Medical uncertainty has been with us for centuries and remains a recurrent problem for patients, doctors, and researchers alike. Yet uncertainty in health care is still poorly understood and ineffectively managed; it is generally feared and avoided rather than directly confronted. This systemic disregard of uncertainty leads us to treat medical uncertainty as a pathological condition to be cured through the pursuit of knowledge, but often further medical knowledge begets further uncertainty in kind. Uncertainty in Medicine offers an alternative, multi-disciplinary perspective on this challenging problem. Integrating insights across clinical medicine and social science, Dr. Paul Han argues that uncertainty is an essential form of knowledge to be cultivated, rather than eradicated, in medical practice. He makes the case that the paradigm of medicine should be expanded to include not only the pursuit of medical knowledge but the treatment and palliation of medical uncertainty and its effects on physicians, other health professionals, and patients. Using clear language and a textbook approach, he analyzes the nature, etiology, and natural history of medical uncertainty, and develops a conceptual framework to guide its management. By promoting a more systematic way of conceptualizing the problem, this framework can enable clinicians and patients to better address medical uncertainty, and can help make uncertainty tolerance a more central focus of medical care. Rational and reassuring, Uncertainty in Medicine forges a new path for approaching medical uncertainty by arming readers from an array of disciplines with the tools they need to diagnose, treat, and confront its challenges more intentionally and effectively.

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.

Winner of the Sociology of Health and Illness Book Prize HIV has changed in the presence of recent biomedical technologies. In particular, the development of anti-retroviral therapies (ARVs) for the treatment of HIV was a significant landmark in the history of the disease. Treatment with ARV drug regimens, which began in 1996, has enabled many thousands to live with the human immunodeficiency virus without progressing to AIDS. Yet ARVs have also been fraught with problems of regimen compliance, viral resistance, and iatrogenic disease. Besides intensifying the technological and ethical complexities of medicine, the drugs have also affected conceptions of risk and risk practices, in turn presenting new challenges for prevention. In order to devise safer, more effective forms of treatment, prevention, and possibly cure, Marsha Rosengarten asserts, it is essential to understand the relationship between HIV, medical technologies, and ideas about the body. HIV is an entity that constitutes and is constituted by complex material and informational environments. Recognition of this two-way traffic between the medical science of HIV and the expression of HIV in individuals and societies provides a novel basis for devising new or supplementary modes of thinking about and intervening in the epidemic. Through such diverse materials as drug advertisements, pill formulations, scientific articles, clinical trials, diagnostic test results, and viral imaging as well as interviews with those living and working with HIV, Rosengarten provides numerous demonstrations of how the entities comprising the HIV epidemic - bodies, viral resistance, diagnostic results, safe sex - are forged through dynamic relations. These various phenomena challenge existing prevention models and raise social and ethical concerns about the impact of additional technologies such as HIV pre- and post-exposure prophylaxis and the promise of vaccines and microbicides. HIV Interventions is relevant to those engaged in questions of the social and ethical dimensions of biomedicine, biotechnology, and genomics. Further, the specific focus of the project offers HIV practitioners - in the sciences and social sciences, in clinical research, clinical practice, social research, policy development and prevention education - new perspectives and analytic tools for intercepting a virus that continues to endure and, most critically, to change in the course of doing so.

Sport is often thought of as simply "games," but it can in fact be much more. Sport can be responsible for guiding social justice movements, igniting city-wide riots, uniting countries, permanently injuring youth, revolutionizing views about race, gender and class, and producing several of the most successful global industries. Reports of ethical crises in athletics are constant fodder for popular attention, whether performance enhancing drugs in baseball, corruption in college athletics, the epidemic of brain damage among NFL players, and others too numerous to mention. As a proxy for social concerns, we naturally think of sport in inherently moral terms. Yet we can hardly define the term "sport," or agree on acceptable levels of sporting risk, or determine clear roles and responsibilities for fans, players, coaches, owners, media and health care personnel. Bringing together 27 of the most essential recent articles from philosophy, history, sociology, medicine, and law, this collection explores intersections of sports and ethics and brings attention to the immense role of sports in shaping and reflecting social values.

Taking a unique approach that emphasizes careful reasoning, this cutting-edge reader is structured around twenty-seven landmark arguments that have provoked heated debates on current ethical issues. Contemporary Moral Arguments: Readings in Ethical Issues, Second Edition, opens with an extensive two-chapter introduction to moral reasoning and moral theories that provides students with the background necessary to analyze the arguments in the following chapters. Chapters 3-12 present seventy-six readings that are organized-in the conventional way-into ten topical areas: abortion; drugs and autonomy (new to this edition); euthanasia and assisted suicide; genetic engineering and cloning; the death penalty; war, terrorism, and torture; pornography; economic justice and health care; animal rights and environmental duties; and global obligations to the poor. Offering a special feature not found in other anthologies, the selections are also organized in an unconventional way, by argument, so that students can more easily see how philosophers have debated each other on these critical issues. Each argument opens with an introduction that outlines the argument's key points, provides context for it, and reviews some of the main responses to it. Each introduction is followed by two to four essays that present the argument's classic statement, critiques and defenses of it, and related debates. Contemporary Moral Arguments incorporates more pedagogical features than any other reader, including: * Essay questions-ideal for writing assignments-after each of the twenty-seven argument sections * Four types of boxes throughout: Facts and Figures, Public Opinion, Legalities, and Time Lines * A list of key terms at the end of each chapter, all defined in the glossary, and suggestions for further reading * An Instructor's Manual and Testbank on CD featuring chapter and reading summaries, lecture outlines in PowerPoint format, and essay and objective questions with an answer key * A Companion Website at www.oup.com/us/vaughn containing the same material as the Instructor's Manual along with such student resources as self-quizzes and flash cards NEW TO THIS EDITION: * An expanded introductory chapter on moral reasoning that dissects a sample essay step by step and includes exercises on arguments * A new chapter (4) on drugs and autonomy, including four classic articles * A new section on ethical egoism (in Chapter 2) and three additional readings in other chapters * Numerous updated text boxes that reflect the latest information on abortion, euthanasia and assisted suicide, genetic engineering, capital punishment, war and terrorism, and economic and global justice

Dieser Band prasentiert einen UEberblick uber die Medizinethik. Er stellt konzeptuelle und methodische Zugange zum Fach dar und bietet Einblicke in zentrale Themenfelder. Kurze Einfuhrungen und Lekturefragen zu ausgewahlten Texten erleichtern die systematische Einordnung der verschiedenen theoretischen und praktischen Fragestellungen der Medizinethik.

In der zeitgenoessischen Reproduktionsethik werden intensiv moralische Probleme von Fortpflanzungstechniken wie Leihmutterschaft oder Gametenspende diskutiert. Erstaunlicherweise wird aber die fundamentale reproduktionsethische Frage, ob wir uns fortpflanzen sollten, kaum thematisiert. Auch Ethiken der Elternschaft eroertern zwar normative Probleme des Eltern-Kind-Verhaltnisses und fragen nach der Grundlage parentaler Pflichten, aussern sich aber meist nicht zu der Frage, ob wir Eltern werden sollten. Der Anti-Natalismus, als dessen wichtigster zeitgenoessischer Vertreter David Benatar gilt, widmet sich dieser zentralen Frage. Anti-Natalisten pladieren dafur, die Frage, ob wir uns fortpflanzen sollten, mit "Nein" zu beantworten. In der vorliegenden Abhandlung wird nach der Tragfahigkeit anti-natalistischer Argumente gefragt; es wird zwischen verschiedenen Formen des Anti-Natalismus differenziert und dargelegt, in welcher Form sich ein Anti-Natalismus verteidigen lasst. Es wird deutlich, dass sich zwar keine Pflicht, sich nicht fortzupflanzen, begrunden lasst, der Anti-Natalismus sich aber in einer bestimmten Form als kritikresistent erweist und zeigen kann, dass und warum es auch unter gunstigen Umstanden moralisch problematisch ist, Kinder in die Welt zu setzen.

The use of the criminal law to punish those who transmit disease is a topical and controversial issue. To date, the law, and the related academic literature, has largely focused on HIV transmission. With contributions from leading practitioners and international scholars from a variety of disciplines, this volume explores the broader question of if and when it is appropriate to criminalise the transmission of contagion. The scope and application of the laws in jurisdictions such as Canada, the United Kingdom and Norway are considered, historical comparisons are examined, and options for the further development of the law are proposed.

Bonnie Steinbock presents The Oxford Handbook of Bioethics --an authoritative, state-of-the-art guide to current issues in bioethics.
Thirty-four contributors reflect the interdisciplinarity that is characteristic of bioethics, and its increasingly international character. Thirty topics are covered in original essays written by some of the world's leading figures in the field, as well as by some newer "up-and-comers." The essays address both perennial issues, such as the methodology of bioethics, autonomy, justice, death, and moral status, and newer issues, such as biobanking, stem cell research, cloning, pharmacogenomics, and bioterrorism. Other topics concern mental illness and moral agency, the rule of double effect, justice and the elderly, the definition of death, organ transplantation, feminist approaches to commodification of the body, life extension, advance directives, physician-assisted death, abortion, genetic research, population screening, enhancement, research ethics, and the implications of public and global health for bioethics.
Anyone who wants to know how the central debates in bioethics have developed in recent years, and where the debates are going, will want to consult this book. It will be an invaluable resource not only for scholars and graduate students in bioethics, but also for those in philosophy, medicine, law, theology, social science, public policy, and public health who wish to keep abreast of developments in bioethics.

This book offers a new theory of property and distributive justice derived from Talmudic law, illustrated by a case study involving the sale of organs for transplant. Although organ donation did not exist in late antiquity, this book posits a new way, drawn from the Talmud, to conceive of this modern means of giving to others. Our common understanding of organ transfers as either a gift or sale is trapped in a dichotomy that is conceptually and philosophically limiting. Drawing on Maussian gift theory, this book suggests a different legal and cultural meaning for this property transfer. It introduces the concept of the 'divine lien', an obligation to others in need built into the definition of all property ownership. Rather than a gift or sale, organ transfer is shown to exemplify an owner's voluntary recognition and fulfilment of this latent property obligation.

Issues concerning patients' rights are at the center of bioethics, but the political basis for these rights has rarely been examined. In "Bioethics in a Liberal Society: The Political Framework of Bioethics Decision Making," Thomas May offers a compelling analysis of how the political context of liberal constitutional democracy shapes the rights and obligations of both patients and health care professionals. May focuses on how a key feature of liberal society--namely, an individual's right to make independent decisions--has an impact on the most important relational facets of health care, such as patients' autonomy and professionals' rights of conscience.

Although a liberal political framework protects individual judgments, May asserts that this right is based on the assumption of an individual's competency to make sound decisions. May uses case studies to examine society's approach to medical decision making when, for reasons ranging from age to severe mental disorder, a person lacks sufficient competency to make independent and fully informed choices. To protect the autonomy of these vulnerable patients, May emphasizes the need for health care ethics committees and ethics consultants to help guide the decision-making process in clinical settings. "Bioethics in a Liberal Society" is essential reading for all those interested in understanding how bioethics is practiced within our society.

Producing and rearing children are immensely important human activities. Procreation and Parenthood offers new and original essays by leading philosophers on some of the main ethical issues raised by these activities. An Introduction supplies an accessible overview of the current debates. Individual chapters then take up particular problems such as: the morality of bringing people into existence; what limits there might be on a person's freedom to reproduce; whether human beings need to ensure that they only create the best possible children; whether there is a conflict between justice and parents' devotion of time and money to their own children; and, whether parents acquire their role because of their intention to do so or because they are responsible for bringing children into being.

The announcement last spring that a lab in Scotland had successfully cloned a mammal captured the attention of the media and the imagination of the public. This culmination of decades of research has profound scientific and ethical implications. If applied to other species, cloning could further genetic engineering and greatly improve animal husbandry. Now that a sheep has been cloned, are humans next? Governments reacted swiftly with bans on funding for human cloning research. Churches united in calling for a complete ban on the cloning of higher animals. Critics immediately alluded to Mary Shelley's "Frankenstein" and the myth of Icarus. Has scientific sophistication outpaced our social and moral development? Can we "save" our society from this possible evil by banning any attempts to expand the knowledge? Does cloning really differ in spirit from the selective breeding that humankind has performed for centuries? "Cloning: For and Against" comprises 30 articles by scientists, ethicists, religious leaders and legal experts who explore the benefits and costs of cloning. Topics include: playing God: is cloning against human nature?; is cloning the salvation for endangered species?; no need for marriage: the separation of reproduction from human relationships; can you xerox a soul? and other theological issues; Brave New World: what's possible and what isn't; clones in medicine; and a million Michael Jacksons: eugenic/dysgenic and cultural consequences of human cloning.

Zu Beginn des 21. Jahrhunderts verandert sich durch Entdeckungen und Entwicklungen in Feldern wie den Neurotechnologien und der Hirnforschung, der Gentechnik und synthetischen Biologie, der Prothetik und den Nanotechnologien auch unser Verstandnis der Natur und des Menschseins. Vor diesem Hintergrund ist es das Ziel des Sammelbands, Perspektiven aus dem deutschsprachigen Raum mit ausgewahlten europaischen Positionen in einem interdisziplinaren Austausch zusammenzufuhren. Zugleich soll, was bisher eher selten der Fall war, ein Bruckenschlag zwischen empirischer Forschung zu Koerpermodifikationspraktiken und theoretischer Reflektion geleistet werden.

Although the 'Israeli case' of bioethics has been well documented, this book offers a novel understanding of Israeli bioethics that is a milestone in the comparative literature of bioethics. Bringing together a range of experts, the book's interdisciplinary structure employs a contemporary, sociopolitical-oriented approach to bioethics issues, with an emphasis on empirical analysis, that will appeal not only to scholars of bioethics, but also to students of law, medicine, humanities, and social sciences around the world. Its focus on the development of bioethics in Israel makes it especially relevant to scholars of Israeli society - both in and out of Israel - as well as medical practitioners and health policymakers in Israel.

Die Allgemeine Erklarung der Menschenrechte und das Grundgesetz der Bundesrepublik Deutschland haben die Menschenwurde als Hoechstwert und oberstes Prinzip verankert. Biopolitischen Eingriffen durch den Staat sollte damit eine absolute Grenze gesetzt werden. Die Unbestimmtheit der Menschenwurde hat jedoch in den bioethischen Debatten der letzten Jahrzehnte dazu gefuhrt, dass die Vorrangstellung der Menschenwurde in Frage gestellt wurde oder sich Vertreter entgegengesetzter Positionen beide gleichermassen auf die Wurde des Menschen berufen konnten. So stehen Eugenik und Euthanasie - in liberalem Gewande - als legitime Optionen wieder auf der Tagesordnung. Dies ist einerseits eine Problemanzeige und andererseits der Hinweis darauf, das unterschiedliche Lager unter Wurde unterschiedliches verstehen. Der vorliegende Band diskutiert vorranging das Verhaltnis von Menschenwurde und Autonomie als den zentralen Argumentationsgrundlagen dieser Debatte. Dabei wird der Frage nachgegangen, inwieweit es gerechtfertigt ist, den Wurdebegriff durch den Autonomiebegriff zu ersetzen, bzw. ob der Wurdebegriff Aspekte des Autonomiebegriffs integrieren oder ausschliessen muss, um dem Grundanliegen der Allgemeinen Erklarung der Menschenrechte und des Grundgesetzes der Bundesrepublik Deutschland gerecht zu werden, ohne Abstriche am Grundsatz der Unverfugbarkeit zu riskieren.

In "Life in the Balance," Niles Eldredge argues that the Earth is confronting a disaster in the making--an ecological crisis that, if left unresolved, could ultimately lead to mass extinction on the scale of that which killed the dinosaurs sixty-five million years ago. Writing for general readers, he reviews compelling evidence for this "biodiversity crisis," showing that species are dying out at an unnaturally rapid rate. He demonstrates the importance of maintaining biodiversity, taking the reader on a journey that reveals the twin faces of biodiversity--over thirteen million living species "and" the ecosystems through which these species transform the sun's energy into life-sustaining matter. Throughout, Eldredge shows how our own fate is intricately linked with that of other species.

Eldredge, one of the world's foremost paleontologists, begins by taking us to the heart of Botswana's Okavango Delta, considered by many to be among the last "Edens" left on Earth--a place where a rich assortment of organisms exist in natural equilibrium. However, it is also a place where the results of human activity--pollution, clear-cutting, water-diversion, encroaching agriculture, disease--now pose the same ecological threats that, on a worldwide scale, put the entire planet at risk. Eldredge then leads us on a fascinating exploration of the Earth's organisms--animals, plants, fungi, the microbes that underpin all life--and of the diverse ecosystems from the tundra to the tropics in which these organisms live. It is a journey that demonstrates the inherent value of the millions of species and ecosystems on Earth, and the importance of biodiversity to the entire biosphere and to humans' continued existence.

Eldredge concludes that humans not only are responsible for the biodiversity crisis but also hold the key to preventing an impending Sixth Extinction. He argues that we must, among other strategies, pledge ourselves to sustainable development and the conservation of wild places. An eloquent and passionate account by one of today's leading scientists, "Life in the Balance" will draw new attention to one of the most pressing problems now facing the world. In this book, Eldredge explores the same themes that illuminate The American Museum of Natural History's new Hall of Biodiversity, for which he is Scientific Curator. The Hall is scheduled to open in spring 1998.

How ought the law to deal with novel challenges regarding the use and control of human biomaterials? As it stands the law is ill-equipped to deal with these. Quigley argues that advancing biotechnology means that the law must confront and move boundaries which it has constructed; in particular, those which delineate property from non-property in relation to biomaterials. Drawing together often disparate strands of property discourse, she offers a philosophical and legal re-analysis of the law in relation to property in the body and biomaterials. She advances a new defence, underpinned by self-ownership, of the position that persons ought to be seen as the prima facie holders of property rights in their separated biomaterials. This book will appeal to those interested in medical and property law, philosophy, bioethics, and health policy amongst others.

The past two decades have seen unparalleled developments in our knowledge of the brain and mind. However, these advances have forced us to confront head-on some significant ethical issues regarding our application of this information in the real world- whether using brain images to establish guilt within a court of law, or developing drugs to enhance cognition. Historically, any consideration of the ethical, legal, and social implications of emerging technologies in science and medicine has lagged behind the discovery of the technology itself. These delays have caused problems in the acceptability and potential applications of biomedical advances and posed significant problems for the scientific community and the public alike - for example in the case of genetic screening and human cloning. The field of Neuroethics aims to proactively anticipate ethical, legal and social issues at the intersection of neuroscience and ethics, raising questions about what the brain tells us about ourselves, whether the information is what people want or ought to know, and how best to communicate it. A landmark in the academic literature, the Oxford Handbook of Neuroethics presents a pioneering review of a topic central to the sciences and humanities. It presents a range of chapters considering key issues, discussion, and debate at the intersection of brain and ethics. The handbook contains more than 50 chapters by leaders from around the world and a broad range of sectors of academia and clinical practice spanning the neurosciences, medical sciences and humanities and law. The book focuses on and provides a platform for dialogue of what neuroscience can do, what we might expect neuroscience will do, and what neuroscience ought to do. The major themes include: consciousness and intention; responsibility and determinism; mind and body; neurotechnology; ageing and dementia; law and public policy; and science, society and international perspectives. Tackling some of the most significant ethical issues that face us now and will continue to do so over the coming decades, The Oxford Handbook of Neuroethics will be an essential resource for the field of neuroethics for graduate students and postdoctoral fellows, basic scientists in the neurosciences and psychology, scholars in humanities and law, as well as physicians practising in the areas of primary care in neurological medicine.

Recent advances in the brain sciences have dramatically improved our understanding of brain function. As we find out more and more about what makes us tick, we must stop and consider the ethical implications of this new found knowledge. Will having a new biology of the brain through imaging make us less responsible for our behavior and lose our free will? Should certain brain scan studies be disallowed on the basis of moral grounds? Why is the media so interested in reporting results of brain imaging studies? What ethical lessons from the past can best inform the future of brain imaging?
These compelling questions and many more are tackled by a distinguished group of contributors to this, the first-ever volume on neuroethics. The wide range of disciplinary backgrounds that the authors represent, from neuroscience, bioethics and philosophy, to law, social and health care policy, education, religion and film, allow for profoundly insightful and provocative answers to these questions, and open up the door to a host of new ones. The contributions highlight the timeliness of modern neuroethics today, and assure the longevity and importance of neuroethics for generations to come.

In times of global economic and political crises, the notion of solidarity is gaining new currency. This book argues that a solidarity-based perspective can help us to find new ways to address pressing problems. Exemplified by three case studies from the field of biomedicine: databases for health and disease research, personalised healthcare, and organ donation, it explores how solidarity can make a difference in how we frame problems, and in the policy solutions that we can offer.

Bioethics has long been accepted as an interdisciplinary field. The recent 'empirical turn' in bioethics is, however, creating challenges that move beyond those of simple interdisciplinary collaboration, as researchers grapple with the methodological, empirical and meta-ethical challenges of combining the normative and the empirical, as well as navigating the difficulties that can arise from attempts to transcend traditional disciplinary boundaries. Empirical Bioethics: Theoretical and Practical Perspectives brings together contributions from leading experts in the field which speak to these challenges, providing insight into how they can be understood and suggestions for how they might be overcome. Combining discussions of meta-ethical challenges, examples of different methodologies for integrating empirical and normative research, and reflection on the challenges of conducting and publishing such work, this book will both introduce the novice to the field and challenge the expert.

Das Buch bietet in 24 Kapiteln einen systematischen Einblick in methodische und thematische Fragen der Medizin- und Bioethik in Deutschland von 1995 bis 2016. Dieser beginnt mit metaethischen Aspekten der Relation zwischen Ethik und Moral sowie mit der keineswegs unproblematischen Facherkombination von Medizinethik und Medizingeschichte an den deutschen Universitaten. Sodann werden zentrale bioethische und biopolitische Diskursfelder wie Stammzellforschung, Praimplantationsdiagnostik, pradiktive Medizin sowie Sterbehilfe und Transplantationsmedizin eroertert, die ausnahmslos brisante normative Probleme am Beginn und am Ende des menschlichen Lebens betreffen. Anders als im derzeitigen bioethischen "Mainstream" liegt in diesem Buch der Akzent auf der Betonung des Vorrangs der unantastbaren Wurde des Menschen vor dessen niemals absolut zu denkender Autonomie.

The regulatory systems in place prior to the development and expansion of agricultural biotechnology are still responding to this new form of technology. Such systems include trade law, intellectual property law, contract law, environmental regulations and biosafety regulations.This book reviews these regulatory changes and consists of 24 chapters developed from papers presented at a conference of the International Consortium on Agricultural Biotechnology Research, held in Italy in July 2002. It primarily considers the relationship between these changes and innovation, market development and international trade.