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American Journal of Bioethics最新文献

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Moral Reflection and the Feeling of Powerlessness. 道德反思与无力感。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2024-12-01 Epub Date: 2024-11-20 DOI: 10.1080/15265161.2024.2416136
Weian Zhong
{"title":"Moral Reflection and the Feeling of Powerlessness.","authors":"Weian Zhong","doi":"10.1080/15265161.2024.2416136","DOIUrl":"https://doi.org/10.1080/15265161.2024.2416136","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"24 12","pages":"65-67"},"PeriodicalIF":17.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
When Treatment Pressures Become Coercive: A Context-Sensitive Model of Informal Coercion in Mental Healthcare. 当治疗压力变成胁迫时：心理保健中非正式胁迫的情境敏感模型》（A Context-Sensitive Model of Informal Coercion in Mental Healthcare）。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2024-12-01 Epub Date: 2023-07-28 DOI: 10.1080/15265161.2023.2232754
Christin Hempeler, Esther Braun, Sarah Potthoff, Jakov Gather, Matthé Scholten
{"title":"When Treatment Pressures Become Coercive: A Context-Sensitive Model of Informal Coercion in Mental Healthcare.","authors":"Christin Hempeler, Esther Braun, Sarah Potthoff, Jakov Gather, Matthé Scholten","doi":"10.1080/15265161.2023.2232754","DOIUrl":"10.1080/15265161.2023.2232754","url":null,"abstract":"<p><p>Treatment pressures are communicative strategies that mental health professionals use to influence the decision-making of mental health service users and improve their adherence to recommended treatment. Szmukler and Appelbaum describe a spectrum of treatment pressures, which encompasses persuasion, interpersonal leverage, offers and threats, arguing that only a particular type of threat amounts to informal coercion. We contend that this account of informal coercion is insufficiently sensitive to context and fails to recognize the fundamental power imbalance in mental healthcare. Based on a set of counterexamples, we argue that what makes a proposal coercive is not whether service users will actually be made worse off if they reject the proposal, but rather whether they have the justified belief that this is the case. Whether this belief is justified depends on the presence of certain contextual factors, such as strong dependency on professionals and the salient possibility of formal coercion.</p>","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":" ","pages":"74-86"},"PeriodicalIF":17.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10264296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Psychiatry's Unruly Practices and Their Implications for the Ethics of Psychiatry. 精神病学的不规范行为及其对精神病学伦理的影响》（Psychiatry's Unruly Practices and Their Implications for the Ethics of Psychiatry）。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2024-12-01 Epub Date: 2024-11-20 DOI: 10.1080/15265161.2024.2416124
Thomas Schramme
{"title":"Psychiatry's Unruly Practices and Their Implications for the Ethics of Psychiatry.","authors":"Thomas Schramme","doi":"10.1080/15265161.2024.2416124","DOIUrl":"https://doi.org/10.1080/15265161.2024.2416124","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"24 12","pages":"92-94"},"PeriodicalIF":17.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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 Conflation of All Suffering. 所有苦难的融合
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2024-12-01 Epub Date: 2024-11-20 DOI: 10.1080/15265161.2024.2416134
Denise M Dudzinski
{"title":"The Conflation of All Suffering.","authors":"Denise M Dudzinski","doi":"10.1080/15265161.2024.2416134","DOIUrl":"https://doi.org/10.1080/15265161.2024.2416134","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"24 12","pages":"38-39"},"PeriodicalIF":17.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142676886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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 Role of Law Enforcement in Coercive Psychiatric Interventions. 执法部门在强制性精神干预中的作用。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2024-12-01 Epub Date: 2024-11-20 DOI: 10.1080/15265161.2024.2416154
Kathryn Petrozzo
{"title":"The Role of Law Enforcement in Coercive Psychiatric Interventions.","authors":"Kathryn Petrozzo","doi":"10.1080/15265161.2024.2416154","DOIUrl":"https://doi.org/10.1080/15265161.2024.2416154","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"24 12","pages":"115-116"},"PeriodicalIF":17.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
From Pressures to Enforcement: Understanding Undue Influence in Community Mental Health Care. 从压力到执行：了解社区心理健康护理中的不当影响。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2024-12-01 Epub Date: 2024-11-20 DOI: 10.1080/15265161.2024.2416155
Emanuele Valenti, Domenico Giacco
{"title":"From Pressures to Enforcement: Understanding Undue Influence in Community Mental Health Care.","authors":"Emanuele Valenti, Domenico Giacco","doi":"10.1080/15265161.2024.2416155","DOIUrl":"https://doi.org/10.1080/15265161.2024.2416155","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"24 12","pages":"94-97"},"PeriodicalIF":17.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Moral Stress and Moral Distress: Confronting Challenges in Healthcare Systems under Pressure. 道德压力与道德困扰：面对压力下医疗系统的挑战》。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2024-12-01 Epub Date: 2023-06-22 DOI: 10.1080/15265161.2023.2224270
Mara Buchbinder, Alyssa Browne, Nancy Berlinger, Tania Jenkins, Liza Buchbinder
{"title":"Moral Stress and Moral Distress: Confronting Challenges in Healthcare Systems under Pressure.","authors":"Mara Buchbinder, Alyssa Browne, Nancy Berlinger, Tania Jenkins, Liza Buchbinder","doi":"10.1080/15265161.2023.2224270","DOIUrl":"10.1080/15265161.2023.2224270","url":null,"abstract":"<p><p>Stresses on healthcare systems and moral distress among clinicians are urgent, intertwined bioethical problems in contemporary healthcare. Yet conceptualizations of moral distress in bioethical inquiry often overlook a range of routine threats to professional integrity in healthcare work. Using examples from our research on frontline physicians working during the COVID-19 pandemic, this article clarifies conceptual distinctions between <i>moral distress</i>, <i>moral injury</i>, and <i>moral stress</i> and illustrates how these concepts operate together in healthcare work. Drawing from the philosophy of healthcare, we explain how moral stress results from the normal operations of overstressed systems; unlike moral distress and moral injury, it may not involve a sense of powerlessness concerning patient care. The analysis of moral stress directs attention beyond the individual, to stress-generating systemic factors. We conclude by reflecting on how and why this conceptual clarity matters for improving clinicians' professional wellbeing, and offer preliminary pathways for intervention.</p>","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":" ","pages":"8-22"},"PeriodicalIF":17.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10758677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9674138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Moral Stress and Moral Distress: Confronting Challenges in Post-Dobbs Contexts. 道德压力与道德困扰：后多布斯时代的挑战》。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2024-12-01 Epub Date: 2024-11-20 DOI: 10.1080/15265161.2024.2416151
Hannah Carpenter
{"title":"Moral Stress and Moral Distress: Confronting Challenges in Post-<i>Dobbs</i> Contexts.","authors":"Hannah Carpenter","doi":"10.1080/15265161.2024.2416151","DOIUrl":"https://doi.org/10.1080/15265161.2024.2416151","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"24 12","pages":"43-45"},"PeriodicalIF":17.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Context Matters. 背景很重要。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2024-12-01 Epub Date: 2024-11-20 DOI: 10.1080/15265161.2024.2420549
Zain Khalid, Rebecca Brendel
{"title":"Context Matters.","authors":"Zain Khalid, Rebecca Brendel","doi":"10.1080/15265161.2024.2420549","DOIUrl":"https://doi.org/10.1080/15265161.2024.2420549","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"24 12","pages":"1-5"},"PeriodicalIF":17.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Informal Coercion Is Both Unavoidable and (Sometimes) Ethically Justifiable. 非正式胁迫是不可避免的，（有时）在道德上也是合理的。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2024-12-01 Epub Date: 2024-11-20 DOI: 10.1080/15265161.2024.2416157
Michael J Redinger
{"title":"Informal Coercion Is Both Unavoidable and (Sometimes) Ethically Justifiable.","authors":"Michael J Redinger","doi":"10.1080/15265161.2024.2416157","DOIUrl":"https://doi.org/10.1080/15265161.2024.2416157","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"24 12","pages":"110-112"},"PeriodicalIF":17.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
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