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Books > Science & Mathematics > Biology, life sciences > Life sciences: general issues > Bio-ethics
The COVID-19 pandemic has affected every human being on the planet and forced us all to reflect on the bioethical issues it raises. In this timely book, Gregory Pence examines a number of relevant issues, including the fair allocation of scarce medical resources, immunity passports, tradeoffs between protecting senior citizens and allowing children to flourish, discrimination against minorities and the disabled, and the myriad issues raised by vaccines. KEY FEATURES A thorough overview of the many ethical issues connected with the COVID-19 pandemic. Engages with empirical data and the real-world practical problems that bear on pandemic response. Informed by foundational ideas in ethics as well as the latest in bioethics scholarship. Examines COVID-19 in the context of other historical pandemics. A portion of the revenue from this book's sales will be donated to Doctors Without Borders to assist the humanitarian work of nurses, doctors, and other health care providers in the fight against COVID-19 and beyond.
In Nature Ethics: An Ecofeminist Perspective, Marti Kheel explores the underlying worldview of "nature ethics," offering an alternative ecofeminist perspective. She focuses on four prominent representatives of holist philosophy: two early conservationists (Theodore Roosevelt and Aldo Leopold) and two contemporary philosophers (Holmes Rolston III, and transpersonal ecologist Warwick Fox). Kheel argues that in directing their moral allegiance to abstract constructs (e.g. species, the ecosystem, or the transpersonal Self) these influential nature theorists represent a masculinist orientation that devalues concern for individual animals. Seeking to heal the divisions among the seemingly disparate movements and philosophies of feminism, animal advocacy, environmental ethics, and holistic health, Kheel proposes an ecofeminist philosophy that underscores the importance of empathy and care for individual beings as well as larger wholes.
Advaita Vedanta is one of the best-known schools of Indian philosophy, but much of its history-a history closely interwoven with that of medieval and modern Hinduism-remains surprisingly unexplored. This book focuses on a single remarkable work and its place within that history: The Ocean of Inquiry, a vernacular compendium of Advaita Vedanta by the North Indian monk Niscaldas (ca. 1791 - 1863). Though not well known today, Niscaldas's work was once referred to by Vivekananda (himself a key figure in the shaping of modern Hinduism) as the most influential book in India. The present book situates The Ocean of Inquiry as representative of both a neglected genre (vernacular Vedanta) and a neglected period (ca. 17th-19th centuries) in the history of Indian philosophy. It argues that the rise of Advaita Vedanta to a position of prestige began well before the period of British rule in India, and that vernacular texts like The Ocean of Inquiry played an important role in popularizing Vedantic teachings. It also offers a new appraisal of the period of late Advaita Vedanta, arguing that it should not be seen as one of barren scholasticism. For thinkers like Niscaldas, intellectual "inquiry" (vicara) was not an academic exercise but a spiritual practice-indeed, it was the central practice on the path to liberation. The book concludes by arguing that without understanding both vernacular Vedanta and the scholasticism of the period, one cannot fully understand the emergence of modern Hinduism.
There is growing recognition of the value dimension in psychiatric practice, from the contributions of positive psychology, of documenting the role of virtues in human flourishing and in the medical practice. However, the place of virtues in psychiatric treatment remains largely unexplored. How does a need for virtues fit into the processes of diagnosis, formulation, and treatment? What patient problems and factors should influence the therapist to promote forgiveness, gratitude, humility, or accountability? What is the relationship between the therapist's and the patient's virtues? What is the relevance of religious or spiritual resources to the formation of virtue? How does the cultivation of a particular virtue relate to psychodynamic, behavioral, existential, or spiritual approaches? What ethical questions does it raise, and what are its implications for psychiatric education? The Virtues in Psychiatric Practice explores the role of the virtues in promoting human flourishing within the context of psychiatric practice. Chapters uses case examples to consider the incentives of fostering particular virtues; the place of this approach among psychodynamic, behavioral, existential, or spiritual approaches; and the relationship between the therapist's and the patient's values. Virtues highlighted include forgiveness, gratitude, accountability, self-transcendence, defiance, humility, compassion, love, and practical wisdom. This discussion is organized according to four basic capacities relevant to moral enhancement - self-control, niceness, intelligence, and positivity - which correspond to the four cardinal virtues according to Plato and Aquinas - temperance, justice, prudence, and courage. Edited by psychiatrist and scholar John R. Peteet and written for psychiatrists, psychologists, and medical ethicists, this book will connect recent scientific research on virtue with clinical practice. It therefore aims to give readers a fuller appreciation of the importance of virtue in the therapeutic encounter, a clearer understanding of clinical indications for focusing on particular virtues, and enhanced practical ways of promoting human growth.
Mental illness is an issue of great practical importance. Yet, despite sustained inquiry from scientists and philosophers alike, relatively little attention has been paid to the significance of mental disorder to agency and responsibility. While there is some work that touches on the topic, and a few extended treatments of particular disorders, these only scratch the surface. Agency in Mental Disorder seeks to provide a starting point for deeper and broader philosophical analyses. The 8 new essays in this book address various questions about the relationship between agency and mental disorder. What is the nature of that relationship? In what ways do mental disorders affect capacities for control? How should we understand the mitigations of blame that mental disorders seem to provide, and can we generalize from specific disorders to any interesting claims about disorders as a class? And what makes for a mental disorder in the first place?
Solving intractable biotechnological questions of evolution, medicine, and genetics is now easier due to methods permitting the rapid analysis of molecular sequence data. These advances have exposed ethical and policy concerns. How would genomic information be used and by whom? Should individuals be able to make decisions regarding their own genomic data? How accurate are these genetic tests and how should they be regulated? These and other ethical conundrums are the subject of this book. Bioethicists, biomedical policy experts and lawyers, physicians, nursing and allied health students as well as science educators will find this book helpful and engaging in exploring the complexities of modern evolutionary, genetic and biomedical data.
Solving intractable biotechnological questions of evolution, medicine, and genetics is now easier due to methods permitting the rapid analysis of molecular sequence data. These advances have exposed ethical and policy concerns. How would genomic information be used and by whom? Should individuals be able to make decisions regarding their own genomic data? How accurate are these genetic tests and how should they be regulated? These and other ethical conundrums are the subject of this book. Bioethicists, biomedical policy experts and lawyers, physicians, nursing and allied health students as well as science educators will find this book helpful and engaging in exploring the complexities of modern evolutionary, genetic and biomedical data.
Neural prosthetics are systems or devices implanted in or connected to the brain that influence the input and output of information. They modulate, bypass, supplement, or replace regions of the brain and its connections to parts of the body that are damaged, dysfunctional, or lost, whether from congenital conditions, brain injury, limb loss, or neurodegenerative disease. Neural prosthetics can restore sensory, motor, and cognitive functions in people with these conditions and enable them to regain functional independence and improve their quality of life. This book explores the neuroscientific and philosophical implications of neural prosthetics. Neuroscientific discussion focuses on how neural prosthetics can restore brain and bodily functions to varying degrees, looking at auditory and visual prosthetics, deep brain and responsive neurostimulation, brain-computer interfaces, brain-to-brain interfaces, and memory prosthetics. Philosophical discussion then considers the degree to which people with these prosthetics can benefit from or be harmed by them. Finally, it explores how these devices and systems can lead to a better understanding of the brain-mind relation, mental causation, and agency. This is an essential volume for anyone invested in the current and future directions of neural prosthetics, including neuroscientists, neurologists, neurosurgeons, neural engineers, psychologists, and psychiatrists, as well as philosophers, bioethicists, and legal theorists.
What is ethics? Where do moral standards come from? Are they based on emotions, reason, or some innate sense of right and wrong? For many scientists, the key lies entirely in biology--especially in Darwinian theories of evolution and self-preservation. But if evolution is a struggle for survival, why are we still capable of altruism? In his classic study "The Expanding Circle," Peter Singer argues that altruism began as a genetically based drive to protect one's kin and community members but has developed into a consciously chosen ethic with an expanding circle of moral concern. Drawing on philosophy and evolutionary psychology, he demonstrates that human ethics cannot be explained by biology alone. Rather, it is our capacity for reasoning that makes moral progress possible. In a new afterword, Singer takes stock of his argument in light of recent research on the evolution of morality.
Countless public health agencies are trying to solve our most intractable public health problems - among them, the obesity and opioid epidemics - by partnering with corporations responsible for creating or exacerbating those problems. We are told industry must be part of the solution. But is it time to challenge the partnership paradigm and the popular narratives that sustain it? In The Perils of Partnership, Jonathan H. Marks argues that public-private partnerships and multi-stakeholder initiatives create "webs of influence" that undermine the integrity of public health agencies; distort public health research and policy; and reinforce the framing of public health problems and their solutions in ways that are least threatening to the commercial interests of corporate "partners". We should expect multinational corporations to develop strategies of influence - but public bodies can and should develop counter-strategies to insulate themselves from corporate influence in all its forms. Marks reviews the norms that regulate public-public interactions (separation of powers) and private-private interactions (antitrust and competition law), and argues for an analogous set of norms to govern public-private interactions. He also offers a novel framework to help public bodies identify the systemic ethical implications of their current or proposed relationships with industry actors. Marks makes a compelling case that the default public-private interaction should be at arm's length: separation, not collaboration. He calls for a new paradigm that avoids the perils of corporate influence and more effectively protects and promotes public health. The Perils of Partnership is essential reading for public health officials and policymakers - but anyone interested in public health will recognize the urgency of this book.
Conscience in Reproductive Health Care responds to the growing worldwide trend of health care professionals conscientiously refusing to provide abortions and similar reproductive health services in countries where these services are legal and professionally accepted. Carolyn McLeod argues that conscientious objectors in health care should prioritize the interests of patients in receiving care over their own interest in acting on their conscience. She defends this "prioritizing approach" to conscientious objection over the more popular "compromise approach" without downplaying the importance of health care professionals having a conscience or the moral complexity of their conscientious refusals. McLeod's central argument is that health care professionals who are gatekeepers of services such as abortions are fiduciaries for their patients and for the public they are licensed to serve. As such, they owe a duty of loyalty to these beneficiaries and should give primacy to their beneficiaries' interests in accessing care. This conclusion is informed by what McLeod believes is morally at stake for the main parties to the conflicts generated by conscientious refusals: the objector and the patient. What is at stake, according to McLeod, depends on the relevant socio-political context, but typically includes the objector's integrity and the patient's interest in avoiding harm.
In 2018 the first genetically modified babies were reportedly born in China, made possible by the invention of CRISPR technology in 2012. This controversial advancement overturned the pre-existing moral consensus, which had held for over fifty years before: while gene editing an adult person was morally acceptable, modifying babies, and thus subsequent generations, crossed a significant moral line. If this line is passed over, scientists will be left without an agreed-upon ethical limit. What do we do now? John H. Evans here provides a meta-level guide to how these debates move forward and their significance to society. He explains how the bioethical debate has long been characterized as a slippery slope, with consensually ethical use at the top, nightmarish dystopia at the bottom, and specific agreed-upon limits in between, which draw the lines between the ethical and the unethical. Evans frames his analysis around these limits, or barriers. Historically they have existed to guide scientists and to prevent the debate from slipping down the metaphorical slope into unacceptable eugenicist possibilities, such as in Aldous Huxley's novel Brave New World or the movie Gattaca. Evans examines the history of how barriers were placed, then fell, then replaced by new ones, and discusses how these insights inform where the debate may head. He evaluates other proposed barriers relevant to where we are now, projects that most of the barriers suggested by scientists and bioethicists will not hold, and cautiously identifies a few that could serve as the moral boundary for the next generation. At a critical time in this new era of intervention in the human genome, The Human Gene Editing Debate provides a necessary, comprehensive analysis of the conversation's direction, past, present, and future.
As the demand for organs continues to outstrip availability and waiting lists surge, the pressure to make morally questionable, unethical decisions becomes more likely and trust in transplant medicine starts to erode. Medical ethics expert and former health professional, Trevor Stammers, analyses the complex ethical web that constitutes the worldwide exchange of organs and tissues. Key philosophical questions concerning existence, consciousness, the nature of death and the right to life connect organ donation and transplantation to real-life case studies exploring difficulties with the 'dead donor rule' for deceased donation, organ donation euthanasia, xenotransplantation and the creation of organoids and 'organs-on-chips', alongside examples of human trafficking and systematic state murder to provide organs. Controversial cases from Japan, Germany, USA and Singapore are examined alongside the Spanish, Welsh, and Chilean experience of deceased donation opt-out schemes to highlight the variety of threats and challenges to public trust in transplant medicine. Charting these examples provides valuable material for debates and discussions in the philosophy of medicine and medical ethics more generally. Stammers suggests viable alternatives to current ethical failings by focusing on the moral arguments that define public trust, moving the debate on transplant ethics in vital new directions.
This book serves as an introduction to the concepts of medical biotechnology, with great details about fundamentals and early disciplines of study as well as emerging fields and the latest research. The book follows a chronological order from the earliest discoveries and breakthroughs of medical biotechnology to the latest areas of study. The book contains up-to-date citations for each chapter and section, which makes it easy for the reader to understand the concept and also to follow the latest developments in the particular area. It is an ideal book for undergraduate and graduate students who aspire to derive basic knowledge and are also keen on learning about the latest advancements in the field of medical biotechnology.
Human Embryos and Preimplantation Genetic Technologies: Ethical, Social, and Public Policy Aspects presents the first holistic analysis of PGD and PGS as it is practiced and regulated worldwide. In addition to scientific and technical aspects, the book provides perspectives on the ethical, legal, religious, policy and social implications of global assisted reproduction technologies, including in Africa, Asia, Europe, North and South America, and Australia. Chapters cover history, ethics, feminism, family dynamics, psychological and interpersonal factors, the current state of PGD and PGS in 20 different sovereign nations and religious communities, and provide an analysis of public policy concerns and future directions.
The questions and dilemmas of bioethics touch everyone. Should people who refuse to be vaccinated be treated for COVID-19, even if that displaces vaccinated patients with other serious conditions? What restrictions on abortion should there be, if any? Should women be paid to donate eggs? Bioethics: What Everyone Needs to Know (R) discusses these and other similar questions facing the public today-as well as providing a way for thinking deeply about them. Steinbock and Menzel first examine major moral theories and how they can be used to analyze bioethical issues. They then provide historical background to the birth of bioethics and explain how it shifted from a paternalistic doctor knows best approach to respect for autonomy, a fundamental value in contemporary bioethics. Subsequent chapters cover advance directives, experimentation on human subjects, the definition of death, physician-assisted dying, abortion, disability, just healthcare systems, the allocation of scarce resources, pharmaceutical drug pricing, assisted reproductive technology, egg donation, surrogate motherhood, sex selection, and the genetic modification of humans. Race and gender are considered throughout, as are the ethical issues raised by pandemics. Steinbock and Menzel consider the controversial questions that surface in the public sphere, explaining the facts, and then evaluating different approaches to resolving them.
This book proposes an integrated and interdisciplinary approach recording and interpreting the human experience of illness, disability, care, and medical intervention. In our age of deeply technologically-driven medicine, it is crucial to re-establish and promote the neglected relationship between medicine and the arts. This textbook contains contributions by scholars in various fields, who offer their qualified insights in order to reflect on illness, medicine, and the role of physicians and nurses. All chapters overcome a reductive conception of a medicine that is only able to biologically explain illness. All three editors of this book are researchers in Padua, a city that has been described as the cradle of modern medicine. From Gabriele Falloppio to Girolamo Fabrici d'Acquapendente and Giovanni Battista Morgagni, human, normal and pathological, anatomy has taken big steps forward. Galileo Galilei taught for eighteen years at the University of Padua and developed the scientific method there. During the same period, Padua was also the "nursery of arts", as Shakespeare wrote. In fact, Padua developed, especially in the XIV, XV, and XVI centuries, an impressive and unique artistic culture thanks to artists such as Giotto, Donatello and Titian. Finally, the city of Saint Anthony is a place where a religious feeling strongly oriented towards charity is deeply rooted and strictly linking its history to that of its hospital. For all these reasons a combination of medical humanities and Italian artistic heritage is of interest to anyone involved in bioethics and medicine. This textbook is a unique resource for students of medicine, nursing, bioethics, psychology, theology, and history of art.
Over the past decades, public trust in medical professionals has steadily declined. This decline of trust and its replacement by ever tighter regulations is increasingly frustrating physicians. However, most discussions of trust are either abstract philosophical discussions or social science investigations not easily accessible to clinicians. The authors, one a surgeon-turned-philosopher, the other an analytical philosopher working in medical ethics, joined their expertise to write a book which straddles the gap between the practical and theoretical. Using an approach grounded in the methods of conceptual analysis found in analytical philosophy which also draws from approaches to medical diagnosis, the authors have conceived an internally coherent and comprehensive definition of trust to help elucidate the concept and explain its decline in the medical context. This book should appeal to all interested in the ongoing debate about the decline of trust - be it as medical professionals, medical ethicists, medical lawyers, or philosophers.
Reproductive science continues to revolutionise reproduction and propel us further into uncharted territories. The revolution signalled by the birth of Louise Brown after IVF in 1978, prompted governments across Europe and beyond into regulatory action. Forty years on, there are now dramatic and controversial developments in new reproductive technologies. Technologies such as uterus transplantation that may enable unisex gestation and babies gestated by dad; or artificial wombs that will completely divorce reproduction from the human body and allow babies to be gestated by machines, usher in a different set of legal, ethical and social questions to those that arose from IVF. This book revisits the regulation of assisted reproduction and advances the debate on from the now much-discussed issues that arose from IVF, offering a critical analysis of the regulatory challenges raised by new reproductive technologies on the horizon.
Everyone has a view about animal ethics. Each of us, for example, has an opinion about whether we should eat meat; whether animals should be used for scientific research, or whether the use of animals in sport is acceptable. But very few of us stop to wonder about the basis of our views, or to rationalise them. In this book, Madeleine Campbell aims to enable us to do so, by addressing a series of questions such as `When does animal use become abuse?'; `Why do we treat some animals differently from others?'; `Are there some things which we should never do to animals?', and `Just because we can, should we?'. Drawing on her experience as a Veterinarian; a European Diplomate in Animal Welfare Science, Ethics and Law; a researcher and teacher, the author takes ethical argument beyond academia and applies it to the question which currently dominates societal debate about human-animal interactions: what (if anything) is a reasonable use of an animal? Animals, Ethics, and Us offers a stripped back, balanced and moderate perspective, based on logical argument, philosophical principles and sound science. It is a thought-provoking read aimed at a broad readership including informed owners and animal enthusiasts, as well as useful a primer for students of animal ethics, welfare and veterinary medicine.
Most people believe that parents have moral rights and responsibilities regarding their children. These rights and responsibilities undergird the nuclear family and are essential to the flourishing of its members. However, their basis and contents are hotly contested. Do a child's genetic parents have a right to parent her? The importance of genetic ties is affirmed by many people's gut responses, everyday talk, and many court decisions, but the moral justification for tying parenthood rights to genetics is unclear. Parents are routinely permitted to make far-reaching decisions about their children's medical care, education, religious practice, and even how to punish them. When can parental rights be limited by the interests of the child or society? Matters are no more settled when it comes to parental responsibilities. It is commonly thought that if a man conceives a child through voluntary sexual intercourse he acquires parental responsibilities, even if he took every precaution against conception. On the other hand, sperm donors are widelythough not universallythought to have no responsibilities towards their progeny. What is the basis for these disparate judgments? Parents are expected to do a lot for their children as they raise them. But there are surely limits. Sometimes parents have to balance the needs of multiple family members or just want to have time for themselves. What is the extent of their parental responsibilities? In The Moral Foundations of Parenthood, Joseph Millum provides a philosophical account of moral parenthood. He explains how parental rights and responsibilities are acquired, what those rights and responsibilities consist in, and how parents should go about making decisions on behalf of their children. In doing so, he provides a set of frameworks to help solve pressing ethical dilemmas relating to parents and children.
The Universal Declaration on Bioethics and Human Rights, 2005, marked a significant step towards the recognition of universal standards in the field of science and medicine. This book provides an overview of the ethical and legal developments which have occurred in the field of bioethics and human rights since then. The work critically analyzes the Declaration from an ethical and legal perspective, commenting on its implementation, and discussing the role of non-binding norms in international bioethics. The authors examine whether the Declaration has contributed to the understanding of universal or global bioethics, and to what degree states have implemented the principles in their domestic legislation. The volume explores the currency of the Declaration vis-a-vis the more recent developments in technology and medicine and looks ahead to envisage the major bioethical challenges of the next twenty years. In this context, the book offers a comprehensive ethical and legal study of the Declaration with an in-depth analysis of the meaning of the provisions, in order to clarify the extension of human rights in the field of medicine and the obligations incumbent upon UNESCO member States, with reference to their implementation practice.
This book provides a brief introduction to the growing field of animal maltreatment evaluation and treatment, with a special emphasis on clinical training from a forensic psychology perspective. Geared toward mental health practitioners, students, and educators, this broad overview focuses on foundational legal concepts, applications in clinical and psycholegal settings, and emerging perspectives on effective evaluation and treatment. The authors provide practical guidance around "real world" scenarios through the use of clinical case vignettes, highlighting the complexities and need for culturally- and psychologically-informed care in these cases. Key topics include forensic animal maltreatment evaluations (or FAMEs); implications for best practices; challenges for providers, trainees, and supervisors; and future directions for the field.
Emerging medical technologies are changing our views on human nature and what it means to be alive, healthy, and leading a good life. Reproductive technologies, genetic diagnosis, organ transplantation, and psychopharmacological drugs all raise existential questions that need to be tackled by way of philosophical analysis. Yet questions regarding the meaning of life have been strangely absent from medical ethics so far. This book brings phenomenology, the main player in the continental tradition of philosophy, to bioethics, and it does so in a comprehensive and clear manner. Starting out by analysing illness as an embodied, contextualized, and narrated experience, the book addresses the role of empathy, dialogue, and interpretation in the encounter between health-care professional and patient. Medical science and emerging technologies are then brought to scrutiny as endeavours that bring enormous possibilities in relieving human suffering but also great risks in transforming our fundamental life views. How are we to understand and deal with attempts to change the predicaments of coming to life and the possibilities of becoming better than well or even, eventually, surviving death? This is the first book to bring the phenomenological tradition, including philosophers such as Martin Heidegger, Edith Stein, Maurice Merleau-Ponty, Jean-Paul Sartre, Hans-Georg Gadamer, Paul Ricoeur, Hans Jonas, and Charles Taylor, to answer such burning questions. |
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