Journal of Bioethical Inquiry最新文献_第3页

Expanding Clinical Deliberation: Affective Embodiment in Cosmetic Gynaecology. 拓展临床思考：情感在妇科美容中的体现。

IF 2.1 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-09-18 DOI: 10.1007/s11673-026-10627-8

Shadi Heidarifar

{"title":"Expanding Clinical Deliberation: Affective Embodiment in Cosmetic Gynaecology.","authors":"Shadi Heidarifar","doi":"10.1007/s11673-026-10627-8","DOIUrl":"https://doi.org/10.1007/s11673-026-10627-8","url":null,"abstract":"Cosmetic gynaecological procedures such as labiaplasty are commonly evaluated through frameworks of voluntary informed consent and adaptive preference. These approaches assess whether a patient's preference for a procedure has developed under conditions of adequate understanding and voluntariness. While necessary, this focus on preference formation does not exhaust what is ethically at stake in a given case. To account for this further dimension, this paper develops an account of affective embodiment as a way of describing lived bodily orientation, interpreting how social norms surrounding vulvar aesthetics become organized through vigilance, hyperawareness, and perceived abnormality prior to and alongside clinical deliberation. Drawing on accounts of affect, I argue that vigilance, hyperawareness, and perceived abnormality can structure how the body is inhabited over time, shaping the field within which preferences for such procedures emerge. The paper concludes that ethical deliberation in cosmetic gynecology should attend to the embodied patterns of distress through which intervention comes to appear necessary, rather than treating consent and preference formation as ethically exhaustive.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149002815","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 Moral Principles of Gamete Donor Screening. 配子捐献者筛选的道德原则。

IF 2.1 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-09-17 DOI: 10.1007/s11673-026-10607-y

Laura G Socorro

{"title":"The Moral Principles of Gamete Donor Screening.","authors":"Laura G Socorro","doi":"10.1007/s11673-026-10607-y","DOIUrl":"https://doi.org/10.1007/s11673-026-10607-y","url":null,"abstract":"Gamete Donation is a widely accepted method which allows for individuals who may be limited by medical, genetic, or social reasons to conceive a child. While the ethics of gamete donation have been widely discussed, no discussion of the ethics of gamete donor screening and the different levels at which it can be understood has previously taken place. This paper discusses gamete donor screening in the context of Australia and proposes that there are three distinct levels to screening: legislation, donor banks, and individual selection. Through an examination of what has been deemed permissible to screen for and against at each level, conclusions are drawn regarding what moral principle is driving selection choices. The moral principles of procreative beneficence, procreative non-maleficence, and procreative justice are useful in understanding the motivations of screening choices at these three tiers. The paper concludes that, at each level of gamete donor screening, the key driving moral principle varies between procreative beneficence, procreative non-maleficence, and procreative justice. Conversations regarding ethical drivers and screening boundaries are important considering advances in reproductive technology. A firm understanding of what is ethically permissible to screen for and against holds the key to mitigating potential future injustices and prejudice rooted in specific traits and populations.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992208","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

Third-Party Perspective in Medical Research Ethics: A Case Series of Clinical Trials Involving Individuals with Sexual Interest in Children. 医学研究伦理的第三方视角：涉及儿童性兴趣个体的一系列临床试验案例。

IF 2.1 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-09-17 DOI: 10.1007/s11673-026-10621-0

Manne Sjöstrand, Niklas Juth, Elisabeth Karlsson, Christoffer Rahm

引用次数: 0

Empirical Bioethics-Historical, Philosophical, and Methodological Perspectives. 经验生命伦理学——历史的、哲学的和方法论的观点。

IF 2.1 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-09-17 DOI: 10.1007/s11673-026-10619-8

Meta Krajnc, Erika Zelko, Urh Grošelj

{"title":"Empirical Bioethics-Historical, Philosophical, and Methodological Perspectives.","authors":"Meta Krajnc, Erika Zelko, Urh Grošelj","doi":"10.1007/s11673-026-10619-8","DOIUrl":"https://doi.org/10.1007/s11673-026-10619-8","url":null,"abstract":"Empirical bioethics has evolved over the past two decades largely in response to critiques that abstract moral reasoning often fails to adequately engage with the lived experiences of those affected by biomedical decisions. This paper offers a thorough overview of the historical, methodological, and philosophical foundations of empirical bioethics, tracing its development from traditional, largely theoretical approaches through the so-called \"empirical turn\" to the contemporary diversity of empirical-ethical methodologies. After examining both broad and narrow conceptions of empirical bioethics, the discussion focuses on the integrated approach that aims to derive normative conclusions from empirical findings within a coherent philosophical framework. This requires engaging with the epistemological tension between empirical and normative approaches, which is rooted in the widely recognized fact-value distinction and examining the philosophical frameworks that could support such integration. The paper further outlines key methodological models for linking empirical data with normative reasoning and explores the challenge of ethical relativism in empirical bioethics. The analysis concludes that empirical bioethics provides valuable tools for context-sensitive moral reflection, while acknowledging its limitations: its conclusions serve neither as universal ethical rules nor as prescriptive \"recipes\" for decision-making in concrete situations but rather as carefully reasoned efforts to articulate ethical guidance for practical challenges grounded in real-world contexts.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992256","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

Society is for the Living: Disability, Unthinkable Lives, and MAID. 社会是为生活而存在的：残疾、不可想象的生活和MAID。

IF 2.1 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-09-14 DOI: 10.1007/s11673-026-10615-y

Riley Clare Valentine

引用次数: 0

When Dialogue Fails: Arguing With the Rabbi. 当对话失败时：与拉比争论。

IF 2.1 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-09-14 DOI: 10.1007/s11673-026-10618-9

Paul A Komesaroff

{"title":"When Dialogue Fails: Arguing With the Rabbi.","authors":"Paul A Komesaroff","doi":"10.1007/s11673-026-10618-9","DOIUrl":"https://doi.org/10.1007/s11673-026-10618-9","url":null,"abstract":"It has conventionally been assumed that there are no limits to ethical discourse: that is, that no matter how difficult or fraught the questions being asked some common ground can always be found. This has been thought to arise from fundamental shared values and the conditions of possibility of dialogue itself. Contemporary events have put this assumption in doubt and raised questions about when and where dialogue might cease to be possible. This article examines some aspects of the conditions of, and obstacles confronting, ethical discourse today, focusing on the Kantian model, as represented by Jurgen Habermas, which emphasizes rational discourse and communicative action, and the critique of this view presented by Alphonso Lingis. It traces an actual dialogue-about potential justifications for the actions of the Israeli Defence Forces in Gaza-and analyses both the multiple obstacles encountered and the unsuccessful attempts by the protagonists to circumvent them. The article concludes by proposing that a new ethical predicament has emerged where discourses encounter intractable limits-characterized as \"categorical ethical exclusion\" or \"ethical homo sacer\"-in which multiple groups of individuals are systematically excluded from ethical consideration. The emergence of such an ethical singularity, it is suggested, may call for a fundamental re-examination of the conditions of dialogue and the mutual construction of meaning.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148972040","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 Development of Recommendations for Legacy Anatomical Collections: A Tale of Two Approaches. 遗产解剖收藏推荐的发展：两种方法的故事。

IF 2.1 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-09-07 DOI: 10.1007/s11673-026-10611-2

Thomas H Champney

{"title":"The Development of Recommendations for Legacy Anatomical Collections: A Tale of Two Approaches.","authors":"Thomas H Champney","doi":"10.1007/s11673-026-10611-2","DOIUrl":"https://doi.org/10.1007/s11673-026-10611-2","url":null,"abstract":"Legacy anatomical collections are literally \"skeletons in the closet\" in many anatomy, anthropology, and other institutions where human tissues may be found. There are not only bones in these collections but fetuses, histological slides, and other human tissues that were obtained decades ago in a very different ethical landscape. The provenance of these tissues is often unknown, with documentation missing and no other means of identifying their origin or history. After recent scandals regarding the abuse of tissues of the deceased increased public attention, several American professional organizations developed new recommendations for the use, storage, and disposition of these human tissues. This manuscript discusses the formation, operations, and conclusions of guidelines from two associations: The American Association for Anatomy Recommendations for the Management of Legacy Anatomical Collections (Cornwall et al. 2024a) and the American Anthropological Association Commission for the Ethical Treatment of Human Remains Final Report (Agarwal et al. 2024). These recommendations inform the memberships of their respective organizations on the proper treatment of human remains and they also lay the foundation and framework for the proper ethical oversight of legacy human tissues in many other domains.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907272","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

Decision Ownership and Deference to Healthcare AI. 医疗人工智能的决策所有权和遵从。

IF 2.1 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-09-01 Epub Date: 2026-01-28 DOI: 10.1007/s11673-025-10518-4

Emily Slome

引用次数: 0

Impact of Mandatory Clinical Ethics Consultation for Neurocritically Ill Patients. 强制性临床伦理咨询对神经危重症患者的影响。

IF 2.1 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-09-01 Epub Date: 2026-05-28 DOI: 10.1007/s11673-025-10512-w

Yen-Ko Lin, Chao-Wen Chen, Yung-Sung Yeh, Chia-Ju Lin, Yu-Wen Huang, Yu-Chih Lin, Chau-Chyun Sheu

{"title":"Impact of Mandatory Clinical Ethics Consultation for Neurocritically Ill Patients.","authors":"Yen-Ko Lin, Chao-Wen Chen, Yung-Sung Yeh, Chia-Ju Lin, Yu-Wen Huang, Yu-Chih Lin, Chau-Chyun Sheu","doi":"10.1007/s11673-025-10512-w","DOIUrl":"10.1007/s11673-025-10512-w","url":null,"abstract":"This study aimed to investigate and compare the longitudinal impacts of mandatory clinical ethics consultation (CEC) on resource use and ethical conflicts among critically ill neurologic and non-neurologic patients. It also sought to identify relevant predictive factors and determine family member satisfaction with CEC. This combined retrospective and prospective cohort study was conducted at a tertiary academic medical centre. During the eight-year study period, 1,150 adult patients participated in this study (437 neurological and 713 non-neurological). In both groups, the ICU length of stay and days of ventilator use significantly decreased each year. Secular trends in the incidence rates of ethical conflicts significantly decreased each year in neurological patients. Neurological patients exhibited a greater decrease in resource usage and significantly higher incidence rates of ethical conflicts than non-neurological patients. Family members of both groups expressed high levels of satisfaction and agreed that CEC was beneficial. In the local healthcare context, the implementation of CEC policies may reduce resource usage, ethical conflicts, and improve the knowledge base of CEC and clinical teams, helping them in approaching the distinct issues raised by various patient characteristics. However, these findings should be interpreted with caution as their applicability to other healthcare systems may vary.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":"643-655"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13645955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Epilepsy, Ethics, Ethnicity: "Making and Unmaking" Elsie Lacks at Crownsville State Hospital in The Immortal Life of Henrietta Lacks. 癫痫、伦理、种族：《亨丽埃塔·拉克斯不朽的一生》中克朗斯维尔州立医院的埃尔西·拉克斯的“制造与毁灭”。

IF 2.1 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-09-01 Epub Date: 2026-02-23 DOI: 10.1007/s11673-025-10499-4

Adhitya Balasubramanian, Padmanabhan Balasubramanian

{"title":"Epilepsy, Ethics, Ethnicity: \"Making and Unmaking\" Elsie Lacks at Crownsville State Hospital in The Immortal Life of Henrietta Lacks.","authors":"Adhitya Balasubramanian, Padmanabhan Balasubramanian","doi":"10.1007/s11673-025-10499-4","DOIUrl":"10.1007/s11673-025-10499-4","url":null,"abstract":"Throughout African American medical history, Black epileptic women have been rendered unwillingly invisible, both as enslaved persons and as patients, and were often construed as defective, resistant, malingering, or disabled. A challenge therefore arises for bioethics scholarship when modern, white-dominated psychiatric institutions conceal the impairment of Black epileptic women within the malleable demarcation of disability. The article advances two distinct yet interrelated perspectives on the concept of disability. First, it theorizes the significance and appliedness of disability bioethics within the fluid intersection of race, gender, and epilepsy. Adopting a \"binocular\" approach that integrates the medical and social models of disability, it draws on theoretical insights ranging from Penny Rhodes to Sigrid Graumann to problematize the disability epistemology and cultural competence of white physicians in their treatment of impaired and disabled Black epileptic women. Second, the article examines how white physicians proselytize impairment into disability, thereby calling into question notions of \"Black dignity.\" Through a close reading of Rebecca Skloot's The Immortal Life of Henrietta Lacks (2010), it investigates the spectral presence and narratively captured deformed face of Elsie Lacks, an impaired epileptic woman subjected to medical experimentation at Crownsville State Hospital. Drawing on the social model of disability articulated by Rosemarie Garland-Thomson, the article foregrounds the interlacing stereotypes, the severity of racism and ableism, and the perils of psychiatric treatment experienced by Black epileptic women.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":"617-628"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272734","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