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Implicit understandings and trust in the doctor-patient relationship: a philosophy of language analysis of pre-operative evaluations. 医患关系中的隐性理解和信任:术前评估的语言分析哲学。
IF 1.4 3区 哲学
Theoretical Medicine and Bioethics Pub Date : 2023-06-01 DOI: 10.1007/s11017-023-09607-5
Monica Consolandi
{"title":"Implicit understandings and trust in the doctor-patient relationship: a philosophy of language analysis of pre-operative evaluations.","authors":"Monica Consolandi","doi":"10.1007/s11017-023-09607-5","DOIUrl":"https://doi.org/10.1007/s11017-023-09607-5","url":null,"abstract":"<p><p>The aim of this paper is to enhance doctors' awareness of implicit understandings between doctors and patients in the context of pre-operative communication of risks. This paper draws on insights from the philosophy of language - in particular pragmatic analysis tools - that make explicit the implicit understandings of the interaction. Mastering not only what is said but also what is unsaid allows doctors to improve their communication with their patients. I suggest that being aware of the implications of the interactions is useful for improving both the doctor's and the patient's experience, further strengthening the therapeutic alliance. In this article I analyze actual cases involving pre-operative evaluation before cardiac surgery from a philosophy of language perspective. The paper is structured as follows: a description of the relevant philosophy of language tools that I will apply; an overview of the risk-communication context; an explanation of the link between \"the implicit dimension\" and trust, addressing whether the doctor needs to convey the whole truth; and the analysis of real cases. In conclusion, I re-emphasize the importance of implicit meanings during risk communication.</p>","PeriodicalId":46703,"journal":{"name":"Theoretical Medicine and Bioethics","volume":"44 3","pages":"191-208"},"PeriodicalIF":1.4,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9487156","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
Suffering and the dilemmas of pediatric care: a response to Tyler Tate. 儿科护理的痛苦和困境:对泰勒·泰特的回应。
IF 1.4 3区 哲学
Theoretical Medicine and Bioethics Pub Date : 2023-06-01 DOI: 10.1007/s11017-023-09615-5
Brent Michael Kious
{"title":"Suffering and the dilemmas of pediatric care: a response to Tyler Tate.","authors":"Brent Michael Kious","doi":"10.1007/s11017-023-09615-5","DOIUrl":"https://doi.org/10.1007/s11017-023-09615-5","url":null,"abstract":"<p><p>In a recent article, Tyler Tate argues that the suffering of children - especially children with severe cognitive impairments - should be regarded as the antithesis of flourishing, where flourishing is relative to one's individual characteristics and essentially involves receiving care from others. Although initially persuasive, Tate's theory is ambiguous in several ways, leading to significant conceptual problems. By identifying flourishing with receiving care, Tate raises questions about the importance of care that he does not address, giving rise to a bootstrapping problem. By making flourishing relative to an individual's circumstances, Tate is forced to confront questions about exactly how relative it can be, suggesting the possibility that, on his view, to flourish is simply to be however one is. In an attempt to surmount these problems, I offer a revision and restatement of Tate's view that defines the relationship between individualized flourishing and the more conventional, species-relative concept, and describe more clearly the role that care should play with respect to flourishing - one that is instrumental and not merely constitutive. Even this restated view, however, fails to answer difficult questions about how one should respond to the medical needs of some children, highlighting the fact that a conceptual analysis of suffering may do little, in the end, to untangle ethical dilemmas in the care of severely ill children.</p>","PeriodicalId":46703,"journal":{"name":"Theoretical Medicine and Bioethics","volume":"44 3","pages":"249-258"},"PeriodicalIF":1.4,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9537433","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
DeGrazia, David, and Millum, Joseph. A theory of bioethics. Cambridge: Cambridge University Press, 2021. 316 pp. $99.99 (cloth) ISBN 978,316,515,839, $24.99 (paper) SBN 9,781,009,011,747. David DeGrazia和Joseph Millum。一种生命伦理学理论。剑桥:剑桥大学出版社，2021。316页，99.99美元(布)ISBN 978,316,515,839, 24.99美元(纸)SBN 9,781,009,011,747。
IF 1.4 3区 哲学
Theoretical Medicine and Bioethics Pub Date : 2023-05-25 DOI: 10.1007/s11017-023-09626-2
Caitlin Maples
{"title":"DeGrazia, David, and Millum, Joseph. A theory of bioethics. Cambridge: Cambridge University Press, 2021. 316 pp. $99.99 (cloth) ISBN 978,316,515,839, $24.99 (paper) SBN 9,781,009,011,747.","authors":"Caitlin Maples","doi":"10.1007/s11017-023-09626-2","DOIUrl":"https://doi.org/10.1007/s11017-023-09626-2","url":null,"abstract":"","PeriodicalId":46703,"journal":{"name":"Theoretical Medicine and Bioethics","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9876660","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
Boggatz Thomas (ed). Quality of life and person-centered care for older people. Springer, Cham (Switzerland), 2020. 466 pp. $59.99 (paper). ISBN 978-3-030-29989-7. 博加兹·托马斯(编辑)。老年人的生活质量和以人为本的护理。瑞士施普林格出版社，2020。466页，59.99美元(纸质版)。ISBN 978-3-030-29989-7。
IF 1.4 3区 哲学
Theoretical Medicine and Bioethics Pub Date : 2023-05-22 DOI: 10.1007/s11017-023-09625-3
Nunziata Comoretto
{"title":"Boggatz Thomas (ed). Quality of life and person-centered care for older people. Springer, Cham (Switzerland), 2020. 466 pp. $59.99 (paper). ISBN 978-3-030-29989-7.","authors":"Nunziata Comoretto","doi":"10.1007/s11017-023-09625-3","DOIUrl":"https://doi.org/10.1007/s11017-023-09625-3","url":null,"abstract":"","PeriodicalId":46703,"journal":{"name":"Theoretical Medicine and Bioethics","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9503392","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
Snead, O. Carter. What it means to be human: the case for the body in public bioethics. Cambridge, MA: Harvard University Press, 2020. 321 pp. $41.00 (cloth); $22.95 (paper). ISBN 0-67-49877-21. 斯尼德，欧·卡特。作为人类意味着什么:公共生命伦理学中的身体案例。马萨诸塞州剑桥:哈佛大学出版社，2020年。321页，41.00美元(布);22.95美元(纸)。ISBN 0-67-49877-21。
IF 1.4 3区 哲学
Theoretical Medicine and Bioethics Pub Date : 2023-05-02 DOI: 10.1007/s11017-023-09624-4
Columba Thomas O P
{"title":"Snead, O. Carter. What it means to be human: the case for the body in public bioethics. Cambridge, MA: Harvard University Press, 2020. 321 pp. $41.00 (cloth); $22.95 (paper). ISBN 0-67-49877-21.","authors":"Columba Thomas O P","doi":"10.1007/s11017-023-09624-4","DOIUrl":"https://doi.org/10.1007/s11017-023-09624-4","url":null,"abstract":"","PeriodicalId":46703,"journal":{"name":"Theoretical Medicine and Bioethics","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9395301","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
Introduction: controversial arguments in bioethics. 引言:生命伦理学中有争议的论点。
IF 1.4 3区 哲学
Theoretical Medicine and Bioethics Pub Date : 2023-04-01 DOI: 10.1007/s11017-023-09617-3
Joona Räsänen, Matti Häyry, Tuija Takala
{"title":"Introduction: controversial arguments in bioethics.","authors":"Joona Räsänen,&nbsp;Matti Häyry,&nbsp;Tuija Takala","doi":"10.1007/s11017-023-09617-3","DOIUrl":"https://doi.org/10.1007/s11017-023-09617-3","url":null,"abstract":"","PeriodicalId":46703,"journal":{"name":"Theoretical Medicine and Bioethics","volume":"44 2","pages":"109-112"},"PeriodicalIF":1.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9551201","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: 3
Are some controversial views in bioethics Juvenalian satire without irony? 生命伦理学中一些有争议的观点是没有反讽意味的少年讽刺吗?
IF 1.4 3区 哲学
Theoretical Medicine and Bioethics Pub Date : 2023-04-01 DOI: 10.1007/s11017-022-09604-0
Matti Häyry
{"title":"Are some controversial views in bioethics Juvenalian satire without irony?","authors":"Matti Häyry","doi":"10.1007/s11017-022-09604-0","DOIUrl":"https://doi.org/10.1007/s11017-022-09604-0","url":null,"abstract":"<p><p>The article examines five controversial views, expressed in Jonathan Swift's A Modest Proposal, Helga Kuhse and Peter Singer's Should the Baby Live? The Problem of Handicapped Infants, Alberto Giubilini and Francesca Minerva's \"After-birth abortion: why should the baby live?\", Julian Savulescu's \"Procreative beneficence: why we should select the best children\", and the author's \"A rational cure for prereproductive stress syndrome\". These views have similarities and differences on five levels: the grievances they raise, the proposals they make, the justifications they explicitly use, the justifications they implicitly rely on, and the criticisms that they have encountered. A comparison of these similarities and differences produces two findings. First, some controversial views based on utilitarian considerations would probably fare better flipped upside down and presented as Juvenalian satires. Secondly, a modicum of humor or modesty could help presenters of controversial views to stir polite critical discussion on the themes that they put forward.</p>","PeriodicalId":46703,"journal":{"name":"Theoretical Medicine and Bioethics","volume":"44 2","pages":"177-189"},"PeriodicalIF":1.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10030404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9235758","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: 5
Anent the theoretical justification of a sex doula program. 讲讲性导乐项目的理论依据。
IF 1.4 3区 哲学
Theoretical Medicine and Bioethics Pub Date : 2023-04-01 DOI: 10.1007/s11017-023-09612-8
Steven J Firth, Ivars Neiders
{"title":"Anent the theoretical justification of a sex doula program.","authors":"Steven J Firth,&nbsp;Ivars Neiders","doi":"10.1007/s11017-023-09612-8","DOIUrl":"https://doi.org/10.1007/s11017-023-09612-8","url":null,"abstract":"<p><p>The Human Condition is neither a well-defined nor well-described concept-nevertheless, it is generally agreed that human sexuality is a fundamental and constituent part of it. For most able-bodied persons, accessing and expressing one's sexuality is a (relatively) trouble-free process. However, many disabled persons experience difficulty in accessing their sexuality, while others experience such significant barriers that they are often precluded from sexual citizenship altogether. Recognising the barriers to the sexual citizenship of disabled persons, the concept of a Welfare-Funded Sex Doula Program has been advanced - a program specifically aimed at meeting the various (and often complex) sexual needs of disabled people. Below we show how that program can be justified within at least two different moral frameworks, the capabilities approach and liberal utilitarianism, and consider and repudiate arguments against it.</p>","PeriodicalId":46703,"journal":{"name":"Theoretical Medicine and Bioethics","volume":"44 2","pages":"125-140"},"PeriodicalIF":1.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10030400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9237757","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: 6
Should vegans have children? Examining the links between animal ethics and antinatalism. 素食者应该要孩子吗?研究动物伦理和反出生主义之间的联系。
IF 1.4 3区 哲学
Theoretical Medicine and Bioethics Pub Date : 2023-04-01 DOI: 10.1007/s11017-023-09613-7
Joona Räsänen
{"title":"Should vegans have children? Examining the links between animal ethics and antinatalism.","authors":"Joona Räsänen","doi":"10.1007/s11017-023-09613-7","DOIUrl":"https://doi.org/10.1007/s11017-023-09613-7","url":null,"abstract":"<p><p>Ethical vegans and vegetarians believe that it is seriously immoral to bring into existence animals whose lives would be miserable. In this paper, I will discuss whether such a belief also leads to the conclusion that it is seriously immoral to bring human beings into existence. I will argue that vegans should abstain from having children since they believe that unnecessary suffering should be avoided. After all, humans will suffer in life, and having children is not necessary for a good life. Thus vegans, and probably vegetarians as well, should not have children. I will consider several objections against this controversial claim, show why the objections fail and conclude that it would be best for ethical vegans to abstain from procreation.</p>","PeriodicalId":46703,"journal":{"name":"Theoretical Medicine and Bioethics","volume":"44 2","pages":"141-151"},"PeriodicalIF":1.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9551202","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: 6
Controversial views and moral realism. 有争议的观点和道德现实主义。
IF 1.4 3区 哲学
Theoretical Medicine and Bioethics Pub Date : 2023-04-01 DOI: 10.1007/s11017-023-09616-4
Henrik Rydenfelt
{"title":"Controversial views and moral realism.","authors":"Henrik Rydenfelt","doi":"10.1007/s11017-023-09616-4","DOIUrl":"https://doi.org/10.1007/s11017-023-09616-4","url":null,"abstract":"<p><p>It is argued that the emergence of controversial views in discussions of theoretical medicine and bioethics is best explained by the assumption of moral realism within those discursive practices. Neither of the main alternatives of realism in contemporary meta-ethics - moral expressivism and anti-realism - can account for the rise of controversies in the bioethical debate. This argument draws from the contemporary expressivist or anti-representationalist pragmatism as advanced by Richard Rorty and Huw Price, as well as the pragmatist scientific realism and fallibilism of the founder of pragmatism, Charles S. Peirce. In accordance with the fallibilist view, it is proposed that presenting controversial positions may serve epistemic purposes within bioethical debates, providing opportunities for inquiry by pointing towards problems to be solved and arguments and evidence for and against to be put forward.</p>","PeriodicalId":46703,"journal":{"name":"Theoretical Medicine and Bioethics","volume":"44 2","pages":"165-176"},"PeriodicalIF":1.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10030398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9185178","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
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