Linacre Quarterly最新文献_第2页

Winners of the 2024 Poster Contest. 2024年海报大赛的优胜者。

IF 0.4

Linacre Quarterly Pub Date : 2025-01-29 DOI: 10.1177/00243639241296575

引用次数: 0

The Loss of a Physician's Freedom of Conscience Will Result in the Breakdown of Patient Autonomy Within the Doctor-Patient Relationship. 医师良心自由的丧失将导致医患关系中患者自主性的崩溃。

IF 0.4

Linacre Quarterly Pub Date : 2025-01-29 DOI: 10.1177/00243639241296576

Brian J Burke

{"title":"The Loss of a Physician's Freedom of Conscience Will Result in the Breakdown of Patient Autonomy Within the Doctor-Patient Relationship.","authors":"Brian J Burke","doi":"10.1177/00243639241296576","DOIUrl":"10.1177/00243639241296576","url":null,"abstract":"Editor's Note: Issues of conscience are of increasing importance in medicine, especially when it comes to the Catholic physician. Nearly fifteen years ago, this alarm was sounded regarding the connection between physician conscience and patient autonomy. First published Vol 76, No 4, November 1, 2009. The development of patient autonomy within healthcare has created new challenges in the physician-patient relationship. When a patient demands a service that violates the conscience of a physician, it creates conflict within that relationship. This has become particularly problematic when a patient demands abortion or artificial contraception and the physician is morally bound to refuse. This article argues that the integrity of the physician's conscience must be maintained in order to uphold the integrity of the patient's autonomy. If the physician is forced to violate his conscience, then the guarantee that a patient's desires and wishes will be respected will be lost because a great moral inequality will be created between the physician and the patient. To safeguard both the physician-patient relationship and the patient's autonomy, it is vital that the physician's conscience be protected.","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639241296576"},"PeriodicalIF":0.4,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081520","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}

引用次数: 0

Avoiding the Subjunctive. 避免使用虚拟语气。

IF 0.4

Linacre Quarterly Pub Date : 2025-01-29 DOI: 10.1177/00243639241304807

Barbara Golder

引用次数: 0

First, Do No Harm (to the One You Train). 第一，不要伤害（你训练的人）。

IF 0.4

Linacre Quarterly Pub Date : 2025-01-23 DOI: 10.1177/00243639241311315

J Brewer Eberly, Benjamin W Frush

{"title":"First, Do No Harm (to the One You Train).","authors":"J Brewer Eberly, Benjamin W Frush","doi":"10.1177/00243639241311315","DOIUrl":"10.1177/00243639241311315","url":null,"abstract":"Primum non nocere or \"first, do no harm\" is perhaps the most well-known aphorism in the culture of medical education. While its application to patients is well known, the injunction can also be read with medical trainees in mind. Teaching physicians have an obligation to recognize their role as moral teachers and coaches, who must consider \"first, do no harm\" not only when considering their patients but also when weighing the moral formation of their trainees, especially in a season in which medical educators are attempting to clarify the \"harms\" of medical training. This multi-valent vision of \"first, do no harm\" offers an alternative way to frame the contemporary difficulties of medical education while inviting a more candid, nuanced discourse between teachers and learners about the experiences of medical training, in which it can be difficult to discern between that which is truly harm and that which is merely \"hard.\" For those situations in which it is unclear-or indeed when harm is unavoidable-it may be through communal practices of reharmonization, reincorporation, and \"reharm\" that master educators might learn to tell the story of good medicine with their trainees anew, fostering moral articulacy for the trainees to whom they must also \"first, do no harm.\"Summary: Primum non nocere or \"first, do no harm\" is among the most well-known proverbs in medical education. While its application to patients is well known, the injunction can also be read with medical trainees in mind. Teaching physicians might consider \"first, do no harm\" not only when considering their patients but also when considering the moral formation of their trainees. In a season when medical educators are attempting to clarify the \"harms\" of medical training, this reading can invite a more candid, nuanced discourse between teachers and learners about the experiences of medical training.","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639241311315"},"PeriodicalIF":0.4,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11758431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047923","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}

引用次数: 0

Cognitive Motor Dissociation and Spiritual Physical Association. 认知运动分离和精神物理关联。

IF 0.4

Linacre Quarterly Pub Date : 2024-12-10 DOI: 10.1177/00243639241296783

Lealani Mae Y Acosta

引用次数: 0

Challenges, Conflicts, and Opportunities. 挑战、冲突和机遇。

IF 0.4

Linacre Quarterly Pub Date : 2024-11-01 Epub Date: 2024-10-17 DOI: 10.1177/00243639241285509

Barbara Golder

引用次数: 0

God and the Imperfect Practice of Medicine. 上帝与不完美的医学实践

IF 0.4

Linacre Quarterly Pub Date : 2024-11-01 Epub Date: 2024-09-24 DOI: 10.1177/00243639241285515

Tod Worner

引用次数: 0

Appalachia - Bridging the Opioid Epidemic Amid the Fentanyl Crisis. 阿巴拉契亚 - 在芬太尼危机中弥合阿片类药物流行。

IF 0.4

Linacre Quarterly Pub Date : 2024-11-01 Epub Date: 2024-08-20 DOI: 10.1177/00243639241245103

Tammy Ann Fecci

{"title":"Appalachia - Bridging the Opioid Epidemic Amid the Fentanyl Crisis.","authors":"Tammy Ann Fecci","doi":"10.1177/00243639241245103","DOIUrl":"10.1177/00243639241245103","url":null,"abstract":"Although the opioid epidemic and fentanyl crisis are nationwide problems of immense proportions, calming the storm raging across the isolating geo-economic framework of Appalachia demonstrates the need for courageous, culturally effective programs that have the power to address and overcome the grave situation of addiction in this region. In the Appalachian region, unjust social structures are embedded in the communities' socio-economic conditions. As this reality poses even greater barriers to addressing the opioid epidemic in these communities, the restoration of social relationships within a community becomes vital to the development of a broader approach to social functioning and human flourishing. Faith traditions and faith communities can play an important role in helping to establish and support such social cohesion through attention to the individual, social, and spiritual needs of the community. This essay explores the complex problem of the opioid epidemic compounded by the fentanyl crisis. It considers the importance of public health research within the regional geo-economic framework of Appalachia to (a) inform policies that improve health inequities and promote social cohesion, (b) develop social solutions with a spiritual dimension, and (c) reveal remedies capable of informing moral norms in support of building a more just society. Reflecting on the virtue of solidarity, this essay also highlights the witness of the Catholic Church's response to the suffering experienced within the communities and the societies within the Appalachian mountains. While there may be considerable interest in viewing this article as a research document, foundationally, this essay utilizes a literary narrative approach through a Catholic lens to inform ethical deliberations, reasoning, and practice while supporting ethical reflection and consideration of the responses raised. Further, the reader is strongly encouraged to reference the comprehensive footnote system provided for extension and verification of the data presented.","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":"91 4","pages":"353-372"},"PeriodicalIF":0.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11489903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477181","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}

引用次数: 0

Philosophical and Moral Issues of Organ Transplantation at the Close of the Twentieth Century. 二十世纪末期器官移植的哲学和道德问题。

IF 0.4

Linacre Quarterly Pub Date : 2024-11-01 Epub Date: 2024-10-17 DOI: 10.1177/00243639241286047

Rev Father Joseph C Howard

引用次数: 0

A Forensic Investigation and Critique of Suicidal Ideation Reported in a Turnaway Study. 一项法医调查，并对 Turnaway 研究中报告的自杀意念进行批判。

IF 0.4

Linacre Quarterly Pub Date : 2024-10-30 DOI: 10.1177/00243639241281978

David C Reardon

{"title":"A Forensic Investigation and Critique of Suicidal Ideation Reported in a Turnaway Study.","authors":"David C Reardon","doi":"10.1177/00243639241281978","DOIUrl":"10.1177/00243639241281978","url":null,"abstract":"In a published report of suicidal ideation rates drawn from the Turnaway Study, the abortion advocacy group Advancing New Standards in Reproductive Health (ANSIRH) asserted that their findings proved that abortion has no effect on suicidal ideation. Therefore, laws requiring notification of abortion's link to higher suicide rates were not based on good science. But how good is the science ANSIRH offers to displace the evidence of an abortion-suicide connection? The Turnaway Study upon which they rely is drawn from a non-random, non-representative convenience sample that suffered from a 68% refusal rate and a 50% attrition rate. No conclusions applicable to the general population of aborting women can be drawn from such a sample. Moreover, on closer examination, ANSIRH's suicidal ideation trajectory analysis is severely flawed and violates Strengthening the Reporting of Observational studies in Epidemiology (STROBE) guidelines. Basic and critical information is withheld, specifically the mean scores and number of women identified as having suicidal thoughts. Instead, readers are provided with only highly massaged results from a mixed-effects logistic regression employing thirteen covariates that appear to have been chosen precisely to water down the confidence intervals to such a high degree that virtually nothing was statistically significant. In addition, ANSIRH suggested that an attrition analysis of three of the covariates used strengthened the reliability of their finding. However, the fact that they chose not to report on attrition rates associated with the other ten covariates, much less the two outcome variables related to suicidal ideation, actually exposes the falsity of this reliability claim. Rather than proving that abortion has no effect on suicidal behaviors, ANSRIH's published analysis provides evidence of deliberate obfuscation and disinformation by a group funded and dedicated to the expansion of abortion rates around the world.","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639241281978"},"PeriodicalIF":0.4,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630160","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}

引用次数: 0