Medicine Health Care and Philosophy最新文献_第5页

Embodiment and regenerative implants: a proposal for entanglement. 体现与再生植入物：关于纠缠的建议。

IF 2.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2024-06-01 Epub Date: 2024-03-16 DOI: 10.1007/s11019-024-10199-7

Manon van Daal, Anne-Floor J de Kanter, Karin R Jongsma, Annelien L Bredenoord, Nienke de Graeff

{"title":"Embodiment and regenerative implants: a proposal for entanglement.","authors":"Manon van Daal, Anne-Floor J de Kanter, Karin R Jongsma, Annelien L Bredenoord, Nienke de Graeff","doi":"10.1007/s11019-024-10199-7","DOIUrl":"10.1007/s11019-024-10199-7","url":null,"abstract":"Regenerative Medicine promises to develop treatments to regrow healthy tissues and cure the physical body. One of the emerging developments within this field is regenerative implants, such as jawbone or heart valve implants, that can be broken down by the body and are gradually replaced with living tissue. Yet challenges for embodiment are to be expected, given that the implants are designed to integrate deeply into the tissue of the living body, so that implant and body become one. In this paper, we explore how regenerative implants may affect the embodied experience of implant recipients. To this end, we take a phenomenological approach. First, we explore what insights the existing phenomenological and empirical literature on embodiment offers regarding the experience of illness and of living with regular (non-regenerative) implants and organ transplants. Second, we apply these insights to better understand how future implant recipients might experience living with regenerative implants. Third, we conclude that concepts and considerations from the existing phenomenological literature do not sufficiently address what it might be like to live with an implantable technology that, over time, becomes one with the living body. We argue that the interwovenness and intimate relationship of people living with regenerative implants should be understood in terms of 'entanglement'. Entanglement allows us to explore the complexities of human-technology relations, acknowledging the inseparability of humans and implantable technologies. Our theoretical foundations regarding the role of embodiment may be tested empirically once more people will be living with regenerative implants.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"241-252"},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11076359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140140948","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

Severity and death. 严重程度和死亡。

IF 2.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2024-06-01 Epub Date: 2024-02-08 DOI: 10.1007/s11019-024-10193-z

Adam Ehlert

引用次数: 0

Fostering dialogue: a phenomenological approach to bridging the gap between the "voice of medicine" and the "voice of the lifeworld". 促进对话：弥合 "医学之声 "与 "生活世界之声 "之间差距的现象学方法。

IF 2.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2024-06-01 Epub Date: 2024-01-29 DOI: 10.1007/s11019-024-10195-x

Junguo Zhang

{"title":"Fostering dialogue: a phenomenological approach to bridging the gap between the \"voice of medicine\" and the \"voice of the lifeworld\".","authors":"Junguo Zhang","doi":"10.1007/s11019-024-10195-x","DOIUrl":"10.1007/s11019-024-10195-x","url":null,"abstract":"This article adopts Husserl's transcendental phenomenology to explore the complex relationship between patients and physicians. It delves into the coexistence of two distinct voices in the realm of medicine and health: the \"voice of medicine\" and the \"voice of life-world.\" Divided into three sections, the article emphasizes the importance of shifting from a scientific-medical attitude to a more personalistic approach in physician-patient interactions. This shift aims to prevent depersonalization and desubjectification. Additionally, it highlights the equal and irreducible nature of patients while acknowledging the vital role physicians hold in the realm of illness. The article stresses the need for a balanced and equitable relationship between both parties, rooted in the shared life-world. Moreover, empathy is underscored as a crucial element in fostering meaningful dialogue, wherein understanding diverse perspectives and attitudes towards illness is paramount. The article argues that differences between patients and physicians are necessary for empathy, while shared similarities form its foundation. Ultimately, a harmonious relationship facilitates empathy and enables the constitution of a new sense of life for both patients and physicians.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"155-164"},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139571102","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

Who has a meaningful life? A care ethics analysis of selective trait abortion. 谁的人生有意义？选择性人工流产的护理伦理分析。

IF 2.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2024-06-01 Epub Date: 2024-02-02 DOI: 10.1007/s11019-023-10192-6

Riley Clare Valentine

引用次数: 0

Discovering clinical phronesis. 发现临床phronesis。

IF 2.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2024-06-01 Epub Date: 2024-03-07 DOI: 10.1007/s11019-024-10198-8

Donald Boudreau, Hubert Wykretowicz, Elizabeth Anne Kinsella, Abraham Fuks, Michael Saraga

{"title":"Discovering clinical phronesis.","authors":"Donald Boudreau, Hubert Wykretowicz, Elizabeth Anne Kinsella, Abraham Fuks, Michael Saraga","doi":"10.1007/s11019-024-10198-8","DOIUrl":"10.1007/s11019-024-10198-8","url":null,"abstract":"Phronesis is often described as a 'practical wisdom' adapted to the matters of everyday human life. Phronesis enables one to judge what is at stake in a situation and what means are required to bring about a good outcome. In medicine, phronesis tends to be called upon to deal with ethical issues and to offer a critique of clinical practice as a straightforward instrumental application of scientific knowledge. There is, however, a paucity of empirical studies of phronesis, including in medicine. Using a hermeneutic and phenomenological approach, this inquiry explores how phronesis is manifest in the stories of clinical practice of eleven exemplary physicians. The findings highlight five overarching themes: ethos (or character) of the physician, clinical habitus revealed in physician know-how, encountering the patient with attentiveness, modes of reasoning amidst complexity, and embodied perceptions (such as intuitions or gut feeling). The findings open a discussion about the contingent nature of clinical situations, a hermeneutic mode of clinical thinking, tacit dimensions of being and doing in clinical practice, the centrality of caring relations with patients, and the elusive quality of some aspects of practice. This study deepens understandings of the nature of phronesis within clinical settings and proposes 'Clinical phronesis' as a descriptor for its appearance and role in the daily practice of (exemplary) physicians.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"165-179"},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11076326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140060796","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

A critical view on using "life not worth living" in the bioethics of assisted reproduction. 在辅助生殖的生命伦理学中使用 "不值得活下去的生命 "的批判性观点。

IF 2.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2024-06-01 Epub Date: 2024-02-16 DOI: 10.1007/s11019-023-10191-7

Agnes Elisabeth Kandlbinder

{"title":"A critical view on using \"life not worth living\" in the bioethics of assisted reproduction.","authors":"Agnes Elisabeth Kandlbinder","doi":"10.1007/s11019-023-10191-7","DOIUrl":"10.1007/s11019-023-10191-7","url":null,"abstract":"This paper critically engages with how life not worth living (LNWL) and cognate concepts are used in the field of beginning-of-life bioethics as the basis of arguments for morally requiring the application of preimplantation genetic diagnosis (PGD) and/or germline genome editing (GGE). It is argued that an objective conceptualization of LNWL is largely too unreliable in beginning-of-life cases for deriving decisive normative reasons that would constitute a moral duty on the part of intending parents. Subjective frameworks are found to be more suitable to determine LNWL, but they are not accessible in beginning-of-life cases because there is no subject yet. Conceptual and sociopolitical problems are additionally pointed out regarding the common usage of clear case exemplars. The paper concludes that a moral requirement for the usage of PGD and GGE cannot be derived from the conceptual base of LNWL, as strong reasons that can be reliably determined are required to limit reproductive freedom on moral grounds. Educated predictions on prospective well-being might still be useful regarding the determination of moral permissibility of PGD and/or GGE. It is suggested that due to the high significance of subjective experience in the normativity of beginning-of-life bioethics, the discipline is called to more actively realize the inclusion of people with disabilities. This regards for instance research design, citation practices, and language choices to increase the accessibility of societal debates on the reproductive ethics of genetic technologies.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"189-203"},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11076207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139742307","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

Making things specific: towards an anthropology of everyday ethics in healthcare 将事情具体化：迈向医疗保健日常伦理人类学

IF 2.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2024-05-01 DOI: 10.1007/s11019-024-10204-z

Jeannette Pols

引用次数: 0

Against age limits for men in reproductive care 反对限制男性接受生育护理的年龄

IF 2.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2024-04-23 DOI: 10.1007/s11019-024-10203-0

Steven R. Piek, Andrea Martani, Guido Pennings

{"title":"Against age limits for men in reproductive care","authors":"Steven R. Piek, Andrea Martani, Guido Pennings","doi":"10.1007/s11019-024-10203-0","DOIUrl":"https://doi.org/10.1007/s11019-024-10203-0","url":null,"abstract":"Almost all countries and fertility clinics impose age limits on women who want to become pregnant through Assisted Reproductive Technologies (ART). Age limits for aspiring fathers, however, are much less common and remain a topic of debate. This article departs from the principle of reproductive autonomy and a conditional positive right to receive ART, and asks whether there are convincing arguments to also impose age limits on aspiring fathers. After considering three consequentialist approaches to justifying age limits for aspiring fathers, we take in a concrete normative stance by concluding that those are not strong enough to justify such cut-offs. We reinforce our position by drawing a comparison between the case of a 39-year-old woman who wants to become a single mother via a sperm donor on the one hand, and on the other hand the same woman who wants to have a child with a 64-year-old man who she loves and who is willing to care for the child as long as he is able to. We conclude that, as long as appropriate precautions are taken to protect the welfare of the future child, couples who want to receive fertility treatment should never be limited on the basis of the age of the (male) partner. An absence of age limits for men would respect the reproductive autonomy of both the man and the woman.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":"22 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140799470","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

Institutional design and moral conflict in health care priority-setting 医疗保健优先事项设定中的制度设计和道德冲突

IF 2.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2024-04-04 DOI: 10.1007/s11019-024-10201-2

Philip Petrov

引用次数: 0

Vision, body and interpretation in medical imaging diagnostics 医学影像诊断中的视觉、身体和解读

IF 2.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2024-04-04 DOI: 10.1007/s11019-024-10200-3

Renzhen Chen, Jan Kyrre Berg Olsen Friis

{"title":"Vision, body and interpretation in medical imaging diagnostics","authors":"Renzhen Chen, Jan Kyrre Berg Olsen Friis","doi":"10.1007/s11019-024-10200-3","DOIUrl":"https://doi.org/10.1007/s11019-024-10200-3","url":null,"abstract":"This article explores the profound impact of visualism and visual perception in the context of medical imaging diagnostics. It emphasizes the intricate interplay among vision, embodiment, subjectivity, language, and historicity within the realm of medical science and technology, with a specific focus on image consciousness. The study delves into the role of subjectivity in perception, facilitating the communication of opacity and historicity to the perceiving individual. Additionally, it scrutinizes the image interpretation process, drawing parallels to text interpretation and highlighting the influence of personal biases and individuality in medical practice. By revisiting Husserl’s conceptualization of “image consciousness” and introducing the notion of “image theme”, the paper seeks to establish a theoretical framework for making sense of images within the context of technological interpretation. A key objective is to enhance the phenomenology of technology through a systematic analysis of medical imaging diagnosis, contributing to an expanded epistemological foundation for medical practice. The article recognizes that the construction of medical knowledge incorporates subjective elements, especially within a historical context. The interpretation of images involves both instrumental and expert interpretation, with human subjectivity playing a crucial role. The article asserts that human creativity and conscious engagement are indispensable in interpreting all medical images.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":"238 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140571850","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