Linacre Quarterly最新文献

{"title":"Searching for a Well on the Antepartum Service.","authors":"Ellery Sarosi, Luke A Gatta, Warren Kinghorn","doi":"10.1177/00243639261435862","DOIUrl":"https://doi.org/10.1177/00243639261435862","url":null,"abstract":"<p><p>Women admitted to inpatient antepartum services are often navigating unexpected obstetric complications. Their tenuous circumstances may persist for days, weeks, or even months, and at times result in extended inpatient stays. Within these admissions, the weight of uncertain maternal-fetal outcomes disrupts any constancy found in the daily routines of rounding, monitoring, and intervention. What does it look like for clinicians to accompany patients amid such uncertainty? Uncertainty and vulnerability also characterized the encounter between Jesus and the Samaritan woman at Jacob's well (John 4:1-42). But in their encounter, the woman found herself known and heard, Jesus revealed himself as Israel's Messiah, and the woman became an evangelist and disciple in her community. Their encounter was characterized by vulnerable truthfulness, respect, and reverence for the other's story, and treating each other as ends rather than as means. Intertwining theological reflection on the story of the Samaritan woman at the well with narration of selected experiences of women admitted to the antepartum service, the authors explore how the transformative encounter of the Samaritan woman and Jesus might inform care of women on modern-day antepartum services. The encounter at the well can encourage clinicians to embrace \"well person care,\" a model of care focused on vulnerability, truthfulness, and respect that seeks to care not only for patients' immediate medical needs but also addresses the \"thirst behind the thirst.\"</p>","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639261435862"},"PeriodicalIF":0.5,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13132976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Survey of Medical Trainee Perspectives on the Ethical and Religious Directives: Single University Experience.","authors":"Alexandra Mauritsen, Hannah Fleming, John Sweeney, Alexa Mistichelli, Kevin FitzGerald","doi":"10.1177/00243639261429396","DOIUrl":"10.1177/00243639261429396","url":null,"abstract":"<p><strong>Background: </strong>The Ethical and Religious Directives (ERDs) guide the delivery of health care in Catholic hospitals across the United States.</p><p><strong>Purpose: </strong>This study seeks to understand the perceptions and experiences of medical trainees in a Catholic health care system on key ethical issues pertaining to the ERDs.</p><p><strong>Methods: </strong>Medical students from a Jesuit Catholic university were recruited via email to complete a self-administered online survey on seven contemporary ethical issues: Catholic Healthcare Systems as Safety Nets; Contraception and Sexually Transmitted Infection (STI) Prevention; Gender-Affirming Care; Fertility; Maternal Endangerment and Pregnancy Termination; Elderly Care; and Brain Death and Organ Donation. Each student ranked the seven issues in order of priority and responded to further questions for the top three issues ranked. Free responses were analyzed with reflexive thematic analysis with an interpretivist approach.</p><p><strong>Results: </strong>Forty respondents (40/972; 4.12%) completed the entire survey. Maternal endangerment was the most commonly selected issue (N = 37). A statistically significant association was identified between religion (observance and self-identification) and the selection of Contraception and STI Prevention (p = 1.0 × 10^-4; p = 0.011, respectively). In qualitative analysis, concern for patient welfare, navigation of value conflicts, and expression of uncertainty emerged across themes.</p><p><strong>Conclusion: </strong>The findings of this study suggest that medical students' ethical reasoning and experiences may be in tension with the ERDs. Recommendations include promotion of familiarity and alignment with the ERDs through the exploration of specific scenarios and exposure to ERD-coherent practices throughout medical training.</p><p><strong>Non-technical summary: </strong>Medical students from a Jesuit Catholic university were surveyed for their opinions on seven contemporary issues related to the Ethical and Religious Directives, which guide Catholic healthcare provision in the United States. The issue of Maternal Endangerment and Pregnancy Termination was the most commonly chosen topic. An association between religion and selection of the topic of Contraception was detected. Free responses across topics demonstrated concern for patient welfare, navigation of value conflicts, and expressions of uncertainty.</p><p><strong>Short summary: </strong>Medical students from a Jesuit Catholic university were surveyed for their opinions on the Ethical and Religious Directives.</p>","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639261429396"},"PeriodicalIF":0.5,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13090248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147723932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sustainable Development and Faith.","authors":"Tony Kealy","doi":"10.1177/00243639261423443","DOIUrl":"https://doi.org/10.1177/00243639261423443","url":null,"abstract":"<p><p>The contribution of faith-based input to the broader idea of sustainable development has not been widely acknowledged in the traditional sense; however, recent global events suggest it may warrant further exploration. This qualitative study examines how faith-based activities, such as missionary work, have historically and can continue to contribute significantly to the environmental, economic, and human/social aspects of organizational decision-making. The focus is on the Catholic faith, specifically the role played by the Irish-based Medical Missionaries of Mary religious congregation in the mid-to-late twentieth century. An initial literature review was conducted to gather information from various sources to define sustainable development, also known as sustainability. Semistructured interviews were then carried out with five Sisters from the Medical Missionaries of Mary congregation. The findings indicate that a faith-based foundation enriches the human condition with unique values. The distinctive patterns and subsequent themes identified through the narrative theme analysis method identified three central values: (i) a spirit of solidarity, (ii) an inclination for self-sacrifice, and (iii) a commitment to serving others. The faith-based principles discussed in this study contributed positively to the targets of the United Nations Sustainable Development Goals 3, 4, and 16 (SDG 3, SDG 4, and SDG 16).</p>","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639261423443"},"PeriodicalIF":0.5,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13076455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social Media, Medical Students, and Patient Exposure: Perceptions and Attitudes.","authors":"Ana Paula Corrêa Meira, Carlos Costa, Ivone Maria Resende Figueiredo Duarte, Rui Manuel Lopes Nunes","doi":"10.1177/00243639261435830","DOIUrl":"https://doi.org/10.1177/00243639261435830","url":null,"abstract":"<p><p>The expansion of social media has intensified ethical risks associated with the improper exposure of patients, requiring in-depth reflection on the behavior of students and health professionals in the online environment. The aim of this cross-sectional study was to describe the perceived frequency, attributed severity, and attitudes of medical students towards breaches of confidentiality on social media. An observational, cross-sectional, and exploratory study was conducted with 854 students from the south Brazilian state of Rio Grande do Sul, using a structured questionnaire. Approximately one-quarter of the sample perceived such violations as frequent among students and physicians, and between 18% and 24% considered them to be of low severity, with evidence of habituation to infractions over the course of medical training. The current standards were predominantly assessed as unclear, ineffective, and insufficiently disseminated. It is concluded that there are substantial gaps between formal ethical knowledge and its practical application, requiring continuing education and institutional strategies to strengthen digital responsibility.</p>","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639261435830"},"PeriodicalIF":0.5,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13076440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perfective and Technocratic Enhancement: An Aristotelian-Thomistic Inquiry Into Contemporary Bioethical Challenges.","authors":"Maria Antonietta Castaldi, Fabio Gragnano","doi":"10.1177/00243639261421887","DOIUrl":"https://doi.org/10.1177/00243639261421887","url":null,"abstract":"<p><p>Drawing on the philosophical and scientific coherence of the Instruction <i>Dignitas Personae</i>, promulgated in 2008 by the then Congregation for the Doctrine of the Faith, this essay examines the technological manipulation of the human body, focusing on human enhancement. It explores why certain biomedical interventions, ranging from gene editing to pharmacological treatments like statins, raise important bioethical and metaphysical questions about the nature of health, the goals of medicine, and the limits of human self-transformation. The argument begins by analyzing the pharmacological profile of statins to clarify their actual therapeutic role, thereby challenging their classification as enhancement tools. Then, by advocating for a robust theory of medicine grounded in Aristotelian-Thomistic principles, it reaffirms the therapy-enhancement distinction as one of differentiation, not opposition. Applying classical hylomorphism, the essay distinguishes between <i>perfective</i> enhancement, which aligns with human nature, and <i>technocratic</i> enhancement, which seeks to transcend it. This perspective enables a reframing of the paradigm of statins, integrating biomedical data, metaphysical realism, and a rational theory of medicine to argue that true human flourishing requires fidelity to the limits inscribed in nature. Ultimately, the central question addressed herein concerns the moral licitness of enhancement, which is permissible only insofar as it is ordered toward the perfection of the human being, not its indiscriminate transformation.</p>","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639261421887"},"PeriodicalIF":0.5,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13076441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Mass Media Through the Prism of Spirituality on the Evolving Physician-Patient Relationship: A Primer from a Christian Perspective.","authors":"Franco Musio","doi":"10.1177/00243639261435860","DOIUrl":"https://doi.org/10.1177/00243639261435860","url":null,"abstract":"<p><p>Mass media has unprecedented influence on global health care. Traditional and digital media are now leading to an era of \"biomediatization\" on a variety of platforms with both benefits and challenges. Likewise, the impact of mass media on the physician-patient alliance is evolving and significant. As an outgrowth of mass media, artificial intelligence (AI) is no longer a futuristic tool on the distant horizon but rather a technological reality with transformative implications. Furthermore, practical advice for adapting to this digital terrain is essential. The foundation for linking the influence of digital media and AI on the physician-patient relationship is the living model of Jesus Christ, Physician and Healer. Moreover, this paradigm is interrelated to the influences of technology and AI upon the Church and the realm of spirituality. It also empowers the journey requisite for the maturation of faith. Ultimately, the benefits and challenges of technology and its evolving effects upon the physician-patient relationship must be filtered through the prism of the Christian ethos.</p>","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639261435860"},"PeriodicalIF":0.5,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13076445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Case Against Surgical Moratoria on Intersex Pediatric Surgery.","authors":"Rashad Rehman","doi":"10.1177/00243639261429387","DOIUrl":"https://doi.org/10.1177/00243639261429387","url":null,"abstract":"<p><p>Despite ethical disputes in the literature on intersex pediatric surgery, there is no defensible argument for a surgical moratorium on intersex pediatric surgery, and consequently intersex pediatric surgery is sometimes morally permissible. To argue for this claim, this work proceeds in four parts. The first part begins by setting the philosophical and clinical stage by defining biological sex, intersex conditions, and intersex pediatric surgery. The second is to illustrate and contrast contemporary clinical practice and the ethical literature, predominantly secular, on the ethics of the surgery, highlighting areas of overlap and disagreement. The third is to appraise contemporary secular arguments against intersex pediatric surgery, specifically those which are representative of the strongest arguments against it. The fourth is to criticize the secular ethical discourse, and consequently motivate, in light of the poverty of argumentation in the secular literature, the need for a robust natural law evaluation of intersex pediatric surgery.</p>","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639261429387"},"PeriodicalIF":0.5,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13065623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Harmony, Basic Goods, and the Biopsychosocial-Spiritual Model: A Philosophical Anthropology That Can Lead to Better Healthcare.","authors":"Christopher J Lisanti, Michael J Shonnard","doi":"10.1177/00243639261429400","DOIUrl":"10.1177/00243639261429400","url":null,"abstract":"<p><p>A deficient philosophical anthropology is likely the root of many of society's ills and poor health outcomes. We neither understand our complexity nor clearly see the higher goods that we should aim for. Additionally, Christians, and specifically Christian physicians, need an anthropology that coheres with theology. Harmony of the biopsychosocial-spiritual dimensions oriented towards the basic goods is a philosophical anthropology that leads to better health outcomes while coherent with Christian theology. Harmony, or the right relationship among the dimensions, is synergistic and best achieves our goals. These higher goals should be the basic goods (life, health, work, play, marriage, friendship, knowledge, aesthetic experience, personal integrity, and harmony with the Divine) which can be normative and rightly order our actions. Balance among all dimensions is a critical element of harmony; however, the dominance of the psychological leads to imbalance resulting in a myriad of problems. Self-transcendence of the psychological restores balance. The spiritual dimension is best defined as the \"transcendent\" comprising the good (the virtues), the true (transcendent truths of nature, humanity, and God), the beautiful, and a relationship with God. This best distinguishes it from the other dimensions. Sin harms the relationships among the dimensions while Jesus Christ redeems them.</p>","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639261429400"},"PeriodicalIF":0.5,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13046700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147623993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prepare the Slides: Confession in Surgical Education.","authors":"Hima Bindu Thota, Edwin Parker Savage","doi":"10.1177/00243639261435863","DOIUrl":"10.1177/00243639261435863","url":null,"abstract":"<p><p>The Morbidity and Mortality (M&M) conference is one of surgery's most enduring rituals-a gathering where physicians publicly confront the errors and complications inherent to their work. Yet while its purpose is to examine the causes and consequences of harm, M&M often neglects the moral and emotional wounds carried by trainees. This essay draws on the Catholic sacrament of Confession to frame M&M as a contemporary ritual that has retained the form of self-examination but lost its means of moral restoration. In Confession, repentance moves through reflection, confession, contrition, and absolution-a process designed not only to acknowledge wrongdoing but to restore the penitent to right relationship with self and community. The M&M parallels this structure but omits the final steps of contrition and absolution, leaving residents without a path to forgiveness or reintegration. The result is the cultivation of technically skilled yet spiritually fractured surgeons, burdened by guilt or numbed by repetition. This essay proposes that M&M can become a space of moral as well as technical formation. By naming the emotional toll of complications, inviting contrition without shame, and offering explicit absolution when appropriate, educators can help restore meaning and hope to surgical training. Done well, M&M becomes not only a forum for improving outcomes but a liturgy of professional renewal-one that acknowledges failure, fosters accountability, and restores the humanity of those who bear the weight of healing others.</p>","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639261435863"},"PeriodicalIF":0.5,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13046689/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147623980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Decision-Making: Between Scientific Precision and Human Responsibility How the Physician Navigates Between Sensitivity and Specificity to Make the Best Decision for the Patient.","authors":"Grigorescu Catalin Cicerone, Eusebiu Jean Tihan, Grigorescu Maxim Serban","doi":"10.1177/00243639261429608","DOIUrl":"10.1177/00243639261429608","url":null,"abstract":"<p><p>Clinical decision-making constitutes the core of medical practice, representing a synthesis of objective biomedical data and subjective human judgment). This article explores this process through the dual lenses of diagnostic test sensitivity and specificity, and concepts that guide the physician in balancing the imperative not to miss a serious condition against the duty to avoid undue harm or labeling of the healthy. Beyond this technical-statistical framework, the paper provides a profound analysis of the psychological dimensions-including decision-making pressure and uncertainty management-and the bioethical foundations-autonomy, beneficence, non-maleficence, and justice-that underpin every significant medical choice. Through an explicit examination of four major bioethical approaches (principist-integrative, narrative and person-centered, distributed responsibility, and the ethics of uncertainty and proportionality) and supported by detailed clinical case studies, we argue that optimal clinical decision-making is a holistic enterprise. It requires the seamless integration of scientific rigor, empathetic communication, psychological resilience, and conscious ethical practice. The article also engages with contemporary challenges such as artificial intelligence, resource allocation, and time pressure, concluding that the soul of the profession lies in this ceaseless integration, transforming protocol into compassion, data into wisdom, and technique into true human care.</p>","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639261429608"},"PeriodicalIF":0.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13043630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}