Linacre Quarterly最新文献_第2页

Conscious of Conscience: Moral Distress as a Trigger for Deeper Reflection on Harm. 良心意识：道德困境引发对伤害更深层次的反思。

IF 0.4

Linacre Quarterly Pub Date : 2025-07-16 DOI: 10.1177/00243639251357450

Joyce Meza-Venegas, Ryan Slauer, Joshua Briscoe

{"title":"Conscious of Conscience: Moral Distress as a Trigger for Deeper Reflection on Harm.","authors":"Joyce Meza-Venegas, Ryan Slauer, Joshua Briscoe","doi":"10.1177/00243639251357450","DOIUrl":"10.1177/00243639251357450","url":null,"abstract":"Though clinicians aspire to benefit their patients and not harm them, conflict arises when patient and clinician disagree on what constitutes benefit and harm. Here, we report a case in which a patient has strong opinions on which treatments are appropriate for him. The clinician disagrees on the nature of the patient's illness and on the proposed treatments. However, she felt forced to ignore her intuition and conscience, which led to moral distress. This experience inspires her to reflect on her own moral development and the healthcare system around her. One framework that helps make sense of such moral distress is that offered by Curlin and Tollefsen in their 2021 book The Way of Medicine: Ethics and the Healing Profession. There, they distinguish between two contrasting accounts of medicine's purpose. In one, the Provider of Services Model (PSM), health care is a service provided to patients, and clinicians are viewed as technicians. In the other, the Way of Medicine (WoM), clinicians are entrusted to work collaboratively to support and promote their patients' health. In our case, the clinician was stuck in the PSM, which exposed her to moral distress. A framework based on the WoM, on the other hand, protects against moral distress and therefore benefits both patients and clinicians. We argue that a virtue ethics framework can help clinicians facing similar dilemmas better care for themselves and more effectively \"do no harm.\"","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639251357450"},"PeriodicalIF":0.4,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12267218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676061","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

Author's Response to Zuckier's Comments About the "Incoherence in the Brain Death Guideline Regarding Brain Blood Flow Testing". 作者对Zuckier关于“脑死亡指南中关于脑血流测试的不一致性”的评论的回应。

IF 0.4

Linacre Quarterly Pub Date : 2025-07-15 DOI: 10.1177/00243639251356863

Doyen Nguyen, Christine M Zainer

引用次数: 0

The Power of Words: Rebranding Euthanasia and Undermining Life's Sanctity. 《言语的力量：重新定义安乐死并破坏生命的神圣》

IF 0.4

Linacre Quarterly Pub Date : 2025-07-15 DOI: 10.1177/00243639251356676

Jay J Oh

{"title":"The Power of Words: Rebranding Euthanasia and Undermining Life's Sanctity.","authors":"Jay J Oh","doi":"10.1177/00243639251356676","DOIUrl":"10.1177/00243639251356676","url":null,"abstract":"Language shapes ethical perceptions, profoundly influencing societal attitudes toward euthanasia and physician-assisted suicide (PAS). Historically condemned by Western medicine as a violation of life's sanctity, euthanasia has undergone a dramatic transformation through deliberate linguistic reframing. Euphemisms such as \"death with dignity\" and \"medical aid in dying\" align euthanasia with values of compassion, autonomy, and patient empowerment, often overshadowing its moral implications for human dignity. This article critically examines how these linguistic shifts have influenced the normalization of euthanasia; broadened eligibility criteria; and facilitated its legal acceptance across nations like the Netherlands, Belgium, and Canada. Engaging secular arguments from consequentialism and autonomy-based ethics reveals their limitations, particularly their disregard for moral intentionality, relational responsibilities, and the intrinsic worth of life. Drawing on Catholic moral theology and virtue ethics, this study advocates for precise, transparent language alongside actionable policies, expanded palliative care, robust conscience protections, comprehensive public education, and stringent safeguards to protect vulnerable populations and resist ethical erosion. Reclaiming ethical clarity requires more than abstract discussion - it demands bold action in language and policy to counter euphemistic normalization and affirm the inherent dignity of human life.","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639251356676"},"PeriodicalIF":0.4,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660702","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

Approaches to Mental Health by US Catholic Dioceses: A Narrative Review and Commentary. 美国天主教教区的心理健康方法：叙述回顾与评论。

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Linacre Quarterly Pub Date : 2025-07-15 DOI: 10.1177/00243639251356675

Mannes Matous

{"title":"Approaches to Mental Health by US Catholic Dioceses: A Narrative Review and Commentary.","authors":"Mannes Matous","doi":"10.1177/00243639251356675","DOIUrl":"10.1177/00243639251356675","url":null,"abstract":"Mental health is an increasing area of concern for the Catholic Church in the United States, as evidenced by the 2023 launch of a National Mental Health Campaign by the US Conference of Catholic Bishops. Through an analysis of Catholic diocesan websites, this paper reviews how mental health is approached at the diocesan level in the US and then offers a commentary. Most diocesan websites display minimal information about mental health; several offer counseling services; some primarily provide resources; others have mental health ministries; a handful focus on spiritual healing; and two dioceses place information about mental health and demonic activity next to each other. While most dioceses conceptualize mental unhealth as mental illness, others emphasize disability, communal, or spiritual frameworks. Two pastoral letters by bishops emphasize the need for a distinctly Catholic framework. These varied approaches reflect the historical debate within American Catholicism about psychiatry and psychology. The review also reveals the need for further reflection upon the role of biology and the spiritual life in mental health, the relationship of the individual and communal dimensions of mental health, the potential overlap between mental disorders and disabilities, and the notion that mental health exists on a spectrum.","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639251356675"},"PeriodicalIF":0.4,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660700","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

Julian Huxley and Gustavo Gutierrez: An Analysis of When and How Liberation Theology Can Embrace Transhumanism. 朱利安·赫胥黎和古斯塔沃·古铁雷斯：解放神学何时以及如何拥抱超人类主义的分析。

IF 0.4

Linacre Quarterly Pub Date : 2025-07-08 DOI: 10.1177/00243639251354934

Collin Olen-Thomas

{"title":"Julian Huxley and Gustavo Gutierrez: An Analysis of When and How Liberation Theology Can Embrace Transhumanism.","authors":"Collin Olen-Thomas","doi":"10.1177/00243639251354934","DOIUrl":"10.1177/00243639251354934","url":null,"abstract":"In this essay, the transhumanist movement is analyzed through the lens of liberation theology, vis-á-vis the founding fathers of their respective movements, secular transhumanist Julian Huxley and liberation theologian Gustavo Gutiérrez. Although Gutiérrez is not a transhumanist, he delineates a theology of liberation which is driven by a social justice enhancement of the marginalized. The central question which will be analyzed is: How does a liberation theologian understand the transhumanist movement? Critically, both men begin on similar ground, arguing that the human condition is not as it should be. Through a careful exegesis of Guiterrez's seminal works on A Theology of Liberation and On Job: God-Talk and the Suffering of the Innocent, the arguments of liberation theology will be elucidated with respect to the transhumanist discourse, arguing that Gutiérrez privileges the telos of drawing humanity out of poverty and illness. However, Gutiérrez's work on Job restricts the potential social justice enhancement espoused by liberation theology. For Gutiérrez, God's gratuitous love precedes God's justice, making it so humanity cannot occupy the creative space of God. After establishing the theoretical arguments, the paper turns to the clinic to underscore when and how Huxley and Gutiérrez differ in relying on medical technology in the present day. The distinction between caring and curing is the deciding clinical factor to denote when a liberation theologian can embrace the transhumanist impulse. While Huxley does not limit his transhumanist project to conquer the limits of humanity, Gutiérrez sequesters the capacity of human transcendence because of his faith and hope in God's deliverance on earth.","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639251354934"},"PeriodicalIF":0.4,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12237921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609880","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

The State of the Science of Natural Family Planning: A Report from NFP Scientists' Meeting Held in Orlando, FL, September 4, 2024. 2024年9月4日，自然计划生育科学现状：美国国家计划生育协会（NFP）科学家会议报告。

IF 0.4

Linacre Quarterly Pub Date : 2025-07-08 DOI: 10.1177/00243639251347842

Michael D Manhart, Richard J Fehring

{"title":"The State of the Science of Natural Family Planning: A Report from NFP Scientists' Meeting Held in Orlando, FL, September 4, 2024.","authors":"Michael D Manhart, Richard J Fehring","doi":"10.1177/00243639251347842","DOIUrl":"10.1177/00243639251347842","url":null,"abstract":"A one-day meeting was held as a pre-conference to the Catholic Medical Association Annual Educational event in 2024. A panel of eighteen physicians, scientists, and researchers involved in NFP work was convened to review the available evidence in four topical areas: (i) evidence for effectiveness of NFP methods to postpone and achieve pregnancy, (ii) evidence for effectiveness in the postpartum and perimenopause transition periods, (iii) evaluate the current state of technology in NFP (specifically app and quantitative hormone monitoring), and (iv) evidence examining the impact of NFP on marital relations. In each topical area, the panel worked to reach a consensus opinion on the currently available evidence and identified priorities for further research. Results from these discussions and a set of priorities for further work are presented here. Summary: An expert panel was convened to review the current evidence supporting use of NFP in various settings, utilization of new technology, and the impact of NFP on marital dynamics. Results from these discussions and a set of priorities for further work are presented here.","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639251347842"},"PeriodicalIF":0.4,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12237956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609881","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

Transforming the Secular World Through the Joy of the Gospel: Insights from Pope Francis for Physicians. 通过福音的喜悦来改变世俗世界：教宗方济各对医生的见解。

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Linacre Quarterly Pub Date : 2025-07-04 DOI: 10.1177/00243639251352093

Anthony Kunnumpurath

{"title":"Transforming the Secular World Through the Joy of the Gospel: Insights from Pope Francis for Physicians.","authors":"Anthony Kunnumpurath","doi":"10.1177/00243639251352093","DOIUrl":"https://doi.org/10.1177/00243639251352093","url":null,"abstract":"As Canadian philosopher Charles Taylor observes, a hallmark of the secular age is its \"immanent framework.\" Within this framework, value is placed solely on what is visible, measurable, and immediate. The human person's health is often reduced to physical wellbeing, leaving little room for the transcendent dimension of the person. In such a context, physicians are called not only to practice medicine but also to transform the secular world by reintroducing a Christian understanding of the human person. The Gospel offers a powerful lens for this transformation. Throughout his papacy, Pope Francis has provided profound insights on how to live and witness to the Gospel in a secular world. His themes - the gaze of Jesus, a culture of encounter, God's style, love for the poor, and the call to Christian witness-invite us to go beyond the purely immanent. Applied to medicine, these insights enable healthcare professionals to offer healing that encompasses both body and soul. By embodying these Gospel values, physicians can help their patients recognize that they are more than just bodies in need of repair they are persons with dignity and a transcendent destiny. This approach allows suffering to be seen not merely as a problem to be solved, but as a place where meaning and grace can be found. In doing so, the practice of medicine becomes a form of evangelization.","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639251352093"},"PeriodicalIF":0.4,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12227431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576604","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

Eutrapelia and Video Games: Moral Risks With Playing Video Games as a Form of Eutrapelia. 《尤trapelia与电子游戏：玩电子游戏的道德风险》

IF 0.4

Linacre Quarterly Pub Date : 2025-06-27 DOI: 10.1177/00243639251352481

Matthew McKenna

引用次数: 0

Ecocentrism vs. Anthropocentrism: To the Core of the Dilemma to Overcome It. 生态中心主义与人类中心主义：克服困境的核心。

IF 0.4

Linacre Quarterly Pub Date : 2025-06-10 DOI: 10.1177/00243639251339844

Patrícia Frantz, Francisca Rego, Stela Barbas

引用次数: 0

Trauma and Disfigurement: Psychosocial Impact and Ethical Reflections on esthetic Normalization in Medicine. 创伤与毁容：医学审美正常化的社会心理影响与伦理反思。

IF 0.4

Linacre Quarterly Pub Date : 2025-05-21 DOI: 10.1177/00243639251334426

Gaia Calcini

{"title":"Trauma and Disfigurement: Psychosocial Impact and Ethical Reflections on esthetic Normalization in Medicine.","authors":"Gaia Calcini","doi":"10.1177/00243639251334426","DOIUrl":"10.1177/00243639251334426","url":null,"abstract":"The present article examines the psychological repercussions and ethical challenges associated with the medical treatment of disfigurement, highlighting how such interventions, while essential for physical recovery, can have significant impacts on personal identity and the psychosocial wellbeing of patients. In particular, it discusses the psychological trauma stemming from the condition of disfigurement and the complex dynamics of stigmatization and discrimination that follow. The analysis also focuses on the tendency of modern medicine to promote esthetic normalization, emphasizing how such medical treatments, although often necessary for physical recovery, raise profound questions about self-determination, individual freedom, and respect for human diversity. Through a critical examination of contemporary medical practices, the text discusses how the pressure toward esthetic normalization can negatively influence personal identity and the social perception of individuals affected by disfigurement. It argues that the prevailing medical approach, focused on physical correction, may not only limit esthetic diversity but also perpetuate stereotypes and discrimination. It highlights how academic literature and artistic practices offer alternative paradigms that value the uniqueness and authenticity of the human body, proposing a more inclusive and less conformist vision of physical and psychological wellbeing. The work of artists like Laura Ferguson and Mark Gilbert, along with theorizations by philosophers like Michel Foucault, provides a critical perspective on dominant cultural norms and suggests new ways of thinking about and treating disfigurement, emphasizing the importance of an approach that respects individual freedom and celebrates bodily diversity.","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639251334426"},"PeriodicalIF":0.4,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12095215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143768","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