人文科学最新文献_第9页

Chronic illness as transformative activity. 慢性病是一种变革性的活动。

IF 2.3 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-06-01 Epub Date: 2025-03-17 DOI: 10.1007/s11019-025-10260-z

Victoria Paul

{"title":"Chronic illness as transformative activity.","authors":"Victoria Paul","doi":"10.1007/s11019-025-10260-z","DOIUrl":"10.1007/s11019-025-10260-z","url":null,"abstract":"Laurie A. Paul (2014) developed the concept of transformative experience. In describing transformative experience as an experience that is both epistemically and personally transformative, she argues that transformative experience challenges the traditional model of rational decision making. Her concept of transformative experiences has been expanded to the field of illness. It has been argued that illness is a transformative experience because it fulfills Paul's criteria for a transformative experience (Carel et al. 2016; Carel and Kidd 2020). Conceptualizing illness as a transformative experience would have far-reaching implications for the agency and for the rational decision-making process of ill persons. In considering these implications, this article questions the assumption that illness is a transformative experience and proposes that illness, especially when it is chronic, can be a transformative activity, in the sense that Agnes Callard (2020), introduced us to the concept of transformative activity. The article argues that conceptualizing (chronic) illness as a transformative activity strengthens the ill person's agency and ability to learn to live with the illness.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"177-184"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ARIE: A Health Equity Framework for Public Health Interventions Informed by Critical Race Theory and Critical Gerontology. 基于关键种族理论和关键老年学的公共卫生干预卫生公平框架。

IF 17 1区哲学

American Journal of Bioethics Pub Date : 2025-06-01 Epub Date: 2024-12-18 DOI: 10.1080/15265161.2024.2433419

Lester Darryl Geneviève, Tenzin Wangmo, Helene Seaward, Mohamed Amine Bouchlaghem, Sarah Blacker, Félix Pageau

引用次数: 0

Courageous Providers, Principled Institutions, and Threats to Gender-Affirming Care. 勇敢的提供者，有原则的机构，以及对性别确认护理的威胁。

IF 17 1区哲学

American Journal of Bioethics Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1080/15265161.2025.2504275

Julia F Taylor, Craig Konnoth, Mary Faith Marshall

引用次数: 0

Just Knowledge and Treatment: Formal and Epistemic Injustice in Pediatric Gender-Affirming Care. 公正的知识和治疗：儿童性别确认护理的形式和认识上的不公正。

IF 17 1区哲学

American Journal of Bioethics Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1080/15265161.2025.2497988

Grayson R Jackson, Jacob D Moses, Lisa Campo-Engelstein

引用次数: 0

Scientists' and Policy Professionals' Views on the Translational Pipeline of Human Gene Editing. 科学家和政策专家对人类基因编辑转化管道的看法。

IF 17 1区哲学

American Journal of Bioethics Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1080/15265161.2025.2497979

R Jean Cadigan, Margaret Waltz

引用次数: 0

The Cass Review; Distinguishing Fact from Fiction. 卡斯评论；区分事实与虚构。

IF 17 1区哲学

American Journal of Bioethics Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1080/15265161.2025.2504397

Camilla Kingdon, Nicola Stingelin-Giles, Hilary Cass

引用次数: 0

The Role of Reactionary Bioessentialism in Conservative Opposition to Gender-Affirming Care. 反动生物本质主义在保守主义反对性别肯定关怀中的作用。

IF 17 1区哲学

American Journal of Bioethics Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1080/15265161.2025.2497993

Elizabeth R Boskey, Jessica D Kant, Ariel K Berman

引用次数: 0

«Doctors must live»: a care ethics inquiry into physicians' late modern suffering. "医生必须活下去"：对医生晚期现代痛苦的护理伦理探究。

IF 2.3 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-06-01 Epub Date: 2025-02-05 DOI: 10.1007/s11019-025-10258-7

Caroline Engen

{"title":"«Doctors must live»: a care ethics inquiry into physicians' late modern suffering.","authors":"Caroline Engen","doi":"10.1007/s11019-025-10258-7","DOIUrl":"10.1007/s11019-025-10258-7","url":null,"abstract":"In 2023, thousands of young Norwegian physicians joined an online movement called #legermåleve (#doctorsmustlive) and shared stories of their own mental and somatic health issues, which they considered to be caused by unacceptable working conditions. This paper discusses this case as an extreme example of physicians' and healthcare workers' suffering in late modern societies, using Vosman and Niemeijer's approach of rethinking care imaginaries by a structured process of thinking along, counter-thinking and rethinking, bringing to bear suffering as a heuristic device. Thinking along, taking the physicians' stories and arguments literally, reveals an image of an unbearable workload. Counter-thinking resituates their suffering within the broader conditions of late modernity, suggesting that the root cause may lie not in the quantity of the workload itself but in its qualities and in its perceived threat to their integrity as caregivers through epistemic and moral injury and an inability to respond to this threat. In rethinking, the ambiguity of suffering- its dual potential as both a constraint and an opening- becomes central. Following the physicians' own interpretations and the solutions emerging from this framing, both their suffering and that of their patients could paradoxically be exacerbated by further decentering physicians and reinforcing utilitarian, data-driven approaches. However, staying with their suffering and reinterpreting its causes opens possibilities to leverage critiques of medicalization at large and of their own suffering in particular, challenging the assumption that the weight of care must always grow heavier. From this reframing, I argue, it is possible to reclaim and reimagine care and the clinical space as a nexus of epistemic and moral privilege, recentering response-ability both relationally and socially.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"275-290"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103476/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The disservice of publishing preliminary results based on a premature hypothesis - Semmelweis' ordeal revisited. 发表基于一个不成熟的假设的初步结果的危害——重新审视塞梅尔维斯的苦难。

IF 2.3 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-06-01 Epub Date: 2025-02-13 DOI: 10.1007/s11019-025-10257-8

Niels Lynøe, Niklas Juth, Anders Eriksson

{"title":"The disservice of publishing preliminary results based on a premature hypothesis - Semmelweis' ordeal revisited.","authors":"Niels Lynøe, Niklas Juth, Anders Eriksson","doi":"10.1007/s11019-025-10257-8","DOIUrl":"10.1007/s11019-025-10257-8","url":null,"abstract":"In an interesting article, Dr Zuzana Parusniková claimed: (i) that Semmelweis' colleagues did not recognise the importance of his animal experiments, (ii) that the resistance to Semmelweis' hypothesis and results was due mainly to applying mono-causality and (iii) Semmelweis inability to communicate, (iv) that the New Vienna Medical School applied evidence-based medicine, and (v) that the philosophy of Karl Popper is the best interpretation of Semmelweis' scientific approach. Here, we present some factual aspects of Semmelweis' text from 1861 and discuss Dr Parusniková's claims against this backdrop. We conclude that Semmelweis might intentionally have abstained from communicating his hypothesis and results between 1847 and 1849 - including the results from his animal experiments - as he thought that they would eventually be understood and accepted. Semmelweis' hypothesis was that cadaveric matters and decaying particles were the cause of childbed fever and increased maternal mortality. This hypothesis might have been controversial, but we claim that the major reason for the resistance was eminence-based and induced by the publication of preliminary and suboptimal results, based on a premature version of his hypothesis. If the New Vienna Medical School had been influenced by evidence-based medicine, we believe that Semmelweis' empirical results would have been accepted - as they were based on an almost randomised controlled trial - and if the results had not been associated with his hypothesis but instead had focused on a black box procedure. We agree that the philosophy of Popper might be appropriate when analysing Semmelweis' scientific approach when abandoning low-level theories. However, to understand the resistance against Semmelweis' hypothesis and results, it is not sufficient to refer to a Pickwickian discussion; a Kuhnian framework is more adequate.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"261-273"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143410763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

On value compatibility: reflections on the ethical framework for pandemic healthcare distribution. 论价值相容性：对大流行卫生保健分配伦理框架的思考。

IF 2.3 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-06-01 Epub Date: 2025-03-07 DOI: 10.1007/s11019-025-10261-y

Yijie Wang

{"title":"On value compatibility: reflections on the ethical framework for pandemic healthcare distribution.","authors":"Yijie Wang","doi":"10.1007/s11019-025-10261-y","DOIUrl":"10.1007/s11019-025-10261-y","url":null,"abstract":"An ethical framework for pandemic healthcare distribution typically encompasses multiple ethical values. However, integrating various ethical values and distributive principles into a single framework raises concerns about their compatibility and the overall coherence of the framework. This issue of value compatibility could lead to moral inconsistencies within the ethical framework, leading to practical indetermination when facing conflicting implications. This paper offers a methodological resolution to the compatibility problem, serving as an effective tool to mitigate the impact of value conflicts where possible. It proposes four pathways: specifying values rather than balancing them, incorporating values rather than weighing them, reinforcing values rather than aggregating them, and seeking scientific evidence. By developing coherent ethical frameworks where values do not contradict each other, this approach also enhances practical ethical decision-making. Using the COVID-19 vaccine distribution as a case study, this approach demonstrates how conflicting values can yield practical prioritization strategies, such as allocating vaccines to healthcare and essential workers, addressing multiple layers of disadvantage, and assessing age-related prioritization. Reflecting on the compatibility of values within ethical frameworks offers crucial insights beyond COVID-19, contributing to the development of robust ethical frameworks for future public health crises.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"303-313"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0