Medicine Health Care and Philosophy最新文献

Pandemic vaccines and 'The Global Public Good': a call for distributive justice. 大流行性流感疫苗与“全球公益”：呼吁分配正义。

IF 3.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-09-27 DOI: 10.1007/s11019-025-10299-y

Norman K Swazo, Md Munir Hossain Talukder, Mohammad Kamrul Ahsan

引用次数: 0

End-of-life decisions and ethics on the big screen: reflecting narratives of 'a life fully lived'. 大银幕上的临终决定和伦理：反映“完整生活”的叙事。

IF 3.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-09-26 DOI: 10.1007/s11019-025-10296-1

Franziska Wagensonner, Antonia Sahm, Andreas Frewer

{"title":"End-of-life decisions and ethics on the big screen: reflecting narratives of 'a life fully lived'.","authors":"Franziska Wagensonner, Antonia Sahm, Andreas Frewer","doi":"10.1007/s11019-025-10296-1","DOIUrl":"https://doi.org/10.1007/s11019-025-10296-1","url":null,"abstract":"The question of what constitutes a good life, whether a human existence is considered fulfilling and how to respond to a life perceived as no longer worth living has long been one of the great inquiries of medical ethics. With the increasing liberalization of various forms of assisted dying worldwide, these fundamental questions are gaining renewed relevance. An emerging field of interest explores films as sociocultural laboratories, offering an intriguing approach to a more nuanced perspective on personal narratives. Applied to the subject of end-of-life decisions this practice turns abstract constructs such as the quest for a meaningful life into tangible plotlines and vivid case studies. Far more than conceptual discussions about morally right or wrong, the storyline on screen enables the viewer to gain a deep and unique insight into the personal life and contextual embeddedness of protagonists struggling with end-of-life decisions. This paper aims to explore the idea and narrative of 'a life fully lived' in the movies focussing on end-of-life decisions. It focuses on the implications, demands, and influences on choices concerning death and dying using the example of ten of the most impactful and most debated movies featuring end-of-life decisions. Using film analysis, commonly held assumptions and value judgments that influence public discourse about end-of-life decisions are to be revealed and made accessible for ethical reflection.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

An overview of African philosophy and implications for nursing and midwifery practice: an African hermeneutic analysis. 非洲哲学概览及其对护理和助产实践的影响：非洲解释学分析。

IF 3.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-09-25 DOI: 10.1007/s11019-025-10298-z

Jonathan Bayuo

引用次数: 0

Correction: Reclaiming human dignity: a critical review of contemporary theories in light of ontological foundations. 纠正：重拾人的尊严：当代理论在本体论基础下的批判性回顾。

IF 3.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-09-02 DOI: 10.1007/s11019-025-10295-2

Patrícia Frantz, Francisca Rego, Stela Barbas

引用次数: 0

The use of social media in social care: a systematic review of the argument-based ethics literature. 社会媒体在社会关怀中的使用：基于论证的伦理学文献的系统回顾。

IF 3.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-09-01 Epub Date: 2025-05-03 DOI: 10.1007/s11019-025-10269-4

Tijs Vandemeulebroucke, Larissa Bolte

{"title":"The use of social media in social care: a systematic review of the argument-based ethics literature.","authors":"Tijs Vandemeulebroucke, Larissa Bolte","doi":"10.1007/s11019-025-10269-4","DOIUrl":"10.1007/s11019-025-10269-4","url":null,"abstract":"Digital technologies, especially social media, have become everyday tools. In care settings, the use of social media is considered a possible guarantee to maintain quality practices. This trend is specifically relevant for social care, including social work, psychology, psychiatry, rehabilitation etc., due to their communicative nature. Nevertheless, this use is joined by ethical vulnerabilities. To get insight into these, a systematic review of relevant normative-ethical literature was carried out following a 4-step methodology: developing ethical-conceptual questions; a literature search in four electronic databases (CINAHL, Philosopher's Index, Web of Science, ProQuest Database Psychology); assessment and inclusion of articles based on predefined criteria; extracting, analysing, and synthesizing reported data. Thirty-three articles were included, showing that current ethical debates are governed by nine themes: Benefits of social media; Relations, limits, and boundaries; Searches; Privacy, confidentiality, and trust; Documentation and records; Competency and client suitability; Consultation and referral; Informed consent; and Identity and image. We found that most ethical literature on social media use in social care settings adheres to the principles of biomedical ethics (respect for autonomy, beneficence, non-maleficence, justice) and to an ethics of carefulness, i.e. an ethics which takes social media for granted and considers its impact only on the particular therapeutic relationship. It loses sight of those ethical issues which occur on organizational, societal, and global levels. A full account of the ethics of social media use can only be given by considering these different levels and by informing the ethics of carefulness by an ethics of desirability.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"639-665"},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12380649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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: 0

On misempowerment & mobile health. 关于不当授权和移动医疗。

IF 3.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-09-01 Epub Date: 2025-06-09 DOI: 10.1007/s11019-025-10277-4

Jesse Gray, Heidi Mertes

{"title":"On misempowerment & mobile health.","authors":"Jesse Gray, Heidi Mertes","doi":"10.1007/s11019-025-10277-4","DOIUrl":"10.1007/s11019-025-10277-4","url":null,"abstract":"Mobile health tools often claim to empower their users by giving them the knowledge they need to take control of their health. However, this notion of empowerment, what we refer to as the knowledge-control paradigm, only superficially engages with the concept and leaves out the different ways in which people come to be empowered. We first identify two distinct elements of empowerment: psychological empowerment, which pertains to beliefs about one's power and control over their health, and relational empowerment, which is connected with one's actual power to control their health, as well as the ability to hold those in positions of power (the empowered) accountable. The knowledge-control paradigm is incapable of creating empowered individuals in the relational sense, and it is only when knowledge is coupled with both the means and the motivations to control health and/or hold the empowered to account, that one can be considered empowered. Mobile health tools that overemphasize knowledge as the empowering mechanism often misempower their users, that is, they create a belief in users about their power to control their health that does not align with their actual capacity to do so. This mismatch between beliefs and reality can have far reaching consequences as with knowledge, ability, control, and power comes responsibility. We worry not only that the misempowered will be viewed as more responsible for their health than the circumstances permit, but also, that these individuals will lose the ability to hold those in positions of power accountable..","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"549-560"},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

"Snip, snip, cure"? Philosophical, legal and biomedical perspectives on novel somatic genomic therapies. “剪，剪，治愈”？从哲学、法律和生物医学的角度看新的体细胞基因组疗法。

IF 3.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-09-01 Epub Date: 2025-08-11 DOI: 10.1007/s11019-025-10284-5

Johanna Risse, Lothar Pietrek, Tobias Cantz, Merlin Krzemien, Jan Schnalke, Reto Eggenschwiler, Thomas Heinemann, Hans-Georg Dederer

{"title":"\"Snip, snip, cure\"? Philosophical, legal and biomedical perspectives on novel somatic genomic therapies.","authors":"Johanna Risse, Lothar Pietrek, Tobias Cantz, Merlin Krzemien, Jan Schnalke, Reto Eggenschwiler, Thomas Heinemann, Hans-Georg Dederer","doi":"10.1007/s11019-025-10284-5","DOIUrl":"10.1007/s11019-025-10284-5","url":null,"abstract":"The advent of innovative techniques, such as the CRISPR/Cas system, has opened up a new range of possibilities for modifying the genome, with the potential to address previously unmet therapeutic needs of patients with genetic diseases. These new possibilities have not only raised ethical concerns but also challenged existing classifications of genome modification techniques. While the legal status of some of these new therapies remains uncertain, there is an ongoing debate within philosophy of biology about the information-related metaphors adopted by scientists to describe and classify the genome and its therapeutic modification. Given the continuing advance of new genomic therapies, we show, employing an interdisciplinary approach, that a comprehensive framework for the classification of these technologies is needed to resolve legal and philosophical issues. The first section provides an analysis of the current state of novel genome-modifying techniques in medical genetics. In the second section, we assess the regulatory status of these techniques within the European regulatory framework for advanced therapy medicinal products (ATMPs). Drawing on these results, we argue in the third section from a philosophical perspective that metaphors, such as 'editing' the genome, which are based on a conception of the genome as linear information, cannot adequately capture the breadth of advanced genomic technologies. To accurately categorise these techniques in a manner that meets their diverse applications, we propose introducing the umbrella term 'somatic genomic therapies' (SGTs). Urging an integrative approach to defining and classifying new technologies in medical genetics, we advocate for the development of an integrative concept of SGTs.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"425-445"},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12380945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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: 0

Understanding "interests": historical insights for managing conflicts of interest in healthcare and biomedical science. 理解“利益”：管理医疗保健和生物医学科学利益冲突的历史见解。

IF 3.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-09-01 Epub Date: 2025-04-22 DOI: 10.1007/s11019-025-10268-5

Miriam Wiersma, Ian Kerridge, Wendy Lipworth

{"title":"Understanding \"interests\": historical insights for managing conflicts of interest in healthcare and biomedical science.","authors":"Miriam Wiersma, Ian Kerridge, Wendy Lipworth","doi":"10.1007/s11019-025-10268-5","DOIUrl":"10.1007/s11019-025-10268-5","url":null,"abstract":"Conflicts of interest are widely regarded as being morally, socially, and scientifically problematic in the many sectors, including in the health sector. There has been considerable attention paid to managing conflicts of interest in clinical practice, medical research and health policy through strategies such as recusal, disinvestment, and disclosure. While these efforts have been important, they are often based on a superficial account of \"interests\", as few in healthcare and biomedical science have sought to unpack the concept. In this paper, we argue that adopting an historically and philosophically informed account of interests can enrich our thinking about COI in healthcare and biomedical science, and lead to the improvement of COI management strategies. To support this claim, we first provide an overview of contemporary debates about COI in these domains. We then summarise the historical trajectory of the concept of \"interest\" and show how these insights can be used to inform the management of COI in healthcare and biomedical science using the example of physicians' relationships with the pharmaceutical industry. In particular, we challenge assumed hierarchies of interests and call for increased attention to the multiplicities of interests, both financial and non-financial, that may at times converge and conflict.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"623-638"},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12380924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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: 0

"Big chunks of blank memory": complex trauma and dissociative body memory. “大块空白记忆”：复杂的创伤和分离的身体记忆。

IF 3.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-09-01 Epub Date: 2025-05-03 DOI: 10.1007/s11019-025-10274-7

Jake Dorothy

{"title":"\"Big chunks of blank memory\": complex trauma and dissociative body memory.","authors":"Jake Dorothy","doi":"10.1007/s11019-025-10274-7","DOIUrl":"10.1007/s11019-025-10274-7","url":null,"abstract":"Research into traumatic memory has focused heavily upon re-experiencing symptoms (e.g. flashbacks). Features predominantly associated with complex trauma, such as gaps in the recollection of traumatic events, remain comparatively underexplored. In this article, I draw on the testimonies of survivors of complex trauma who participated in a survey informed by Phenomenologically Grounded Qualitative Research (Køster and Fernandez in Phenomenol Cogn Sci 22:149, 2023). I provide a phenomenological account of how survivors often experience memory blanks as inchoately disturbing, despite being unable to recount 'missing' events. Although challenging and equivocal, the notion of body memory offers one way of articulating this phenomenon. Specifically, I suggest that the troubling feelings accompanying perceived gaps in recollection arise alongside a form of non-conceptual body memory, which, lacking in propositional content, fails to be meaningfully contextualised. Drawing on the literature on body memory, dissociation, and Husserl's (Collected works. Kluwer, Dordrecht, 1991 [1893-1917]) internal time consciousness, I distinguish this as dissociative body memory and describe two central, non-exhaustive, features: (1) habitual dissociation, and (2) protentive salience. What is taken to be a gap in traumatic memory is in fact only a partial gap, involving a kind of pre-reflective remembering that is not recognised as such. Dissociative body memory additionally prevents the narrative integration required for minimising these perceived gaps, leading to an ongoing sense of foreboding concerning one's past. This has significant clinical implications, highlighting that what survivors experience as forgotten must not be disregarded. At the theoretical level, the phenomenon may be a hitherto unrecognised characteristic of complex posttraumatic stress disorder and related conditions.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"501-516"},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12380955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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: 0

Unresolved ethical questions of mHealth apps for Alzheimer's disease prevention. 预防阿尔茨海默病的移动医疗应用程序尚未解决的伦理问题。

IF 3.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-09-01 Epub Date: 2025-05-26 DOI: 10.1007/s11019-025-10272-9

Karina Korecky, Silke Schicktanz

{"title":"Unresolved ethical questions of mHealth apps for Alzheimer's disease prevention.","authors":"Karina Korecky, Silke Schicktanz","doi":"10.1007/s11019-025-10272-9","DOIUrl":"10.1007/s11019-025-10272-9","url":null,"abstract":"In recent years, medical research has sparked hope that up to a third of dementia cases could be prevented. This optimism is driven by a shift in the understanding of dementia and, in particular, Alzheimer's Disease (AD)-from being a rapid-onset brain disease in later life to a condition strongly linked to lifestyle factors, progressing slowly and gradually through asymptomatic, pre-symptomatic, and symptomatic stages with varying degrees of severity. Accompanying this evolving perception, the use of mobile healthcare applications (mHealth apps) based on dementia prevention research has been on the rise. Health policymakers and companies increasingly advocate for these apps. However, concerns remain about the medical quality of such mHealth apps for dementia prevention. Bioethical research has highlighted significant challenges associated with their use. This paper critically examines dementia prevention strategies through the lenses of mHealth technologies. Exploring four mHealth apps for dementia prevention as case studies, we identify and analyze unsolved ethical issues related to primary, secondary, and tertiary prevention. Hereby we offer a new perspective on familiar ethical dilemmas in dementia prevention, and emphasize the need to examine potentially intensified challenges in the context of digital health in the future in more depth.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"473-485"},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12380646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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: 0