Medical professionalism: what the study of literature can contribute to the conversation
Medical school curricula, although traditionally and historically dominated by science, have generally accepted, appreciated, and welcomed the inclusion of literature over the past several decades. Recent concerns about medical professional formation have led to discussions about the specific role and contribution of literature and stories. In this article, we demonstrate how professionalism and the study of literature can be brought into relationship through critical and interrogative interactions based in the literary skill of close reading. Literature in medicine can question the meaning of “professionalism” itself ...
Source: Philosophy, Ethics, and Humanities in Medicine - June 27, 2015 Category: Medical Ethics Authors: Johanna ShapiroLois NixonStephen WearDavid Doukas Source Type: research

‘Trust my doctor, trust my pancreas’: trust as an emergent quality of social practice
Growing attention is being paid to the importance of trust, and its corollaries such as mistrust and distrust, in health service and the central place they have in assessments of quality of care. Although init... (Source: Philosophy, Ethics, and Humanities in Medicine)
Source: Philosophy, Ethics, and Humanities in Medicine - June 11, 2015 Category: Medical Ethics Authors: Simon Cohn Source Type: research

‘Trust my doctor, trust my pancreas’: trust as an emergent quality of social practice
Conclusions: A practice approach highlights some of the problems with adopting a general psychological or intellectualist conception of trust. In particular, assuming it is a sufficiently stable internal state that can be stored or measured not only transforms a diffuse and often ephemeral quality into a durable thing, but ultimately presents it as a generic state that has meaning independent of the specific relationships and context that achieve it. Emphasising the context-specific nature of trust practices does not dismiss the potential of matters of trust, when they emerge, to be transposed to other contexts. But it doe...
Source: Philosophy, Ethics, and Humanities in Medicine - June 11, 2015 Category: Medical Ethics Authors: Simon Cohn Source Type: research

The 2014 Varsity Medical Ethics Debate: should we allow genetic information to be patented?
The 2014 Varsity Medical Ethics debate convened upon the motion: “This house believes that genetic information should not be commoditised”. This annual debate between students from the Universities of Oxford and Cambridge, now in its sixth year, provided the starting point for arguments on the subject. The present article brings together and extends many of the arguments put forward during the debate. We explore the circumstances under which genetic material should be considered patentable, the possible effects of this on the research and development of novel therapeutics, and the need for clear guidelines within this ...
Source: Philosophy, Ethics, and Humanities in Medicine - May 20, 2015 Category: Medical Ethics Authors: Kiloran MetcalfeCalum WorsleyCasey SwernerDevan SinhaRavi SolankiKrithi RaviRaj Dattani Source Type: research

“Arm in arm with righteousness”
No description available (Source: Philosophy, Ethics, and Humanities in Medicine)
Source: Philosophy, Ethics, and Humanities in Medicine - April 23, 2015 Category: Medical Ethics Authors: Iona Heath Source Type: research

An explanation and analysis of how world religions formulate their ethical decisions on withdrawing treatment and determining death
Conclusion: Patterns emerge in the comparative study of religious perspectives on death. Western traditions show their rootedness in Judaism in their understanding of the human individual as a finite, singular creation. Although the many branches of Western religions do not agree on precisely how to determine death, they are all able to locate a moment of death in the body. In Eastern traditions personhood is not defined in physical terms. From prescribing the location of death, to resisting medical intervention and definitions of death, Eastern religions, in their many forms, incorporate the beliefs and practices that pre...
Source: Philosophy, Ethics, and Humanities in Medicine - March 11, 2015 Category: Medical Ethics Authors: Susan SettaSam Shemie Source Type: research

Explaining and responding to the Ebola epidemic
The Ebola epidemic in West Africa is not merely a biomedical problem that can be seen in isolation and dealt with only through emergency medical rescue processes. The ethical dilemmas surfaced by this epidemic are also not confined to the usual micro-ethical problems associated with medical care and medical research. The pandemic, as one of many manifestations of failed human and social development that has brought the world to a dangerous ‘tipping point, requires deep introspection and action to address upstream causal processes. (Source: Philosophy, Ethics, and Humanities in Medicine)
Source: Philosophy, Ethics, and Humanities in Medicine - March 4, 2015 Category: Medical Ethics Authors: Solomon Benatar Source Type: research

Luria revisited: cognitive research in schizophrenia, past implications and future challenges
Contemporary psychiatry is becoming more biologically oriented in the attempt to elicit a biological rationale of mental diseases. Although mental disorders comprise mostly functional abnormalities, there is a substantial overlap between neurology and psychiatry in addressing cognitive disturbances. In schizophrenia, the presence of cognitive impairment prior to the onset of psychosis and early after its manifestation suggests that some neurocognitive abnormalities precede the onset of psychosis and may represent a trait marker. These cognitive alterations may arise from functional disconnectivity, as no significant brain ...
Source: Philosophy, Ethics, and Humanities in Medicine - February 27, 2015 Category: Medical Ethics Authors: Yuliya ZaytsevaRaymond ChanErnst PöppelAndreas Heinz Source Type: research

Erasing traumatic memories: when context and social interests can outweigh personal autonomy
Neuroscientific research on the removal of unpleasant and traumatic memories is still at a very early stage, but is making rapid progress and has stirred a significant philosophical and neuroethical debate. Even if memory is considered to be a fundamental element of personal identity, in the context of memory-erasing the autonomy of decision-making seems prevailing. However, there seem to be situations where the overall context in which people might choose to intervene on their memories would lead to view those actions as counterproductive. In this article, I outline situations where the so-called composition effects can p...
Source: Philosophy, Ethics, and Humanities in Medicine - February 22, 2015 Category: Medical Ethics Authors: Andrea Lavazza Source Type: research

The right to health, health systems development and public health policy challenges in Chad
Conclusion: The normative ideals of health systems development are essentially democratic in nature and are rooted in human rights and in ethical principles of human dignity, equality, non-discrimination and social justice. These ideals are grounded in an integrated vision of society as a place for multi-level interactions, where government plays its role by equitably providing institutions and services that ensure people?s welfare. Inter-sectoral collaboration, which calls for a conceptual shift in health and public policy, can be instrumental in improving health systems through concerted efforts of various governmental i...
Source: Philosophy, Ethics, and Humanities in Medicine - February 15, 2015 Category: Medical Ethics Authors: Jacquineau AzétsopMichael Ochieng Source Type: research

A four-part working bibliography of neuroethics: part 2 ¿ neuroscientific studies of morality and ethics
Background: Moral philosophy and psychology have sought to define the nature of right and wrong, and good and evil. The industrial turn of the twentieth century fostered increasingly technological approaches that conjoined philosophy to psychology, and psychology to the natural sciences. Thus, moral philosophy and psychology became ever more vested to investigations of the anatomic structures and physiologic processes involved in cognition, emotion and behavior - ultimately falling under the rubric of the neurosciences. Since 2002, neuroscientific studies of moral thought, emotions and behaviors have become known as – an...
Source: Philosophy, Ethics, and Humanities in Medicine - February 15, 2015 Category: Medical Ethics Authors: Martina DarraghLiana BuniakJames Giordano Source Type: research

The ethics of animal research: a survey of pediatric health care workers
We presented questions about demographics, support for AR, and common arguments (with their counterarguments) to justify the moral permissibility (or not) of AR. Responses are reported using standard tabulations. Responses of pediatricians and nurses/RTs were compared using Chi-square, with P  (Source: Philosophy, Ethics, and Humanities in Medicine)
Source: Philosophy, Ethics, and Humanities in Medicine - December 30, 2014 Category: Medical Ethics Authors: Ari JoffeMeredith BaraNatalie AntonNathan Nobis Source Type: research

The ethics of animal research: a survey of pediatric health care workers
We presented questions about demographics, support for AR, and common arguments (with their counterarguments) to justify the moral permissibility (or not) of AR.Responses are reported using standard tabulations. Responses of pediatricians and nurses/RTs were compared using Chi-square, with P? (Source: Philosophy, Ethics, and Humanities in Medicine)
Source: Philosophy, Ethics, and Humanities in Medicine - December 30, 2014 Category: Medical Ethics Authors: Ari JoffeMeredith BaraNatalie AntonNathan Nobis Source Type: research

Informed consent in the psychosis prodrome: ethical, procedural and cultural considerations
Research focused on the prodromal period prior to the onset of psychosis is essential for the further development of strategies for early detection, early intervention, and disease pre-emption. Such efforts necessarily require the enrollment of individuals who are at risk of psychosis but have not yet developed a psychotic illness into research and treatment protocols. This work is becoming increasingly internationalized, which warrants special consideration of cultural differences in conceptualization of mental illness and international differences in health care practices and rights regarding research participation. The ...
Source: Philosophy, Ethics, and Humanities in Medicine - November 18, 2014 Category: Medical Ethics Authors: Sarah MorrisRobert Heinssen Source Type: research

Nonconsensual withdrawal of nutrition and hydration in prolonged disorders of consciousness: Authoritarianism and trustworthiness in medicine
The Royal College of Physicians of London published the 2013 national clinical guidelines on prolonged disorders of consciousness (PDOC) in vegetative and minimally conscious states. The guidelines acknowledge the rapidly advancing neuroscientific research and evolving therapeutic modalities in PDOC. However, the guidelines state that end-of-life decisions should be made for patients who do not improve with neurorehabilitation within a finite period, and they recommend withdrawal of clinically assisted nutrition and hydration (CANH). This withdrawal is deemed necessary because patients in PDOC can survive for years with co...
Source: Philosophy, Ethics, and Humanities in Medicine - November 7, 2014 Category: Medical Ethics Authors: Mohamed RadyJoseph Verheijde Source Type: research