Clinical Ethics最新文献

On hypothetical consent, regret, and the capacity for autonomy: A response to Pugh's conceptual analysis of the child's right to bodily integrity 关于假定同意、后悔和自主能力：对 Pugh 关于儿童身体完整性权利的概念分析的回应

Clinical Ethics Pub Date : 2024-07-21 DOI: 10.1177/14777509241260174

Joseph Mazor

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Publishing in the field of medical ethics: From describing ethical issues to ethical analysis 医学伦理领域的出版工作：从描述伦理问题到伦理分析

Clinical Ethics Pub Date : 2024-02-07 DOI: 10.1177/14777509241232473

Jonathan Lewis

引用次数: 0

Publishing in the field of medical ethics: From describing ethical issues to ethical analysis 医学伦理领域的出版工作：从描述伦理问题到伦理分析

Clinical Ethics Pub Date : 2024-02-07 DOI: 10.1177/14777509241232473

Jonathan Lewis

引用次数: 0

Caregiving and role conflict distress 护理和角色冲突困扰

Clinical Ethics Pub Date : 2023-12-27 DOI: 10.1177/14777509231218565

Jordan MacKenzie

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Life without Gillick: Adolescent sexual and reproductive healthcare in Ireland 没有吉利克的生活爱尔兰的青少年性保健和生殖保健

Clinical Ethics Pub Date : 2023-12-25 DOI: 10.1177/14777509231220162

Barry Lyons, Mary Donnelly

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How clinicians can respond when family members question a proxy/surrogate's judgment and decisional capacity 当家庭成员质疑代理/代理的判断力和决策能力时，临床医生如何应对

Clinical Ethics Pub Date : 2023-11-28 DOI: 10.1177/14777509231216055

Gregoire Calon, K. Drabiak

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Fertility preservation in prepubertal female patients: Medical and ethical considerations of offering ovarian tissue cryopreservation in pediatric patients 青春期前女性患者的生育力保存：为儿科患者提供卵巢组织冷冻保存的医学和伦理考量

Clinical Ethics Pub Date : 2023-11-28 DOI: 10.1177/14777509231216928

Giulia Adele Dinicola

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Is compulsory care ethically justified for patients with borderline personality disorder? 对边缘型人格障碍患者实施强制护理在伦理上是否合理？

Clinical Ethics Pub Date : 2023-11-23 DOI: 10.1177/14777509231216036

Antoinette Lundahl, G. Helgesson, N. Juth

{"title":"Is compulsory care ethically justified for patients with borderline personality disorder?","authors":"Antoinette Lundahl, G. Helgesson, N. Juth","doi":"10.1177/14777509231216036","DOIUrl":"https://doi.org/10.1177/14777509231216036","url":null,"abstract":"Patients with borderline personality disorder (BPD) are overrepresented in compulsory inpatient care for suicide-protective reasons. Still, much evidence indicates negative effects of such care, including increased suicide risk. Clinical guidelines are contradictory, leaving clinicians with difficult ethical dilemmas when deciding on compulsory care. In this study, we analyse the arguments most commonly used in favour of compulsory care of BPD patients, to find out in what situations such care is ethically justified. The aim is to guide clinicians when deciding on compulsory care for BPD patients and reduce the use of potentially harmful care. The arguments analysed are (a) the patients lack decision competence, (b) the patients lack authenticity, (c) compulsory care saves the patient from suicide, (d) compulsory care safeguards against litigation, complaints, or doctor's anxiety, (e) compulsory care is a practical solution in emergencies, and (f) it is better for the caregiver to ‘err on the safe side’. We conclude that compulsory care is not ethically justified in most cases unless the clinician has probable reason to believe that the patient lacks decision capacity by suffering from a severe mental co-morbidity and stands to benefit from such care.","PeriodicalId":502874,"journal":{"name":"Clinical Ethics","volume":"100 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139244103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0