Cambridge Quarterly of Healthcare Ethics最新文献

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The Unthinkable Conclusion: Derek Parfit's Budding Antinatalism. 不可思议的结论:德里克-帕菲特萌芽中的反宿命论。
IF 1.5 4区 医学
Cambridge Quarterly of Healthcare Ethics Pub Date : 2024-10-30 DOI: 10.1017/S0963180124000483
Matti Häyry
{"title":"The Unthinkable Conclusion: Derek Parfit's Budding Antinatalism.","authors":"Matti Häyry","doi":"10.1017/S0963180124000483","DOIUrl":"https://doi.org/10.1017/S0963180124000483","url":null,"abstract":"<p><p>Derek Parfit famously opined that causing a person to exist with a life barely worth living can be wrong, although it is not wrong for that person. This conundrum is known as the nonidentity problem. Parfit also held that persons can, in a morally relevant sense, be caused to exist in the distant future by actions that make the agent a necessary condition for a person's existence. When these views are combined, which he did, and applied explicitly to persons with a life not worth living, which he did not, an interesting conditional conclusion can be drawn. If every family line eventually produces a person with a life not worth living, and if causing that person to exist cannot be justified by the benefits befalling others in the family line, it is always wrong to have children. Parfit did not draw this antinatalist conclusion, but an analysis of his introduction of the nonidentity problem shows that he could have. Since Parfit's other views on population ethics continue to be discussed with relative respect, it stands to reason that the antinatalist position should be no exception. Right or wrong, it has its legitimate place in considerations concerning the future of reproduction.</p>","PeriodicalId":55300,"journal":{"name":"Cambridge Quarterly of Healthcare Ethics","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"Terminal Anorexia", Treatment Refusal and Decision-Making Capacity. "临终厌食症"、拒绝治疗和决策能力。
IF 1.5 4区 医学
Cambridge Quarterly of Healthcare Ethics Pub Date : 2024-10-28 DOI: 10.1017/S0963180124000367
Anneli Jefferson
{"title":"\"Terminal Anorexia\", Treatment Refusal and Decision-Making Capacity.","authors":"Anneli Jefferson","doi":"10.1017/S0963180124000367","DOIUrl":"https://doi.org/10.1017/S0963180124000367","url":null,"abstract":"<p><p>Whether anorexic patients should be able to refuse treatment when this refusal potentially has a fatal outcome is a vexed topic. A recent proposal for a new category of \"terminal anorexia\" suggests criteria when a move to palliative care or even physician-assisted suicide might be justified. The author argues that this proposed diagnosis presents a false sense of certainty of the illness trajectory by conceptualizing anorexia in analogy with physical disorders and stressing the effects of starvation. Furthermore, this conceptualization is in conflict with the claim that individuals who meet the diagnostic criteria for terminal anorexia have decision-making capacity. It should therefore be rejected.</p>","PeriodicalId":55300,"journal":{"name":"Cambridge Quarterly of Healthcare Ethics","volume":" ","pages":"1-12"},"PeriodicalIF":1.5,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rethinking Animal Consciousness Research to Prioritize Well-Being. 重新思考动物意识研究,将福祉放在首位。
IF 1.5 4区 医学
Cambridge Quarterly of Healthcare Ethics Pub Date : 2024-10-28 DOI: 10.1017/S0963180124000501
Liv Baker, Barbara J King, William S Lynn
{"title":"Rethinking Animal Consciousness Research to Prioritize Well-Being.","authors":"Liv Baker, Barbara J King, William S Lynn","doi":"10.1017/S0963180124000501","DOIUrl":"https://doi.org/10.1017/S0963180124000501","url":null,"abstract":"<p><p>The authors critique the NY Declaration on Animal Consciousness, which does not denounce continued captivity and invasive research in the pursuit of animal consciousness markers. They argue that such research often increases animal suffering by accepting harmful practices. Instead, they propose a nonanthropocentric, ethical framework aligned with the Belmont Report's principle of beneficence, advocating for noninvasive methods in natural habitats. This approach prioritizes animal well-being, recognizing and safeguarding the intrinsic value of all conscious beings.</p>","PeriodicalId":55300,"journal":{"name":"Cambridge Quarterly of Healthcare Ethics","volume":" ","pages":"1-5"},"PeriodicalIF":1.5,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Invisible Victims and the Case for OTC SSRIs. 隐形受害者和非处方药 SSRIs 案例。
IF 1.5 4区 医学
Cambridge Quarterly of Healthcare Ethics Pub Date : 2024-10-22 DOI: 10.1017/S096318012400032X
Jacob M Appel
{"title":"Invisible Victims and the Case for OTC SSRIs.","authors":"Jacob M Appel","doi":"10.1017/S096318012400032X","DOIUrl":"https://doi.org/10.1017/S096318012400032X","url":null,"abstract":"<p><p>Major depressive disorder is one of the most common serious illnesses worldwide; the disease is also among those with the lowest rates of treatment. Barriers to access to care, both practical and psychological, contribute significantly to these low treatment rates. Among such barriers are regulations in many nations that require a physician's prescription for most pharmacological treatments including selective serotonin reuptake inhibitors (SSRIs). These rules are designed to protect patients. However, such regulations involve a tradeoff between the welfare of \"visible\" victims, who might suffer negative consequences from a lack of regulation, and the well-being of invisible \"victims,\" who likely experience negative consequences that result from increased barriers to care. This article explores these tradeoffs and argues in favor of shifting SSRIs from prescription-only to over-the-counter status.</p>","PeriodicalId":55300,"journal":{"name":"Cambridge Quarterly of Healthcare Ethics","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Creating a Multidisciplinary Bioethics Ambassador Program at a Comprehensive Cancer Center. 在综合癌症中心创建多学科生物伦理学大使计划。
IF 1.5 4区 医学
Cambridge Quarterly of Healthcare Ethics Pub Date : 2024-10-14 DOI: 10.1017/S0963180124000343
Amy E Scharf, Liz Blackler, Konstantina Matsoukas, Monique C James, Amy Thomas, Louis P Voigt
{"title":"Creating a Multidisciplinary Bioethics Ambassador Program at a Comprehensive Cancer Center.","authors":"Amy E Scharf, Liz Blackler, Konstantina Matsoukas, Monique C James, Amy Thomas, Louis P Voigt","doi":"10.1017/S0963180124000343","DOIUrl":"https://doi.org/10.1017/S0963180124000343","url":null,"abstract":"<p><p>The Ethics Committee at Memorial Sloan Kettering Cancer Center (MSK) developed a Bioethics Ambassador Program (BAP); a yearlong educational program to assist clinical and non-clinical staff develop the skills to identify and address common burgeoning ethical issues that can arise during the provision of care to patients with cancer. The goal was to provide greater awareness of the role and services of Ethics, particularly at the institution's geographically-diverse outpatient care centers and to better-instill a culture of preventative ethics. This article discusses the design and implementation of the first two years of the program and analyzes its strengths, weaknesses, and impact on MSK.</p>","PeriodicalId":55300,"journal":{"name":"Cambridge Quarterly of Healthcare Ethics","volume":" ","pages":"1-11"},"PeriodicalIF":1.5,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Teaching Pathographies of Mental Illness. 精神疾病病理学教学。
IF 1.5 4区 医学
Cambridge Quarterly of Healthcare Ethics Pub Date : 2024-10-14 DOI: 10.1017/S0963180124000318
Nathan Carlin, Angela Gomez, Margarita Ortiz
{"title":"Teaching Pathographies of Mental Illness.","authors":"Nathan Carlin, Angela Gomez, Margarita Ortiz","doi":"10.1017/S0963180124000318","DOIUrl":"https://doi.org/10.1017/S0963180124000318","url":null,"abstract":"<p><p>This paper describes the content and evolution of a fourth-year course for medical students on teaching pathographies of mental illness. (It is a follow-up to Nathan Carlin's <i>Pathographies of Mental Illness</i> that appeared as an Element in the Bioethics and Neuroethics series published by Cambridge University Press.) The course originally centered on classic (and some contemporary) memoirs; however, responding to student evaluations, newer material now ensures more diversity, with material written by women and people of color, and describes the difference that can make.</p>","PeriodicalId":55300,"journal":{"name":"Cambridge Quarterly of Healthcare Ethics","volume":" ","pages":"1-9"},"PeriodicalIF":1.5,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Impact of a Study Trip to Auschwitz: Place-based Learning for Bioethics Education and Professional Identity Formation. 奥斯维辛学习之旅的影响:基于地点的生物伦理教育学习与专业身份的形成。
IF 1.5 4区 医学
Cambridge Quarterly of Healthcare Ethics Pub Date : 2024-10-07 DOI: 10.1017/S0963180124000306
Maxwell Li, Ramona Stamatin, Hedy S Wald, Jason Adam Wasserman
{"title":"The Impact of a Study Trip to Auschwitz: Place-based Learning for Bioethics Education and Professional Identity Formation.","authors":"Maxwell Li, Ramona Stamatin, Hedy S Wald, Jason Adam Wasserman","doi":"10.1017/S0963180124000306","DOIUrl":"https://doi.org/10.1017/S0963180124000306","url":null,"abstract":"<p><p>There are increasing calls for coverage of medicine during the Holocaust in medical school curricula. This article describes outcomes from a Holocaust and medicine educational program featuring a study trip to Poland, which focused on physician complicity during the Holocaust, as well as moral courage in health professionals who demonstrated various forms of resistance in the ghettos and concentration camps. The trip included tours of key sites in Krakow, Oswiecim, and the Auschwitz-Birkenau concentration camps, as well as meeting with survivors, lectures, reflective writings, and discussions. In-depth interviews and reflective writings were qualitatively analyzed. Resulting themes centered on greater understanding of the relationship between bioethics and the Holocaust, recognizing the need for moral courage and social awareness, deeper appreciation for the historical roles played by dehumanization and medical power and their contemporary manifestations, and the power of presence and experiential learning for bioethics education and professional identity formation. These findings evidence the significant impact of the experience and suggest broader adoption of pedagogies that include place-based and experiential learning coupled with critical reflection can amplify the impact of bioethics and humanism education as well as the process of professional identity formation of medical students.</p>","PeriodicalId":55300,"journal":{"name":"Cambridge Quarterly of Healthcare Ethics","volume":" ","pages":"1-11"},"PeriodicalIF":1.5,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bioethics and the Value of Human Life. 生物伦理学与人类生命的价值。
IF 1.5 4区 医学
Cambridge Quarterly of Healthcare Ethics Pub Date : 2024-10-03 DOI: 10.1017/S0963180124000331
Matti Häyry
{"title":"Bioethics and the Value of Human Life.","authors":"Matti Häyry","doi":"10.1017/S0963180124000331","DOIUrl":"https://doi.org/10.1017/S0963180124000331","url":null,"abstract":"<p><p>Bioethics as a philosophical discipline deals with matters of life and death. How it deals with them, however, depends on the kind of life particular bioethicists focus on and the kind of value they assign to it. Natural-law ethicists and conservative Kantians emphasize biological human life regardless of its developmental stage. Integrative bioethicists also embrace nonhuman life if it can be protected without harming humans. Liberal and utilitarian moralists concentrate on life that is sentient and aware of itself, to the exclusion of biological existence devoid of these. Extinctionist and antinatalist philosophers believe that life's value is negative and that its misery should be alleviated and terminated by not bringing new individuals into existence. As the last-mentioned approach reverses the idea of life's positive value, it could be called oibethics.</p>","PeriodicalId":55300,"journal":{"name":"Cambridge Quarterly of Healthcare Ethics","volume":" ","pages":"1-11"},"PeriodicalIF":1.5,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interprofessional Ethics Simulations and Debriefing to Develop Collaborative Skills 跨专业伦理模拟和汇报,培养协作技能
IF 1.8 4区 医学
Cambridge Quarterly of Healthcare Ethics Pub Date : 2024-09-16 DOI: 10.1017/s096318012400029x
Amy Haddad, Kimberley Begley, Ann Ryan Haddad
{"title":"Interprofessional Ethics Simulations and Debriefing to Develop Collaborative Skills","authors":"Amy Haddad, Kimberley Begley, Ann Ryan Haddad","doi":"10.1017/s096318012400029x","DOIUrl":"https://doi.org/10.1017/s096318012400029x","url":null,"abstract":"<p>The Interprofessional Education Collaborative’s (IPEC’s) core competencies are accreditation standards of most, if not all, healthcare professions (Interprofessional Education Collaborative Expert Panel [2016, <span>Core Competencies for Interprofessional Collaborative Practice: 2016 Update.</span> Washington, DC: IPEC]). Limited literature exists on interprofessional (IP) learning outcomes in healthcare ethics; even fewer studies include debrief sessions. Interprofessional education (IPE) case discussion using web-based technology is a promising way to incorporate ethics content. This article summarizes a model for healthcare programs to create, conduct, and assess synchronous IPE ethics discussions and debrief sessions. Specifically, this article highlights debrief sessions that followed a standardized patient (SP) IP interaction with students from pharmacy and advanced practice nursing. Qualitative analysis of debrief comments identified four themes: the benefit of IP collaboration, the importance of patient-centered care, the need to adapt clinical recommendations with ethical challenges, and the importance of trust among team members. The findings indicate web-based, synchronous IP/SP ethics simulations and debrief sessions are an effective, albeit laborious, method for collaboration and reflection.</p>","PeriodicalId":55300,"journal":{"name":"Cambridge Quarterly of Healthcare Ethics","volume":"20 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142266904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Why Not Phase Out Animal Experimentation? Considering Objections from Freedom of Inquiry and Cross-Border Displacement 为什么不逐步停止动物实验?考虑来自调查自由和跨境流离失所的反对意见
IF 1.8 4区 医学
Cambridge Quarterly of Healthcare Ethics Pub Date : 2024-09-13 DOI: 10.1017/s0963180124000288
Nico D. Müller
{"title":"Why Not Phase Out Animal Experimentation? Considering Objections from Freedom of Inquiry and Cross-Border Displacement","authors":"Nico D. Müller","doi":"10.1017/s0963180124000288","DOIUrl":"https://doi.org/10.1017/s0963180124000288","url":null,"abstract":"<p>Animal experimentation raises value conflicts between animal protection and other goods, such as freedom of inquiry or health and safety. If governments can phase out the practice by non-prohibitive incentive-setting, the <span>pro tanto</span> moral rationale for doing so is obvious. So why should they not? This article first sketches a fictional scenario in which a government adopts a phase-out plan for animal experimentation. It then considers two moral objections to this plan: First, the plan unduly restricts freedom of inquiry, and second, it merely displaces animal experimentation across borders and thus fails to reduce animal suffering. Both arguments are refined premise by premise to articulate their strongest versions. The two objections can help to narrow down desiderata for good phase-out plans. However, they do not provide a compelling case against phase-out planning as such because they miss its incremental and constructive nature. Unless better arguments can be provided, it appears that government inaction on phasing out animal experimentation lacks moral justification.</p>","PeriodicalId":55300,"journal":{"name":"Cambridge Quarterly of Healthcare Ethics","volume":"283 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142213315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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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