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 presenting the case has agreed to open discussion, and a case conference was convened to consider it. Those taking part were: Jackie Forster, Co-editor of Sappho; lesbian feminist magazine; Carola Haigh, General Practitioner, London; Ian Kennedy, Barrister and Lecturer in Law, Kings College, London; Anthony Parsons, Gynaecology Department, Kings College Hospital, London; Jennifer Pietroni, General Practitioner, London; Gordon Price, Department of Child & Family Psychiatry, Kings College Hospital, London; Rose Robertson, from Parents Enquiry, a counselling organisation for families where there is an incidence of Homosexuality and where it is causing stress. Roger Higgs, General Practitioner and organiser of the Case Conference Series, was in the Chair.
journal_name
J Med Ethicsjournal_title
Journal of medical ethicsauthors
doi
10.1136/jme.4.2.91subject
Has Abstractpub_date
1978-06-01 00:00:00pages
91-5issue
2eissn
0306-6800issn
1473-4257journal_volume
4pub_type
杂志文章abstract::Unit 731, a biological warfare research organisation that operated under the authority of the Imperial Japanese Army in the 1930s and 1940s, conducted brutal experiments on thousands of unconsenting subjects. Because of the US interest in the data from these experiments, the perpetrators were not prosecuted and the at...
journal_title:Journal of medical ethics
pub_type: 历史文章,杂志文章
doi:10.1136/medethics-2015-103177
更新日期:2017-04-01 00:00:00
abstract::Debate continues over the acts/omissions doctrine, and over the concepts of duty and charity. Such issues inform the debate over the moral permissibility of euthanasia. Recent papers have emphasised moral sensitivity, medical intuitions, and sub-standard palliative care as some of the factors which should persuade us ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.16.1.28
更新日期:1990-03-01 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
pub_type: 杂志文章,评审
doi:10.1136/jme.20.2.101
更新日期:1994-06-01 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::Human embryo models formed from stem cells-known as embryoids-allow scientists to study the elusive first stages of human development without having to experiment on actual human embryos. But clear ethical guidelines for research involving embryoids are still lacking. Previously, a handful of researchers put forward n...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2020-106493
更新日期:2021-01-05 00:00:00
abstract::The article considers the objection to a commercial market in living donor organs for transplantation on the ground that such a market would be exploitative of the vendors. It examines a key challenge to that objection, to the effect that denying poor people the option to sell an organ is to withhold from them the bes...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2012-100770
更新日期:2014-01-01 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
pub_type: 杂志文章
doi:10.1136/medethics-2019-105635
更新日期:2020-02-01 00:00:00
abstract::Confidentiality is a central bioethical principle governing the provider-patient relationship. Dating back to Hippocrates, new laws have interpreted it for the age of precision medicine and electronic medical records. This is where the discussion of privacy and technology often ends in the scientific health literature...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2018-105313
更新日期:2019-09-01 00:00:00
abstract:OBJECTIVE:Little has been written in the medical literature concerning the ethics of treatment of the elderly demented patient with bowel obstruction. It is one example of the issues with which we are becoming increasingly involved. We conducted a survey of our colleagues' opinions to determine current practice. DESIG...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.28.2.105
更新日期:2002-04-01 00:00:00
abstract:OBJECTIVE:To explore the ways in which health care practitioners working within the morally contested area of prenatal screening balance their professional and private moral values. DESIGN:Qualitative study incorporating semistructured interviews with health practitioners followed by multidisciplinary discussion group...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2002.001438
更新日期:2004-10-01 00:00:00
abstract:AIM:Facebook is an increasingly popular online social networking site. The purpose of this study was to describe the Facebook activity of residents and fellows and their opinions regarding the impact of Facebook on the doctor-patient relationship. METHODS:An anonymous questionnaire was emailed to 405 residents and fel...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2010.036293
更新日期:2011-02-01 00:00:00
abstract:OBJECTIVE:Previous research has found that physicians are divided on whether they are obligated to provide a treatment to which they object and whether they should refer patients in such cases. The present study compares several possible scenarios in which a physician objects to a treatment that a patient requests, in ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2015-102782
更新日期:2016-02-01 00:00:00
abstract::The advent of prenatal genetic diagnosis has sparked debates among ethicists and philosophers regarding parental responsibility towards potential offspring. Some have attempted to place moral obligations on parents to not bring about children with certain diseases in order to prevent harm to such children. There has b...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2010.039230
更新日期:2011-05-01 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::Arguments are advanced, on a pragmatic basis, for preferring a 'situational' approach to medical ethical problems, rather than an approach based on any one of the dogmatic formulations on offer. The consequences of such a preference are exemplified in relation to confidentiality; and in relation to the ethical dilemma...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.10.4.179
更新日期:1984-12-01 00:00:00
abstract:OBJECTIVE:To explore the experiences of people with a "terminal illness", focusing on the patients' perspective of euthanasia and assisted suicide. METHOD:A qualitative study using narrative interviews was conducted throughout the UK. The views of the 18 people who discussed euthanasia and assisted suicide were explor...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2006.015883
更新日期:2006-12-01 00:00:00
abstract::In this paper, I explore the ethics of subject selection in the context of biomedical research. I reject a key principle of what I shall refer to as the standard view According to this principle, investigators should select participants so as to minimise aggregate risk to participants and maximise aggregate benefits t...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2015-103311
更新日期:2016-10-01 00:00:00
abstract::Teaching medical ethics to medical students in a pluralistic society is a challenging task. Teachers of ethics have obligations not just to teach the subject matter but to help create an academic environment in which well motivated students have reinforcement of their inherent good qualities. Emphasis should be placed...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.20.4.239
更新日期:1994-12-01 00:00:00
abstract::This article, prompted by an extended essay published in the Journal of Medical Ethics by Charles Foster, and the current controversy surrounding the case of Vincent Lambert, analyses the legal and ethical arguments in relation to the withdrawal of life-sustaining treatment from patients with prolonged disorders of co...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2019-105599
更新日期:2019-12-01 00:00:00
abstract::This article discusses what level of consent is needed from a child or parent before a primary-school medical can take place (i.e. where children are aged under 12). It also considers whether there are occasions when a doctor can see a child if the parents have failed to give consent or have explicitly refused consent...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.26.6.469
更新日期:2000-12-01 00:00:00
abstract::Since Bennett, Draper, and Frith published a paper in this journal in 2000 considering the possible criminalisation of HIV transmission, an important legal development has taken place. February 2001 saw the first successful United Kingdom prosecution for the sexual transmission of disease for over a century, when Step...
journal_title:Journal of medical ethics
pub_type: 评论,杂志文章
doi:10.1136/jme.28.3.160
更新日期:2002-06-01 00:00:00
abstract::One of the central arguments given to resist testing currently healthy, asymptomatic children for adult-onset diseases is that they may be psychologically harmed by the knowledge gained from such tests. In this discussion I examine two of the most serious arguments: children who are tested may face limited futures, an...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2006.019802
更新日期:2008-04-01 00:00:00
abstract::Robert Veatch and others have questioned whether there are internal moral rules of medicine. This paper examines the legal regulatory model for governing professions as the autonomous exercise of professional skills and asks whether there is a theoretical basis for this model. Taking John Rawls's distinction between t...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2018-105069
更新日期:2019-03-01 00:00:00
abstract::In a recent article in this journal, Anna Christensen raises an 'Epicurean challenge' to Don Marquis' much-discussed argument for the immorality of abortion. According to Marquis' argument, abortion is pro tanto morally wrong because it deprives the fetus of 'a future like ours'. Drawing on the Epicurean idea that dea...
journal_title:Journal of medical ethics
pub_type: 评论,杂志文章
doi:10.1136/medethics-2019-105771
更新日期:2020-04-01 00:00:00
abstract::A report of a problem-based learning project on the ethics of terminal care, offered as one of the options available to first year MB ChB students in Edinburgh University Medical School. The project formed part of the 'clinical correlation course' in the new curriculum. Six students took part under the supervision of ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.7.2.62
更新日期:1981-06-01 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
pub_type: 杂志文章
doi:10.1136/jme.2006.018853
更新日期:2007-11-01 00:00:00
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
更新日期:2000-02-01 00:00:00
abstract::Current UK legislation is impacting upon the feasibility and cost-effectiveness of medical record-based research aimed at benefiting the NHS and the public heath. Whereas previous commentators have focused on the Data Protection Act 1998, the Health and Social Care Act 2001 is the key legislation for public health res...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2006.019661
更新日期:2008-01-01 00:00:00
abstract::Coercion and pressure in mental healthcare raise moral questions. This article focuses on moral questions raised by the everyday practice of pressure and coercion in the care for the mentally ill. In view of an example from literature-the story of Ulysses and the Sirens-several ethical issues surrounding this practice...
journal_title:Journal of medical ethics
pub_type: 杂志文章,多中心研究
doi:10.1136/jme.2005.015545
更新日期:2007-10-01 00:00:00
abstract::The two tragedies argument (2TA) has been raised as a response to the argument against abortion from spontaneous abortion (or miscarriages). According to this argument against the antiabortion position (AAP), miscarriages should be of great concern for proponents of this position since they result in a greater amount ...
journal_title:Journal of medical ethics
pub_type: 评论,杂志文章
doi:10.1136/medethics-2019-105770
更新日期:2020-03-01 00:00:00