Journal of Bioethical Inquiry最新文献

Ethics at the Intersection of Intelligent Assistive Technology, Ageing, and the Home Environment: A Scoping Review. 智能辅助技术、老龄化和家庭环境的交叉伦理：范围审查。

IF 1.5 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-10-06 DOI: 10.1007/s11673-025-10479-8

Elisabeth Langmann, Hans-Jörg-Ehni

{"title":"Ethics at the Intersection of Intelligent Assistive Technology, Ageing, and the Home Environment: A Scoping Review.","authors":"Elisabeth Langmann, Hans-Jörg-Ehni","doi":"10.1007/s11673-025-10479-8","DOIUrl":"https://doi.org/10.1007/s11673-025-10479-8","url":null,"abstract":"Intelligent assistive technology (IAT) is being developed to enable safe and autonomous ageing at home and is associated with supporting quality of life. These anticipated benefits must be balanced against potential unintended negative effects. This scoping review aims to identify and summarize the key ethical dimensions and frameworks discussed in the relevant scholarly literature. Furthermore, we examine whether the ethical dimensions identified can be derived from the four principles of bioethics, suggesting that, when properly specified, principlism could serve as a systematic framework for evaluating IAT. Thus, our review has two aims: identifying the ethical dimensions and frameworks currently discussed and investigating whether these frameworks can be structured according to the four principles or if additional principles are necessary. A systematic search across the databases PubMed, Web of Science, EMBASE, Belit, and PhilPapers, plus a manual search identified 535 publications, from which twenty-three studies were included. The results show twenty-one heterogeneous ethical dimensions, with similar matters considered across different categories. The review shows that key expectations and promises of developing and using IAT in this context mostly relate to the possibility of safely ageing at home and reducing healthcare costs. While assigning these ethical dimensions to the four principles of bioethics, it became clear that although all aspects discussed could be subcategorized, some ethical concerns might lose visibility or be inadequately addressed. We, therefore, conclude that the four principles generally provide a sufficient basis for evaluating these technologies.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Priority-Setting and Values: A Qualitative Study of the Danish Medicines Council. 确定优先事项和价值：丹麦医药委员会的定性研究。

IF 1.5 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-10-01 DOI: 10.1007/s11673-025-10470-3

Anna Christine Dorf, Andreas Albertsen, Lasse Nielsen

{"title":"Priority-Setting and Values: A Qualitative Study of the Danish Medicines Council.","authors":"Anna Christine Dorf, Andreas Albertsen, Lasse Nielsen","doi":"10.1007/s11673-025-10470-3","DOIUrl":"https://doi.org/10.1007/s11673-025-10470-3","url":null,"abstract":"As priority setting committees become commonplace in contemporary welfare states, it becomes increasingly important to understand how they operate. This article contributes to our understanding of contemporary priority setting by examining how the Danish Medicines Council (DMC) makes and justifies its decisions, as well as the role of different (and perhaps conflicting) concerns and values in these decisions. We conducted seventeen interviews with DMC members and observed three DMC meetings spanning five days. Firstly, we find that health-related effect is the most crucial factor in DMC members' recommendations of newly proposed medicines and that discussions of effects take precedence over other considerations in council deliberations. Secondly, we find that the ability of DMC members to adequately assess the effect of newly proposed medicines is often significantly limited by poor data quality and a lack of sufficient documentation, which shifts the DMC's task from making recommendations on an informed basis to providing estimated assessments of the expected effect. In these circumstances of uncertainty about effect, recommendations are influenced by considerations such as the age of patients and the rarity of the disease. This raises significant moral issues in which the DMC has no particular expertise.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 Doctrine of the Mean and Doctor-Patient Relationship: Proposal for the Doctor-Seeking-the-Mean Model. 中庸之道与医患关系：医生求中模式的建议。

IF 1.5 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-09-29 DOI: 10.1007/s11673-025-10476-x

Atsushi Asai, Hua Xu, Motoki Ohnishi

{"title":"The Doctrine of the Mean and Doctor-Patient Relationship: Proposal for the Doctor-Seeking-the-Mean Model.","authors":"Atsushi Asai, Hua Xu, Motoki Ohnishi","doi":"10.1007/s11673-025-10476-x","DOIUrl":"https://doi.org/10.1007/s11673-025-10476-x","url":null,"abstract":"Our experience in day-to-day medical practice suggests that the nature of the doctor-patient relationship (DPR) is considerably influenced by the attitudes of the individual patient and doctor. The DPR will also be significantly influenced by the social environment, including the healthcare system in which it develops. In addition, cultural influences on the DPR and its overriding ethical principles cannot be ignored. Moreover, the DPR cannot escape the influence of various coincidences. We argue that it is preferable that a doctor-seeking-the-Mean model be practiced, whereby doctors do not treat their patients in a uniform, normative, and skilful manner but rather try to achieve the Mean in key aspects of the DPR-which is highly individualized, changeable over time, and subject to social trends and chance. For Confucius, the Mean is a virtue that enables one to respond flexibly to changing circumstances and realize one's goals without excess or deficiency; it is an attempt to fully understand all the diverse and conflicting views and positions before making the highest quality decision that best suits one's need to achieve the goals at any given moment. We believe that the doctor-seeking-the-Mean model can fully fulfil the role of a platform for realizing the goals of healthcare.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Burned in Pursuit of Beauty: Injuries From Cosmetic Use of Non-Ionizing Radiation and Associated Regulatory Gaps. 追求美丽的烧伤：非电离辐射对化妆品的伤害和相关的监管空白。

IF 1.5 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-09-24 DOI: 10.1007/s11673-025-10475-y

Zoe Thomas, Janneke Berecki-Gisolf, Genevieve Grant, Ken K Karipidis

{"title":"Burned in Pursuit of Beauty: Injuries From Cosmetic Use of Non-Ionizing Radiation and Associated Regulatory Gaps.","authors":"Zoe Thomas, Janneke Berecki-Gisolf, Genevieve Grant, Ken K Karipidis","doi":"10.1007/s11673-025-10475-y","DOIUrl":"https://doi.org/10.1007/s11673-025-10475-y","url":null,"abstract":"Background: Despite recent regulatory reforms to improve the safety of cosmetic procedures in Australia, treatments involving non-ionizing radiation (NIR)-such as laser, intense pulsed light and radiofrequency-remain largely unregulated in most states and territories. Recent reviews have concluded that there is a lack of evidence of adverse effects, and insufficient evidence has also been cited as a barrier to regulatory reforms. We sought to characterize adverse effects from cosmetic treatments involving NIR reported in Australian media and to analyse associated regulatory themes.Methods: We searched for Australian news media disseminated between 2008-2023 reporting adverse effects from cosmetic treatments involving non-ionizing radiation (NIR). Identified case reports were coded and analysed to explore adverse effects and associated regulatory insights.Results: One hundred unique media reports were identified that described ninety-five cases. One in five involved permanent effects with burns and scarring most frequently reported (sixty-five and fifty-four cases respectively). Reports concerned women more than men (eighty vs eight cases), most commonly following laser (sixty cases) or IPL (twenty-nine cases) treatment and in non-clinical rather than clinical settings (sixty vs eighteen cases). Six practitioners collectively accounted for almost one third of cases. Significant regulatory gaps were identified, including insufficient mechanisms for addressing poor professional practice, and barriers to consumers seeking compensation including minimum injury thresholds and uninsured providers.Conclusions: Media reports have documented cases of serious and permanent injuries following cosmetic NIR treatments in Australia. Nationally consistent regulations should be considered to ensure standards of care, protect consumers, and reduce barriers to redress.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Response to: "This is not Judaism": The Actions of the Israeli Government and IDF in Gaza are in Direct Contradiction to the Jewish Ethical Tradition (by Paul A. Komesaroff and Jeremiah Z. Kenner). 对《这不是犹太教》的回应：以色列政府和以色列国防军在加沙的行为直接违背了犹太伦理传统（作者：Paul A. Komesaroff和Jeremiah Z. Kenner）。

IF 1.5 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-09-22 DOI: 10.1007/s11673-025-10504-w

Howard Cooper

引用次数: 0

An Ethical Analysis of Medicalization and Infant Mental Healthcare. 医学化与婴儿心理保健的伦理分析

IF 1.5 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-09-22 DOI: 10.1007/s11673-025-10460-5

Izaak T Lim

引用次数: 0

Symposium Lead Essay: Plural Perspectives on the Ethics of Artificial Intelligence. 研讨会导论：人工智能伦理的多元视角。

IF 1.5 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-09-22 DOI: 10.1007/s11673-025-10464-1

E Felman, I Kerridge, M Vered, P Komesaroff

引用次数: 0

Remembering the Reviewers. 记住审稿人。

IF 1.5 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-09-19 DOI: 10.1007/s11673-025-10459-y

Fawad Javed, Zain Uddin Ahmed

{"title":"Remembering the Reviewers.","authors":"Fawad Javed, Zain Uddin Ahmed","doi":"10.1007/s11673-025-10459-y","DOIUrl":"https://doi.org/10.1007/s11673-025-10459-y","url":null,"abstract":"Peer review is the cornerstone of scholarly publishing, ensuring the quality and credibility of academic research. As Article Processing Charges (APC) continue to rise, many journals provide only symbolic rewards to reviewers, such as certificates of appreciation and/or minimal discount vouchers, raising ethical concerns about fairness and the marginalization of scholarly labour. This commentary explores the disparity between the financial gains of journals and the no compensation for reviewers, who are crucial to maintaining research standards. It questions whether the current model appropriately recognizes the reviewer's contributions and advocates for actual compensation structures, including financial rewards, substantial reductions in APC, and professional recognition. Additionally, the article highlights the impact of these inequities on early-career researchers and scholars from less affluent regions, suggesting that equitable compensation could improve the sustainability and efficiency of the peer review process. By addressing these ethical concerns, scholarly publishing can better support the essential work of reviewers while fostering a more just and inclusive scholarly environment.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Should We Just Prescribe? Ethical Considerations When Using Antidepressants and Benzodiazepines For Emotional Distress. 我们应该开药吗？使用抗抑郁药和苯二氮卓类药物治疗情绪困扰时的伦理考虑。

IF 1.5 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-09-15 DOI: 10.1007/s11673-025-10437-4

G García-Calderó, S Peregalli Politi

{"title":"Should We Just Prescribe? Ethical Considerations When Using Antidepressants and Benzodiazepines For Emotional Distress.","authors":"G García-Calderó, S Peregalli Politi","doi":"10.1007/s11673-025-10437-4","DOIUrl":"https://doi.org/10.1007/s11673-025-10437-4","url":null,"abstract":"Prescribing antidepressants and benzodiazepines for patients with emotional distress is a common practice in primary healthcare that raises certain ethical questions. This paper has three aims. First, to describe the motivations that lead general practitioners to prescribe antidepressants and benzodiazepines in these cases. Second, to reflect on the ethical implications of such prescriptions based on the four principles of biomedical ethics defined by Beauchamp and Childress (autonomy, nonmaleficence, beneficence, and justice). Finally, to propose some recommendations for the mitigation of the medicalization of emotional distress in primary healthcare. Results show that general practitioners seek to alleviate patients' suffering but their prescribing decisions are influenced by some uncertainties in clinical judgement as well as by systemic factors (patients' pressures, time constraints, and unawareness of resources). Ethical issues arise in relation to the potential for dependence, the questionable long-term benefit of prescriptions, the uncritical fulfillment of patients' expectations, and the impediment to address underlying social issues or to develop patients' capabilities. Clinical consultation should be founded on effective communication between doctors and patients and a holistic care approach that acknowledges the psychological, social, and existential dimensions should replace a merely symptomatic approach. Some strategies to mitigate medicalization are proposed: the promotion of regular monitoring visits with patients and multidisciplinary collaboration, the enhancement of physicians' knowledge about non-pharmacological interventions, as well as the establishment of an evidence-base for the effectiveness of these drugs in the primary healthcare setting.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Presymptomatic Screening for Risks to Children's Mental Health : Ethical Considerations from a European Focus Group Study with Mental Health Professionals. 儿童心理健康风险的症状前筛查：来自欧洲心理健康专业人员焦点小组研究的伦理考虑。

IF 1.5 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-09-15 DOI: 10.1007/s11673-025-10473-0

Sammie N G Jansen, Bob C Mulder, Alexandra E Boekhold

{"title":"Presymptomatic Screening for Risks to Children's Mental Health : Ethical Considerations from a European Focus Group Study with Mental Health Professionals.","authors":"Sammie N G Jansen, Bob C Mulder, Alexandra E Boekhold","doi":"10.1007/s11673-025-10473-0","DOIUrl":"https://doi.org/10.1007/s11673-025-10473-0","url":null,"abstract":"The development of presymptomatic screening for risks to children's mental health holds the promise to prevent or reduce the burden of mental disorders by enabling timely preventive actions. However, such screening programmes also raise ethical concerns related to false positive results, increased anxiety, harmful effects on a child's sense of self, and stigmatization. Stakeholders can provide valuable insights into these ethical concerns from their engagement with practice. Therefore, in this study we conducted six focus group discussions with professionals in the child mental health domain (in clinical, educational, or policy settings) to investigate their views on presymptomatic screening and identify ethical considerations. The discussions took place in six European countries. Three main themes were identified: 1) Promises and concerns about screening for risks to children's mental health, 2) Additional considerations about biomarker screening, and 3) Implications for healthcare systems and society. Ethical considerations included the benefits of screening outweighing the harms, informed and autonomous decision-making, the actionability of screening outcomes, stigmatization, and medicalization. Our findings underscore the importance of exercising caution in the development and implementation of presymptomatic screening for risks to children's mental health. Implications for practice and future research are discussed.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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