Monash Bioethics Review最新文献

The role of HRECs in regulating medical research: from peer review to regulation. HRECs在规范医学研究中的作用：从同行评审到监管。

IF 1.6

Monash Bioethics Review Pub Date : 2025-05-15 DOI: 10.1007/s40592-025-00248-z

Lisa Eckstein, Jenny C Kaldor, Cameron Stewart

引用次数: 0

Contemporary human rights violations in female sterilization care: legal and ethical considerations when coerced patients do consent. 当代女性绝育护理中侵犯人权的行为：强迫患者同意时的法律和道德考虑。

IF 1.6

Monash Bioethics Review Pub Date : 2025-05-13 DOI: 10.1007/s40592-025-00240-7

Liana Woskie, Mindy Jane Roseman

{"title":"Contemporary human rights violations in female sterilization care: legal and ethical considerations when coerced patients do consent.","authors":"Liana Woskie, Mindy Jane Roseman","doi":"10.1007/s40592-025-00240-7","DOIUrl":"https://doi.org/10.1007/s40592-025-00240-7","url":null,"abstract":"In this piece we examine three forms of coercive or otherwise involuntary care that can occur with patient consent. To do so, we examine: (1) uninformed consent, (2) contingency-based consent and (3) constrained-market consent, amongst female sterilization patients. While there is broad recognition that \"coercion\" in sterilization care can manifest beyond instances of overt force and clarity on what constitutes coercion within clinical care, this has not translated to accountability. The current practice of identifying coercion through discrete civil cases may facilitate a narrow understanding of its contemporary prevalence; one that does not align with definitions of coercion supported by international human rights entities. We use three acute, and widely recognized, examples-hysterectomies in ICE detention facilities, India's sterilization camp deaths and birth control quotas for Uyghur women-as an entry point to highlight less overt contemporary forms of coercive sterilization care, pairing each example with data that explores prevalence at a broader population level. These data suggest less visible forms of coercion may persist relatively unchallenged-raising the ethical case for a functional approach to the measurement of coercion. In turn, we argue the relevant question may not be \"when is coercion ethically justified in public health,\" but rather, why is coercion already the status quo?","PeriodicalId":43628,"journal":{"name":"Monash Bioethics Review","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Death talk and access gaps: applying a personalist lens to address inequities for children with complex conditions at the end of life. 死亡谈话和获取差距：运用个人视角解决生命末期患有复杂疾病的儿童的不平等问题。

IF 1.6

Monash Bioethics Review Pub Date : 2025-05-07 DOI: 10.1007/s40592-025-00246-1

Christina M Lamb, Karen Cook

{"title":"Death talk and access gaps: applying a personalist lens to address inequities for children with complex conditions at the end of life.","authors":"Christina M Lamb, Karen Cook","doi":"10.1007/s40592-025-00246-1","DOIUrl":"https://doi.org/10.1007/s40592-025-00246-1","url":null,"abstract":"Children with complex care needs lack access to Specialized Pediatric Palliative care in Canada. At the same time, death is increasingly being handled in a mechanized and specialized manner, with hospitals becoming the expected place for death to occur. Although this is true for some children, the meaning of dying and death is obscured for dying children in Canadian healthcare. Specifically, discussions about dying and death, what they are and what they mean to children are relatively absent in Canadian healthcare contexts. This lack of death talk is a problem for children with medically complex conditions and their families since death is a part of living, and palliative care is essential for children who are living and dying with medical complexity. To address the health disparity that these children face concerning access to pediatric palliative care and having honest conversations about death, it is essential to attend to the bioethics and care frameworks undergirding pediatric healthcare to understand how the meaning of living, dying and death is being valued for this population. Subsequently, in this paper, we will explore a personalist bioethics approach to mitigate these end-of-life disparities.","PeriodicalId":43628,"journal":{"name":"Monash Bioethics Review","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Proper care for the profoundly disabled depends on theology being recognized as queen of medical humanities. 对重度残疾患者的适当照顾取决于神学被公认为医学人文学科的女王。

IF 1.6

Monash Bioethics Review Pub Date : 2025-05-02 DOI: 10.1007/s40592-025-00247-0

Charles Camosy

引用次数: 0

Coercing for public health: reflections on the role of coercion in public health emergencies. 公共卫生胁迫：对突发公共卫生事件中胁迫作用的思考。

IF 1.6

Monash Bioethics Review Pub Date : 2025-04-30 DOI: 10.1007/s40592-025-00245-2

Safura Abdool Karim, Maxwell J Smith, Diego S Silva, Marlyn Faure, Liana Woskie, Deborah Nyirenda, Cai Heath, Vittoria Porta, Jeffery Jones, Sadie Regmi, MacKenzie Isaac, Jonathan Shaffer, Tess Johnson

{"title":"Coercing for public health: reflections on the role of coercion in public health emergencies.","authors":"Safura Abdool Karim, Maxwell J Smith, Diego S Silva, Marlyn Faure, Liana Woskie, Deborah Nyirenda, Cai Heath, Vittoria Porta, Jeffery Jones, Sadie Regmi, MacKenzie Isaac, Jonathan Shaffer, Tess Johnson","doi":"10.1007/s40592-025-00245-2","DOIUrl":"https://doi.org/10.1007/s40592-025-00245-2","url":null,"abstract":"The workshop, Coercing for Health: Transdisciplinary Approaches to the Ethics of Coercive Public Health Policies was held at the University of Oxford on July 3rd and 4th, 2024. This paper provides both a summary of the workshop proceedings and reflections and directions for future research on coercive public health measures. The workshop consisted of four key parts: defining coercion; history and legal analysis of coercion; public health ethics perspectives on coercion; experiences of coercive public health measures. According to our reflections, some important questions remaining for further research include: what is the difference between coercion and enforcement? Who gets to define and address coercion? How do structural factors affect health and experiences of coercion? We encourage others to continue to work on this important area, to ensure the ethically acceptable and thoughtful implementation of any future coercive measures in the sphere of public health.","PeriodicalId":43628,"journal":{"name":"Monash Bioethics Review","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Coercing for public health: (when) is coercion ethically justified? 为公共健康而强迫：（何时）强迫在道德上是正当的？

IF 1.6

Monash Bioethics Review Pub Date : 2025-04-29 DOI: 10.1007/s40592-025-00243-4

Tess Johnson, Safura Abdool Karim, Marlyn Faure, Jonathan Shaffer

引用次数: 0

Joseph K. visits the sick house: how the medical humanities require the medical posthumanities. 约瑟夫·K.探访病人之家：医学人文学科如何要求医学后人文学科。

IF 1.6

Monash Bioethics Review Pub Date : 2025-04-25 DOI: 10.1007/s40592-025-00242-5

Martin J Fitzgerald, Peter J Katz

{"title":"Joseph K. visits the sick house: how the medical humanities require the medical posthumanities.","authors":"Martin J Fitzgerald, Peter J Katz","doi":"10.1007/s40592-025-00242-5","DOIUrl":"https://doi.org/10.1007/s40592-025-00242-5","url":null,"abstract":"This paper challenges the typical function of narrative in the medical humanities to advocate for a medical posthumanities: an approach that destabilizes the centrality of \"the human\" and instead embraces patient narratives that are embodied, fragmented, and provisional. To make this claim, we first challenge the stability of the \"humanity\" described in the \"medical humanities\" and reiterated in the genre that we call \"the medical romance.\" In this genre, illness and suffering destabilize a sense of identity and coherence, which is then restored through introspection and interpretation of the patient narrative. To challenge this genre, we turn to surface reading, a literary studies technique that sees traditional interpretation as too hurriedly foreclosing on meaning. Through a close reading of Franz Kafka's The Trial and Henrik Ibsen's Hedda Gabler, we demonstrate both what surface reading looks like and also how it embraces generic and interpretive instability. Finally, we focus this approach to narrative on physician-assisted suicide (PAS), particularly attending to PAS and disability, to argue that both medical romance and its entailed traditional narrative interpretation overvalue \"the human\" as an agential individual seeking a \"good death.\" This at once affirms the tendency to encourage the allegedly meaningful death of disabled people by PAS, and also excludes from narrative focus the structural and environmental sources of suffering. The medical posthumanities, in its attention to embodiment, networks, environment, and the decentralizing of individual agents, would better make room for patient narratives that value the messiness and interconnectedness of lived experience.","PeriodicalId":43628,"journal":{"name":"Monash Bioethics Review","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

King Lear in the upper palaeolithic: searching for ethical principles in prehistory. 旧石器时代晚期的李尔王：寻找史前时期的伦理原则。

IF 1.6

Monash Bioethics Review Pub Date : 2025-04-24 DOI: 10.1007/s40592-025-00241-6

Charles Foster

{"title":"King Lear in the upper palaeolithic: searching for ethical principles in prehistory.","authors":"Charles Foster","doi":"10.1007/s40592-025-00241-6","DOIUrl":"https://doi.org/10.1007/s40592-025-00241-6","url":null,"abstract":"Ethics are concerned with maximising the thriving of individuals and societies. One cannot maximise the thriving of a person unless one has some idea about what sort of creature that person is. Ethics follow ontology. Many answers have been suggested to the question 'What is a human?' and the less fundamental question 'What are the defining attributes of a human'? Many of those answers are theological, and hint that the essence of a human is indefinable; that humans are unknowable, contradictory and mysterious. This article contends that, since behaviourally modern humans have been hunter-gatherers for an overwhelming proportion of their history, we are still foundationally hunter-gatherers, and that accordingly useful insights into our constitution can be gained by examining the quintessential characteristics of Upper Palaeolithic people. Those characteristics are wandering, a relationship with the non-human world, consciousness, story-telling and a consequential ethical sense, a metaphysical instinct, and an operating system based on symbolism and metaphors. Those characteristics (many of which overlap with the conditions of human thriving described by Martha Nussbaum) have ethical corollaries. The article builds on the work of Peter Hacker in contending that it is not only legitimate but necessary to derive ethics from biology and evolutionary history. Humans emerge from this examination, as they emerge from theological speculation and from the work of most creative artists, as unfathomable. The mysteriousness of humans is a reason for according them moral weight. The article suggests that ethicists should take the lead from creative artists, not vice versa.","PeriodicalId":43628,"journal":{"name":"Monash Bioethics Review","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Balancing different views in the contexts of voluntary assisted dying, safe access zones around reproductive health clinics, and the proposed Health Legislation Amendment (Conscientious Objection) Bill. 在自愿协助死亡、生殖健康诊所周围的安全进入区以及拟议的《卫生法修正案（良心反对）法案》等方面平衡不同意见。

IF 1.6

Monash Bioethics Review Pub Date : 2025-04-13 DOI: 10.1007/s40592-025-00227-4

Fiona Patten

引用次数: 0

Kantian political philosophy, coercion, and public health. 康德的政治哲学，强制和公共卫生。

IF 1.6

Monash Bioethics Review Pub Date : 2025-04-07 DOI: 10.1007/s40592-025-00239-0

Remco J L van Dijk, Justin S Bernstein

引用次数: 0