Theoretical Medicine and Bioethics最新文献_第2页

The indispensability of race in medicine. 种族在医学中不可或缺。

IF 1.4 3区哲学

Theoretical Medicine and Bioethics Pub Date : 2023-10-01 Epub Date: 2023-04-11 DOI: 10.1007/s11017-023-09622-6

Ludovica Lorusso, Fabio Bacchini

引用次数: 0

Is whole-body gestational donation without explicit consent a valid alternative to surrogate motherhood? An ethical analysis through analogy reasoning and principlist approach. 未经明确同意的全身妊娠捐赠是否是代孕母亲的有效替代方案？通过类比推理和原则主义方法进行的伦理分析。

IF 1.4 3区哲学

Theoretical Medicine and Bioethics Pub Date : 2023-08-01 Epub Date: 2023-07-20 DOI: 10.1007/s11017-023-09634-2

Gianluca Montanari Vergallo, Matteo Gulino

引用次数: 1

Response to comments on my paper on whole body gestational donation. 对我关于全身妊娠捐赠的论文评论的回应。

IF 1.4 3区哲学

Theoretical Medicine and Bioethics Pub Date : 2023-08-01 Epub Date: 2023-08-29 DOI: 10.1007/s11017-023-09646-y

Anna Smajdor

引用次数: 0

Treat the dead, not just death, with dignity. 有尊严地对待死者，而不仅仅是死亡。

IF 1.4 3区哲学

Theoretical Medicine and Bioethics Pub Date : 2023-08-01 Epub Date: 2023-05-25 DOI: 10.1007/s11017-023-09628-0

Jonah Rubin

引用次数: 1

Controversial arguments are controversial. 有争议的论点是有争议的。

IF 1.4 3区哲学

Theoretical Medicine and Bioethics Pub Date : 2023-08-01 DOI: 10.1007/s11017-023-09635-1

Daniel P Sulmasy

引用次数: 0

The place of sexuality in society: misplaced grand theorising will sideline disabled people's sexual rights. 性在社会中的地位：错位的宏大理论将使残疾人的性权利靠边站。

IF 1.4 3区哲学

Theoretical Medicine and Bioethics Pub Date : 2023-08-01 Epub Date: 2023-08-17 DOI: 10.1007/s11017-023-09638-y

Steven J Firth, Ivars Neiders

引用次数: 1

A critique of whole body gestational donation. 对全身妊娠捐赠的批评。

IF 1.4 3区哲学

Theoretical Medicine and Bioethics Pub Date : 2023-08-01 Epub Date: 2023-07-28 DOI: 10.1007/s11017-023-09637-z

Richard B Gibson

{"title":"A critique of whole body gestational donation.","authors":"Richard B Gibson","doi":"10.1007/s11017-023-09637-z","DOIUrl":"10.1007/s11017-023-09637-z","url":null,"abstract":"In her controversial paper, Anna Smajdor proposes that brain-dead people could be used as gestation units for prospective parents unable or unwilling to undertake the act themselves-what she terms whole body gestational donation (WBGD). She explores the ethical issues of such an idea and, comparing it with traditional organ donation, asserts that such deceased surrogacy could be a way of outsourcing pregnancy's harms to a populace unable to be affected by them. She argues that if the prospect is unacceptable, this may reveal some underlying problems with traditional cadaveric organ donation. Smajdor's analysis, however, overlooks several problems arising from WBGD. This paper provides an account of those issues and argues that, in addition to WBGD being viscerally unpleasant, it is also ethically unviable. The paper starts by providing an account of WBGD before acknowledging its negative response within traditional and social media. After arguing that such cursory and gut reactions are insufficient to reject the proposal outright, this paper then provides three concerns regarding WBGD omitted by Smajdor: (i) the co-opting of life-saving organs for reproduction, (ii) the discrepancy between using cadaveric organs to save a life versus creating one, and (iii) the universalization of feminist concerns regarding reproductive body commodification. The paper concludes by tentatively agreeing with Smajdor that considering WBGD may help reveal vulnerable assumptions regarding organ donation and surrogacy, but that the significant ethical issues raised may prove insurmountable and make the intervention-thought experiment or otherwise-untenable.","PeriodicalId":46703,"journal":{"name":"Theoretical Medicine and Bioethics","volume":"44 4","pages":"353-369"},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10250105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Why whole body gestational donation must be rejected: a response to Smajdor. 为什么必须拒绝全身妊娠期捐赠：对Smajdor的回应。

IF 1.4 3区哲学

Theoretical Medicine and Bioethics Pub Date : 2023-08-01 Epub Date: 2023-07-07 DOI: 10.1007/s11017-023-09633-3

Aníbal M Astobiza, Íñigo de Miguel Beriain

{"title":"Why whole body gestational donation must be rejected: a response to Smajdor.","authors":"Aníbal M Astobiza, Íñigo de Miguel Beriain","doi":"10.1007/s11017-023-09633-3","DOIUrl":"10.1007/s11017-023-09633-3","url":null,"abstract":"Anna Smajdor's proposal of whole body gestational donation (WBGD) states that female patients diagnosed as brain-dead should be considered for use as gestational donors. In this response, Smajdor's proposal is rejected on four different accounts: (a) the debated acceptability of surrogacy despite women's autonomy, (b) the harm to dead women ́s interests, (c) the interests of the descendants, and (d) the symbolic value of the body and interests of relatives. The first part argues that WBGD rests on a particular conception of the instrumentalization of bodies that cannot be circumvented simply by the patient's consent and relinquished autonomy. The second part argues the importance of avoiding any harm to dead women's interests. The third part identifies the importance of the interest of the foetus in the light of Procreative-Beneficence principle that Smajdor overlooks. And finally, the fourth part considers the symbolic value of the human body and the interest of relatives. The main goal of this commentary is not to show that WBGD cannot be implemented; rather, it is to show that there are not any good arguments in favour of doing so.","PeriodicalId":46703,"journal":{"name":"Theoretical Medicine and Bioethics","volume":"44 4","pages":"327-340"},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10491543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10205322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 1

Policy change without ethical analysis? Commentary on the publication of Smajdor. 没有道德分析的政策变化？《Smajdor》出版评论。

IF 1.4 3区哲学

Theoretical Medicine and Bioethics Pub Date : 2023-08-01 Epub Date: 2023-07-07 DOI: 10.1007/s11017-023-09631-5

Elena Popa, Jakub Zawiła-Niedźwiecki, Michał Zabdyr-Jamróz

引用次数: 1

A troubling foundational inconsistency: autonomy and collective agency in critical care decision-making. 一个令人不安的基本矛盾：重症监护决策中的自主性和集体代理权。

IF 1.4 3区哲学

Theoretical Medicine and Bioethics Pub Date : 2023-08-01 Epub Date: 2023-03-28 DOI: 10.1007/s11017-023-09608-4

Stowe Locke Teti

{"title":"A troubling foundational inconsistency: autonomy and collective agency in critical care decision-making.","authors":"Stowe Locke Teti","doi":"10.1007/s11017-023-09608-4","DOIUrl":"10.1007/s11017-023-09608-4","url":null,"abstract":"'Shared' decision-making is heralded as the gold standard of how medical decisions should be reached, yet how does one 'share' a decision when any attempt to do so will undermine autonomous decision-making? And what exactly is being shared? While some authors have described parallels in literature, philosophical examination of shared agency remains largely uninvestigated as an explanation in bioethics. In the following, shared decision-making will be explained as occurring when a group, generally comprised of a patient and or their family, and the medical team become a genuine intentional subject which acts as a collective agent. Collective agency can better explain how some medical decisions are reached, contrary to the traditional understanding and operationalization of 'autonomy' in bioethics. Paradoxically, this often occurs in the setting of high-stakes moral decision-making, where conventional wisdom would suggest individuals would most want to exercise autonomous action according to their personally held values and beliefs. This explication of shared decision-making suggests a social ontology ought to inform or displace significant aspects of autonomy as construed in bioethics. It will be argued that joint commitments are a fundamental part of human life, informing and explaining much human behavior, and thus suggesting that autonomy - conceived of as discrete, individuated moral reasoning of a singular moral agent - is not an unalloyed 'good.'","PeriodicalId":46703,"journal":{"name":"Theoretical Medicine and Bioethics","volume":"44 4","pages":"279-300"},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10183747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0