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This volume collects essays by the late bioethicist John D. Arras, best known for his many contributions to the methodology of bioethics. Always open-minded, Arras did not favor a single theory or view of method in bioethics, eschewing labels such as "casuist" or "pragmatist." He was conversant with the main philosophical methods that have dominated bioethics since the field's origin, including principlism, Gert's common morality, the "new casuistry", pragmatism, and others. Rather than defending any particular theory or method, though, Arras rigorously investigated those methods - and how they both expand and limit our field of vision. He sought, in the tradition of Kierkegaard, to make life "harder" for bioethics, by uncovering challenges to the field's analytical methods. His favorite mode of exploration and expression was the thoughtful essay. The essays collected here reveal him thinking through new problems and new possibilities, and they invariably yield fresh and valuable insights.
Ethics by Committee was developed for the tens of thousands of people across the United States serve on hospital and other healthcare ethics committees (HECs). Experts in bioethics, clinical consultation, health law, and social psychology from across the country have contributed chapters on ethics consultation, education, and policy development. The chapters discuss important considerations for HEC members such as promoting just and ethical organizations, developing cultural and spiritual awareness, and preparing for the forces of group dynamics in committee discussions and consensus-building. No other book on the market offers the diversity of perspectives and topics while remaining focused, clear, and useful.
Intuition is central to discussions about the nature of scientific and philosophical reasoning and what it means to be human. In this bold and timely book, Hillel D. Braude marshals his dual training as a physician and philosopher to examine the place of intuition in medicine. Rather than defining and using a single concept of intuition—philosophical, practical, or neuroscientific—Braude here examines intuition as it occurs at different levels and in different contexts of clinical reasoning. He argues that not only does intuition provide the bridge between medical reasoning and moral reasoning, but that it also links the epistemological, ontological, and ethical foundations of clinical d...
This textbook offers an introduction to the field of bioethics, specifically from a practicing physician standpoint. It engages a wide range of recent scholarship and emerging research covering many crucial topics in clinical ethics. While there has been increasing attention to the role of bioethics in medicine, the gap between theory and practice still exists, and it continues to impede the dialogue between health care professionals from one side and bioethicists and philosophers of medicine from the other side. This book builds bridges and open channels of connection between different parties in these conversations. It does so from a physician’s practical perspective, engaging recent scholarship and emerging research, to shed light on pivotal ethical dilemmas in contemporary clinical practice.
Some reflections on whether death is bad / David J. Mayo -- Defining death / James L. Bernat -- Against the right to die / J. David Velleman -- The skull at the banquet / David Barnard -- Influence of mental illness on decision making at the end of life / Linda Ganzini and Elizabeth R. Goy -- Creative adaptation in aging and dying / Celia Berdes and Linda Emanuel -- Rage, rage against the dying light / John Paris, Michael D. Schreiber, and Robert Fogerty -- Training on newly deceased patients / Mark R. Wicclair.
Clinical research requires that some people be used and possibly harmed for the benefit of others. What justifies such use of people? This book provides an in-depth philosophical analysis of several crucial issues raised by that question.Much writing on the ethics of research with human subjects assumes that participation in research is a distinctive activity that requires distinctive moral principles. In most contexts, we allow people to choose the activities in which they engage. By contrast, people are permitted to participate in research only after Institutional Review Boards determine that it is appropriate for them to do so. Although we assume that consent to participate in research mu...
Research with human subjects has long been controversial because of the conflicts that often arise between promoting scientific knowledge and protecting the rights and welfare of subjects. Twenty-five years ago the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research addressed these conflicts. The result was the Belmont Report: Ethical Principles and Guidance for Research Involving Human Subjects, a report that identified foundational principles for ethical research with human subjects: respect for persons, beneficence, and justice. Since the publication of Belmont, these three principles have greatly influenced discussions of research with human sub...
Chronic Fatigue Immune Deficiency Syndrome (CFIDS) is not the 'Yuppie flu.' It is a debilitating, incurable illness that hijacks the body's immune system and drains the life out of its victims, often leaving them incapacitated for years. While researchers around the globe explore the causes of treatments for CFIDS, the men, women and children who suffer with the illness grapple with questions like: -Will I ever be normal again? -Of what value am I now that I can't work or go to school anymore? -How will CFIDS affect my marriage and my family? How will CFIDS affect my ability even to consider marriage or having children? -How do I glorify God in the midst of a debilitating illness and pain? Lynn Vanderzalm and her teenage daughter, Alisa, have battled CFIDS for over seven years. In Finding Strength in Weakness, Vanderzalm shares her family's struggles and questions-along with those of 70 other men, women, and children-while offering direction, encouragement, and hope to the countless families who battle with the 'mystery illness of the nineties.'
Covers receipts and expenditures of appropriations and other funds.
Genetic screening technologies involving pre-implantation genetic diagnosis (PGD) raise particular issues about selective reproduction and the welfare of the child to be born. How does selection impact on the identity of the child who is born? Are children who are selected for a particular purpose harmed or treated as commodities? How far should the state interfere with parents’ reproductive choices? Currently, concerns about the welfare of the child in selective reproduction have focused on the individual interests of the child to be born. This book re-evaluates the welfare of the child through the controversial topic of saviour sibling selection. Drawing on relational feminist and commun...