The Role of Physicians During Hunger Strikes of Undocumented Migrant Workers in a Non-Custodial Setting.

Abstract:

:Since the beginning of the 21st century, the living conditions of undocumented migrant workers in Belgium have deteriorated drastically. In Brussels, after various social actions, undocumented people began squatting and occupying public buildings to make their struggle visible to society. Desperate, some seized the possibility of a loophole in Belgian law that permits ill persons to have access to a temporary residence permit and started hunger striking. Confronted with consecutive strikes, medical teams of voluntary health professionals faced a big dilemma. A search of the medical literature yielded information about the overall and specific tasks of health professionals during hunger strikes in custodial and hospital settings, but no scientific guidelines were found to address the specific problems the team was confronted with. Information was collected about 15 hunger strikes over a period of seven years, involving the participation of 1,158 strikers. This article describes the medical, organizational, and ethical difficulties encountered in the follow-up of hunger strikes in non-custodial settings, including those associated with the establishment of a health-care structure, operation with very limited resources, and communication with the media and other health professionals.

journal_name

Perspect Biol Med

authors

Vanobberghen R,Louckx F,Depoorter AM,Devroey D,Vandevoorde J

doi

10.1353/pbm.2019.0006

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

111-130

issue

1

eissn

0031-5982

issn

1529-8795

pii

S1529879519100063

journal_volume

62

pub_type

杂志文章
  • Regarding Bioethics: A Sociology of Morality.

    abstract::C. Wright Mills said that when done well, sociology illuminates the intersection of biography and history. This essay examines how the author's vocational choices and career path were shaped by historical circumstance, leading him to a degree in sociology and to participation in the odd and interesting interdiscipline...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.2017.0020

    authors: De Vries R

    更新日期:2017-01-01 00:00:00

  • Futility: Definition and Goals.

    abstract::Schneiderman, Jecker, and Jonsen (2017) correctly take issue with a recent multi-society statement that attempts to replace most uses of the term futility with "inappropriate treatment." However, they mistakenly categorize any treatment of permanent unconsciousness as futile. Futility can be readily defined as an inte...

    journal_title:Perspectives in biology and medicine

    pub_type: 评论,杂志文章

    doi:10.1353/pbm.2018.0004

    authors: Brody H

    更新日期:2018-01-01 00:00:00

  • Conceiving wholeness: women, motherhood, and ovarian transplantation, 1902 and 2004.

    abstract::Scholars have shown that organ transplantation may transform ideas about one's body, with recipients feeling that they are receiving not just a body part but also a part of the donor's identity. This article focuses on a different way in which organ transplantation shapes recipient identity: the idea of becoming whole...

    journal_title:Perspectives in biology and medicine

    pub_type: 历史文章,杂志文章

    doi:10.1353/pbm.2011.0036

    authors: Rodriguez SB,Campo-Engelstein L

    更新日期:2011-07-01 00:00:00

  • Clinical Germline Genome Editing: When Will Good be Good Enough?

    abstract::Ensuring experimental outcomes are of the highest clinical caliber is crucial prior to the introduction of germline genome editing. However, if we are to police scientific progress using probability or the potential to go wrong, then we must account for the specious standards of human reproduction. With 15% of clinica...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.2020.0008

    authors: O'Neill HC

    更新日期:2020-01-01 00:00:00

  • Coronary heart disease (CHD)--one or several diseases? Changes in the prevalence and features of CHD.

    abstract::In retrospect, mortality from coronary heart disease (CHD) in the 20th century followed an epidemic pattern: mortality rates increased dramatically from 1920 until about 1960, remained roughly constant for almost a decade, and have been decreasing since the late 1960s. CHD has traditionally been conceived of as a sing...

    journal_title:Perspectives in biology and medicine

    pub_type: 历史文章,杂志文章

    doi:10.1353/pbm.2007.0013

    authors: Azambuja MI,Levins R

    更新日期:2007-04-01 00:00:00

  • What Hospitalists Should Know About Intersex Adults.

    abstract::An intersex condition is one in which an individual is born with atypical male or female external genitalia, gonads, hormones, or chromosomes. Older terms, such as pseudohermaphroditism and hermaphroditism, are controversial, leading the Lawson Wilkins Pediatric Endocrine Society (LWPES) and the European Society for P...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.2016.0033

    authors: Reis E,McCarthy MW

    更新日期:2016-01-01 00:00:00

  • Constructive realism and medicine: an approach to medical ontology.

    abstract::Metaphysics is an essential part of philosophy of medicine, providing the background for further methodological work. Current accounts of the ontology of particular diseases may be classified as realist or anti-realist. Because strong arguments can be marshaled by both of these positions, an approach to medical ontolo...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.0.0032

    authors: Simon JR

    更新日期:2008-07-01 00:00:00

  • Perspectives on brain tumor formation involving macrophages, glia, and neural stem cells.

    abstract::The incidence of brain tumors is rising in children and the elderly, but little is known about the mechanisms underlying brain tumor initiation and progression. In the 1940s, Zimmerman and coworkers exploited the tumor-promoting potential of polycyclic hydrocarbons to produce brain tumor models in adult mice that simu...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.2001.0035

    authors: Seyfried TN

    更新日期:2001-04-01 00:00:00

  • The Osler-Cushing covenant.

    abstract::In 1900 William Osler established a friendship with Harvey Cushing that encompassed the personal and professional aspects of their lives for over two decades. Their shared participation in the covenant of medicine shaped an intense friendship and mentoring relationship that profited both individuals immeasurably. The ...

    journal_title:Perspectives in biology and medicine

    pub_type: 传,历史文章,杂志文章

    doi:10.1353/pbm.2005.0087

    authors: Duffy TP

    更新日期:2005-10-01 00:00:00

  • Diagnosis and Metaphor.

    abstract::Human beings rely on metaphor as a primary cognitive device for interpreting the world around them. Metaphors figure especially strongly in discourse around health, illness, and medicine. It is not just that patients use metaphors to describe their personal experience of being unwell, or that medical professionals emp...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.2015.0010

    authors: Hanne M

    更新日期:2015-01-01 00:00:00

  • Head-counting vs. heart-counting: an examination of the recent case of the conjoined twins from Malta.

    abstract::This paper reexamines the recent case of the conjoined twins from Malta. Survival was said to be possible only through separation, which would actually leave only one twin alive. The parents refused to allow the killing of one to save the other, but the court ruled that this would amount to the neglect of innocent lif...

    journal_title:Perspectives in biology and medicine

    pub_type: 历史文章,杂志文章

    doi:10.1353/pbm.2002.0063

    authors: Barilan YM

    更新日期:2002-10-01 00:00:00

  • Parasites and progress: ethical decision-making and the Santee-Cooper Malaria study, 1944-1949.

    abstract::As part of a mid-1940s malaria research program, U.S. Public Health Service researchers working in South Carolina chose to withhold treatment from a group of subjects while testing the efficacy of a new insecticide. Research during World War II had generated new tools to fight malaria, including the insecticide DDT an...

    journal_title:Perspectives in biology and medicine

    pub_type: 历史文章,杂志文章

    doi:10.1353/pbm.2008.0011

    authors: Slater L,Humphreys M

    更新日期:2008-01-01 00:00:00

  • Torture in Abu Ghraib.

    abstract::Iraqi detainees subjected to torture and mistreatment at Abu Ghraib prison may continue to suffer from significant physical and psychological consequences of their abuse. This article reports two cases of Iraqi individuals allegedly tortured at Abu Ghraib. Detailed forensic evaluations were conducted approximately one...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.2006.0059

    authors: Keller AS

    更新日期:2006-10-01 00:00:00

  • Telling stories about illness and disability: the limits and lessons of narrative.

    abstract::Autobiographical narratives of illness and disability are influential in popular and medical discourses of illness and disability, in part because these narratives represent illness and disability within a sociocultural context, intersecting with other categories of difference. Clinicians can benefit patients through ...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.0.0135

    authors: Garden R

    更新日期:2010-01-01 00:00:00

  • The Research Optimist's Defense.

    abstract::Several studies suggest that clinical researchers are prone to overestimating the chance that scientific protocols will succeed, say, by confirming a treatment hypothesis or reaching recruitment targets. In this essay, we address the normative question of whether such "unrealistic optimism" is harmful in clinical rese...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.2016.0043

    authors: Benjamin D,Kimmelman J

    更新日期:2016-01-01 00:00:00

  • High-tech brains: a history of technology-based analogies and models of nerve and brain function.

    abstract::This article reviews some of the technological devices and ideas which have been used over the years to answer the question, how does the brain work? It describes some of the early technology-based analogies and models of nerve fibers, and then discusses other analogies and models of the brain based on mechanical and ...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章,评审

    doi:10.1353/pbm.2002.0033

    authors: Kirkland KL

    更新日期:2002-04-01 00:00:00

  • Apollo, sudden death, and Homer's "Odyssey": a warning from the past that we may be unable to eradicate coronary artery disease.

    abstract::Over recent years there has been a gratifying decrease in the incidence of recorded deaths from coronary artery disease in the Western world. The common view is that coronary artery disease is a recent phenomenon, that we have been subject to an epidemic in the mid-20th century that is now tailing off, and that with a...

    journal_title:Perspectives in biology and medicine

    pub_type: 历史文章,杂志文章

    doi:10.1353/pbm.2012.0015

    authors: John LC

    更新日期:2012-01-01 00:00:00

  • Human HIV vaccine trials: does antibody-dependent enhancement pose a genuine risk?

    abstract::Antibody-dependent enhancement is a general in vitro property of enveloped viruses. In certain circumstances, antibody-dependent enhancement is a bona fide pathophysiologic mechanism in vivo. There are several examples of virus disease of humans and animals in which incomplete or partial immunity can lead to enhanced ...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章,评审

    doi:10.1353/pbm.1992.0048

    authors: Burke DS

    更新日期:1992-07-01 00:00:00

  • Reflections on basic science.

    abstract::After almost 50 years in science, I believe that there is an acceptable, often advantageous chasm between open-ended basic research-free exploration without a practical destination and in which the original ideas may fade into new concepts-and translational research or clinical research. My basic research on crystalli...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.2010.0000

    authors: Piatigorsky J

    更新日期:2010-10-01 00:00:00

  • "He knows that machine is his mortality": old and new social and cultural patterns in the clinical trial of the AbioCor artificial heart.

    abstract::The clinical trial of the AbioCor artificial heart, initiated in July 2001 and still in process, has taken place within a matrix of social and cultural patterns that are both "old" and new. The old patterns--those that have accompanied previous clinical trials of other vital artificial organs and transplantation in th...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.2004.0006

    authors: Fox RC,Swazey JP

    更新日期:2004-01-01 00:00:00

  • Genomics, "Discovery Science," Systems Biology, and Causal Explanation: What Really Works?

    abstract::Diverse and non-coherent sets of epistemological principles currently inform research in the general area of functional genomics. Here, from the personal point of view of a scientist with over half a century of immersion in hypothesis driven scientific discovery, I compare and deconstruct the ideological bases of prom...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.2015.0025

    authors: Davidson EH

    更新日期:2015-04-01 00:00:00

  • Birth Narratives, Babies, and the Catholic Moral Imagination: Informing Influences on the Pope's Address.

    abstract::This commentary considers two informing influences on Pope Francis's support of perinatal hospice care for families facing diagnoses of serious fetal anomalies. Reflecting on the morally formative scriptural narrative of Mary's pregnancy and Jesus's birth and drawing upon an often-repeated idea of Pope Francis's papac...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.2020.0044

    authors: Hardt J

    更新日期:2020-01-01 00:00:00

  • Determination of Death: A Discussion on Responsible Scholarship, Clinical Practices, and Public Engagement.

    abstract::The concept and determination of death by neurological or cardio-circulatory criteria play a crucial role for medical practice, society, and the law. Academic debates on death determination have regained momentum, and recent cases involving the neurological determination of death ("brain death") in the United States h...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.2015.0036

    authors: Racine E,Jox RJ,Bernat JL,Dabrock P,Gardiner D,Marckmann G,Rid A,Rodriguez-Arias D,Schmitten RI,Schöne-Seifert B

    更新日期:2015-01-01 00:00:00

  • Let the shoemaker stick to his last: a defense of the "old" public health.

    abstract::The traditional forms of public health law were directed largely toward communicable diseases and other externalities, such as pollution, with negative health impacts. The more modern view treats any health issue that affects large numbers of individuals as one of public health, which would include such problems as ob...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Epstein RA

    更新日期:2003-07-01 00:00:00

  • Sequestered evidence and the distortion of clinical practice guidelines.

    abstract::As a result of the growth of evidence-based practices across the world, health-care providers and policymakers in the United States, United Kingdom, and Europe have established institutes such as the United Kingdom's National Institute for Health and Clinical Excellence (NICE) to produce clinical guidelines that physi...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.0.0084

    authors: McGoey L

    更新日期:2009-04-01 00:00:00

  • Serving the Very Sick, Very Frail, and Very Old: Geriatrics, Palliative Care, and Clinical Ethics.

    abstract::How can we provide the best care for growing numbers of very frail, very sick, or very old people? The disciplines of geriatrics, palliative care, and clinical ethics each have a good deal to offer to improve care for elders, yet each field is saddled with heavy historical baggage. Using a case as a springboard, we ad...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.2017.0039

    authors: Smith AK,Micco G

    更新日期:2017-01-01 00:00:00

  • Conception control as a health practice: an emerging concept in government and medicine.

    abstract::The health aspects and benefits of conception control as a justification for U.S. government support of family planning are reviewed. The Family Planning Services Act of 1970 set a goal of serving 5 million indigent women by 1975. It is predicted that the program will far surpass that goal. 340 million dollars were...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.1973.0050

    authors: Hellman LM

    更新日期:1973-04-01 00:00:00

  • Alternatives to War Within Medicine: From Conscientious Objection to Nonviolent Conflict About Contested Medical Practices.

    abstract::When we figure medical practice as warfare, an individual clinician may be either a dutiful combatant or a conscientious objector. The rhetorical structure of this choice means that clinicians may exercise their consciences by loyally joining or disloyally exiting the medical ranks' battle against disease. But there a...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.2019.0025

    authors: Nussbaum AM

    更新日期:2019-01-01 00:00:00

  • The foundation of physicianship.

    abstract::Although the practice of medicine continually changes in response to new biomedical understanding, novel technologies, and evolving cultural contexts, the ethical foundations of the clinical relationship between patient and physician paradoxically remain constant. There are fundamental characteristics with respect to ...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.2012.0002

    authors: Fuks A,Brawer J,Boudreau JD

    更新日期:2012-01-01 00:00:00

  • Confidentiality, electronic health records, and the clinician.

    abstract::The advent of electronic health records (EHRs) to improve access and enable research in the everyday clinical world has simultaneously made medical information much more vulnerable to illicit, non-beneficent uses. This wealth of identified, aggregated data has and will attract attacks by domestic governments for surve...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.2013.0003

    authors: Graves S

    更新日期:2013-01-01 00:00:00