Medicine Health Care and Philosophy最新文献_第2页

The focus account of false hope. 虚假希望的焦点账户。

IF 2.3 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-03-01 Epub Date: 2024-11-16 DOI: 10.1007/s11019-024-10236-5

Christopher Bobier

引用次数: 0

Tracking ambivalence: an existential critique of datafication in the context of chronic pain. 追踪矛盾心理：在慢性疼痛背景下对数据化的存在主义批判。

IF 2.3 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-03-01 Epub Date: 2024-10-10 DOI: 10.1007/s11019-024-10226-7

Michelle Charette

引用次数: 0

The impact of digital health technologies on moral responsibility: a scoping review. 数字卫生技术对道德责任的影响：范围审查。

IF 2.3 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-03-01 Epub Date: 2024-11-30 DOI: 10.1007/s11019-024-10238-3

E Meier, T Rigter, M P Schijven, M van den Hoven, M A R Bak

{"title":"The impact of digital health technologies on moral responsibility: a scoping review.","authors":"E Meier, T Rigter, M P Schijven, M van den Hoven, M A R Bak","doi":"10.1007/s11019-024-10238-3","DOIUrl":"10.1007/s11019-024-10238-3","url":null,"abstract":"Recent publications on digital health technologies highlight the importance of 'responsible' use. References to the concept of responsibility are, however, frequently made without providing clear definitions of responsibility, thus leaving room for ambiguities. Addressing these uncertainties is critical since they might lead to misunderstandings, impacting the quality and safety of healthcare delivery. Therefore, this study investigates how responsibility is interpreted in the context of using digital health technologies, including artificial intelligence (AI), telemonitoring, wearables and mobile apps. We conducted a scoping review with a systematic search in PubMed, Web of Science, Embase, CINAHL and Philosopher's Index. A total of 34 articles were included and categorized using a theoretical framework of responsibility aspects, and revealed two main findings. First, we found that digital health technologies can expand and shift existing 'role responsibilities' among caregivers, patients and technology. Second, moral responsibility is often equated with liability or accountability, without clear justification. Articles describe new ways in which physicians can be held accountable, particularly in the context of AI, and discuss the emergence of a 'responsibility gap' where no-one can be fully responsible for AI-generated outcomes. The literature also shows that m-Health technologies can increase patients' accountability for their own health. However, there was limited discussion in the reviewed literature on whether these attributions of accountability are appropriate. We conclude with implications for practice and suggestions for expanding the theoretical framework of moral responsibility, recommending further study on responsibility of collectives and artificial entities, and on the role of virtue in digital health.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"17-31"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755647","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

Borderline personality disorder and moral responsibility. 边缘型人格障碍与道德责任

IF 2.3 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-03-01 Epub Date: 2025-01-04 DOI: 10.1007/s11019-024-10243-6

Agnès Baehni

{"title":"Borderline personality disorder and moral responsibility.","authors":"Agnès Baehni","doi":"10.1007/s11019-024-10243-6","DOIUrl":"10.1007/s11019-024-10243-6","url":null,"abstract":"This paper seeks to determine the extent to which individuals with borderline personality disorders can be held morally responsible for a particular subset of their actions: disproportionate anger, aggressions and displays of temper. The rationale for focusing on these aspects lies in their widespread acknowledgment in the literature and their plausible primary association with blame directed at BPD patients. BPD individuals are indeed typically perceived as \"difficult patients\" (Sulzer 2015:82; Bodner et al. 2011), significantly more so than schizophrenic or depressive patients (Markam 2003). The \"responsibility question\" for patients with BPD has already been raised (Martin 2010; Zachar and Potter 2009; Bray 2003), but this paper tackles it from a novel perspective. First, I narrow down the category of things for which the responsibility question is specific to individual with BPD. After that, I argue that some of the diagnosis criteria of BPD such as emotional instability or impulsivity might serve as excusing factors targeting the \"control condition\" on moral responsibility. Second, this paper also considers another widely accepted condition on moral responsibility: the epistemic condition. The view defended in the paper is that the answer to the responsibility question for individuals with BPD, concerning both the control condition and the epistemic condition, hinges on an understanding of their epistemic profile.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"3-16"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928143","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

Concepts of self in dementia research: towards theoretical integration.

IF 2.3 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-02-14 DOI: 10.1007/s11019-025-10253-y

T J van Woerkum-Rooker

{"title":"Concepts of self in dementia research: towards theoretical integration.","authors":"T J van Woerkum-Rooker","doi":"10.1007/s11019-025-10253-y","DOIUrl":"https://doi.org/10.1007/s11019-025-10253-y","url":null,"abstract":"Research on understanding the self of persons with dementia (PWD) has increased significantly in the past decades across various fields of research. This has led to a profusion of novel conceptualizations of self. Meanwhile, the rise in dementia diagnoses worldwide presents us with complex global societal and individual challenges. Since the understanding of the self of PWD is vital for improving their well-being, autonomy and care needs, this article argues that there is a need to integrate and systematize these conceptualizations of self. The current state of conceptual unclarity undermines the wellbeing of PWD, since it impedes the exchange and development of (empirical) research results and ideas. With the aim of uniting and systematizing the conceptualizations of self in research on PWD, in order to develop a pragmatic, clustered approach based on the research of the field itself which can be applied in an empirical setting with PWD, this article departs from the literature reviews from the various fields involved in the research on the self of PWD. By focusing on the theoretical overlap between the conceptualizations of self employed in these reviews, four overarching clusters of self-aspects can be formulated: minimal, embodied-embedded, reflective and socially-embedded self-aspects. These clusters jointly provide the ground for self-continuity in PWD. This clustered approach provides a framework which unites the current field of research, within which new findings can be integrated and which can be applied in an empirical setting.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426451","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 disservice of publishing preliminary results based on a premature hypothesis - Semmelweis' ordeal revisited.

IF 2.3 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-02-13 DOI: 10.1007/s11019-025-10257-8

Niels Lynøe, Niklas Juth, Anders Eriksson

{"title":"The disservice of publishing preliminary results based on a premature hypothesis - Semmelweis' ordeal revisited.","authors":"Niels Lynøe, Niklas Juth, Anders Eriksson","doi":"10.1007/s11019-025-10257-8","DOIUrl":"https://doi.org/10.1007/s11019-025-10257-8","url":null,"abstract":"In an interesting article, Dr Zuzana Parusniková claimed: (i) that Semmelweis' colleagues did not recognise the importance of his animal experiments, (ii) that the resistance to Semmelweis' hypothesis and results was due mainly to applying mono-causality and (iii) Semmelweis inability to communicate, (iv) that the New Vienna Medical School applied evidence-based medicine, and (v) that the philosophy of Karl Popper is the best interpretation of Semmelweis' scientific approach. Here, we present some factual aspects of Semmelweis' text from 1861 and discuss Dr Parusniková's claims against this backdrop. We conclude that Semmelweis might intentionally have abstained from communicating his hypothesis and results between 1847 and 1849 - including the results from his animal experiments - as he thought that they would eventually be understood and accepted. Semmelweis' hypothesis was that cadaveric matters and decaying particles were the cause of childbed fever and increased maternal mortality. This hypothesis might have been controversial, but we claim that the major reason for the resistance was eminence-based and induced by the publication of preliminary and suboptimal results, based on a premature version of his hypothesis. If the New Vienna Medical School had been influenced by evidence-based medicine, we believe that Semmelweis' empirical results would have been accepted - as they were based on an almost randomised controlled trial - and if the results had not been associated with his hypothesis but instead had focused on a black box procedure. We agree that the philosophy of Popper might be appropriate when analysing Semmelweis' scientific approach when abandoning low-level theories. However, to understand the resistance against Semmelweis' hypothesis and results, it is not sufficient to refer to a Pickwickian discussion; a Kuhnian framework is more adequate.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143410763","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

«Doctors must live»: a care ethics inquiry into physicians' late modern suffering. "医生必须活下去"：对医生晚期现代痛苦的护理伦理探究。

IF 2.3 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-02-05 DOI: 10.1007/s11019-025-10258-7

Caroline Engen

{"title":"«Doctors must live»: a care ethics inquiry into physicians' late modern suffering.","authors":"Caroline Engen","doi":"10.1007/s11019-025-10258-7","DOIUrl":"https://doi.org/10.1007/s11019-025-10258-7","url":null,"abstract":"In 2023, thousands of young Norwegian physicians joined an online movement called #legermåleve (#doctorsmustlive) and shared stories of their own mental and somatic health issues, which they considered to be caused by unacceptable working conditions. This paper discusses this case as an extreme example of physicians' and healthcare workers' suffering in late modern societies, using Vosman and Niemeijer's approach of rethinking care imaginaries by a structured process of thinking along, counter-thinking and rethinking, bringing to bear suffering as a heuristic device. Thinking along, taking the physicians' stories and arguments literally, reveals an image of an unbearable workload. Counter-thinking resituates their suffering within the broader conditions of late modernity, suggesting that the root cause may lie not in the quantity of the workload itself but in its qualities and in its perceived threat to their integrity as caregivers through epistemic and moral injury and an inability to respond to this threat. In rethinking, the ambiguity of suffering- its dual potential as both a constraint and an opening- becomes central. Following the physicians' own interpretations and the solutions emerging from this framing, both their suffering and that of their patients could paradoxically be exacerbated by further decentering physicians and reinforcing utilitarian, data-driven approaches. However, staying with their suffering and reinterpreting its causes opens possibilities to leverage critiques of medicalization at large and of their own suffering in particular, challenging the assumption that the weight of care must always grow heavier. From this reframing, I argue, it is possible to reclaim and reimagine care and the clinical space as a nexus of epistemic and moral privilege, recentering response-ability both relationally and socially.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190912","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

Compassion in the justification of physician-assisted dying: Gandhi's non-violence vs. Aristotle's virtues and vices.

IF 2.3 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-01-29 DOI: 10.1007/s11019-025-10251-0

Ercan Avci

引用次数: 0

Silence as epistemic agency in mania.

IF 2.3 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-01-29 DOI: 10.1007/s11019-025-10256-9

Dan Degerman

{"title":"Silence as epistemic agency in mania.","authors":"Dan Degerman","doi":"10.1007/s11019-025-10256-9","DOIUrl":"https://doi.org/10.1007/s11019-025-10256-9","url":null,"abstract":"Silence is a byword for socially imposed harm in the burgeoning literature on epistemic injustice in psychiatry. While some silence is harmful and should be broken, this understanding of silence is untenably simplistic. Crucially, it neglects the possibility that silence can also play a constructive epistemic role in the lives of people with mental illness. This paper redresses that neglect. Engaging with first-person accounts of mania, it contends that silence constitutes a crucial form of epistemic agency to people who experience mania and that the prevailing failure to recognise this may harm them. The paper proceeds as follows. After briefly examining the negative understanding of silence in the epistemic injustice literature, it outlines three epistemically agential silences: communicative silence, listening silence, and withholding silence. It then deploys these concepts to explore how the ability to perform epistemically agential silence is impaired in mania and why such silences are vital to people. The penultimate section highlights two ways that the failure to recognise the epistemic value of silence can harm people with mania. The paper concludes by drawing out implications for future research on epistemic injustice in psychiatry.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060901","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: The impact of digital health technologies on moral responsibility: a scoping review.

IF 2.3 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-01-28 DOI: 10.1007/s11019-024-10248-1

E Meier, T Rigter, M P Schijven, M van den Hoven, M A R Bak

引用次数: 0