How influential has the Nazi analogy been in recent medical debates on euthanasia? Is the history of eugenics being revived in modern genetic technologies? And what does the tragic history of thalidomide and its recent reintroduction for new medical treatments tell us about how governments solve ethical dilemmas?
"Bioethics in Historical Perspective" shows how our understanding of medical history still plays a part in clinical medicine and medical research today. With clear and balanced explanations of complex issues, this extensively documented set of case studies in biomedical ethics explores the important role played by history in thinking about modern medical practice and policy.
This book provides student readers with up-to-date information about issues in bioethics, as well as a guide to the most influential ethical standpoints. New twists added to well-known stories will engage those more familiar with the challenging field of contemporary bioethics.

Who decides, and on what basis, how to treat a child with severe birth defects? Any decisions made on such cases are painful and complex, and have far-reaching consequences for society at large. Addressing the medical, legal, and ethical aspects of the issue, Robert Weir presents the first serious survey of the major arguments regarding selective non-treatment, which have been advanced by physicians, attorneys, and the judicial system.

Handing envelopes containing money or gifts to doctors in public health care is often seen as a remnant of socialism that continues as an integral part of the Lithuanian health care system. Rima Praspaliauskiene uses the envelope to explore complex doctor-patient interactions that go beyond notions of the gift or the bribe. She reshapes our definition of corruption and encourages seeing these practices as emerging forms of care that impede the neoliberal health care reforms effected in the post-Soviet era. Enveloped Lives extends the analytical categories of gift, care, money, and transparency, shifting attention away from material transactions by prioritizing relations and practices that transcend economic rationality. At a time when health care reforms and the costs of care are being widely debated, this book is a contribution to the larger discussion about the ethics and future of health care around the world.

Sterben, Sterbehilfe (Beschaftigung mit "Dignitas") und Tod sind in den letzten Jahren - (auch) durch die Thematisierung in den Medien - verstarkt zu Objekten kontroverser Diskussionen in Deutschland geworden. Im Kontext dieser Entwicklung differenziert diese Arbeit elementare Wortbedeutungen, ordnet diese Begriffe in die aktuelle Debatte um unterschiedliche Formen der Sterbehilfe ein und entwickelt hieraus eine eigene Perspektive zum individuellen und gesellschaftlichen Umgang mit Sterben und Tod. Die Arbeit mit Sterbenden und deren Angehoerigen stellt unter anderem fur AErzte, Juristen, Theologen und Sozialarbeiter eine besondere Aufgabe dar. Trotz der oeffentlichen Diskussion uber Sterben, Sterbehilfe und Tod werden diese Themen im gesellschaftlichen und privaten Zusammenleben meist tabuisiert. Dieses Buch dient der Professionalisierung zuvor genannter Berufsgruppen und moechte einen Teil zur gesellschaftlichen Enttabuisierung von Sterben und Tod beitragen.

As a mental health nurse, possessing an ethical sensibility and developing ethical reasoning is vital. This book is a practical introduction to the skills and knowledge the mental health nurse is professionally required to develop in their journey towards effectively managing complex ethical decisions. Written with the training mental health nurse in mind, this book is a clear and concise guide on how to approach common, ethically-complex situations mental health nurses will eventually find themselves faced with. It includes textboxes which take the reader into a 'real world' scenario to help them explore the moral and ethical issues discussed throughout the chapter. To ensure professional currency, the content of this book is mapped to the Nursing and Midwifery Council's pre-registration education standards of 2010, and uses a scenario-based approach in order to provide a pragmatic and robust resource. A Practical Introduction to Mental Health Ethics is essential reading for pre-registration mental health nursing students, while also being of value to registered mental health nurses working in ethically challenged areas such as dementia care, psychiatric intensive care units.

The field of global health is expanding rapidly. An increasing number of trainees are studying and working with marginalized populations, often within low and middle-income countries. Such endeavours are beset by ethical dilemmas: mitigating power differentials, addressing cultural differences in how health and illness are viewed, and obtaining individual and community consent in research. This introductory textbook supports students to understand and work through key areas of concern, assisting them in moving towards a more critical view of global health practise.

Divided into two sections covering the theory and practice of global health ethics, the text begins by looking at definitions of global health and the field s historical context. It draws on anti-colonial perspectives concepts, developing social justice and solidarity as key principles to guide students. The second part focuses on ethical challenges students may face in clinical experiences or research. Topics such as working with indigenous communities, the politics of global health governance, and the ethical challenges of advocacy are explored using a case study approach. "

An Introduction to Global Health Ethics" includes recommended resources and further readings, and is ideal for students from a range of disciplines including public health, medicine, nursing, law and development studies who are undertaking undergraduate and graduate courses in ethics or placements overseas.

Posthumous reproduction refers to the procedure that enables a child to be conceived using the gametes of a dead person. Advances in reproductive technology mean it is now possible to assist in creating a life after you die, and in recent years the number of women who have attempted to get pregnant using posthumous reproduction has increased. However, the law in many jurisdictions has not put regulations in place to deal with the ethical and legal consequences that arise as a result of posthumous reproduction. This is the first book to exclusively focus on posthumous reproduction. The book comprehensively explores the legal and ethical issues surrounding posthumous reproduction in a number of jurisdictions including the US, Israel, the UK and France. The book looks at a number of issues including: ascertaining the wishes of the dead and protecting the reproductive rights of men who have deposited frozen sperm in clinics prior to their deaths; cases involving people who want to acquire fresh sperm from deceased or incompetent men and determining who should have the right to accept the sperm; identifying the parents of the posthumously conceived child; and discussing the need to promote the best interests of the child. The book critically examines the current laws that are in place and proposes additional regulations and policies in order to effectively regulate posthumous reproduction.

A cutting-edge analysis of the global issues surrounding modern reproductive technologies Advances in assisted reproductive technologies have sparked global policy debates since the birth of the first so-called "test tube baby" in 1978. Today, mitochondrial replacement therapies represent the most recent advancement in assisted reproductive technologies, allowing some women with mitochondrial diseases to birth babies without those diseases. In the past decade, mitochondrial replacement therapies have captured public sentiment, reigniting debates around social views of reproductive rights and the appropriate legal and political response. Reproduction Reborn guides readers through the history and science of mitochondrial replacement therapies and the various attempts to control them. Leading experts from medicine, genetics, ethics, law, and policy explore the influence of public debate on the evolving shape of these technologies and their subsequent regulation. They highlight case studies from both developed and developing countries across the globe, including recent legislation in Australia and China. They further identify the ethical, legal, and societal norms that need to be addressed by policymakers and communities as more and more people seek to gain access to these treatments. Given the importance of reproduction in family life and cultural identity, clinicians and policymakers must understand how regulatory regimes around mitochondrial replacement therapies have evolved to illuminate the processes and challenges of governing reproduction in a fast-moving world. Informative and global in scope, Reproduction Reborn explores how advancements in assisted reproductive technologies challenge core values surrounding the rights and responsibilities of modern-day family units.

Surgical ethics is the application of ethics to issues specific to surgery. This volume provides a collection of clinical case studies representing a wide range of the ethical issues surgeons confront today. It is an excellent text for teaching surgical ethics to surgical residents and medical students and a fascinating read for practicing surgeons. It is intended to engage the reader into participating in evidence-based ethical conflicts. The authors escort us through 71 brief, realistic, and ethically complex problems, offering a series of five possible resolutions to each and guiding us through the relative benefits and weaknesses of the options until a best ethical choice is defended. The volume includes sections on Consent and Disclosure, Self-Regulation, Research and Innovation, Conflicts of Interest, Business Dealings, and End of Life Issues, each with a brief introduction by the authors.

This volume is a collection of essays concerned with the morality of hu man treatment of nonhuman animals. The contributors take very different approaches to their topics and come to widely divergent conclusions. The goal of the volume as a whole is to shed a brighter light upon an aspect of human life-our relations with the other animals-that has recently seen a great increase in interest and in the generation of heat. The discussions and debates contained herein are addressed by the contributors to each other, to the general public, and to the academic world, especially the biological, philosophical, and political parts of that world. The essays are organized into eight sections by topics, each sec tion beginning with a brief introduction linking the papers and the sec tions to one another. There is also a general introduction and an Epilog that suggests alternate possible ways of organizing the material. The first two sections are concerned with the place of animals in the human world: Section I with the ways humans view animals in literature, philosophy, and other parts of human culture, and Section II with the place of animals in human legal and moral community. The next three sections concern comparisons between human and nonhuman animals: Section III on the rights and wrongs of killing, Section IV on the humanity of animals and the animality of humans, and Section V on questions of the conflict of human and animal interests."

Every day nurses are required to make ethical decisions in the course of caring for their patients. "Ethics in Nursing Practice" provides the background necessary to understand ethical decision making and its implications for patient care. The authors focus on the individual nurse's responsibilities, as well as considering the wider issues affecting patients, colleagues and society as a whole.
This third edition is fully updated, and takes into account recent changes in ICN position statements, WHO documents, as well as addressing current issues in healthcare, such as providing for the health and care needs of refugees and asylum seekers, bioethics and the enforcement of nursing codes. This publication from the International Council of Nurses is the essential resource for nurses seeking to understand ethical decision making, written by world experts in nursing ethics.

The focus of bioethical debates on exceptional cases neglects the underlying values-like justice and community-that would lend to a broader, more well-rounded understanding of today's world. Discussions of ethical problems in health care too often concentrate on exceptional cases. Bioethical controversies triggered by experimental drugs, gene-edited babies, or life extension are understandably fascinating: they showcase the power of medical science and technology while addressing anxieties concerning health, disease, suffering, and death. However, the focus on rare individual cases in the media spotlight turns attention away from more pressing ethical issues that impact global populations, such as access to health care, safe food and water, and the prevention of emerging infectious diseases. In Bizarre Bioethics, Henk A.M.J. ten Have argues that this focus on bizarre cases leads to bizarre bioethics with a narrow agenda for ethical debate. In other words, although these extreme cases are undeniably real, they present a limited and skewed view of everyday moral reality. This focus also assumes that individuals are rational decision-makers, so that the role of feelings and emotions can be downgraded. Larger questions related to justice, solidarity, community, meaning, and ambiguity are not appreciated. Such questions used to be posed by philosophical and theological traditions, but they have been exorcised and marginalized in the development of bioethics. Science, ten Have writes, is not a value-free endeavor that provides facts and evidence: it is driven by underlying value perspectives that are often based on metaphors and world views from philosophical and theological traditions. Drawing on a rich analysis of the literature, ten Have explains how bioethical discussion can be enriched by these metaphors and develops a broader approach that critically delves into the imaginative world views that determine understanding of the world and human existence. Examining the roles of the metaphors of ghosts, monsters, pilgrims, prophets, and relics, ten Have illustrates how science and medicine are animated by imaginations that fuel the search for hope, salvation, healing, and a predictable future. Bizarre Bioethics invites students, researchers, policymakers and teachers interested in ethics and health care to think about the value perspectives on health and disease today.

Civil Dialogue on Abortion provides a cutting-edge discussion between two philosophy scholars on each side of the abortion debate. Bertha Alvarez Manninen argues for her pro-choice view, but also urges respect for the life of the fetus, while Jack Mulder argues for his pro-life view, but recognizes that for the pro-life movement to be consistent, it must urge society to care more for the vulnerable. Coming together to discuss their views, but also to seek common ground, the two authors show how their differing positions nevertheless rest upon some common convictions. The book helps to provide a way forward for a divide that has only seemed to widen the aisle of public discourse in recent years. This engaging book will prove essential reading for students across multiple disciplines, including applied ethics, medical ethics, and bioethics, but will also be of interest to students of religious studies and women's studies.

Parents in the US and other societies are increasingly refusing to vaccinate their children, even though popular anti-vaccine myths - e.g. 'vaccines cause autism' - have been debunked. This book explains the epistemic and moral failures that lead some parents to refuse to vaccinate their children. First, some parents have good reasons not to defer to the expertise of physicians, and to rely instead upon their own judgments about how to care for their children. Unfortunately, epistemic self-reliance systematically distorts beliefs in areas of inquiry in which expertise is required (like vaccine immunology). Second, vaccine refusers and mainstream medical authorities are often committed to different values surrounding health and safety. For example, while vaccine advocates stress that vaccines have low rates of serious complications, vaccine refusers often resist vaccination because it is 'unnatural' and because they view vaccine-preventable diseases as a 'natural' part of childhood. Finally, parents who refuse vaccines rightly resist the utilitarian moral arguments - 'for the greater good' - that vaccine advocates sometimes make. Unfortunately, vaccine refusers also sometimes embrace a pernicious hyper-individualism that sanctions free-riding on herd immunity and that cultivates indifference to the interpersonal and social harms that unvaccinated persons may cause.

Women most fully experience the consequences of human reproductive technologies. Men who convene to evaluate such technologies discuss "them": the women who must accept, avoid, or even resist these technologies; the women who consume technologies they did not devise; the women who are the objects of policies made by men. So often the input of women is neither sought nor listened to. The privileged insights and perspectives that women bring to the consideration of technologies in human reproduction are the subject of these volumes, which constitute the revised and edited record of a Workshop on "Ethical Issues in Human Reproduction Technology: Analysis by Women" (EIRTAW), held in June, 1979, at Hampshire College in Amherst, Massachusetts. Some 80 members of the workshop, 90 percent of them women (from 24 states), represented diverse occupations and personal histories, different races and classes, varied political commitments. They included doctors, nurses, and scientists, lay midwives, consumer advocates, historians, and sociologists, lawyers, policy analysts, and ethicists. Each session, however, made plain that ethics is an everyday concern for women in general, as well as an academic profession for some.

The rapid development of reproductive technologies has questioned many essential concepts belonging to our symbolic universe, such as human reproduction, motherhood and fatherhood; the transmission of the biological and cultural inheritance of mankind and the constitution of the psychic subject. These concepts, however, are supported by ideologies and value systems which hide that they are but theoretical constructions; consequently, they are taken as describing the "natural" function of reproduction. In this sense, the technological development takes the form of an increasing medicalization of the human body, of the life, sexuality and desire of people, especially of women. All this requires that we think critically about the conditions of possibility of these technologies and their psychological and ethical implications. In this book the author provides a detailed and rigorous analysis which locates the reproductive technologies in the historical context of the progressive technification of the management of human life, and their relation to the social and medical discourses on femininity, maternity and infertility. From a psychoanalytic point of view, culture and its discontents, violence, domination, are related intimately to the problematic character of sexuality, which includes the uncertainties of our desires. Social, medical, anthropological and literary discourses try to define "maternal desire" in order to control it: the definitions which capture it in their nets are means to dominate desire as an object and to "construct" the desiring subject. But psychoanalysis (through the associations of the subjects in question) shows that we face here an impossible question: one thing is the enunciated "demand", what is said about one's own desire ("I want a child"), and a very different one is the unconscious desire which disturbs the conscious discourse and shows that there can be psychological obstacles that interfere with the accomplishment of conscious wishes, conflicts and contradictions emerging through the women's words. In this book, the circulation of representations between the individual imaginary and collective myths is the basis of a multidisciplinary complex and original point of view, which confronts a variety of discourses arising from psychoanalysis, medicine, journalism, ethnology, mythology and literature.

Assisted dying is still an extremely contested topic in Bioethics. Despite the strongly influential role human dignity plays in this debate, it still has not received the appropriate, multi-faceted treatment it deserves. Studies show that the notion of dignity already plays an important role in medical contexts: it is frequently used by health care professionals as well as patients. However, its use in these contexts needs to be analyzed and explained in more detail. Moreover, a review of the available literature clearly shows that the general, highly fruitful academic debate on human dignity is more than ready to take the next step into applied ethics: in particular, into the even more controversial area of assisted death. This book offers a detailed philosophical analysis of dignity and how it relates to assisted death. Its audience will benefit both from the general discussion of human dignity it offers as well as from the specific bioethical context to which it is applied.

Handing envelopes containing money or gifts to doctors in public health care is often seen as a remnant of socialism that continues as an integral part of the Lithuanian health care system. Rima Praspaliauskiene uses the envelope to explore complex doctor-patient interactions that go beyond notions of the gift or the bribe. She reshapes our definition of corruption and encourages seeing these practices as emerging forms of care that impede the neoliberal health care reforms effected in the post-Soviet era. Enveloped Lives extends the analytical categories of gift, care, money, and transparency, shifting attention away from material transactions by prioritizing relations and practices that transcend economic rationality. At a time when health care reforms and the costs of care are being widely debated, this book is a contribution to the larger discussion about the ethics and future of health care around the world.

As prenatal tests proliferate, the medical and broader communities perceive that such testing is a logical extension of good prenatal care -- it helps parents have healthy babies. But prenatal tests have been criticized by the disability rights community, which contends that advances in science should be directed at improving their lives, not preventing them. Used primarily to decide to abort a fetus that would have been born with mental or physical impairments, prenatal tests arguably reinforce discrimination against and misconceptions about people with disabilities.

In these essays, people on both sides of the issue engage in an honest and occasionally painful debate about prenatal testing and selective abortion. The contributors include both people who live with and people who theorize about disabilities, scholars from the social sciences and humanities, medical geneticists, genetic counselors, physicians, and lawyers. Although the essayists don't arrive at a consensus over the disability community's objections to prenatal testing and its consequences, they do offer recommendations for ameliorating some of the problems associated with the practice.

In recent times, the phrase 'personalised medicine' has become the symbol of medical progress and a label for better health care in the future. However, a controversial debate has developed around whether these promises of better, more personal and more cost-efficient medicine are realistic. This book brings together leading researchers from across Europe and North America, from both normative and empirical disciplines, who take a more critical view of the often encountered hype associated with personalised medicine. Partially drawing on a four year collaborative research project funded by the German Ministry for Education and Research, the book presents a multidisciplinary debate on the current state of research on the ethical, legal and social implications of personalised medicine. At a time when future health care is a topic of much discussion, this book provides valuable policy recommendations for the way forward. This study will be of interest to researchers from various disciplines including philosophy, bioethics, law and social sciences.

Bioethics: The Basics is an introduction to the foundational principles, theories and issues in the study of medical and biological ethics. Readers are introduced to bioethics from the ground up before being invited to consider some of the most controversial but important questions facing us today. Topics addressed include: the range of moral theories underpinning bioethics arguments for the rights and wrongs of abortion, euthanasia and animal research health care ethics including the nature of the practitioner-patient relationship public policy ethics and the implications of global and public health '3 parents', enhancement, incidental findings and nudge approaches in health care. This thoroughly revised second edition provides a concise, readable and authoritative introduction for anyone interested in the study of bioethics.

Many intellectuals today embrace a postmodern view of the social construction of ethical values, which reduces to a form of ethical relativism. It is currently fashionable to avoid rights language, reject the central place of individual autonomy, and focus instead on the importance of community, while many people at the interface of ethics, medicine, and the social sciences in the developing world champion autonomy and individual rights in response to past or present authoritarian governments and paternalistic practices of physicians. Macklin advances this debate by examining the evidence and arguments on either side, and by presenting her view that ethical universals do exist but that they are compatible with a variety of culturally relative interpretations.

Develop your skills and confidence in approaching everyday medical ethics and legal issues - from consent to capacity and confidentiality - with this practical guide from the BMA. Everyday Medical Ethics and Law is a practical guide to the common issues and dilemmas faced by doctors. Drawing upon enquiries to the BMA's Ethics Department, it is written under the direction of the BMA's Medical Ethics Committee and reviewed by leading medical ethicists and lawyers. Chapters cover the doctor-patient relationship, consent, capacity, children and young people, confidentiality, management of health records, and prescribing. Each chapter is designed for effective learning and teaching with '10 things you need to know about...' introducing the key points of a topic and 'Setting the scene' explaining where the issues occur in real life and why doctors need to understand them. Real cases and summary boxes highlight the key issues throughout the text and general principles are supplemented by explanations of how they are applied in different scenarios. Everyday Medical Ethics and Law provides a practical approach to common ethical and legal issues and is a helpful reference for busy, practising doctors and other health professionals Related title Medical Ethics Today, Third Edition British Medical Association Ethics Department (9781444337082).

This is your source for authoritative and comprehensive guidance from the British Medical Association (BMA) Medical Ethics Department covering both routine and highly contentious medico-legal issues faced by health care professionals. The new edition updates the information from both the legal and ethical perspectives and reflects developments surrounding The Mental Capacity Act, Human Tissue Act, and revision of the Human Fertilisation and Embryology Act.

In Valuing Health Daniel M. Hausman provides a philosophically sophisticated overview of generic health measurement that suggests improvements in standard methods and proposes a radical alternative. He shows how to avoid relying on surveys and instead evaluate health states directly. Hausman goes on to tackle the deep problems of evaluation, offering an account of fundamental evaluation that does not presuppose the assignment of values to the properties and consequences of alternatives. After discussing the purposes of generic health measurement, Hausman defends a naturalistic concept of health and its relations to measures such as quality-adjusted life-years (QALYs) and disability-adjusted life years (DALYs). In examining current health-measurement systems, Valuing Health clarifies their value commitments and the objections to relying on preference surveys to assign values to health states. Relying on an interpretation of liberal political philosophy, Hausman argues that the public value of health states should be understood in terms of the activity limits and suffering that health states impose. Hausman also addresses the moral conundrums that arise when policy-makers attempt to employ the values of health states to estimate the health benefits of alternative policies and to adopt the most cost-effective. He concludes with a general discussion of the difficulties of combining consequentialist and non-consequentialist moral considerations in policy-making.