{"title":"Intersecting Narratives in the Lives of Black Women Aging with Dementia","authors":"H. Shellae Versey","doi":"10.1002/hast.4997","DOIUrl":"10.1002/hast.4997","url":null,"abstract":"<p>Despite elevated risk profiles for dementia, Black women are often absent in cultural narratives about dementia. This paper explores how considering multiple and intersectional cultural narratives might advance dementia research and benefit overlooked groups and communities. Using person-centered research approaches to understand the experiences of older Black women at risk for dementia may highlight conditions contributing to elevated risk, including economic precarity, racism, and caregiving responsibilities. A full recognition of cultural narratives about dementia informs better social policy, research, and practice.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"55 S1","pages":"S84-S88"},"PeriodicalIF":2.3,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hast.4997","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088434","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}
{"title":"Contributors","authors":"","doi":"10.1002/hast.70008","DOIUrl":"https://doi.org/10.1002/hast.70008","url":null,"abstract":"","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"55 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145037654","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}
{"title":"Euthanasia as Medical Therapy in Canada","authors":"Trudo Lemmens","doi":"10.1002/hast.70004","DOIUrl":"10.1002/hast.70004","url":null,"abstract":"<p><i>This commentary argues that recent reports of an Ontario coroner's office's MAiD Death Review Committee confirm how Canada's euthanasia regime has normalized ending of life as a form of therapy, often for only indirectly health-related suffering. The author, a member of the committee, illustrates with some of the cases how access to death rather than protection against premature death appears to be prioritized, often after very basic capacity and informed consent procedures by health professionals with limited training in relevant end-of-life health care</i>.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"55 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hast.70004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034584","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}
{"title":"Knowing the Mind from Brain Data: The Challenge of Prediction and the Fairness of Relying on Objective Data about the Mind","authors":"Jennifer A. Chandler","doi":"10.1002/hast.70000","DOIUrl":"10.1002/hast.70000","url":null,"abstract":"<p><i>This article is the second in a series examining the ethical and social implications of inferring mental states from brain data. It considers two main topics. First, it discusses the challenges of extending inferences from present brain activity to mental states and from there to future mental states or behaviors. There is a risk of compounded errors when multiple inferential models are applied sequentially; harmful outcomes for minority groups underrepresented in statistical models could result. In addition, predictions based on brain data may create self-fulfilling prophecies, reinforcing neuroessentialist beliefs that undermine personal agency. Second, the paper discusses how concerns related to epistemic injustice might arise when mental states are inferred from brain data. In particular, it asks if it is just to privilege “objective” brain-based conclusions over individuals’ subjective self-reports. While brain-based evidence could empower some people to prove their claims, it may also exacerbate credibility gaps and social biases. The article concludes that careful, context-specific assessments are essential before brain-based inferences are adopted in socially significant decisions</i>.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"55 4","pages":"15-23"},"PeriodicalIF":2.3,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034564","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}
{"title":"Maintaining Health Care in Occupied Ukraine: Criminal Collaboration or Conscientious Professionalism?","authors":"Michael L. Gross","doi":"10.1002/hast.70005","DOIUrl":"10.1002/hast.70005","url":null,"abstract":"<p><i>Following Russia's occupation of Eastern Ukraine, local health care professionals, particularly hospital administrators and public health officials, have faced criminal charges of medical collaboration for taking senior managerial positions in the occupation regime and allocating resources to the Russian army. Although Ukraine is entitled to prosecute collaborators who threaten its national security, the grounds for criminalizing medical administration during military occupation are much weaker and essentially indefensible. During occupation, international humanitarian law requires Russia to maintain adequate health care services with the assistance of local officials, protects these officials from prosecution, and ensures their independence as they weigh their professional duties to maintain essential health care for the civilian population. An analysis of representative legal cases charging health care professionals with treason and collaboration demonstrates the shortfalls of Ukrainian policy that (a) does not clearly differentiate between charges of collaboration, aiding and abetting the enemy, and treason, (b) rejects public health officials’ duty to cooperate with an occupation regime, and (c) ignores health care administrators’ right to condition their decision to cooperate on its attendant costs and benefits. Recognizing a policy of</i> humanitarian cooperation <i>rectifies these deficiencies by highlighting the independence of health care officials, their protection from prosecution by Ukrainian and Russian authorities, and each party's duty to maintain adequate medical care for the local population during military occupation</i>.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"55 4","pages":"24-38"},"PeriodicalIF":2.3,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034654","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}
{"title":"God 2.0?","authors":"M. Therese Lysaught","doi":"10.1002/hast.70001","DOIUrl":"https://doi.org/10.1002/hast.70001","url":null,"abstract":"<p><i>Robert L. Klitzman's</i> Doctor, Will You Pray for Me? Medicine, Chaplains, and Healing the Whole Person <i>(Oxford University Press, 2024) offers a fervent apology for the increasingly crucial role of chaplains in contemporary health care. It weaves together anthropological data from interviews with a chaplain cohort, personal narrative, patient stories, chaplain testimony, and the social scientific study of religion. It also surfaces pointed questions about the assumptions that shape contemporary chaplaincy and the directions in which it is moving. These questions include the following: How might we clarify and strengthen the ambiguous and tensive relationship between chaplaincy and bioethics? How do we assess the normativity of the perduring Kantian/Jamesian account of religion and spirituality, which is highly individualized and emotivist? And in light of this, is chaplaincy simply becoming the institutionalized form of religion for twenty-first-century neoliberalized health care?</i>.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"55 4","pages":"41-43"},"PeriodicalIF":2.3,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145037743","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}
{"title":"The Values That Influence Psychiatric Diagnosis and Accountability","authors":"Philip J. Candilis","doi":"10.1002/hast.70002","DOIUrl":"https://doi.org/10.1002/hast.70002","url":null,"abstract":"<p><i>John Z. Sadler's</i> Vice and Psychiatric Diagnosis <i>(Oxford University Press, 2024) explores the profound influence of moral and cultural values on the diagnoses that excuse criminal behavior. Recognizing the overlap of legal and clinical frameworks that society uses to make sense of sex, violence, and general accountability, Sadler dissects the diagnoses that contain more values than validation, exploring the divisions that result as health care and criminal legal systems struggle to manage justice-involved persons. His analysis is a response to criminalizing mental illness and using the legal system rather than rehabilitative services and diversion into treatment. The appeal for a rehabilitative model that emphasizes humanistic values is a call for criminal justice reform alongside diagnostic clarity</i>.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"55 4","pages":"39-40"},"PeriodicalIF":2.3,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145037742","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}
{"title":"Letter to the Editors","authors":"Giles Scofield","doi":"10.1002/hast.70009","DOIUrl":"10.1002/hast.70009","url":null,"abstract":"<p><i>This letter responds to “‘Please Baptize My Son’: The Case against Baptizing a Dying, Unconscious Atheist,” by Tate Shepherd and Michael Redinger, and “The Case for Baptizing a Dying, Unconscious Atheist,” by Abram Brummett and Nelson Jones, in the January-February 2025 issue of the</i> Hastings Center Report.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"55 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034671","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}
{"title":"Spiritual Care Ethics","authors":"Bob Price, Cynthia Geppert","doi":"10.1002/hast.70010","DOIUrl":"10.1002/hast.70010","url":null,"abstract":"<p><i>This letter responds to “‘Please Baptize My Son’: The Case against Baptizing a Dying, Unconscious Atheist,” by Tate Shepherd and Michael Redinger, and “The Case for Baptizing a Dying, Unconscious Atheist,” by Abram Brummett and Nelson Jones, in the January-February 2025 issue of the</i> Hastings Center Report.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"55 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034677","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}