Originally published in 1990, this study of the moral problems bound up with transplant therapy addresses a finely balanced distinction between ethical issues relating to its experimental nature on the one hand and those which arise when transplantation is routine on the other. Among the issues examined are proposals for routine cadaveric harvesting, criteria for organ and tissue procurement from living donors, foetuses, non-human animals and current ethical problems with artificial implants. Written as a contribution to practical philosophy, this book will interest ethicists and health care professionals.

This volume presents the ethical implications of risk information as related to genetics and other health data for policy decisions at clinical, research and societal levels. Ethical, Social and Psychological Impacts of Genomic Risk Communication examines the introduction of new types of health risk information based on faster, cheaper and larger sets of genetic or genomic analysis. Synthesizing the results of a five-year interdisciplinary project, it explores the unsolved ethical and social questions around the sharing of this data, such as: What is best practice in risk communication? What are the normative presumptions and ethical consequences of an increased individual responsibility for ones' health? And how does one deal with the gap between the knowledge of risk and the lack of therapeutic options which often exist for complex diseases, such as dementia or some types of cancer? Drawing on contributions from over 20 experts in the field, this collection examines these questions from a liberal bioethics' perspective, advocating for contextual and cultural-sensitive ethical discussions. This book will be of great interest to students and scholars of theoretical and clinical medical ethics, medical sociology, risk communication and ethics of risk, as well as professionals in clinical genetics.

Spiritual Competence for Mental Health Professionals takes a holistic developmental approach toward spirituality in psychotherapy and counseling. This means that it considers an understanding of spiritual development to be as germane to mental health practice as an understanding of physical, cognitive, emotional, and social development and that it views spirituality as shaped by developmental processes. Common spiritual issues at each stage in the individual and family life course are discussed. Tools for understanding one's own and one's clients' spiritual orientations and goals along with interventions and practices that foster spiritual growth in the client and the practitioner are presented. Reflection and discussion topics are provided at the end of each chapter. Ultimately, this book aims to help mental health practitioners, educators and students to change their approach from 'meet the client where they are spiritually' to 'meet the client where they are spiritually and help them develop further.'

What happens when two intelligent and highly informed fictional college students, one strongly pro-choice and the other vigorously pro-life, are asked to put together a presentation on abortion? Their conversations over five days - friendly but lively, charitable but clear - are captured in this book. Through these dialogues, students and other interested readers are introduced to the difficult moral issues of abortion. In Chapter 1, readers learn about Roe v. Wade and other relevant legal cases. Chapter 2 covers basic, philosophical issues such as: What is a person? Are fetuses persons? Is fetal potential morally relevant? How shall we define the moral community? Chapter 3 introduces students to Don Marquis's "Why Abortion is Immoral" and also the metaphysical issues of personal identity and its relevance to abortion. Chapter 4 covers Judith Jarvis Thomson's "A Defense of Abortion", including objections and responses to the argument from bodily autonomy. Finally, Chapter 5 looks at abortion in hard cases, such as in cases of rape, fetal disability, non-viable pregnancies, and sex-selection; the chapter also includes a conversation on fathers and abortion. With a Foreword by Laurie Shrage, topics headings in the margins, and an annotated bibliography, Dialogues on the Ethics of Abortion is an easy-to-use volume and valuable resource for anyone interested in a fair and clear-headed approach to one of the most contentious moral issues of our time.

The Disability Bioethics Reader is the first introduction to the field of bioethics presented through the lens of critical disability studies and the philosophy of disability. Introductory and advanced textbooks in bioethics focus almost entirely on issues that disproportionately affect disabled people and that centrally deal with becoming or being disabled. However, such textbooks typically omit critical philosophical reflection on disability. Directly addressing this omission, this volume includes 36 chapters, most appearing here for the first time, that cover key areas pertaining to disability bioethics, such as: state-of-the-field analyses of modern medicine, bioethics, and disability theory health, disease, and the philosophy of medicine issues at the edge- and end-of-life, including physician-aid-in-dying, brain death, and minimally conscious states enhancement and biomedical technology invisible disabilities, chronic pain, and chronic illness implicit bias and epistemic injustice in health care disability, quality of life, and well-being race, disability, and healthcare justice connections between disability theory and aging, trans, and fat studies prenatal testing, abortion, and reproductive justice. The Disability Bioethics Reader, unlike traditional bioethics textbooks, also engages with decades of empirical and theoretical scholarship in disability studies-scholarship that spans the social sciences and humanities-and gives serious consideration to the history of disability activism.

This volume examines crucial concerns in palliative care, including the proper balance between comfort and cure for the patient, the integration of spiritual well-being, and the challenges of providing care in the absence of basic medical services and supplies. In the first section, palliative-care pioneers Constance Dahlin, Eduardo Bruera, Neil MacDonald, and Declan Walsh recount the early history of the discipline. Part 2 discusses the role of poetry, prose, plays, and other aspects of the humanities in the practice of palliative care. Part 3 explores essential current issues in the field, including autonomy, the use of opioids, and the impact of artificial intelligence on the evolution of palliative care. The final section focuses on the spiritual dimensions of pain and suffering. Rich with anecdotes and personal stories and featuring contributions from pioneers and current practitioners, The Pursuit of Life is an essential assessment of the past, present, and future of palliative care. In addition to the editors, the contributors include W. Andrew Achenbaum, Stacy L. Auld, Elena Pagani Bagliacca, Costantino Benedetti, Courtenay Bruce, Eduardo Bruera, Joseph Calandrino, Jim Cleary, Constance Dahlin, Andrea Ferrari, Mauro Ferrari, Joseph J. Fins, Bettie Jo Tennon Hightower, Kathryn B. Kirkland, Robin W. Lovin, Neil MacDonald, Charles Millikan, Dominique J. Monlezun, Tullio Proserpio, Giovanna Sironi, Daniel P. Sulmasy, and Declan Walsh.

What happens when two intelligent and highly informed fictional college students, one strongly pro-choice and the other vigorously pro-life, are asked to put together a presentation on abortion? Their conversations over five days - friendly but lively, charitable but clear - are captured in this book. Through these dialogues, students and other interested readers are introduced to the difficult moral issues of abortion. In Chapter 1, readers learn about Roe v. Wade and other relevant legal cases. Chapter 2 covers basic, philosophical issues such as: What is a person? Are fetuses persons? Is fetal potential morally relevant? How shall we define the moral community? Chapter 3 introduces students to Don Marquis's "Why Abortion is Immoral" and also the metaphysical issues of personal identity and its relevance to abortion. Chapter 4 covers Judith Jarvis Thomson's "A Defense of Abortion", including objections and responses to the argument from bodily autonomy. Finally, Chapter 5 looks at abortion in hard cases, such as in cases of rape, fetal disability, non-viable pregnancies, and sex-selection; the chapter also includes a conversation on fathers and abortion. With a Foreword by Laurie Shrage, topics headings in the margins, and an annotated bibliography, Dialogues on the Ethics of Abortion is an easy-to-use volume and valuable resource for anyone interested in a fair and clear-headed approach to one of the most contentious moral issues of our time.

This book is a contribution to the nascent discourse on global health and biomedical research ethics involving Muslim populations and Islamic contexts. It presents a rich sociological account about the ways in which debates and questions involving Islam within the biomedical research context are negotiated - a perspective which is currently lacking within the broader bioethics literature. The book tackles some key understudied areas including: role of faith in moral deliberations within biomedical research ethics, the moral anxiety and frustration experienced by researchers when having to negotiate multiple moral sources and how the marginalisation of women, the prejudice and abuse faced by groups such as sex workers and those from the LGBT community are encountered and negotiated in such contexts. The volume provides a valuable resource for researchers and scholars in this area by providing a systematic review of ethical guidelines and a rich case-based account of the ethical issues emerging in biomedical research in contexts where Islam and the religious moral commitments of Muslims are pertinent. The book will be essential for those conducting research in low and middle income countries that have significant Muslim populations and for those in Muslim-minority settings. It will also appeal to researchers and scholars in religious studies, social sciences, philosophy, anthropology and theology, as well as the fields of biomedical ethics, Islamic ethics and global health..

Drawing together interview material, medical publications, and first-hand accounts, this book shows that what is being remade in the burgeoning medical field of face transplantation is not only the lives of patients, but also the very ways that state institutions, surgeons, and families make sense of rights, claims for inclusion, and life itself.

Key Features * Discusses the various aspects of cheating in publications: spin, protocol changes; failure to publish negative studies, including current data on the publishing industry and its issues, like the menace of predatory journals, poor peer review, coupled with lack of early education in ethics, and its significant impact on rational prescribing. * Assesses the impact of misconduct and fraud on clinicians and healthcare professionals as they attempt to balance the risk-benefit ratio which is supported by multiple contemporary studies. * Presents shocking data on bribes to physicians, journal editors and other key opinion leaders, exposing the ultimate root of the problem which lies in the economics of the healthcare system, badly in need of repair.

The authors of this study emphasize the effectiveness of collectively funded public insurances as opposed to genetic information regulation within the private insurance sector. Genetics has provided tools to determine individuals' risk of future disease, which is of key interest for insurance companies in determining insurance premiums; but persons with high enough risk may remain uninsured. For this reason, genetic information has been regulated. But, regulation may not be the solution, according to the authors, and they call for the resumption of social insurance, a key element of the welfare state.

This book explicitly addresses policy options in a democratic society regarding cognitive enhancement drugs and devices. The book offers an in-depth case by case analysis of existing and emerging cognitive neuroenhancement technologies and canvasses a distinct political neuroethics approach. The author provides an argument on the much debated issue of fairness of cognitive enhancement practices and tackles the tricky issue of how to respect preferences of citizens opposing and those preferring enhancement. The author persuasively argues the necessity of a laws and regulations regarding the use of cognitive enhancers. He also argues that the funds for those who seek cognitive enhancement should be allocated free of charge to the least advantaged. The work argues that the notion of autonomy has been mistakenly associated with the metaphysical concept of free will, and offers a political definition of autonomy to clarify how responsibility is implicitly grounded in the legal and political system. As such, this book is an essential read for everyone interested in neuroethics, and a valuable resource for policy makers, as well as scholars and students in philosophy, law, psychiatry and neuroscience.

The new Ethics Code goes into effect January 2022 and this book is updated to include information on the new code. This edition features two brand new chapters. The BACB Ethical Guideline are applicable across national boundaries. Jon Bailey is well known in the UK and Europe and is active in the International Association of Behavior Analysis.

This book examines the position of children who provide tissue to potentially save the life of another. It questions whether child donors of all ages have been treated appropriately and whether they are sufficiently protected in acting as tissue donors, and ultimately considers whether a new regulatory response is needed to benefit donor children. The book couples a legal exposition of the donor child's position with the medico-ethical reality of clinical practice. In recent years, a growing body of literature concerning the clinical experiences and outcomes for child donors has emerged. This book adds to this by examining another dimension - the regulatory frameworks at play. It examines the ethical arguments for and against children acting as tissue donors and provides an original analysis of the legal and non-legal regulatory frameworks governing children's participation in the United Kingdom, United States and Australia. It combines these doctrinal and theoretical approaches with insights into clinical practice gained from the results of qualitative research conducted with health professionals. The analysis inevitably explores the more general issues of children's right to make medical decisions, the role of parents in decision-making, the value of the best interests test and alternative (legal and ethical) standards, rights of participation of children before the courts, and the role of law and other forms of regulation in a clinical context.

This ground-breaking book uses organizational ethics and stakeholder theory to explore the ethical accountability of leadership in healthcare organizations to their distinct vulnerable stakeholder communities. The book begins with a discussion of the moral agency of healthcare organizations and introduces stakeholder theory. It then looks at key ethical challenges in relation to the confidentiality and privacy of healthcare data, before turning to child health and interventions around issues such as obesity, maltreatment, and parenting. The book ends by focusing on ethics of care in relation to older people and people with disabilities. An insightful contribution to thinking about ethics for contemporary healthcare management and leadership, this interdisciplinary book is of interest to readers with a background in healthcare, business and management, law, bioethics, and theology.

The new Ethics Code goes into effect January 2022 and this book is updated to include information on the new code. This edition features two brand new chapters. The BACB Ethical Guideline are applicable across national boundaries. Jon Bailey is well known in the UK and Europe and is active in the International Association of Behavior Analysis.

The metaphor of the monster or predator-usually a sexual predator, drug dealer in areas frequented by children, or psychopathic murderer-is a powerful framing device in public discourse about how the criminal justice system should respond to serious violent crimes. The cultural history of the monster reveals significant features of the metaphor that raise questions about the extent to which justice can be achieved in both the punishment of what are regarded as "monstrous crimes" and the treatment of those who commit such crimes.

This book is the first to address the connections between the history of the monster metaphor, the 19th century idea of the criminal as monster, and the 20th century conception of the psychopath: the new monster. The book addresses, in particular, the ways in which the metaphor is used to scapegoat certain categories of crimes and criminals for anxieties about our own potential for deviant, and, indeed, dangerous interests. These interests have long been found to be associated with the fascination people have for monsters in most cultures, including the West.

The book outlines an alternative public health approach to sex offending, and crime in general, that can incorporate what we know about illness prevention while protecting the rights, and humanity, of offenders.

The book concludes with an analysis of the role of forensic psychiatrists and psychologists in representing criminal defendants as psychopaths, or persons with certain personality disorders. As psychiatry and psychology have transformed bad behavior into mad behavior, these institutions have taken on the legal role of helping to sort out the most dangerous among us for preventive "treatment" rather than carceral "punishment."

The first textbook to introduce the basic ethical arguments concerning the distribution of health care distribution Fully revised and updated, with new chapters on disability, age and the cost of pharmaceutical goods and therapies in the context of rationing Lots of examples throughout the book and updated questions for classroom discussion and annotated further reading

The first textbook to introduce the basic ethical arguments concerning the distribution of health care distribution Fully revised and updated, with new chapters on disability, age and the cost of pharmaceutical goods and therapies in the context of rationing Lots of examples throughout the book and updated questions for classroom discussion and annotated further reading

This is the first book to argue in favor of paying people for their blood plasma. It does not merely argue that offering compensation to plasma donors is morally permissible. It argues that prohibiting donor compensation is morally wrong-and that it is morally wrong for all of the reasons that are offered against allowing donor compensation. Opponents of donor compensation claim that it will reduce the amount and quality of plasma obtained, exploit and coerce donors, and undermine social cohesion. James Stacey Taylor argues that empirical evidence demonstrates that compensating plasma donors greatly increases the amount of plasma obtained with no adverse effects on the quality of the pharmaceutical products that are manufactured from it. Prohibiting compensation thus harms patients by reducing their access to the medicines they need. He also argues that it is the prohibition of compensation-not its offer-that exploits donors, fails to respect the moral need to secure a person's authoritative consent to her treatment, and prevents donors from giving their informed consent to donate. Prohibiting compensation thus not only harms patients but also wrongs donors. Bloody Bioethics will appeal to researchers, advanced students, and medical professionals interested in bioethics, moral philosophy, and the moral limits of markets.

Provides a general, supportive framework for understanding the reasons for record keeping and its parameters Clarifies dilemmas and strategies surrounding confidentiality and privacy in order to help professionals protect themselves and their clients, patients, students, and supervisees Contains numerous case examples that help readers with a broad range of topics related to ethical and clinical issues in record keeping and confidentiality Helps readers plan for interruptions or closures of their psychotherapy practice Contains a new chapter on electronic records Appendices include excerpts from the mental health professions' code of ethics Accompanying CD offers sample forms designed to assist readers in implementing their own record system Can be used as a reference book, a guide to establishing and maintaining sound supervisory contracts, and for teaching ethical practice in undergraduate and graduate programs Written in a reader-friendly style Introduces the concept of using records as therapeutic tools Contains practitioners' experiences with implementing the Health Insurance Portability and Accountability Act

Provides a general, supportive framework for understanding the reasons for record keeping and its parameters Clarifies dilemmas and strategies surrounding confidentiality and privacy in order to help professionals protect themselves and their clients, patients, students, and supervisees Contains numerous case examples that help readers with a broad range of topics related to ethical and clinical issues in record keeping and confidentiality Helps readers plan for interruptions or closures of their psychotherapy practice Contains a new chapter on electronic records Appendices include excerpts from the mental health professions' code of ethics Accompanying CD offers sample forms designed to assist readers in implementing their own record system Can be used as a reference book, a guide to establishing and maintaining sound supervisory contracts, and for teaching ethical practice in undergraduate and graduate programs Written in a reader-friendly style Introduces the concept of using records as therapeutic tools Contains practitioners' experiences with implementing the Health Insurance Portability and Accountability Act

This book examines the many ethical issues that are encountered in the Pediatric Intensive Care Unit (PICU). It supports pediatricians, nurses, residents, and other providers in their daily management of critically ill children with the dilemmas that arise. It begins by examining the evolution of pediatric critical care, and who is now impacted by this advancing medical technology. Subsequent chapters explore specific ethical concerns and controversies that are commonly encountered. These topics include how to conduct end-of-life discussions with families facing a myriad of challenging choices. It goes on to explore the concept of futility, and what that does and does not mean in the pediatric ICU setting. Controversial subjects such as children as organ donors, particularly using donation after cardiac death, in addition to issues surrounding the declaration of brain death are covered. Additional chapters address resource allocation, and also analyze the use of long-term technology in chronically critically ill children. Chapters include case examples with guidance on how to work through similar difficulties and decision-making. While this book is specifically targeted for care providers at the ICU bedside, it is also of benefit to medical students, students in bioethics, practicing ethical consultants and families who are dealing with critically ill children.

Scientific medicine in Miettinen s conception of it is very different from the two ideas about it that come to eminence in the 20th century. To him, medicine is scientific to the extent that it has a rational theoretical framework and a knowledge-base from medical science. He delineates the nature of that theoretical framework and of the research to develop the requisite knowledge for application in such a framework. The knowledge ultimately needed is about diagnostic, etiognostic, and prognostic probabilities, and it necessarily is to be codified in the form of probability functions, embedded in practice-guiding expert systems.

In these terms, today s medicine still is mostly pre-scientific, and major innovations are needed within and around medicine for healthcare to get to be in tune with reasonable expectations about it in this Information Age. Thus, while the leading cause of litigation for medical malpractice in the U.S. is failure to expeditiously and correctly diagnose the probability of myocardial infarction in a hospital s emergency room, this book shows that a typical modern textbook of cardiology, just as one of medicine at large, imparts no knowledge about the diagnostic probabilities needed in this, and that the prevailing type of diagnostic research will not produce the requisite knowledge. If the diagnostic pursuits in an ER would be guided by an emergency-room diagnostic expert system, this would guarantee expert diagnosesby all ER doctors.

Academic leaders of medicine and medical researchers concerned to advance the knowledge-base of medicine will find a wealth of stimulus for thinking about the deficiencies of the prevailing knowledge culture in and surrounding medicine, and about the directions of the needed progress toward genuinely scientific medicine.

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Offering rhetorically informed strategic interventions, this innovative collection moves beyond critiques of mental health issues, problems, and care. With sections that focus on methodological, cultural and legal, and pedagogical interventions, readers will find an engaging discussion of a discrete mental health phenomenon as well as a clear interventional takeaway in each chapter. Contributors make use of critical discourse analyses, ethnographic inquiries, autoethnographic inquiries, case studies, and textual analyses to engage such mental health research topics as postpartum depression among Chinese mothers; insanity pleas; anosognosia; issues of intimacy, access, and embodiment in research projects; community support groups; Black mental health; women in Alcoholics Anonymous; and mental health in faculty workshops and university online health tools. The authors and editors create scholarship on mental health that explicitly builds productive methodological, theoretical, and practical bridges among scholars and teachers in the various specialties of writing and communication. This collection will interest scholars, students, and practitioners in health and medical humanities; rhetoric of health and medicine; health communication; medical anthropology; scientific and technical communication; disability studies; and rhetorical studies generally.