Abstract:
:In this paper we consider the three categories offered by Howard Brody for understanding power in medicine. In his book The Healer's Power, Brody separates out power in medicine into the categories of Aesculapian, Social, and Charismatic power. We examine these three categories and then apply them to a case. In this case set in an Obstetric ward, a junior member of the medical staff makes a clinical decision about a patient. This clinical decision is overruled by a senior medical staff member who then carries out his plan with disastrous consequences for the woman and her baby. This case challenges the three categories of power offered by Brody and highlights the need for a further category of Hierarchical power to be added to Brody's framework. We conclude by suggesting that there is a need to recognise the discrepancy in power not only between physician and patient but also between senior and junior staff in a clinical setting.
journal_name
Bioethicsjournal_title
Bioethicsauthors
McMillan J,Anderson Ldoi
10.1111/1467-8519.00065subject
Has Abstractpub_date
1997-07-01 00:00:00pages
265-70issue
3-4eissn
0269-9702issn
1467-8519journal_volume
11pub_type
杂志文章相关文献
BIOETHICS文献大全abstract::Erik Malmqvist defends the prohibition on kidney sales as a justifiable measure to protect individuals from harms they have not autonomously chosen. This appeal to 'group soft paternalism' requires that three conditions be met. It must be shown that some vendors will be harmed, that some will be subject to undue press...
journal_title:Bioethics
pub_type: 杂志文章
doi:10.1111/bioe.12303
更新日期:2017-03-01 00:00:00
abstract::Uterus transplants provide another treatment for infertility. Some might think that we should embrace such transplants as one more way to assist people to have children. However, in this paper I argue that uterus transplants are not something that we ought to fund, nor something that we should make easy to access. Fir...
journal_title:Bioethics
pub_type: 杂志文章
doi:10.1111/bioe.12523
更新日期:2018-10-01 00:00:00
abstract::Don Marquis argues that abortion is morally wrong in most cases since it deprives the fetus of the value of its future. I criticize Marquis's argument for the modified conservative view by adopting an argumentative strategy in which I work within his basic account: if it is granted that his fundamental idea is sound, ...
journal_title:Bioethics
pub_type: 杂志文章
doi:10.1111/j.1467-8519.2006.00503.x
更新日期:2006-09-01 00:00:00
abstract::Following Bernheim,(1) we examine aspects of 'felicitometrics,'(2) the measurement of the 'quality' term in Quality of Life (QOL). Bernheim argued that overall QOL is best captured as the Gestalt(3) of a global self-assessment and suggested that the Anamnestic Comparative Self Assessment (ACSA) approach, in which subj...
journal_title:Bioethics
pub_type: 杂志文章
doi:10.1111/j.1467-8519.2008.00642.x
更新日期:2008-07-01 00:00:00
abstract::Human beings are essentially vulnerable in the view that their existence qua humans is not given but constructed. This vulnerability received basic protection from the State, expressed in the form of the universal rights all citizens are meant to enjoy. In addition, many individuals fall prey to destitution and depriv...
journal_title:Bioethics
pub_type: 杂志文章
doi:10.1111/1467-8519.00361
更新日期:2003-10-01 00:00:00
abstract::The Principle of Agency says that if it would be good for a state of affairs to occur "naturally," then it is permissable to take action to bring it about. This contradicts the views of some bioethicists, who object to euthanasia, in vitro fertilization, and cloning, even though they acknowledge that the states of aff...
journal_title:Bioethics
pub_type: 杂志文章
doi:10.1111/1467-8519.00101
更新日期:1998-04-01 00:00:00
abstract::In 1991, the Israeli Minister of Health and the Minister of Justice jointly nominated a commission to consider the subject of IVF in all its aspects. Heyd summarizes the commission's recommendations on the following issues as put forth in an interim report: access to fertility treatments, financing of treatment, couns...
journal_title:Bioethics
pub_type: 杂志文章
doi:10.1111/j.1467-8519.1993.tb00293.x
更新日期:1993-04-01 00:00:00
abstract::Rebecca Bennett, in a recent paper dismissing Julian Savulescu's principle of procreative beneficence, advances both a negative and a positive thesis. The negative thesis holds that the principle's theoretical foundation - the notion of impersonal harm or non-person-affecting wrong - is indefensible. Therefore, there ...
journal_title:Bioethics
pub_type: 杂志文章
doi:10.1111/j.1467-8519.2010.01870.x
更新日期:2012-10-01 00:00:00
abstract:BACKGROUND:Empirical studies in Muslim communities on organ donation and blood transfusion show that Muslim counsellors play an important role in the decision process. Despite the emerging importance of online English Sunni fatwas, these fatwas on organ donation and blood transfusion have hardly been studied, thus crea...
journal_title:Bioethics
pub_type: 杂志文章
doi:10.1111/j.1467-8519.2009.01782.x
更新日期:2011-03-01 00:00:00
abstract::Prominent international and national ethics commissions such as the UNESCO International Bioethics Committee rarely achieve anything remotely resembling gender equality, although local research and ethics committees are somewhat more egalitarian. Under-representation of women is particularly troubling when the subject...
journal_title:Bioethics
pub_type: 杂志文章
doi:10.1111/j.1467-8519.2006.00485.x
更新日期:2006-06-01 00:00:00
abstract::Ought we to improve our cognitive capacities beyond the normal human range? It might be a good idea to level out differences between peoples cognitive capacities; and some people's reaching beyond normal capacities may have some good side-effects on society at large (but also bad side-effects, of course). But is there...
journal_title:Bioethics
pub_type: 杂志文章
doi:10.1111/j.1467-8519.2008.00721.x
更新日期:2009-09-01 00:00:00
abstract::It has been argued that there can be no person-regarding reasons for practising genetic therapy, since it affects identity and causes to exist an individual who would not otherwise have existed. And there can be no such reasons for causing somebody to exist because existing cannot be better for an individual than neve...
journal_title:Bioethics
pub_type: 杂志文章
doi:10.1111/j.1467-8519.1995.tb00298.x
更新日期:1995-01-01 00:00:00
abstract::In From Chance to Choice, Allen Buchanan, Dan Brock, Norman Daniels and Daniel Wikler propose a new way of defending the moral significance of the distinction between genetic treatments and enhancements. They develop what they call a 'normal function model' of equality of opportunity and argue that it offers a 'limite...
journal_title:Bioethics
pub_type: 杂志文章
doi:10.1111/j.1467-8519.2009.01750.x
更新日期:2011-03-01 00:00:00
abstract::Recent ethical and legal challenges have arisen concerning the rights of individuals over their IVF embryos, leading to questions about how, when the wishes of parents regarding their embryos conflict, such situations ought to be resolved. A notion commonly invoked in relation to frozen embryo disputes is that of repr...
journal_title:Bioethics
pub_type: 杂志文章
doi:10.1111/j.1467-8519.2007.00581.x
更新日期:2007-10-01 00:00:00
abstract::Like any discipline, bioethics is a developing field of academic inquiry; and recent trends in scholarship have been towards more engagement with empirical research. This 'empirical turn' has provoked extensive debate over how such 'descriptive' research carried out in the social sciences contributes to the distinctiv...
journal_title:Bioethics
pub_type: 杂志文章
doi:10.1111/j.1467-8519.2010.01843.x
更新日期:2012-05-01 00:00:00
abstract::Is it ethical to market complementary and alternative medicines? Complementary and alternative medicines (CAM) are medical products and services outside the mainstream of medical practice. But they are not just medicines (or supposed medicines) offered and provided for the prevention and treatment of illness. They are...
journal_title:Bioethics
pub_type: 杂志文章
doi:10.1111/bioe.12226
更新日期:2016-02-01 00:00:00
abstract::This paper contends that a research ethics approach to the regulation of health data research is unhelpful in the era of population-level research and big data because it results in a primary focus on consent (meta-, broad, dynamic and/or specific consent). Two recent guidelines - the 2016 WMA Declaration of Taipei on...
journal_title:Bioethics
pub_type: 杂志文章
doi:10.1111/bioe.12551
更新日期:2019-03-01 00:00:00
abstract::In the end-of-life context, alleviation of the suffering of a distressed patient is usually seen as a, if not the, central goal for the medical personnel treating her. Yet it has also been argued that suffering should be seen as a part of good dying. More precisely, it has been maintained that alleviating a dying pati...
journal_title:Bioethics
pub_type: 杂志文章
doi:10.1111/bioe.12513
更新日期:2019-01-01 00:00:00
abstract::In this essay, we present three case studies which suggest that sometimes we are better off supporting a so-called irrational suicide, and that emotional or psychological distress--even if medically controllable--might justify a suicide. We underscore how complicated these decisions are and how murky a physician's mor...
journal_title:Bioethics
pub_type: 杂志文章
doi:10.1111/1467-8519.00300
更新日期:2002-09-01 00:00:00
abstract::In 2017 and 2019, two research teams claimed 'proof of principle' for artificial womb technology (AWT). AWT has long been a subject of speculation in bioethical literature, with broad consensus that it is a welcome development. Despite this, little attention is afforded to more immediate ethical problems in the develo...
journal_title:Bioethics
pub_type: 杂志文章
doi:10.1111/bioe.12701
更新日期:2020-05-01 00:00:00
abstract::The concept of vulnerability has been subject to numerous different interpretations but accounts are still beset with significant problems as to their adequacy, such as their contentious application or the lack of genuine explanatory role for the concept. The constant failure to provide a compelling conceptual analysi...
journal_title:Bioethics
pub_type: 杂志文章
doi:10.1111/bioe.12144
更新日期:2015-09-01 00:00:00
abstract::Scientists seeking to conduct research with human subjects must first submit their proposals to research ethics committees (Institutional Review Boards [IRBs], in the United States). Some of these studies pose risks to "bystanders," i.e., people who may be affected by the research but who are not enrolled as study sub...
journal_title:Bioethics
pub_type: 杂志文章
doi:10.1111/bioe.12823
更新日期:2020-11-01 00:00:00
abstract::The purpose of this paper is to describe the scientific background to the current ethical and legislative debates about the generation and use of human stem cells, and to give an overview of the ethical issues underlying these debates. The ethical issues discussed are 1) stem cells and the status of the embryo, 2) wom...
journal_title:Bioethics
pub_type: 杂志文章,评审
doi:10.1111/1467-8519.00307
更新日期:2002-11-01 00:00:00
abstract::In 2015, the Chinese pharmacologist, Tu Youyou, was awarded the Nobel Prize for Physiology or Medicine for the discovery of artemisinin. Traditional Chinese medicine (TCM) was the source of inspiration for Tu's discovery and provides an opportunity for the world to know more about TCM as a source of medical knowledge ...
journal_title:Bioethics
pub_type: 传,历史文章,杂志文章
doi:10.1111/bioe.12456
更新日期:2020-02-01 00:00:00
abstract::In the past decade, the perception of a bioterrorist threat has increased and created a demand on life scientists to consider the potential security implications of dual use research. This article examines a selection of proposed moral obligations for life scientists that have emerged to meet these concerns and the ex...
journal_title:Bioethics
pub_type: 杂志文章
doi:10.1111/j.1467-8519.2008.00695.x
更新日期:2008-11-01 00:00:00
abstract::Chronic organ diseases and the increasing demand for organ transplantation have become an important health care problem within the last few decades. Campaigns and regulations to encourage people to donate organs after death have not met with much success. This article discusses the subject from an Islamic perspective....
journal_title:Bioethics
pub_type: 杂志文章
doi:10.1111/1467-8519.00254
更新日期:2001-10-01 00:00:00
abstract::A number of philosophers in recent times have employed arguments to show that there is no morally relevant difference between killing a patient and allowing that patient to die in those circumstances where the outcome is virtually identical and where death is preventable, at least for a significant time. From his per...
journal_title:Bioethics
pub_type: 杂志文章
doi:10.1111/1467-8519.00169
更新日期:1999-10-01 00:00:00
abstract::In this paper I discuss the view that the appropriate concept of competence is a decision-relative one: that a person may be competent to make one decision but not another. The argument that I present is that neither of the two competing theories supporting the decision-relative approach, internalism and externalism, ...
journal_title:Bioethics
pub_type: 杂志文章
doi:10.1111/1467-8519.00218
更新日期:2001-04-01 00:00:00
abstract::In 'New Threats to Academic Freedom' Francesca Minerva argues that anonymity for the authors of controversial articles is a prerequisite for academic freedom in the Internet age. This argument draws its intellectual and emotional power from the author's account of the reaction to the on-line publication of ' After-bir...
journal_title:Bioethics
pub_type: 评论,杂志文章
doi:10.1111/bioe.12093
更新日期:2014-05-01 00:00:00
abstract::Working as clinical ethicists in an academic hospital, we find that practitioners tend to take a principle-based approach to moral dilemmas when it comes to (not) treating patients who feel like a burden, in which respect for autonomy tends to trump other principles. We argue that this approach insufficiently deals wi...
journal_title:Bioethics
pub_type: 杂志文章
doi:10.1111/bioe.12579
更新日期:2019-05-01 00:00:00