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James Rachels and the morality of euthanasia Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2024-03-12 Timothy J. Furlan
My fundamental thesis is that Rachels dismisses the traditional Western account of the morality of killing without offering a viable replacement. In this regard, I will argue that the substitute account he offers is deficient in at least eight regards: (1) he fails to justify the foundational principle of utilitarianism, (2) he exposes preference utilitarianism to the same criticisms he lodges against
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Death as the extinction of the source of value: the constructivist theory of death as an irreversible loss of moral status Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2024-02-08 Piotr Grzegorz Nowak
In 2017, Michael Nair-Collins formulated his Transitivity Argument which claimed that brain-dead patients are alive according to a concept that defines death in terms of the loss of moral status. This article challenges Nair-Collins’ view in three steps. First, I elaborate on the concept of moral status, claiming that to understand this notion appropriately, one must grasp the distinction between direct
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Kairos in diagnostics Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2024-02-07 Bjørn Hofmann, Urban Wiesing
Kairos has been a key concept in medicine for millennia and is frequently understood as “the right time” in relation to treatment. In this study we scrutinize kairos in the context of diagnostics. This has become highly topical as technological developments have caused diagnostics to be performed ever earlier in the disease development. Detecting risk factors, precursors, and predictors of disease
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Culturally competent respect for the autonomy of Muslim patients: fostering patient agency by respecting justice Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2024-02-07 Kriszta Sajber, Sarah Khaleefah
Although Western biomedical ethics emphasizes respect for autonomy, the medical decision-making of Muslim patients interacting with Western healthcare systems is more likely to be motivated by relational ethical and religious commitments that reflect the ideals of equity, reciprocity, and justice. Based on an in-depth cross-cultural comparison of Islamic and Western systems of biomedical ethics and
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The harm threshold and Mill’s harm principle Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2023-11-18 Maggie Taylor
The Harm Threshold (HT) holds that the state may interfere in medical decisions parents make on their children’s behalf only when those decisions are likely to cause serious harm to the child. Such a high bar for intervention seems incompatible with both parental obligations and the state’s role in protecting children’s well-being. In this paper, I assess the theoretical underpinnings for the HT, focusing
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The risk of normative bias in reporting empirical research: lessons learned from prenatal screening studies about the prominence of acknowledged limitations Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2023-11-06 Panagiota Nakou, Rebecca Bennett
Empirical data can be an extremely powerful and influential tool in bioethical research. However, when researchers or policy makers look for answers to ethical questions by engaging with empirical research, there can be a tendency (conscious or unconscious) to shape, report, and use empirical research in a way that confirms their own preferred ethical conclusions. This skewing effect - what we call
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Refund: a defense of luck egalitarian policy in healthcare Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2023-10-30 Masahiro Yoshida, Akira Inoue
Luck egalitarianism assigns a central role to personal responsibility in egalitarian justice. In the context of healthcare, luck egalitarianism is the view that the distribution of medical and healthcare resources—or common resources in general—should respond to the (im)prudence of individuals. Recently, Joar Björk, Gert Helgesson, and Niklas Juth have argued that it is impractical to use luck egalitarianism
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Age-based restrictions on reproductive care: discerning the arbitrary from the necessary Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2023-10-11 Steven R. Piek, Guido Pennings, Veerle Provoost
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An account of medical treatment, with a preliminary account of medical conditions Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2023-08-24 Steven Tresker
In this article, I present a philosophical account of medical treatment. In support of this account, I offer a suggestive account of medical conditions. The account of medical treatment uses three desiderata to demarcate treatment from non-treatment. Namely, a treatment should: (1) be describable by features that enable it to be standardized and characterized as a discrete intervention, (2) target
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Making a dead woman pregnant? A critique of the thought experiment of Anna Smajdor Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2023-08-22 Erwin J.O. Kompanje, Jelle L. Epker
In a thought-provoking article – or how she herself named it, ‘a thought experiment’ – the philosopher-medical ethicist Anna Smajdor analyzed in this journal the idea of whole-body gestational donation (WBGD) in brain-dead female patients, as an alternative means of gestation for prospective women who cannot or prefer not to become pregnant themselves. We have serious legal, economical, medical and
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Values, decision-making and empirical bioethics: a conceptual model for empirically identifying and analyzing value judgements Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2023-08-17 Marcel Mertz, Ilvie Prince, Ines Pietschmann
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Defending the link between ethical veganism and antinatalism Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2023-08-17 Joona Räsänen
In my paper recently published in a collection of controversial arguments in this journal, I argued that the same principles that are behind ethical veganism also warrant antinatalist conclusions. I thus suggested that to be consistent in their ethical reasoning, moral vegans should not have children. William Bülow has kindly responded to my claims and offered a plausible reply, which, according to
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Probability and informed consent Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2023-08-08 Nir Ben-Moshe, Benjamin A. Levinstein, Jonathan Livengood
In this paper, we illustrate some serious difficulties involved in conveying information about uncertain risks and securing informed consent for risky interventions in a clinical setting. We argue that in order to secure informed consent for a medical intervention, physicians often need to do more than report a bare, numerical probability value. When probabilities are given, securing informed consent
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A critique of whole body gestational donation Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2023-07-28 Richard B. Gibson
In her controversial paper, Anna Smajdor proposes that brain-dead people could be used as gestation units for prospective parents unable or unwilling to undertake the act themselves—what she terms whole body gestational donation (WBGD). She explores the ethical issues of such an idea and, comparing it with traditional organ donation, asserts that such deceased surrogacy could be a way of outsourcing
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Why whole body gestational donation must be rejected: a response to Smajdor Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2023-07-07 Aníbal M. Astobiza, Íñigo de Miguel Beriain
Anna Smajdor’s proposal of whole body gestational donation (WBGD) states that female patients diagnosed as brain-dead should be considered for use as gestational donors. In this response, Smajdor’s proposal is rejected on four different accounts: (a) the debated acceptability of surrogacy despite women's autonomy, (b) the harm to dead women ́s interests, (c) the interests of the descendants, and (d)
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Somatics and phenomenological psychopathology: a mental health proposal Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2023-05-25 Camilo Sánchez Sánchez
This work begins with a brief review – from the physical education movement that began in ancient Greece and is deeply rooted in 19th century Europe, to the somatics movement alive today. The review captures primary historical and conceptual references, relevant to the therapeutic-embodied exploratory work. Then, G. Stanghellini’s mental health care model [2] is reviewed. This model is considered within
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Epistemic injustice in the therapeutic relationship in psychiatry Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2023-05-24 Eisuke Sakakibara
The notion of epistemic injustice was first applied to cases of discrimination against women and people of color but has since come to refer to wider issues related to social justice. This paper applies the concept of epistemic injustice to problems in the therapeutic relationship between psychiatrists and psychiatric patients. To this end, it is necessary to acknowledge psychiatrists as professionals
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Why we have duties of autonomy towards marginal agents Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2023-05-12 Anna Hirsch
Patients are usually granted autonomy rights, including the right to consent to or refuse treatment. These rights are commonly attributed to patients if they fulfil certain conditions. For example, a patient must sufficiently understand the information given to them before making a treatment decision. On the one hand, there is a large group of patients who meet these conditions. On the other hand,
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Saving unwanted children: a proposal for a National Rearing Institute Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2023-05-03 Ming-Jui Yeh
Unwanted children are carried, born, and reluctantly raised each year; they are prone to abortion, abandonment, neglect, and abuse. Meanwhile, many developed societies are suffering from depopulation. To address these two issues concurrently, I propose that governments should grant pregnant women and mothers an irreversible and unconditional one-time chance to relinquish all their legal rights and
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The indispensability of race in medicine Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2023-04-11 Ludovica Lorusso, Fabio Bacchini
A movement asking to take race out of medicine is growing in the US. While we agree with the necessity to get rid of flawed assumptions about biological race that pervade automatic race correction in medical algorithms, we urge caution about insisting on a blanket eliminativism about race in medicine. If we look at racism as a fundamental cause, in the sense that this notion has been introduced in
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A troubling foundational inconsistency: autonomy and collective agency in critical care decision-making Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2023-03-28 Stowe Locke Teti
‘Shared’ decision-making is heralded as the gold standard of how medical decisions should be reached, yet how does one ‘share’ a decision when any attempt to do so will undermine autonomous decision-making? And what exactly is being shared? While some authors have described parallels in literature, philosophical examination of shared agency remains largely uninvestigated as an explanation in bioethics
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Phenomenology’s place in the philosophy of medicine Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2023-03-24 Matthew Burch
With its rise in popularity, work in the phenomenology of medicine has also attracted its fair share of criticism. One such criticism maintains that, since the phenomenology of medicine does nothing but describe the experience of illness, it offers nothing one cannot obtain more easily by deploying simpler qualitative research methods. Fredrik Svenaeus has pushed back against this charge, insisting
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Subjectivity of pre-test probability value: controversies over the use of Bayes’ Theorem in medical diagnosis Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2023-03-07 Tomasz Rzepiński
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Controversial views and moral realism Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2023-03-03 Henrik Rydenfelt
It is argued that the emergence of controversial views in discussions of theoretical medicine and bioethics is best explained by the assumption of moral realism within those discursive practices. Neither of the main alternatives of realism in contemporary meta-ethics — moral expressivism and anti-realism — can account for the rise of controversies in the bioethical debate. This argument draws from
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Suffering and the dilemmas of pediatric care: a response to Tyler Tate Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2023-02-26 Brent Michael Kious
In a recent article, Tyler Tate argues that the suffering of children — especially children with severe cognitive impairments — should be regarded as the antithesis of flourishing, where flourishing is relative to one’s individual characteristics and essentially involves receiving care from others. Although initially persuasive, Tate’s theory is ambiguous in several ways, leading to significant conceptual
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Childbearing, abortion and regret: a response to Kate Greasley Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2023-02-24 Anthony McCarthy
Is moral or other regret for abortion an indicator that abortion may not be morally or prudentially choice worthy? This paper examines the work of Kate Greasley in this area, who offers an explanation of any asymmetry in openness to regret between women who have abortions and women who give birth. The latter, not unlike Derek Parfit’s 14-year-old who conceives deliberately, may feel duty-bound not
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Anent the theoretical justification of a sex doula program Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2023-02-24 Steven J. Firth, Ivars Neiders
The Human Condition is neither a well-defined nor well-described concept—nevertheless, it is generally agreed that human sexuality is a fundamental and constituent part of it. For most able-bodied persons, accessing and expressing one's sexuality is a (relatively) trouble-free process. However, many disabled persons experience difficulty in accessing their sexuality, while others experience such significant
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Implicit understandings and trust in the doctor-patient relationship: a philosophy of language analysis of pre-operative evaluations Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2023-02-13 Monica Consolandi
The aim of this paper is to enhance doctors’ awareness of implicit understandings between doctors and patients in the context of pre-operative communication of risks. This paper draws on insights from the philosophy of language – in particular pragmatic analysis tools – that make explicit the implicit understandings of the interaction. Mastering not only what is said but also what is unsaid allows
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Weak transhumanism: moderate enhancement as a non-radical path to radical enhancement Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2023-02-13 Cian Brennan
Transhumanism aims to bring about radical human enhancement. In ‘Truly Human Enhancement’ Agar (2014) provides a strong argument against producing radically enhancing effects in agents. This leaves the transhumanist in a quandary—how to achieve radical enhancement whilst avoiding the problem of radically enhancing effects? This paper aims to show that transhumanism can overcome the worries of radically
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Should vegans have children? Examining the links between animal ethics and antinatalism Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2023-02-11 Joona Räsänen
Ethical vegans and vegetarians believe that it is seriously immoral to bring into existence animals whose lives would be miserable. In this paper, I will discuss whether such a belief also leads to the conclusion that it is seriously immoral to bring human beings into existence. I will argue that vegans should abstain from having children since they believe that unnecessary suffering should be avoided
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Are some controversial views in bioethics Juvenalian satire without irony? Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-12-24 Matti Häyry
The article examines five controversial views, expressed in Jonathan Swift’s A Modest Proposal, Helga Kuhse and Peter Singer’s Should the Baby Live? The Problem of Handicapped Infants, Alberto Giubilini and Francesca Minerva’s “After-birth abortion: why should the baby live?”, Julian Savulescu’s “Procreative beneficence: why we should select the best children”, and the author’s “A rational cure for
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Biological lives and organ conscription Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-12-15 Derrick Pemberton
According to 2021 data, the United States’ opt-in system of posthumous organ donation results in seventeen Americans dying each day waiting for vital organs, while many good undonated organs go to the grave with the corpse. One of the most aggressive, and compelling, proposals to resolve this tragedy is postmortem organ conscription, also called routine salvaging or organ draft. This proposal entails
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Why good work in philosophical bioethics often looks strange Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-12-06 Ole Martin Moen
Papers in philosophical bioethics often discuss unrealistic scenarios and defend controversial views. Why is that, and what is this kind of work good for? My aim in the first part of this paper is to specify how philosophical bioethics relates to other types of work in bioethics, and to explain the role of the unrealistic scenarios and the controversial views. In the second part, I propose three strategies
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The religious character of secular arguments supporting euthanasia and what it implies for conscientious practice in medicine Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-11-30 John Tambakis, Lauris Kaldijian, Ewan C. Goligher
Contemporary bioethics generally stipulates that public moral deliberation must avoid allowing religious beliefs to influence or justify health policy and law. Secular premises and arguments are assumed to maintain the neutral, common ground required for moral deliberation in the public square of a pluralistic society. However, a careful examination of non-theistic arguments used to justify euthanasia
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Whole body gestational donation Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-11-18 Anna Smajdor
Whole body gestational donation offers an alternative means of gestation for prospective parents who wish to have children but cannot, or prefer not to, gestate. It seems plausible that some people would be prepared to consider donating their whole bodies for gestational purposes just as some people donate parts of their bodies for organ donation. We already know that pregnancies can be successfully
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The criticism of medicine at the end of its “golden age” Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-11-14 Somogy Varga
Medicine is increasingly subject to various forms of criticism. This paper focuses on dominant forms of criticism and offers a better account of their normative character. It is argued that together, these forms of criticism are comprehensive, raising questions about both medical science and medical practice. Furthermore, it is shown that these forms of criticism mainly rely on standards of evaluation
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Explanatory integration and integrated explanations in Darwinian medicine and evolutionary medicine Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-10-29 Nina Kranke
Recently, two research traditions that bring together evolutionary biology and medicine, that is to say, Darwinian medicine and evolutionary medicine, have been identified. In this paper, I analyse these two research traditions with respect to explanatory and interdisciplinary integration. My analysis shows that Darwinian medicine does not integrate medicine and evolutionary biology in any strong sense
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Misapplying autonomy: why patient wishes cannot settle treatment decisions Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-10-28 Colin Goodman, Timothy Houk
The principle of autonomy is widely recognized to be of utmost importance in bioethics; however, we argue that this principle is often misapplied when one fails to distinguish two different contexts in medicine. When a particular patient is offered treatment options, she has the ultimate say in whether to proceed with any of those treatments. However, when deciding whether a particular intervention
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Towards a dispositionalist (and unifying) account of addiction Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-10-27 Robert Kelly
Addiction theorists have often utilized the metaphor of the blind men and the elephant to illustrate the complex nature of addiction and the varied methodological approaches to studying it. A common purported upshot is skeptical in nature: due to these complexities, it is not possible to offer a unifying account of addiction. I think that this is a mistake. The elephant is real–there is a there there
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The ubiquity of the fallacy of composition in cognitive enhancement and in education Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-10-23 Nora Edgren, Veljko Dubljević
Research into cognitive enhancement is highly controversial, and arguments for and against it have failed to identify the logical fallacy underlying this debate: the fallacy of composition. The fallacy of composition is a lesser-known fallacy of ambiguity, but it has been explored and applied extensively to other fields, including economics. The fallacy of composition, which occurs when the characteristics
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Robert Veatch’s early career in bioethics, contributions to the field, and career at Georgetown University Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-10-17 Tom L. Beauchamp
In this essay, I describe Bob Veatch’s career from the perspective of a colleague and friend. Bob and I started our professional careers at the same time and quickly came into professional contact. With Bob’s move from the Hastings Center to the Kennedy Institute, we became colleagues and worked for almost a decade on our book on death and dying. He was an outstanding co-editor and author. I believe
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Death as “benefit” in the context of non-voluntary euthanasia Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-10-13 Jonas-Sébastien Beaudry
I offer a principled objection to arguments in favour of legalizing non-voluntary euthanasia on the basis of the principle of beneficence. The objection is that the status of death as a benefit to people who cannot formulate a desire to die is more problematic than pain management care. I ground this objection on epistemic and political arguments. Namely, I argue that death is relatively more unknowable
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Osteoporosis and risk of fracture: reference class problems are real Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-09-17 Nicholas Binney
Elselijn Kingma argues that Christopher Boorse’s biostatistical theory does not show how the reference classes it uses—namely, age groups of a sex of a species—are objective and naturalistic. Boorse has replied that this objection is of no concern, because there are no examples of clinicians’ choosing to use reference classes other than the ones he suggests. Boorse argues that clinicians use the reference
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Case analysis in ethics instruction: bootlegging theory in a topical structure Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-09-12 Amy Haddad
Robert Veatch was a notable and prolific author in a variety of areas in philosophy, health care practice, and policy. However, it is evident by the sheer number of case study in ethics books, eighteen editions of case collections in all, that this approach to teaching ethics in the health sciences was especially important to him. A few of these case study collections he wrote alone, but the majority
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Disability bioethics and the commitment to equality Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-08-20 Laura Guidry-Grimes
Robert Veatch’s The Foundations of Justice: Why the Retarded and the Rest of Us Have Claims to Equality (1986) delves into deep questions of justice through the case of a child with disabilities. I describe what is basically right about this vision, as well as what is problematic from the standpoint of contemporary disability bioethics. From there, I dive into the notion of vulnerability that is at
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The evolution of research participant as partner: the seminal contributions of Bob Veatch Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-08-18 Christine Grady
Well before patient-centered or patient-controlled research became trendy, and earlier than calls to preferentially refer to research subjects as participants, Bob Veatch wrote “The Patient as Partner” Veatch presciently argued that research patients should not be thought of as passive subjects nor material from which to obtain data, but rather as partners in discovery. In this manuscript, I will explore
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S. Clarke, H. Zohny and J. Savulescu (eds), Rethinking Moral Status, Oxford: Oxford University Press, 2021, ISBN: 978-0-19-289407-6 Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-08-10 Jacopo Morelli
“Rethinking moral status” provides a forum for philosophers to reason on the usual presuppositions and intuitions about moral status, especially now with new scientific advances like non-human chimeras, cyborgs, human brain organoids, and post-human minds. There are a number of ways we could respond to the new challenges these technological developments raise: this volume explores such responses and
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The patient experience of medically unexplained symptoms: an existentialist analysis Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-08-05 Kimberly S. Engels
This article explores the patient experience of medically unexplained symptoms (MUS) from an existentialist standpoint. Drawing on the work of Jean-Paul Sartre and Simone de Beauvoir, I explore their concepts of existential situation, existential project, authenticity, and praxis. I then analyze the situation of MUS patients in the current cultural and institutional context, elucidating that a lack
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The principle of procreative beneficence and its implications for genetic engineering Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-07-26 Luvuyo Gantsho
Molecular genetic engineering technologies such as CRISPR/Cas9 have made the accurate and safe genetic engineering of human embryos possible. Further advances in genomics have isolated genes that predict qualities and traits associated with intelligence. Given these advances, prospective parents could use these biotechnologies to genetically engineer future children for genes that enhance their intelligence
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Global justice in the context of transnational surrogacy: an African bioethical perspective Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-07-25 Ademola Kazeem Fayemi, Amara Esther Chimakonam
The ongoing debate on how best to regulate international commercial surrogacy defies consensus, as the most cogent normative and jurisprudential grounds for and against non-altruistic surrogacy remain controversial. This paper contributes to the debate by focusing on social justice issues arising from transnational, moneymaking surrogacy, with a focus on the Global South. It argues that existing theoretical
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Towards a systematic evaluation of moral bioenhancement Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-07-24 Karolina Kudlek
The ongoing debate about moral bioenhancement (MBE) has been exceptionally stimulating, but it is defined by extreme polarization and lack of consensus about any relevant aspect of MBE. This article reviews the discussion on MBE, showing that a lack of consensus about enhancements’ desirable features and the constant development of the debate calls for a more rigorous ethical analysis. I identify a
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How many ways can you die? Multiple biological deaths as a consequence of the multiple concepts of an organism Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-07-20 Piotr Grzegorz Nowak, Adrian Stencel
According to the mainstream position in the bioethical definition of death debate, death is to be equated with the cessation of an organism. Given such a perspective, some bioethicists uphold the position that brain-dead patients are dead, while others claim that they are alive. Regardless of the specific opinion on the status of brain-dead patients, the mere bioethical concept of death, according
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‘Experimental pregnancy’ revisited Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-07-20 Anne Drapkin Lyerly
In this paper, I reflect on an important article by Bob Veatch in the inaugural issue of the Hastings Center Report, entitled “Experimental Pregnancy.” It is a report and elegant analysis of the Goldzieher Study, in which nearly 400 women were randomized to receive hormonal contraception or placebo absent consent or disclosure about placebo use, resulting in several pregnancies. Noting the study’s
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Procreative responsibilities and the parental obligation objection Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-07-20 Joshua Shaw
This essay presents a challenge to the parental obligation objection. This objection is usually made by abortion opponents who argue that because child support laws hold men postnatally responsible for children they helped bring into existence (even when they did not intend to become parents), women too have prenatal parental responsibilities that should prevent them from ending pregnancies through
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Robert Veatch’s Disrupted Dialogue and its implications for bioethics Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-07-18 Laurence B. McCullough
In his Disrupted Dialogue: Medical Ethics and the Collapse of Physician-Humanist Communication (1770–1980) Robert Veatch presents a scholarly tour de force of eighteenth- and nineteenth-century Anglophone medical ethics to demonstrate how the easy communication between physicians and humanists in the Scottish Enlightenment progressively dissipated as medicine became detached from humanistic disciplines
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The philosopher as partner: an introduction to the scholarship of Robert M. Veatch Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-07-13 Lainie Friedman Ross
A diverse group of scholars reflect on the scholarship of Robert M. Veatch, the breadth of which is unmatched in modern day bioethics. Essays were written by both philosophers and clinician-philosophers, by contemporaries and mentees. They span the breadth of Bob’s work and include analyses of his ideas about death, dying and organ transplantation, human experimentation and research ethics, disability
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Robert Veatch’s transplantation ethics: obtaining and allocating organs from deceased persons Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-06-10 James F. Childress
This essay appreciatively and critically engages the late Robert Veatch’s extensive and important contributions to transplantation ethics, in the context of his overall ethical theory and his methods for resolving conflicts among ethical principles. It focuses mainly on ways to obtain and allocate organs from deceased persons, with particular attention to express donation, mandated choice, and presumed
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Relational autonomy and the clinical relationship in dementia care Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-05-17 Eran Klein
The clinical relationship (or doctor-patient relationship) has been underexplored in dementia care. This is in part due to the way that the clinical relationship has been articulated and understood in bioethics. Robert Veatch’s social contract model is representative of a standard view of the clinical relationship in bioethics. But dementia presents formidable challenges to the standard clinical relationship
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A defense of surgical procedures regulation Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-05-12 Mattia Andreoletti, Federico Bina
Since the advent of drug regulation in 1962, regulatory agencies have been in the practice of using strict standards to test the safety and efficacy of medical treatments and products. Regulatory agencies, such as the FDA, demand two full-fledged Randomized Clinical Trials demonstrating the safety and effectiveness of drugs to grant its marketing authorization. On the contrary, surgical treatments
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Thomas Boggatz (ed.): Quality of life and person-centered care for older people : Springer, Cham (Switzerland), 2020, 466 pp, $45, ISBN: ISBN 978-3-030-29989-7. Theoretical Medicine and Bioethics (IF 2.158) Pub Date : 2022-04-16 Nunziata Comoretto