Medicine Health Care and Philosophy最新文献

筛选
英文 中文
Popperian methodology and the Semmelweis case. 波普尔方法论与森梅尔韦斯案例。
IF 2.1 2区 哲学
Medicine Health Care and Philosophy Pub Date : 2023-12-01 Epub Date: 2023-08-16 DOI: 10.1007/s11019-023-10167-7
Zuzana Parusniková
{"title":"Popperian methodology and the Semmelweis case<sup />.","authors":"Zuzana Parusniková","doi":"10.1007/s11019-023-10167-7","DOIUrl":"10.1007/s11019-023-10167-7","url":null,"abstract":"<p><p>Semmelweis' discovery of the etiology of childbed fever has long attracted the attention of historians of medicine and biographers. In recent years it has also become of increasing interest to philosophers. In this paper I discuss the interpretation of Semmelweis' methodology from the viewpoint of the inference to the best explanation and argue that Popperian methodology is better at capturing the dynamics of the growth of knowledge. Furthermore, I criticize the attempts to explain the failure of Semmelweis to have his discovery accepted on the basis of the Kuhnian concept of paradigms, and warn that this view may endorse dogmatism as the norm The Kuhnian position also raises the problem of the authoritarian nature of scientific institutions which defend a paradigm against unorthodox, rebellious views, such as in the case of Semmelweis. Popperian philosophy is seen as a challenge to promote a link between an open society and open science with its main aim being to cherish a free critical spirit.</p>","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"529-537"},"PeriodicalIF":2.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10007026","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
The epistemic harms of direct-to-consumer genetic tests. 直接面向消费者的基因检测的认识论危害。
IF 2.1 2区 哲学
Medicine Health Care and Philosophy Pub Date : 2023-12-01 Epub Date: 2023-07-25 DOI: 10.1007/s11019-023-10164-w
Yasmin Haddad
{"title":"The epistemic harms of direct-to-consumer genetic tests.","authors":"Yasmin Haddad","doi":"10.1007/s11019-023-10164-w","DOIUrl":"10.1007/s11019-023-10164-w","url":null,"abstract":"<p><p>In this paper, I provide an epistemic evaluation of the harms that result from the widespread marketing of direct-to-consumer (DTC) genetic tests. While genetic tests are a valuable accessory diagnostic tool when ordered by a medical practitioner, there are different implications when they are sold directly to consumers. I aim to show that there are both epistemic and non-epistemic harms associated with the widespread commoditization of DTC genetic tests. I argue that the epistemic harms produced by DTC genetic tests have been disregarded in discussions on the topic. Drawing on the notion of contributory epistemic injustices, I highlight two pertinent epistemic harms: (1) a failure to uptake an individual's articulations about their identity and (2) the presiding reductionist framework dismisses useful hermeneutical resources. I then propose ways to mitigate these harms.</p>","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"559-571"},"PeriodicalIF":2.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9863066","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
"Green informed consent" in the classroom, clinic, and consultation room. 在教室、诊所和诊室开展 "绿色知情同意 "活动。
IF 2.1 2区 哲学
Medicine Health Care and Philosophy Pub Date : 2023-12-01 Epub Date: 2023-08-16 DOI: 10.1007/s11019-023-10163-x
Cristina Richie
{"title":"\"Green informed consent\" in the classroom, clinic, and consultation room.","authors":"Cristina Richie","doi":"10.1007/s11019-023-10163-x","DOIUrl":"10.1007/s11019-023-10163-x","url":null,"abstract":"<p><p>The carbon emissions of global health care activities make up 4-5% of total world emissions, placing it on par with the food sector. Carbon emissions are particularly relevant for health care because of climate change health hazards. Doctors and health care professionals must connect their health care delivery with carbon emissions and minimize resource use when possible as a part of their obligation to do no harm. Given that reducing carbon is a global ethical priority, the informed consent process in health care delivery must change. I argue that the expanded role of bioethicists in this climate crisis is to promote and support \"green informed consent:\" the sharing of climate information with patients, offering options for lower-carbon health care, and accepting the patient's right to decline treatments which are deemed too carbon intensive for their values.</p>","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"507-515"},"PeriodicalIF":2.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10725850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10381669","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: 3
Research ethics in practice: An analysis of ethical issues encountered in qualitative health research with mental health service users and relatives. 实践中的研究伦理:以精神健康服务使用者和亲属为对象的定性健康研究中遇到的伦理问题分析。
IF 2.1 2区 哲学
Medicine Health Care and Philosophy Pub Date : 2023-12-01 Epub Date: 2023-08-28 DOI: 10.1007/s11019-023-10169-5
Sarah Potthoff, Christin Hempeler, Jakov Gather, Astrid Gieselmann, Jochen Vollmann, Matthé Scholten
{"title":"Research ethics in practice: An analysis of ethical issues encountered in qualitative health research with mental health service users and relatives.","authors":"Sarah Potthoff, Christin Hempeler, Jakov Gather, Astrid Gieselmann, Jochen Vollmann, Matthé Scholten","doi":"10.1007/s11019-023-10169-5","DOIUrl":"10.1007/s11019-023-10169-5","url":null,"abstract":"<p><p>The ethics review of qualitative health research poses various challenges that are due to a mismatch between the current practice of ethics review and the nature of qualitative methodology. The process of obtaining ethics approval for a study by a research ethics committee before the start of a research study has been described as \"procedural ethics\" and the identification and handling of ethical issues by researchers during the research process as \"ethics in practice.\" While some authors dispute and other authors defend the use of procedural ethics in relation to qualitative health research, there is general agreement that it needs to be supplemented with ethics in practice. This article aims to provide an illustration of research ethics in practice by reflecting on the ways in which we identified and addressed ethical and methodological issues that arose in the context of an interview study with mental health service users and relatives. We describe the challenges we faced and the solutions we found in relation to the potential vulnerability of research participants, the voluntariness of consent, the increase of participant access and the heterogeneity of the sample, the protection of privacy and internal confidentiality, and the consideration of personal and contextual factors.</p>","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"517-527"},"PeriodicalIF":2.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10725844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10088239","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
Rethinking advanced motherhood: a new ethical narrative. 反思高龄产妇:新的伦理叙事。
IF 2.1 2区 哲学
Medicine Health Care and Philosophy Pub Date : 2023-12-01 Epub Date: 2023-09-03 DOI: 10.1007/s11019-023-10172-w
Eva De Clercq, Andrea Martani, Nicolas Vulliemoz, Bernice S Elger, Tenzin Wangmo
{"title":"Rethinking advanced motherhood: a new ethical narrative.","authors":"Eva De Clercq, Andrea Martani, Nicolas Vulliemoz, Bernice S Elger, Tenzin Wangmo","doi":"10.1007/s11019-023-10172-w","DOIUrl":"10.1007/s11019-023-10172-w","url":null,"abstract":"<p><p>The aim of the study is to rethink the ethics of advanced motherhood. In the literature, delayed childbearing is usually discussed in the context of reproductive justice, and in relationship to ethical issues associated with the use and risk of assisted reproductive technologies. We aim to go beyond these more \"traditional\" ways in which reproductive ethics is framed by revisiting ethics itself through the lens of the figure of the so-called \"older\" mother. For this purpose, we start by exploring some of the deep seated socio-cultural discourses in the context of procreation: ageism, ableism and the widespread bias towards geneticism and pronatalism. Afterwards, we provide a critical overview of the key arguments against or in support of advanced motherhood. We then briefly discuss how entrenchment by both sides has produced an impasse in the debate on the ethics of advanced motherhood and proceed by arguing that it is fundamental to bring about a change in this narrative. For this purpose, we will revisit the feminist usage of the concept of vulnerability which will allow us both to criticize culturally prescribed norms about motherhood and to address the painful reality of age-related fertility decline. In the last section, we argue that instead of defining \"older\" motherhood as an ethical problem, we should problematize the fact that female reproductive ageing is an understudied and ill-sourced topic. We believe that allocating resources to research to better understand female reproductive ageing is not only ethically permissible, but might even be ethically desirable.</p>","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"591-603"},"PeriodicalIF":2.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10725848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10140511","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
First-person disavowals of digital phenotyping and epistemic injustice in psychiatry. 第一人称否认精神病学中的数字表型和认识不公正。
IF 2.1 2区 哲学
Medicine Health Care and Philosophy Pub Date : 2023-12-01 Epub Date: 2023-09-19 DOI: 10.1007/s11019-023-10174-8
Stephanie K Slack, Linda Barclay
{"title":"First-person disavowals of digital phenotyping and epistemic injustice in psychiatry.","authors":"Stephanie K Slack, Linda Barclay","doi":"10.1007/s11019-023-10174-8","DOIUrl":"10.1007/s11019-023-10174-8","url":null,"abstract":"<p><p>Digital phenotyping will potentially enable earlier detection and prediction of mental illness by monitoring human interaction with and through digital devices. Notwithstanding its promises, it is certain that a person's digital phenotype will at times be at odds with their first-person testimony of their psychological states. In this paper, we argue that there are features of digital phenotyping in the context of psychiatry which have the potential to exacerbate the tendency to dismiss patients' testimony and treatment preferences, which can be instances of epistemic injustice. We first explain what epistemic injustice is, and why it is argued to be an extensive problem in health and disability settings. We then explain why epistemic injustice is more likely to apply with even greater force in psychiatric contexts, and especially where digital phenotyping may be involved. Finally, we offer some tentative suggestions of how epistemic injustice can be minimised in digital psychiatry.</p>","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"605-614"},"PeriodicalIF":2.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10725846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41167730","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
Green bioethics. 绿色生物伦理学。
IF 2.1 2区 哲学
Medicine Health Care and Philosophy Pub Date : 2023-12-01 DOI: 10.1007/s11019-023-10182-8
Henk Ten Have, Bert Gordijn
{"title":"Green bioethics.","authors":"Henk Ten Have, Bert Gordijn","doi":"10.1007/s11019-023-10182-8","DOIUrl":"10.1007/s11019-023-10182-8","url":null,"abstract":"","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"497-498"},"PeriodicalIF":2.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683542","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
Correction: Abortion, euthanasia, and the limits of principlism. 更正:堕胎、安乐死和原则主义的极限。
IF 2.1 2区 哲学
Medicine Health Care and Philosophy Pub Date : 2023-12-01 DOI: 10.1007/s11019-023-10178-4
Brieann Rigby, Xavier Symons
{"title":"Correction: Abortion, euthanasia, and the limits of principlism.","authors":"Brieann Rigby, Xavier Symons","doi":"10.1007/s11019-023-10178-4","DOIUrl":"10.1007/s11019-023-10178-4","url":null,"abstract":"","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"557"},"PeriodicalIF":2.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92156889","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
Body objectified? Phenomenological perspective on patient objectification in teleconsultation. 身体客观化?远程会诊中患者客观化的现象学视角。
IF 2.1 2区 哲学
Medicine Health Care and Philosophy Pub Date : 2023-09-01 DOI: 10.1007/s11019-023-10148-w
Māra Grīnfelde
{"title":"Body objectified? Phenomenological perspective on patient objectification in teleconsultation.","authors":"Māra Grīnfelde","doi":"10.1007/s11019-023-10148-w","DOIUrl":"https://doi.org/10.1007/s11019-023-10148-w","url":null,"abstract":"<p><p>The global crisis of COVID-19 pandemic has considerably accelerated the use of teleconsultation (consultation between the patient and the doctor via video platforms). While it has some obvious benefits and drawbacks for both the patient and the doctor, it is important to consider-how teleconsultation impacts the quality of the patient-doctor relationship? I will approach this question through the lens of phenomenology of the body, focusing on the question-what happens to the patient objectification in teleconsultation? To answer this question I will adopt a phenomenological approach combining both insights drawn from the phenomenological tradition, i.e., the concepts of the lived body and the object body, and the results from the phenomenologically informed qualitative research study on the patient experience of teleconsultation. The theoretical background against which I have developed this study comprises discussions within the field of phenomenology of medicine regarding the different sources of patient objectification within clinical encounter and the arguments concerning the negative impact that objectification has on the quality of care. I will argue that a factor that has frequently been identified within phenomenology of medicine as the main source of patient objectification in clinical encounters, namely, the internalized gaze of the clinician, is diminished during teleconsultation, increasing patient's sense of agency, decreasing her sense of alienation and opening up the possibility for a closer relationship between the patient and the health care provider, all of which lead to the transformation of the hierarchical patient-health care professional relationship.</p>","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":"26 3","pages":"335-349"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10085784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10077741","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
The biopsychosocial model: Its use and abuse. 生物心理社会模式:其使用和滥用。
IF 2.3 2区 哲学
Medicine Health Care and Philosophy Pub Date : 2023-09-01 Epub Date: 2023-04-17 DOI: 10.1007/s11019-023-10150-2
Alex Roberts
{"title":"The biopsychosocial model: Its use and abuse.","authors":"Alex Roberts","doi":"10.1007/s11019-023-10150-2","DOIUrl":"10.1007/s11019-023-10150-2","url":null,"abstract":"<p><p>The biopsychosocial model (BPSM) is increasingly influential in medical research and practice. Several philosophers and scholars of health have criticized the BPSM for lacking meaningful scientific content. This article extends those critiques by showing how the BPSM's epistemic weaknesses have led to certain problems in medical discourse. Despite its lack of content, many researchers have mistaken the BPSM for a scientific model with explanatory power. This misapprehension has placed researchers in an implicit bind. There is an expectation that applications of the BPSM will deliver insights about disease; yet the model offers no tools for producing valid (or probabilistically true) knowledge claims. I argue that many researchers have, unwittingly, responded to this predicament by developing certain patterns of specious argumentation I call \"wayward BPSM discourse.\" The arguments of wayward discourse share a common form: They appear to deliver insights about disease gleaned through applications of the BPSM; on closer inspection, however, we find that the putative conclusions presented are actually assertions resting on question-begging arguments, appeals to authority, and conceptual errors. Through several case studies of BPSM articles and literatures, this article describes wayward discourse and its effects. Wayward discourse has introduced into medicine forms of conceptual instability that threaten to undermine various lines of research. It has also created a potentially potent vector of medicalization. Fixing these problems will likely require reimposing conceptual rigor on BPSM discourse.</p>","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":"26 3","pages":"367-384"},"PeriodicalIF":2.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10107555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10080789","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
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信