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Books > Medicine > General issues > Medical ethics
The Handbook of International Psychology Ethics discusses the most central, guiding principles of practice for mental health professionals around the world. For researchers, practicing mental health professionals, and students alike, the book provides a window into the values and belief systems of cultures worldwide. Chapters cover ethics codes from psychological associations and societies on five continents, translating each code into English and discussing vital questions around how the code is put into practice, what it means to association members and society at large, as well as how the code was developed within its unique historical, political, and cultural context.
The Handbook of International Psychology Ethics discusses the most central, guiding principles of practice for mental health professionals around the world. For researchers, practicing mental health professionals, and students alike, the book provides a window into the values and belief systems of cultures worldwide. Chapters cover ethics codes from psychological associations and societies on five continents, translating each code into English and discussing vital questions around how the code is put into practice, what it means to association members and society at large, as well as how the code was developed within its unique historical, political, and cultural context.
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.
"Dr. Wakefield sets the record straight. It was not he who showed callous disregard towards vulnerable, sick children with autism. It was the British medical establishment, the General Medical Council, the media and the pharmaceutical industry."-Mary Holland, Esq., co-founder, Elizabeth Birt Center for Autism Law and Advocacy As Andrew Wakefield states in his prologue, "If autism does not affect your family now, it will. If something does not change-and change soon-this is almost a mathematical certainty. This book affects you also. It is not a parochial look at a trivial medical spat in the United Kingdom, but dispatches from the battlefront in a major confrontation-a struggle against compromise in medicine, corruption of science, and a real and present threat to children in the interests of policy and profit. It is a story of how 'the system' deals with dissent among its doctors and scientists." In the pursuit of possible links between childhood vaccines, intestinal inflammation, and neurologic injury in children, Wakefield lost his job in London's Royal Free Hospital, his country of birth, his career, and his medical license. A recent General Medical Council ruling stated that he was "dishonest, irresponsible and showed callous disregard for the distress and pain of children." Maligned by the medical establishment and mainstream media, Wakefield endeavors to set the record straight in Callous Disregard. While explaining what really happened, he calls out the organizations and individuals that are acting not for the sake of children affected by autism, but in their own self-interests.
This comprehensive book covers the research, theory, policy and practice context of unusual reproduction using third parties. Olga Van den Akker details the psychological adaptation required to continuing changes in public opinion, advances in technologies and new legislations in surrogate motherhood and discusses their impact at an individual, societal and global level. She describes the competing interests and interactions between legal, organisational, personal, social, psychological and cultural issues in relation to biological and genetic surrogate and commissioning parenthood. This book is intended for professionals, practitioners, academics and students interested in the complexities of unusual reproduction using multidisciplinary perspectives.
Since the turn of the millennium, the potential for patients' knowledge to contribute to medical knowledge has been increasingly recognized by medical sociologists and anthropologists. Where previously such knowledge may have been written off as 'beliefs' and assumed to be inaccurate when it contradicted established medical science, it is increasingly recognized that patients-especially those with chronic conditions-can add a valuable perspective to the clinical knowledge of medical professionals. Sometimes this means working together to reassess treatment priorities, and at other times it may mean a patient-led movement to influence the direction of new research, based on patients' experiences. Ushiyama takes the case of eczema (atopic dermatitis)-a chronic condition with a history of patient-led controversy over treatment methods - as a case study in how patient knowledge has come to affect change in medical practice. Comparing ethnographic fieldwork from Japan and the UK, she builds a complex picture of the differences in approach to treatment in light of attitudes to patients' knowledge.
This book provides an account of the ethics of chronic illness. Chronic illness differs from other illnesses in that it is often incurable, patients can live with it for many years, and its day-to-day management is typically carried out by the patient or members of their family. These features problematise key distinctions that underlie much existing work in medical ethics including those between beneficence and autonomy, between treatment and prevention, and between the recipient and provider of treatment. The author carries out a detailed reappraisal of the roles of both autonomy and beneficence across the different stages of treatment for a range of chronic illnesses. A central part of the author's argument is that in the treatment of chronic illness, the patient and/or the patient's family should be seen as acting with healthcare professionals to achieve a common aim. This aspect opens up unexplored questions such as what healthcare professionals should do when patients are managing their illness poorly, the ethical implications of patients being responsible for parts of their treatment, and how to navigate sharing information with those directly involved in patient care without violating privacy or breaching confidentiality. The author addresses these challenges by engaging with philosophical work on shared commitments and joint action, responsibility and justice, and privacy and confidentiality. The Ethics of Chronic Illness provides a new, and much needed, critical reappraisal of healthcare professionals' obligations to their patients. It will be of interests to academics working in bioethics and medical ethics, philosophers interested in the topics of autonomy, responsibility, and consent, and medical practitioners who treat patients with chronic illness.
This fascinating book gives readers an appreciation of how biomedical research should work and how the reality is all too often seriously flawed. Explaining the logical basis of the different research approaches used by biomedical research scientists and their relative merits, it will help readers to make more realistic appraisal of media reports linking aspects of lifestyle, environment or diet to health outcomes and thus judge whether such claims are a real effect worthy of consideration for behavior change or deserving of further research resources. Key features: increases awareness of research fraud and some of the characteristics of fraudulent science and scientific fraudsters shows that whilst outright fraud may be uncommon, fudging of results to help achieve statistical significance may be more prevalent incorporates real-life case studies highlighting some of the infamous cases of research fraud and major scientific mistakes and the impact that they have had provides a convenient overview of the research process in the biomedical sciences, with a focus on research strategy rather than individual methods find supplemental detail on the author's blog https://drgeoffnutrition.wordpress.com/about/ By raising awareness of the possibility that research data may have been dishonestly generated and outlining some of the signs and symptoms that might suggest data fabrication, Error and Fraud: The Dark Side of Biomedical Research will help students and researchers to identify the strengths and limitations of different research approaches and allow them to make a realistic evaluations of their own and others' research findings.
1.1 Goals 1.1.1 I have two main goals in this book. The first is to give an account of the moral significance of merely possible persons - persons who, relative to a particular 1 circumstance, or possible future or world, could but in fact never do exist. I call that account Variabilism. My second goal is to use Variabilism to begin to address the problem of abortion. 1.1.2 We ought to do the best we can for people. And we consider this obligation to extend to people who are, relative to a world, existing or future. But does it extend to merely possible people as well? And, if it does, then does it extend to making things better for them by way of bringing them into existence? If we say that surely it doesn't, does that then mean that our obligation to do the best we can for people does not, after all, extend to the merely possible - that the merely p- sible do not matter morally? But if the merely possible do not matter morally, then doesn't that mean that it would be permissible for us to bring them into miserable existences - and even obligatory to do just that - in the case where bringing the merely possible into miserable existences creates additional wellbeing for existing 1 References to merely possible persons and, later on, to persons who do exist - existing persons
This book examines the central structures in medicine-medical knowledge, economics, technological innovation, and medical authority-from the perspective of an ethics of care. The author analyzes each of these structures in detail before considering the challenges they present to end of life care. The perspective of an ethics of care allows for a careful focus on how these structures affect the capacity of the health care system to provide the care patients need, on the impact they have on the relationships between patients and care-givers, and on how they affect the care-givers in terms of their own sense of identity and capacity for care. This book offers one of the first focused discussions of an ethics of care across a wide range of social issues and structures in contemporary medicine. It will be of keen interest to advanced students and scholars in bioethics and health care ethics who are interested in these important issues.
This book proposes an ethical and legal framework to improve the responses to social issues related not only to the current SARS-CoV-2 pandemic, but also to future pandemics. Its contents cover the issues that are likely to be most controversial in any public health crisis. It starts by discussing non-pharmacological measures, such as the appropriateness of confinement, how to control compliance with public health measures and the ethical, legal and social acceptability of health certificates. Then it turns to issues related to the production, distribution and administration of vaccines, with a particular focus on the design and implementation of vaccination policies. Finally, it analyses the most appropriate criteria to develop a triage, when the situation brings us to this terrible scenario. The analyses presented in this book are based on the ethical and legal frameworks, as well as the social context, of the European Union, and aims to address the main dilemmas faced by any liberal democracy dealing with a pandemic: how to reconcile the defense against a public health crisis together with a respect for fundamental rights and freedoms. The European legal systems have developed a number of conceptual tools designed to ensure that there is no room for arbitrariness in the restrictions introduced by the political power in emergency situations, and this book builds upon these tools. The Ethical, Legal and Social Issues of Pandemics: An Analysis from the EU Perspective is a predominantly practice-oriented book, which will help policy makers to adopt policies that effectively combine public health needs with individual rights and freedoms. It will also help health care givers to understand better the ethical and legal issues involved in their work and citizens, in general, to participate in public decision making in an informed manner. Finally, it will help to design tools that faithfully comply with existing fundamental rights standards.
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. "
The concept of deviance is complex, given that norms vary considerably across groups, times, and places. Society tends to primarily recognize traditional portraits of deviants such as street-offenders and drug addicts. The label "deviant" is commonly cast upon society's undesirables, but this socially constructed image often overlooks subtler-and arguably more dangerous-deviance. Physician malfeasance is an especially problematic form, given that medical professionals garner trust, autonomy, and prestige from society, which allows them to operate outside of the public eye. This book responds to a growing number of concerns regarding deviant physician actions such as physically and sexually abusive behaviors, fabricating medical findings and records, and taking advantage of patients (e.g., filing fraudulent Medicaid claims). It explores theoretical explanations for physician deviance, and goes on to consider potential responses such as Medicaid Fraud Control Units, the Questionable Doctors database, and the ability of doctors to police themselves. The unique perspective offered in this book informs discussions of white-collar crime and deviance and has important implications for researchers, policymakers, and students involved in criminal justice and public policy.
Giving Blood represents a new agenda for blood donation research. It explores the diverse historical and contemporary undercurrents that influence how blood donation takes place, and the social meanings that people attribute to the act of giving blood. Drawing from empirical studies conducted in the United States, Canada, France, Australia, China, India, Latin America and Africa, the book's chapters turn our attention to the evolution of blood donation worldwide, examining: the impact of technology advances on blood collection practices the shifting approaches to donor recruitment and retention the governance and policy issues associated with the establishment of blood clinics the political and legal challenges of regulating blood systems. This innovative examination moves the focus from individual explanations of rates of blood donation to a social, structural explanation. It will appeal to international scholars and students working in the areas of sociology, medical anthropology, health care, public policy, socio-legal studies, comparative politics, organizational management, health and illness, the history of medicine, and public health ethics.
Published in 2004, this collection will encourage and foster informed discussion of key issues as society comes to grips with the implications of genetic engineering, the mapping and sequencing of the human genome, and the advent of the post-genomic era. The contributors are prominent social scientists, health specialists, journalists, bioethicists and commercial representatives from the UK, Finland, Germany, Holland and Norway who are at the leading edge of current research. the book will therefore appeal to the interested public, health and other professionals, teachers and students. This book was originally published as part of the Cardiff Papers in Qualitative Research series edited by Paul Atkinson, Sara Delamont and Amanda Coffey. The series publishes original sociological research that reflects the tradition of qualitative and ethnographic inquiry developed at Cardiff. The series includes monographs reporting on empirical research, edited collections focussing on particular themes, and texts discussing methodological developments and issues.
Emergency Ethics brings together leading scholars in the fields of public health ethics and bioethics to discuss disaster or emergency ethics and ethical aspects of preparedness and response with specific application to public health policy and practice. The book fills a gap in the existing public health ethics literature by providing a comprehensive ethical conception of emergency preparedness as a distinctive form of civic "practice " brought about by the interrelationships and coordination of many groups, disciplines, and interests and drawing on numerous bodies of knowledge and expertise. It addresses particular aspects of preparedness and response plans, particular decisions that planners and communities have to make, decisions that require balancing many diverse and sometimes conflicting values and identifying and applying a framework of basic ethical principles for preparedness planning, emergency response, and post-disaster recovery. It also explores the relationship between emergency preparedness to other facets of public health practice. The book begins with a broad and synthetic overview of emergency ethics that addresses the central components and ethically significant issues arising in public health preparedness planning, disaster response, and recovery. Following that overview are five chapters that in a philosophically innovative and detailed way delve deeply into important and problematic issues in emergency planning and response, including the allocation of scarce resources, conducting ethical research in the context of public health emergencies, the obligations of public health professionals, communication and engagement with the public, and special moral obligations surrounding vulnerable populations.
Organ shortage is an ongoing problem in many countries. The needless death and suffering which have resulted necessitate an investigation into potential solutions. This examination of contemporary ethical means, both practical and policy-oriented, of reducing the shortfall in organs draws on the experiences of a range of countries. The authors focus on the resolution and negotiation of ethical conflict, examine systems approaches such as the 'Spanish model' and the US Breakthrough Collaboratives, evaluate policy proposals relating to incentives, presumed consent, and modifications regarding end-of-life care, and evaluate the greatly increased use of (non-heart-beating) donors suffering circulatory death, as well as living donors. The proposed strategies and solutions are not only capable of resolving the UK's own organ-shortage crisis, but also of being implemented in other countries grappling with how to address the growing gap between supply and demand for organs.
While paternalism has been a long-standing philosophical issue, it has recently received renewed attention among scholars and the general public. The Routledge Handbook of the Philosophy of Paternalism is an outstanding reference source to the key topics, problems and debates in this exciting subject and is the first collection of its kind. Comprising twenty-seven chapters by a team of international contributors the handbook is divided into five parts: * What is Paternalism? * Paternalism and Ethical Theory * Paternalism and Political Philosophy * Paternalism without Coercion * Paternalism in Practice Within these sections central debates, issues and questions are examined, including: how should paternalism be defined or characterized? How is paternalism related to such moral notions as rights, well-being, and autonomy? When is paternalism morally objectionable? What are the legitimate limits of government benevolence? To what extent should medical practice be paternalistic? The Routledge Handbook of the Philosophy of Paternalism is essential reading for students and researchers in applied ethics and political philosophy. The handbook will also be very useful for those in related fields, such as law, medicine, sociology and political science.
Updated, reorganized, and streamlined to focus squarely on ethical decision making in counseling and psychotherapy and in the practice of specialties in counseling. The fifth edition of this text is unparalleled in helping counselors-in-training use ethical decision-making processes as a foundation for approaching ethical and legal dilemmas in clinical practice. Newly organized and streamlined to eliminate redundancies, this textbook presents multiple new chapters that reflect the latest developments in counseling specialty areas. This new edition also features an overview of ethical decision-making models, principles, and standards. Abundant instructor resources, reflecting changes to the fifth edition, include an Instructor's Manual, Power Points, Sample Syllabi, and a Test Bank. Through its alignment with the CAPREP standards, the new edition continues to deliver a comprehensive overview of ethical decision-making models in each chapter, along with step-by-step processes for applying these models to a wide range of clinical cases. Case scenarios specific to specialized practice issues provide insight into practice with different client populations. Additionally, the text considers office, administrative, electronic, technology, and related issues, and the role of values in counseling addressing contemporary emphasis on ethical treatment of value conflicts that are crucial to the operation of all practices. Abundant features highlight key content and reinforce learning, including bold-faced key terms with definitions, boxed content showcasing crucial information, and reflection questions to stimulate rigorous thinking. Purchase includes digital access for use on most mobile devices or computers. New to the Fifth Edition: Reorganized and streamlined for ease of use Includes updated reference to codes of ethics from ASCA and AMHCA Addresses shifts in the structure of specialty practices including the merger of CORE and CACREP Provides several new chapters on clinical specialties and supervision issues Focuses on ethics in counseling specialties: clinical mental health; school; couples, marriage and family; addictions; career; rehabilitation; and group Addresses ethical practice of the new clinical rehabilitation counseling specialty-the only text to do so Offers student learning activities in each chapter with additional practice scenarios available for downloading Provides access to appropriate codes of ethics via chapter-by-chapter links Delivers updated case scenarios Key Features: Covers all counseling specialties and their respective ethical codes aligning with recent developments in the profession Describes how to avoid, address, and solve serious ethical and legal dilemmas to prepare counselors-in-training for complex situations they may encounter Includes objectives, case studies, references, key terms, learning activities and reflection questions embedded in chapter content Highlights important information with boxed callouts Addresses key office, administrative, electronic, technology, and other practice issues Provides Appendix with web links to codes of ethics in counseling and specialties Includes Dr. Cottone's Social Constructivism Decision-Making Model and Dr. Tarvydas's Integrative Decision-Making Model
* Provides an up to date reference point for ethnographic research conducted into healthcare research * Embodies an outline of major methodological approaches to health and well-being ethnography * Includes illustrative case-studies of ethnographical research within the healthcare setting. * Offers a holistic view of ethnography, taking a multi-disciplinary approach
* Provides an up to date reference point for ethnographic research conducted into healthcare research * Embodies an outline of major methodological approaches to health and well-being ethnography * Includes illustrative case-studies of ethnographical research within the healthcare setting. * Offers a holistic view of ethnography, taking a multi-disciplinary approach
"The Advances in Bioethics" series is devoted to publishing collections of original papers and multi-authored volumes that advance the field of bioethics either by exploring new areas, or by taking new approaches to traditional areas. Although the series is published in English, its scope is international, and manuscripts are welcome from authors throughout the world. This volume adopts a more personal view of bioethics by examining the physician. It discusses character formation, ethics, professional character, and other concepts and addresses the interpersonal aspects of physicians as well as the importance of character.
While applied epistemology has been neglected for much of the twentieth century, it has seen emerging interest in recent years, with key thinkers in the field helping to put it on the philosophical map. Although it is an old tradition, current technological and social developments have dramatically changed both the questions it faces and the methodology required to answer those questions. Recent developments also make it a particularly important and exciting area for research and teaching in the twenty-first century. The Routledge Handbook of Applied Epistemology is an outstanding reference source to this exciting subject and the first collection of its kind. Comprising entries by a team of international contributors, the Handbook is divided into six main parts: The Internet Politics Science Epistemic institutions Individual investigators Theory and practice in philosophy. Within these sections, the core topics and debates are presented, analyzed, and set into broader historical and disciplinary contexts. The central topics covered include: the prehistory of applied epistemology, expertise and scientific authority, epistemic aspects of political and social philosophy, epistemology and the law, and epistemology and medicine. Essential reading for students and researchers in epistemology, political philosophy, and applied ethics the Handbook will also be very useful for those in related fields, such as law, sociology, and politics.
Originally published in 2005. One of the leading causes of death is organ failure, that is, when one or other of the organs that run the machine we call the body gives out. However, whereas with a machine spare parts can usually replace faulty parts, in the case of humans the supply of these is limited as it is dependent on organs being obtained from living or dead donors. Due to the limitations of supply, increasing attention is being paid to alternative schemes for obtaining organs. One of these possibilities is xenotransplantation: using organs from animals. In this book, the authors examine the legal and ethical issues surrounding xenotransplantation and consider the implications for the future. As they point out, xenotransplantation represents a major deviation from standard medical practice and the possibility of transplantation of large segments of tissue, or whole organs, from animals into humans poses an entirely novel set of considerations - ethical, legal and scientific - which it is necessary to evaluate and understand. |
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