    authors: Hunter D,Pierscionek BK

    更新日期:2007-11-01 00:00:00

  • The teaching of medical ethics in the Federal Republic of Germany.

    abstract::Eduard Seidler sets his discussion of the teaching of medical ethics in the Federal Republic of Germany against an historical background. Immediately after the Second World War the freshness of the memory of the 'Nuremberg Medical Trials' influenced the way in which moral dilemmas were treated in Germany. At the prese...

    journal_title:Journal of medical ethics

    pub_type: 历史文章,杂志文章

    doi:10.1136/jme.5.2.76

    authors: Seidler E

    更新日期:1979-06-01 00:00:00

  • To stop or not to stop: dissent and undue burden as reasons to stop participation in paediatric research.

    abstract::Children participating in clinical research may show signs of discomfort, discontent, dissent and so on, that cannot be solved by comforting the child. When, and on what ground, should such signs lead to the decision to withdraw the child from the trial? In order to adequately protect children participating in clinica...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2016-103788

    authors: Bos W,Westra A,de Beaufort I,van de Vathorst S

    更新日期:2017-08-01 00:00:00

  • Meeting the Epicurean challenge: a reply to Christensen.

    abstract::In 'Abortion and deprivation: a reply to Marquis', Anna Christensen contends that Don Marquis' influential 'future like ours' argument for the immorality of abortion faces a significant challenge from the Epicurean claim that human beings cannot be harmed by their death. If deprivation requires a subject, then abortio...

    journal_title:Journal of medical ethics

    pub_type: 评论,杂志文章

    doi:10.1136/medethics-2018-105267

    authors: Blackshaw BP,Rodger D

    更新日期:2019-07-01 00:00:00

  • Genetic modifications for personal enhancement: a defence.

    abstract::Bioconservative commentators argue that parents should not take steps to modify the genetics of their children even in the name of enhancement because of the damage they predict for values, identities and relationships. Some commentators have even said that adults should not modify themselves through genetic intervent...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2012-101026

    authors: Murphy TF

    更新日期:2014-04-01 00:00:00

  • The ethics of clinical trials.

    abstract::In summary, the discussion by Professors Helmchen and Müller-Oerlinghausen of the morality of clinical trials has emphasized a point that is frequently overlooked. It is an essential to consider those situations in which it might be unethical not to conduct a trial as it is to be concerned about the ways in which tria...

    journal_title:Journal of medical ethics

    pub_type: 临床试验,杂志文章

    doi:10.1136/jme.1.4.174

    authors: Wing JK

    更新日期:1975-12-01 00:00:00

  • A comparison of journal instructions regarding institutional review board approval and conflict-of-interest disclosure between 1995 and 2005.

    abstract:OBJECTIVES:To compare 2005 and 1995 ethics guidelines from journal editors to authors regarding requirements for institutional review board (IRB) approval and conflict-of-interest (COI) disclosure. DESIGN:A descriptive study of the ethics guidelines published in 103 English-language biomedical journals listed in the A...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2008.024299

    authors: Rowan-Legg A,Weijer C,Gao J,Fernandez C

    更新日期:2009-01-01 00:00:00

  • Lesbian couple create a child who is deaf like them.

    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

    pub_type: 杂志文章

    doi:10.1136/jme.28.5.283

    authors: Spriggs M

    更新日期:2002-10-01 00:00:00

  • Need for ethics support in healthcare institutions: views of Dutch board members and ethics support staff.

    abstract:OBJECTIVE:The purpose of this article is to investigate the need for ethics support in Dutch healthcare institutions in order to understand why ethics support is often not used in practice and which factors are relevant in this context. METHODS:This study had a mixed methods design integrating quantitative and qualita...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章,多中心研究

    doi:10.1136/jme.2010.040626

    authors: Dauwerse L,Abma T,Molewijk B,Widdershoven G

    更新日期:2011-08-01 00:00:00

  • When enough is enough; terminating life-sustaining treatment at the patient's request: a survey of attitudes among Swedish physicians and the general public.

    abstract:OBJECTIVES:To explore attitudes and reasoning among Swedish physicians and the general public regarding the withdrawal of life-sustaining treatment at a competent patient's request. DESIGN:A vignette-based postal questionnaire including 1202 randomly selected individuals in the county of Stockholm and 1200 randomly se...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2009.034967

    authors: Lindblad A,Juth N,Fürst CJ,Lynöe N

    更新日期:2010-05-01 00:00:00

  • The gift of blood in Europe: an ethical defence of EC directive 89/381.

    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

    authors: Keown J

    更新日期:1997-04-01 00:00:00

  • Conflict before the courtroom: challenging cognitive biases in critical decision-making.

    abstract::Conflict is an important consideration in the intensive care unit (ICU). In this setting, conflict most commonly occurs over the 'best interests' of the incapacitated adult patient; for instance, when families seek aggressive life-sustaining treatments, which are thought by the medical team to be potentially inappropr...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2020-106177

    authors: Johal HK,Danbury C

    更新日期:2020-07-06 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

  • Equity - some theory and its policy implications.

    abstract::This essay seeks to characterise the essential features of an equitable health care system in terms of the classical Aristotelian concepts of horizontal and vertical equity, the common (but ill-defined) language of "need" and the economic notion of cost-effectiveness as a prelude to identifying some of the more import...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.27.4.275

    authors: Culyer AJ

    更新日期:2001-08-01 00:00:00

  • Results of a self-assessment tool to assess the operational characteristics of research ethics committees in low- and middle-income countries.

    abstract:PURPOSE:Many research ethics committees (RECs) have been established in low- and middle-income countries (LMICs) in response to increased research in these countries. How well these RECs are functioning remains largely unknown. Our objective was to assess the usefulness of a self-assessment tool in obtaining benchmarki...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2013-101587

    authors: Silverman H,Sleem H,Moodley K,Kumar N,Naidoo S,Subramanian T,Jaafar R,Moni M

    更新日期:2015-04-01 00:00:00

  • Paternalism versus autonomy: medical opinion and ethical questions in the treatment of defective neonates.

    abstract::The paternalistic view that decisions on whether to treat defective newborns are best made by physicians is rejected. It is contended that society should serve as the infant's protector by providing legal standards to govern treatment decisions. ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.9.1.16

    authors: Ferguson P

    更新日期:1983-03-01 00:00:00

  • Ethically complex decisions in the neonatal intensive care unit: impact of the new French legislation on attitudes and practices of physicians and nurses.

    abstract:OBJECTIVES:A statute enacted in 2005 modified the legislative framework of the rights of terminally ill persons in France. Ten years after the EURONIC study, which described the self-reported practices of neonatal caregivers towards ethical decision-making, a new study was conducted to assess the impact of the new law ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2010.038356

    authors: Garel M,Caeymaex L,Goffinet F,Cuttini M,Kaminski M

    更新日期:2011-04-01 00:00:00

  • Limits of confidentiality.

    abstract::A patient is described, a woman of 60, who at that age was diagnosed as having Huntington's chorea, a genetic disease which is transmitted as an autosomal dominant. She had one daughter, who was married and lived abroad. The patient's mother and maternal aunt, it emerged during the consultations, had had the disease, ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:

    authors:

    更新日期:1976-03-01 00:00:00