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

Rethinking crossover and recovery in eating disorders through a dynamic and value-sensitive framework. 通过动态和价值敏感的框架重新思考饮食失调的交叉和恢复。

IF 3.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2026-06-01 Epub Date: 2026-02-18 DOI: 10.1007/s11019-026-10328-4

Davide Serpico, Valentina Petrolini, Silvia Camporesi

引用次数: 0

Epistemic disadvantage and looping breaks: a reply to Gauld et al. 认知劣势和循环中断：对gold等人的回应。

IF 3.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2026-06-01 Epub Date: 2026-03-06 DOI: 10.1007/s11019-026-10341-7

Rena Alcalay

引用次数: 0

Is bioethics a discipline? Beyond methodological reductionism. 生命伦理学是一门学科吗？超越了方法论的还原论。

IF 3.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2026-06-01 Epub Date: 2026-02-21 DOI: 10.1007/s11019-026-10329-3

Carlos Gomez-Virseda, Lara Andreoli, Roshni Jegan

{"title":"Is bioethics a discipline? Beyond methodological reductionism.","authors":"Carlos Gomez-Virseda, Lara Andreoli, Roshni Jegan","doi":"10.1007/s11019-026-10329-3","DOIUrl":"10.1007/s11019-026-10329-3","url":null,"abstract":"Is bioethics a discipline? This question has accompanied the field since its emergence, revealing persistent tensions about what defines a discipline and what bioethics is expected to achieve. This article revisits the debate through the lens of conceptual analysis. While engaging critically with Bjørn Hofmann's argument-representative of a narrow, method-focused view of disciplinarity-we propose a broader and more dynamic account. In the pars destruens, we show that Hofmann's criteria rely on an overly restrictive conception of disciplines, one that is inconsistent with current practices. In the pars construens, we adopt Krishnan's comprehensive framework to demonstrate how bioethics meets six core elements of disciplinarity: a particular object of research, a body of specialized knowledge, structuring theories and concepts, shared terminology and technical language, specific research methods, and institutional manifestations. We argue that bioethics' pluralism and normative orientation are not signs of epistemic immaturity, but appropriate responses to the complexity of its subject matter. Rather than undermining its status, these features affirm bioethics as a discipline in its own right-one that bridges philosophical reflection and practical engagement in contemporary medicine and healthcare.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"549-558"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259710","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

Postmortem reproduction: the bioethics of reproductive wills. 死后生殖：生殖意志的生命伦理学。

IF 3.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2026-06-01 Epub Date: 2026-02-28 DOI: 10.1007/s11019-026-10331-9

Adrian Villalba, Salvador Mut, Leda Pedelini

引用次数: 0

Proxy consent to clinical research participation: how should it be justified? 参与临床研究的代理同意：如何证明其合理性？

IF 3.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2026-06-01 Epub Date: 2026-02-14 DOI: 10.1007/s11019-026-10326-6

Julius Sim, Anthony Wrigley

{"title":"Proxy consent to clinical research participation: how should it be justified?","authors":"Julius Sim, Anthony Wrigley","doi":"10.1007/s11019-026-10326-6","DOIUrl":"10.1007/s11019-026-10326-6","url":null,"abstract":"In situations where first-hand, contemporaneous consent cannot be obtained from potential research participants-such as from those who lack competence-consent may be sought from a proxy, such as a family member. Such proxy consent must be shown to have a sound moral justification if it is to be an acceptable alternative to first-hand consent. Two standards traditionally proposed for this purpose are those of substituted judgment and best interests. We describe and discuss the limitations of these two approaches, with particular reference to ways in which the context of research differs from that of clinical practice, where proxy consent has been more widely utilized. Other approaches that expand upon or depart from these traditional justifications are then discussed, namely the authentic life, endorsed life, and substituted interests models, as well as one that grounds proxy consent in a putative obligation to participate in research. Whilst these models obviate some of the limitations of the substituted judgment and best interests approaches, they have shortcomings of their own, and do not take full account of all of the relevant values and motivations that obtain in the context of clinical research. We propose an alternative and, in our view, more fruitful approach to justifying proxy consent to research participation-based on W D Ross's moral intuitionism-that does not rest upon a single moral principle but can accommodate a range of both deontological and consequentialist prima facie values.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"465-481"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13086740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146195896","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

Can health technologies be "care optimizers"? A normative evaluation of digital health technologies in light of postphenomenological reflections. 卫生技术能成为“护理优化器”吗？后现象学反思下对数字卫生技术的规范评价。

IF 3.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2026-06-01 Epub Date: 2026-03-05 DOI: 10.1007/s11019-026-10337-3

Orhan Onder, Ilhan Ilkilic

引用次数: 0

Are Health Nudges (Dis)Empowering? 健康推动（反）有力量吗？

IF 3.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2026-06-01 Epub Date: 2026-01-13 DOI: 10.1007/s11019-025-10322-2

Per-Anders Tengland

{"title":"Are Health Nudges (Dis)Empowering?","authors":"Per-Anders Tengland","doi":"10.1007/s11019-025-10322-2","DOIUrl":"10.1007/s11019-025-10322-2","url":null,"abstract":"Health nudges have become popular in public health and health promotion, not least in countries that have liberal or libertarian policies. One reason is that nudges aim to change people's health-related behavior in a positive direction without infringing upon their freedom. There are other strategies to try to achieve health. Comparing behavior change and empowerment models, previous research found that empowerment is morally recommendable, both as a strategy and as a goal. Empowered people are good at taking care of their health. Using empowerment as an evaluative model, this paper investigates to what extent nudging as a health-promotion strategy leads to empowerment. Nudging can be empowering insofar as it leads to better health, although its effects on people's empowerment might be rather small, depending on whether the nudge creates a healthy habit or not. However, nudges do not, in general, have positive effects on other empowering factors, such as a person's knowledge, skills, self-confidence, self-esteem, or autonomy, since nudges typically bypass deliberate reflection. Moreover, nudging belongs to a group of manipulative strategies that appear to be detrimental to people's ability for autonomy. Thus, nudges risk being disempowering.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"451-463"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13086823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960567","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

Are you weary of illness? Coping and existential positioning in life with myasthenia gravis. 你对疾病感到厌倦吗？重症肌无力患者的生活应对与生存定位。

IF 3.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2026-06-01 Epub Date: 2026-02-23 DOI: 10.1007/s11019-026-10332-8

Malene Missel, Nanna Witting, Malene Beck

{"title":"Are you weary of illness? Coping and existential positioning in life with myasthenia gravis.","authors":"Malene Missel, Nanna Witting, Malene Beck","doi":"10.1007/s11019-026-10332-8","DOIUrl":"10.1007/s11019-026-10332-8","url":null,"abstract":"This article explores what it means to position oneself existentially in relation to illness weariness in myasthenia gravis. Grounded in phenomenology and informed by autoethnographic principles, the study examines how the body's changing disposition shapes lived meaning and coping in chronic illness. Phenomenological vignettes serve as experiential entry points, followed by reflective interpretation inspired by Havi Carel, Maurice Merleau-Ponty, Drew Leder, and Kay Toombs. Two experiential themes emerge. First, When the body doesn't always follow one's lead anymore shows how myasthenia gravis disrupts habitual rhythm and bodily trust. Bodily hesitation and the oscillation between resistance and responsiveness give rise to illness weariness-an existential modality distinct from physical fatigue or mood. Within this terrain, uncompromisingness appears as a quiet, existential stance; a refusal to let illness fully determine the direction of one's life, expressed through a persistent insistence on participation and dignity. Second, Physical activity and relational support as existential coping practices demonstrates how movement and relationship sustain existential positioning. Physical activity becomes an existential practice through which hope, orientation, and embodied rhythm are maintained, not by erasing illness weariness but by placing it alongside an uncompromising insistence on participation. At the same time, relational support, here exemplified by an attuned neurologist, serves as a subtle relational nudge that grounds and strengthens the will to continue. The study conceptualizes illness weariness and uncompromisingness as a continuum of existential responses shaped by bodily fluctuation and relational context. These insights extend beyond myasthenia gravis and point to the importance of existential attentiveness and relational continuity in clinical care.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"323-335"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13086731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272487","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

Chronic pain and unrecognized grief: epistemic barriers to personal and social recognition. 慢性疼痛和未被认识的悲伤：个人和社会认识的认知障碍。

IF 3.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2026-06-01 Epub Date: 2026-03-09 DOI: 10.1007/s11019-026-10333-7

Christopher Jude McCarroll, Ying-Tung Lin, Dominik Koesling, Claudia Bozzaro

{"title":"Chronic pain and unrecognized grief: epistemic barriers to personal and social recognition.","authors":"Christopher Jude McCarroll, Ying-Tung Lin, Dominik Koesling, Claudia Bozzaro","doi":"10.1007/s11019-026-10333-7","DOIUrl":"10.1007/s11019-026-10333-7","url":null,"abstract":"What is it to grieve? What is the nature of grief? An intuitive and straightforward answer to these questions, one that will be familiar to all of us, is that grief is an emotional reaction to the death of a close loved one. Grief is intimately connected to bereavement. However, grief can arise in situations beyond the death of a significant other and is revealed to be a much more complex and heterogeneous experience. People can grieve over all sorts of losses. What makes our response to these losses one of grief? We can understand all these losses as involving a loss of life possibilities, which impacts one's practical identity and who one takes oneself to be. Importantly, a close examination of the phenomenology of chronic pain helps illuminate the ways in which it also involves the kind of losses that we can grieve over. The losses involved in experiences of chronic pain impact one's practical identity in ways that can lead to grief. This chronic pain grief remains largely unrecognized, however. We outline four epistemic barriers to recognizing the grief involved in experiences of chronic pain.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"371-382"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13086747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379026","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

Cure as medicine's constitutive aim: a defence of the refined curative thesis. 治疗作为医学的构成目标：对精细化治疗理论的辩护。

IF 3.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2026-06-01 Epub Date: 2026-03-11 DOI: 10.1007/s11019-026-10336-4

Likhwa Ncube

{"title":"Cure as medicine's constitutive aim: a defence of the refined curative thesis.","authors":"Likhwa Ncube","doi":"10.1007/s11019-026-10336-4","DOIUrl":"10.1007/s11019-026-10336-4","url":null,"abstract":"Medicine has persisted for thousands of years despite frequent therapeutic failures. What explains its persistence despite its failure to cure? I contend that the Inquiry thesis's view - seeing medicine's \"core business\" as prediction and understanding - rests on an unhelpful conceptual distinction between main goal and core business, along with an implausible \"No Bullshit\" premise. Instead, I support the refined Curative Thesis (RCT): medicine is united by a teleological (constitutive) aim to help the sick through socially organised and accountable interventions, even when cures are uncertain. Using conceptual analysis and analogies from comedy, mining, and policing, I demonstrate that professions can survive repeated failures in their main goals, revealing a symmetry: prediction and explanation often fail as well. This work is innovative in three ways: it discards \"core business\" as a defining tool, introduces a teleological boundary that accommodates epistemic diversity, and redefines prediction and understanding as instrumental goods intrinsic to medicine. It also relates RCT to other recent curative-focused and related accounts, such as Smart (Synthese 201(6):194, 2023); Varga (Science, medicine, and the aims of inquiry, Cambridge University Press, Cambridge, 2024); Stegenga (Care and cure, University of Chicago Press, Chicago, 2018), clarifying their significance.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"411-421"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13086788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436645","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