This book is a critical examination of certain basic issues and themes crucial to understanding how ethics currently interfaces with health care and biomedical research. Beginning with an overview of the field, it proceeds through a delineation of such key notions as trust and uncertainty, dialogue involving talk and listening, the vulnerability of the patient against the asymmetric power of the health professional, along with professional and individual responsibility. It emphasizes several themes fundamental to ethics and health care: (1) the work of ethics requires strict focus on the specific situational understanding of each involved person. (2) Moral issues, at least those intrinsic to each clinical encounter, are presented solely within the contexts of their actual occurrence; therefore, ethics must not only be practical but empirical in its approach. (3) Each particular situation is in its own way imprecise and uncertain and the different types and dimensions of imprecision and uncertainty are critical for everyone involved. (4) Finally, medicine and health care more broadly are governed by the effort to make sense of the healer's experiences with the patient, whose own experiences and interpretations are ingredient to what the healer seeks to understand and eventually treat. In addition to providing a way to develop ethical considerations in clinical life and research projects, the book proposes that narratives provide the finest way to state and grapple with these themes and issues, whether in classrooms or real-life situations. It concludes with a prospective analysis of newly emerging issues presented by and within the new genetics, which, together within a focus on the phenomenon of birth, leads to an clearer understanding of human life.

How does it feel to confront a pandemic from the inside, one patient at a time? To bridge the gulf between a perilously unwell patient in quarantine and their distraught family outside? To be uncertain whether the protective equipment you wear fits the science or the size of the government stockpile? To strive your utmost to maintain your humanity even while barricaded behind visors and masks? Rachel is a palliative care doctor who looked after the most gravely unwell patients on the Covid-19 wards of her hospital. Amid the tensions, fatigue and rising death toll, she witnessed the courage of patients and NHS staff alike in conditions of unprecedented adversity. For all the bleakness and fear, she found that moments that could stop you in your tracks abounded. People who rose to their best, upon facing the worst, as a microbe laid waste to the population. Her new book, Breathtaking, is an unflinching insider's account of medicine in the time of coronavirus. Drawing on testimony from nursing, acute and intensive care colleagues - as well as, crucially, her patients - Clarke argue that this age of contagion has inspired a profound attentiveness to - and gratitude for - what matters most in life.

The purpose of the series is to explore the central and unique role of organizational ethics in creating and sustaining a pluralistic, free enterprise economy. The primary goal of the research studies published here is to examine how profit seeking and not for profit organizations can be conceived and designed to satisfy legitimate human needs in an ethical and meaningful way.

The approaches to economic ethics and business ethics in Continental Europe and those in America show considerable differences but also a shared interest in turning business ethics into a subject relevant and useful for business practice as well as for the philosophical debate on ethics. The volume collects original essays on the major approaches to economic ethics and business ethics in Germany, the USA, and Europe. It provides the reader with a comprehensive overview about the discussion on modern economic ethics and business ethics. It introduces the German approaches to economic ethics and to business ethics to the English-speaking audience.

This book offers a unique description of how phenomenology can help professionals from medical, environmental and social fields to explore notions such as interaffectivity, empathy, epoche, reduction, and intersubjective encounter. Written by a group of top scholars, it uniquely covers the relationship between phenomenology and bioethics, and focuses not only on medical cases, but also on the environment and emerging technologies. This variety of themes, whilst including techno-ethics, environmental ethics, animal ethics, and medical ethics, is conducive to appreciating broadly how phenomenology can improve our quality of our life. Despite its difficult themes, the book appeals to an audience of both academics and professionals who are willing to understand how to increase the quality of care in their professional field. Chapter 8 is available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.

Economics as Moral Science investigates the problem of the ethical neutrality of "mainstream" economic theory within the context of the methodology of economics as a science. Against the conventional wisdom, the author argues that there are serious moral presuppositions to the theory, but that economics could still count as a scientific or rational form of inquiry. The basic questions addressed - the ethical implications of economics, its status as a scientific mode of theory-construction, and the relation between these factors - are absolutely fundamental ones for an understanding of contemporary economics, the philosophy of the human sciences, and our current market culture. Moreover, the study provides a thorough philosophical analysis of the critical issues at stake from the inside, from the credible perspective of a particular, but foundational economic theory - the neoclassical theory of rational choice.

Prenatal testing for genetic abnormalities has transformed pregnancy and motherhood. Using sociological research, this book analyzes the social-psychological and ethical implications of invasive prenatal testing, particularly CVS and amniocentesis. Among the issues covered are changes in the genetic counseling profession and in client demographics; the challenge of nondirective genetic counseling; decisions on testing and on which test to have; the timing and risks of the procedures; abortion and grief; the ethics of sex selection; potential uses and abuses of genetic knowledge; and policy and ethical implications.

This book explores the ethical governance of Artificial Intelligence (AI) & Machine Learning (ML) in healthcare. AI/ML usage in healthcare as well as our daily lives is not new. However, the direct, and oftentimes long-term effects of current technologies, in addition to the onset of future innovations, have caused much debate about the safety of AI/ML. On the one hand, AI/ML has the potential to provide effective and efficient care to patients, and this sways the argument in favor of continuing to use AI/ML; but on the other hand, the dangers (including unforeseen future consequences of the further development of the technology) leads to vehement disagreement with further AI/ML usage. Due to its potential for beneficial outcomes, the book opts to push for ethical AI/ML to be developed and examines various areas in healthcare, such as big data analytics and clinical decision-making, to uncover and discuss the importance of developing ethical governance for AI/ML in this setting.

This new 12th edition of Dale and Appelbe's Pharmacy and Medicines Law is your guide to law and ethics for pharmacy practice in the UK. It covers law and professional regulation and is firmly established as the definitive student textbook and reference work on this subject in the UK. This edition has been extensively restructured and revised to include all the most recent changes to pharmacy laws and regulation.

This book focuses on the role of ethics in the application of mindfulness-based interventions (MBIs) and mindfulness-based programs (MBPs) in clinical practice. The book offers an overview of the role of ethics in the cultivation of mindfulness and explores the way in which ethics have been embedded in the curriculum of MBIs and MBPs. Chapters review current training processes and examines the issues around incorporating ethics into MBIs and MBPs detailed for non-secular audiences, including training clinicians, developing program curriculum, and dealing with specific client populations. Chapters also examine new, second-generation MBIs and MBPs, the result of the call for more advanced mindfulness-based practices . The book addresses the increasing popularity of mindfulness in therapeutic interventions, but stresses that it remains a new treatment methodology and in order to achieve best practice status, mindfulness interventions must offer a clear understanding of their potential and limits. Topics featured in this book include: * Transparency in mindfulness programs.* Teaching ethics and mindfulness to physicians and healthcare professionals. * The Mindfulness-Based Symptom Management (MBSM) program and its use in treating mental health issues.* The efficacy and ethical considerations of teaching mindfulness in businesses. * The Mindful Self-Compassion (MSC) Program. * The application of mindfulness in the military context. Practitioner's Guide to Mindfulness and Ethics is a must-have resource for clinical psychologists and affiliated medical, and mental health professionals, including specialists in complementary and alternative medicine and psychiatry. Social workers considering or already using mindfulness in practice will also find it highly useful.

The possibility of treating patients with organ replacement therapy has created a new frontier in medical care. Hospitals have to deal with such vital issues as selecting potential recipients of transplants, ensuring equity in allocating organs, pre- and peri-transplantation care of patients, and post-transplantation follow-up of organ recipients. The decisions pertaining to these issues often fall to social workers, who, with their bifocal concern for individuals and society, have significant contributions to make. Here, Dhooper reviews the contributions of the few social workers in this field and suggests ways of improving their work, consolidating their professional gains, and maximizing their impact. Dhooper discusses all aspects of organ transplantation, and explores and proposes new social work roles and appropriate skills for involvement at the individual, organizational, and community levels. He deals with the larger moral, societal, economic, and technical issues, as well as the here-and-now concerns of the social worker. Recommended for social workers trained for practice in the 1990s and beyond, and particularly those specializing in health and mental health social work.

There has been much recent excitement amongst neuroscientists and ethicists about the possibility of using drugs, as well as other technologies, to enhance cognition in healthy individuals. This excitement has arisen from recent advances in neuroscientific technologies such as drugs that increase alertness and wakefulness in healthy individuals or technologies that can stimulate activity in different parts of the brain - either via the scalp or via electrodes - raising the possibility of producing cognitive and affective improvements in otherwise healthy individuals. Despite this growing interest, there are conflicting views on the ethics of cognitive enhancement. Some argue that enhancement is not only an ethical pursuit but one that we have a moral obligation to pursue. Others are more skeptical about the ethical implications and long term effects of cognitive enhancement. Some neuroscientists argue that use of stimulants as putative enhancers will lead to misuse, abuse and addiction in some users, and might have undesirable long-term consequences. This book critically explores and analyses the scientific and ethical debates surrounding cognitive enhancers. Including contributions from neuroscientists, neuropsychopharmacologists, ethicists, philosophers, public health professionals, and policy researchers, the book offers a multidisciplinary, critical consideration of the ethics of the use of cognitive enhancers.

In 1841 the American sailing ship William Brown struck an iceberg. About half of the passengers and all of the crew were saved in two small, open boats. The next night, half of the passengers in the larger long-boat were thrown overboard because the boat was overfull. This was the first case of "lifeboat ethics," of hard choices in the face of scarcity. Since then the question has been "who should die so that others, equally needy, might live?" Both the case of the William Brown and the ethics it spawned have been used in recent years to describe the problem of health care rationing generally, and organ transplantation specifically. Koch reexamines and reinterpretes the paradigm case of lifeboat ethics, the story of the William Brown, not as an unavoidable tragedy, but as an avoidable series of errors. Its relation to more general issues of distributive justice are then considered. The lessons learned from both the historical review and its application to distributive principles are then applied to the problem of graft organ distribution in the United States. Through the use of maps, the problem of organ distribution is considered at a range of scales, from the international to the urban. The contextual issues become more evident as one moves from international to hemispheric, fron national to regional, and then local systems. Finally, Koch reviews the lessons in light of other problems of distribution in the face of scarcity. The central lesson-that scarcity is exacerbated where it is not in fact created by our distributive programs-is explored thoroughly. The result is "no good choices" for anyone and the continuation of the scarcity that for most seems inevitable, but, from theevidence provided, is itself an outcome of inequalities of distribution at different scales of society. Of particular interest to students, scholars, and policymakers involved with issues of planning and health care economics, medical geography, and concepts of justice.

In Human Cloning a panel of distinguished philosophers, medical ethicists, religious thinkers, and social critics tackle the thorny problems raised by the now real possibility of human cloning. In their wide ranging reviews, the distinguished contributors critically examine the major arguments for and against human cloning, probe the implications of such a procedure for society, and critically evaluate the "Report and Recommendations of the National Bioethics Advisory Commission." The debate includes both religious and secular arguments, as well as an outline of the history of the cloning debate and a discussion of human cloning's impact on our sense of self and our beliefs about the meaning of life.

When physicians in training enter their clinical years and first begin to become involved in clinical decision making, they soon find that more than the technical data they had so carefully learned is involved. Prior to that time, of course, they were aware that more than technology was involved in practicing medicine, but here, for the first time, the reality is forcefully brought home. It may be on the medical ward, when a patient or a patient's relatives ask that no further treatment be given and that the patient be allowed to die; it may be in ob/gyn, when a 4- or 5-month pregnant lady with two other children and just deserted by her husband pleads for an abortion; it may be in the outpatient setting, where patients unable to afford enough to eat cannot afford to buy antibiotics for their sick child or provide him or her with the recom mended diet. Whatever the setting, students soon find themselv. es con fronted with problems in which an answer is not given by the technical possibilities alone; indeed, students may have to face situations in which, all things considered, the use of these technical possibilities seems ill-advised. But choices need to be made. Some of us may choose to hide behind a mastery of technology."

The fate of seriously ill newborns has captured the atten tion of the public, of national and state legislators, and of powerful interest groups. For the most part, the debate has been cast in the narrowest possible terms: "discrimination against the handicapped"; "physician authority"; "family autonomy." We believe that something much more profound is happening: the debate over the care of sick and dying babies appears to be both a manifestation of great changes in our feelings about infants, children, and families, and a reflection of deep and abiding attitudes toward the newborn, the handi capped, and perhaps other humans who are "less than" nor mal, rational adults. How could we cast some light on those feelings and attitudes that seemed to determine silently the course of the public debate? We chose to enlist the humanities-the dis players and critics of our cultural forms. Rather than closing down the public discussion, we wanted to open it up, to illuminate it with the light of history, religion, philosophy, literature, jurisprudence, and humanistically oriented sociol ogy. This book is a first effort to place the hotly contested Baby Doe debate into a broader cultural context."

In the modern practice of medicine, new challenges complicate the ethical care of patients. Todaya (TM)s times require a contemporary take on the concept of medical ethics. Regrettably, there are few books and learning tools available to bring medical ethics education into the 21st Century. Existing texts are not practical or user-friendly.

This book aims to address what has been missing in existing text books and ethics courses to date: clear-cut ethical and legal guidelines essential to the everyday practice of medicine, modernization of the teaching material to include common dilemmas seen in medicine today, connection between ethical practice and current evidence-based medicine, correlation of ethics teaching with education in cultural competence, and a user-friendly, innovative, and interesting format. Together, the authors have already collaborated for the last few years to collect numerous "typical" examples of ethically complex cases. Similar real-life scenarios are seen at all medical institutions across the country, and practitioners need a teaching tool to help them approach such cases.

In this textbook, the reader will find: (1) Twenty-five "typical" patient scenarios are presented and supplemented with questions for consideration by the reader or class, (2) Evidence-based medicine, legal precedent, and ethical theory applying to each patient scenario is discussed, (3) Ethical dilemmas are enlivened with age, gender, and culture issues, (4) A patient-centered approach to ethical dilemmas is presented, (5) Emphasis is made on the six "core clinical competencies" of medical education in the a ~Formulationa (TM) section of each individual case (patient care, medicalknowledge, practice-based learning and improvement, interpersonal skills and communication, professionalism, and systems-based practice), (6) The text includes a "medical boards"-style comprehensive exam to further challenge the reader and to assess their gained skills and knowledge.

This book is written with several audiences in mind: medical students and residents, nursing students, pharmacy students, undergraduate and graduate students in medical ethics courses, and physicians desiring further training in medical ethics, cultural competency, communication skills, and medical board preparation.

Lainie Ross presents a rigorous critical investigation of the development of policy governing the involvement of children in medical research. She examines the shift in focus from protection of medical research subjects, enshrined in post-World War II legislation, to the current era in which access is assuming greater precedence. Infamous studies such as Willowbrook (where mentally retarded children were infected with hepatitis) are evidence that before the policy shift protection was not always adequate, even for the most vulnerable groups. Additional safeguards for children were first implemented in many countries in the 1970s and 1980s; more recent policies and guidelines are trying to promote greater participation. Ross considers whether the safeguards work, whether they are fair, and how they apply in actual research practice. She goes on to offer specific recommendations to modify current policies and guidelines. Ross examines the regulatory structures (e.g. federal regulations and institutional review boards), the ad hoc policies (e.g. payment in pediatric research and the role of schools as research venues), the actual practices of researchers (e.g. the race/ethnicity of enrolled research subjects or the decision to enroll newborns) as well as the decision-making process (both parental permission and the child's assent), in order to provide a broad critique. Some of her recommendations will break down current barriers to the enrolment of children (e.g. permitting the payment of child research subjects; allowing healthy children to be exposed to research that entails more than minimal risk without requiring recourse to 407 panels); whereas other recommendations may create new restrictions (e.g., the need for greater protection for research performed in schools; restrictions on what research should be done in the newborn nursery). The goal is to ensure that medical research is done in a way that promotes the health of current and future children without threatening, to use the words of Hans Jonas, 'the erosion of those moral values whose loss . . . would make its most dazzling triumphs not worth having'.

Contemporary Dutch policy and legislation facilitate the use of high quality, accessible and affordable assisted reproductive technologies (ARTs) to all citizens in need of them, while at the same time setting some strict boundaries on their use in daily clinical practices. Through the ethnographic study of a single clinic in this national context, Patient-Centred IVF examines how this particular form of medicine, aiming to empower its patients, co-shapes the experiences, views and decisions of those using these technologies. Gerrits contends that to understand the use of reproductive technologies in practice and the complexity of processes of medicalization, we need to go beyond 'easy assumptions' about the hegemony of biomedicine and the expected impact of patient-centredness.

The use of human subjects in biomedical research has increased rapidly with scientific discoveries. However, the failure to achieve the highest--or even adequate--standards of professional moral concern and behavior is a serious side effect. Research on Human Subjects is based on four years of intensive research in which two studies were completed--one on a nationally representative sample of biomedical research institutions, the second on a sample of 350 researchers who actually used human subjects. The authors explore prevalent ethical norms, the actual ethical behavior of scientists, and the dilemma between the values of humane therapy and scientific discovery. They document the inadequate training that biomedical researchers receive in the ethics of research on human subjects, not only in medical schools but in post-graduate training as well. This landmark work makes very specific suggestions for policy change and reform for the biomedical research profession and its employment of human subjects.

From the medical use of marijuana to organ donations to animal testing, the medical profession is rife with controversial issues. Students and teachers can now use this reference resource to explore all sides of these issues. Narrative chapters, each one devoted to a specific topic, encourage students to consider all the facts surrounding the various controversies. Case studies and first-person accounts bring the issues to life and concluding questions for each chapter challenge students to use their critical thinking skills to draw their own conclusions.This collection provides historical as well as contemporary contexts for an examination of government structures in the United States and the states of the former U.S.S.R. Throughout, the contributors look at federalism at both local and national levels, and they try to assess how and why the two systems developed as they did.

Each of the fifteen chapters analyzes the pro and con arguments and current status of a specific controversy, illuminating the philosophical dilemmas faced by medical professionals as well as their patients and the general public as a whole. The Goldsteins present opposing arguments on the sources and nature of each controversy, providing readers with an understanding of the causes and effects of medical controversies. This basic introduction to these many different issues, including, among others, the arguments surrounding a need for national health insurance, the arguments surrounding the ethics of cloning, the arguments surrounding the needs and dangers of childhood vaccinations, and the arguments surrounding end-of-life issues will provide a starting ground for students interested in researching these topics further, while also encouraging them to begin dialogues with their peers to help them develop their ability to analyze complicated issues.