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  1. Dominic Wilkinson, G. Owen Schaefer, Kelton Tremellen & Julian Savulescu (2015). Double Trouble: Should Double Embryo Transfer Be Banned? Theoretical Medicine and Bioethics 36 (2):121-139.
    What role should legislation or policy play in avoiding the complications of in-vitro fertilization? In this article, we focus on single versus double embryo transfer, and assess three arguments in favour of mandatory single embryo transfer: risks to the mother, risks to resultant children, and costs to society. We highlight significant ethical concerns about each of these. Reproductive autonomy and non-paternalism are strong enough to outweigh the health concerns for the woman. Complications due to non-identity cast doubt on the extent (...)
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  2. Dominic Wilkinson, Robert Truog & Julian Savulescu (2015). In Favour of Medical Dissensus: Why We Should Agree to Disagree About End‐of‐Life Decisions. Bioethics 29 (5).
    End-of-life decision-making is controversial. There are different views about when it is appropriate to limit life-sustaining treatment, and about what palliative options are permissible. One approach to decisions of this nature sees consensus as crucial. Decisions to limit treatment are made only if all or a majority of caregivers agree. We argue, however, that it is a mistake to require professional consensus in end-of-life decisions. In the first part of the article we explore practical, ethical, and legal factors that support (...)
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  3. Dominic Wilkinson (2014). Making the Cut: Analytical and Empirical Bioethics. Journal of Medical Ethics 40 (9):581-582.
    This issue of the journal includes papers across both analytical and empirical schools within bioethics.In his feature article, ‘The kindest cut? Surgical castration, sex offenders and coercive offers’, John McMillan asks whether surgical castration can be ethically provided as medical treatment for sex offenders . While surgical castration has previously been available in a number of European countries, in recent years it has only been available in the Czech Republic and in Germany. The European Committee for the Prevention of Torture (...)
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  4. Dominic Wilkinson, Lachlan De Crespigny & Vicki Xafis, Ethical Language and Decision-Making for Prenatally Diagnosed Lethal Malformations.
    In clinical practice, and in the medical literature, severe congenital malformations such as trisomy 18, anencephaly, and renal agenesis are frequently referred to as ‘lethal’ or as ‘incompatible with life’. However, there is no agreement about a definition of lethal malformations, nor which conditions should be included in this category. Review of outcomes for malformations commonly designated ‘lethal’ reveals that prolonged survival is possible, even if rare. This article analyses the concept of lethal malformations and compares it to the problematic (...)
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  5. Dominic Wilkinson & Julian Savulescu (2014). A Costly Separation Between Withdrawing and Withholding Treatment in Intensive Care. Bioethics 28 (3):127-137.
    Ethical analyses, professional guidelines and legal decisions support the equivalence thesis for life-sustaining treatment: if it is ethical to withhold treatment, it would be ethical to withdraw the same treatment. In this paper we explore reasons why the majority of medical professionals disagree with the conclusions of ethical analysis. Resource allocation is considered by clinicians to be a legitimate reason to withhold but not to withdraw intensive care treatment. We analyse five arguments in favour of non-equivalence, and find only relatively (...)
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  6. Dominic Wilkinson & Julian Savulescu, Disability, Discrimination and Death : Is It Justified to Ration Life Saving Treatment for Disabled Newborn Infants?
    Disability might be relevant to decisions about life support in intensive care in several ways. It might affect the chance of treatment being successful, or a patient’s life expectancy with treatment. It may affect whether treatment is in a patient’s best interests. However, even if treatment would be of overall benefit it may be unaffordable and consequently unable to be provided. In this paper we will draw on the example of neonatal intensive care, and ask whether or when it is (...)
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  7. John Mcmillan, Tony Hope & Dominic Wilkinson (2013). Precision and the Rules of Prioritization. Cambridge Quarterly of Healthcare Ethics 22 (4):336-345.
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  8. Dominic Wilkinson (2013). Author Q & A. The Philosophers' Magazine 62 (62):125-126.
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  9. Dominic Wilkinson (2013). Death or Disability?: The 'Carmentis Machine' and Decision-Making for Critically Ill Children. Oxford University Press.
    Death and grief in the ancient world -- Predictions and disability in Rome.
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  10. Dominic Wilkinson (2013). Enhancing Debate About the Sexes. Journal of Medical Ethics 39 (12):721-721.
    Dr Dominic Wilkinson, Department of Neonatal Medicine, University of Adelaide, 72 King William Rd, North Adelaide, South Australia 5006, Australia; dominic.wilkinson@adelaide.edu.au, domjcw@gmail.comIs it good for there to be both males and females of our species? This question seems highly fanciful, and a long way from the ethical questions that health professionals face on a daily basis. However, philosophical thought experiments like this sometimes help to clarify questions that are of much broader relevance. In this case, the prospect of an all-female (...)
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  11. Dominic J. C. Wilkinson, Nicole Gerrand, Melinda Cruz & William Tarnow-Mordi (2013). The “Research Misconception” and the SUPPORT Trial: Toward Evidence-Based Consensus. American Journal of Bioethics 13 (12):48-50.
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  12. Dominic Wilkinson & Julian Savulescu (2012). Should We Allow Organ Donation Euthanasia? Alternatives for Maximizing the Number and Quality of Organs for Transplantation. Bioethics 26 (1):32-48.
    There are not enough solid organs available to meet the needs of patients with organ failure. Thousands of patients every year die on the waiting lists for transplantation. Yet there is one currently available, underutilized, potential source of organs. Many patients die in intensive care following withdrawal of life-sustaining treatment whose organs could be used to save the lives of others. At present the majority of these organs go to waste.In this paper we consider and evaluate a range of ways (...)
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  13. Dominic Wilkinson (2011). How Much Weight Should We Give to Parental Interests in Decisions About Life Support for Newborn Infants? Monash Bioethics Review 29 (2):13-1.
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  14. Dominic Wilkinson (2011). Should We Replace Disabled Newborn Infants? Journal of Moral Philosophy 8 (3):390-414.
    If a disabled newborn infant dies, her parents may be able to conceive another child without impairment. This is sometimes referred to as 'replacement'. Some philosophers have argued that replacement provides a strong reason for disabled newborns to be killed or allowed to die. In this paper I focus on the case for replacement as it relates to decisions about life support in newborn intensive care. I argue (following Jeff McMahan) that the impersonal reason to replace is weak and easily (...)
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  15. Dominic James Wilkinson (2011). A Life Worth Giving? The Threshold for Permissible Withdrawal of Life Support From Disabled Newborn Infants. American Journal of Bioethics 11 (2):20 - 32.
    When is it permissible to allow a newborn infant to die on the basis of their future quality of life? The prevailing official view is that treatment may be withdrawn only if the burdens in an infant's future life outweigh the benefits. In this paper I outline and defend an alternative view. On the Threshold View, treatment may be withdrawn from infants if their future well-being is below a threshold that is close to, but above the zero-point of well-being. I (...)
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  16. Dominic James Wilkinson (2011). Shedding Light on the Gray Zone. American Journal of Bioethics 11 (2):W3 - W5.
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  17. Dominic J. C. Wilkinson (2010). Antenatal Diagnosis of Trisomy 18, Harm and Parental Choice. Journal of Medical Ethics 36 (11):644-645.
    In this commentary I assess the possible harms to a fetus with trisomy 18 of continued life. I argue that, although there is good reason to avoid subjecting infants to major surgery and prolonged intensive care where there is little chance of benefit, doctors should support and engage honestly with parents who decide to continue their pregnancies. We should ensure that infants with trisomy 18 have access to high quality palliative care.
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  18. Dominic Wilkinson (2009). Challenging the Status Quo. Journal of Bioethical Inquiry 6 (2):235-237.
    Harold Jaffe argues that we should adopt opt-out testing for HIV. There are paternalistic and utilitarian arguments for such an approach. In this commentary I draw attention to some similarities between his arguments and debates about opt-out systems of organ donation. I argue that the status quo bias provides both part of the reason that opt-out approaches work, and an explanation for why such approaches are sometimes resisted.
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  19. Dominic Wilkinson (2009). Trade-Offs in Suffering and Wellbeing: The Utilitarian Argument for Primate Stroke Research. American Journal of Bioethics 9 (5):19-21.
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  20. Dominic Wilkinson (2009). The Self-Fulfilling Prophecy in Intensive Care. Theoretical Medicine and Bioethics 30 (6):401-410.
    Predictions of poor prognosis for critically ill patients may become self-fulfilling if life-sustaining treatment or resuscitation is subsequently withheld on the basis of that prediction. This paper outlines the epistemic and normative problems raised by self-fulfilling prophecies (SFPs) in intensive care. Where predictions affect outcome, it can be extremely difficult to ascertain the mortality rate for patients if all treatment were provided. SFPs may lead to an increase in mortality for cohorts of patients predicted to have poor prognosis, they may (...)
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  21. Dominic Wilkinson (2009). The Window of Opportunity: Decision Theory and the Timing of Prognostic Tests for Newborn Infants. Bioethics 23 (9):503-514.
    In many forms of severe acute brain injury there is an early phase when prognosis is uncertain, followed later by physiological recovery and the possibility of more certain predictions of future impairment. There may be a window of opportunity for withdrawal of life support early, but if decisions are delayed there is the risk that the patient will survive with severe impairment. In this paper I focus on the example of neonatal encephalopathy and the question of the timing of prognostic (...)
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  22. Dominic Wilkinson & Thomas Douglas (2008). Consequentialism and the Death Penalty. American Journal of Bioethics 8 (10):56-58.
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  23. Dominic Wilkinson, Guy Kahane & Julian Savulescu (2008). “Neglected Personhood” and Neglected Questions: Remarks on the Moral Significance of Consciousness. American Journal of Bioethics 8 (9):31 – 33.
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  24. Dominic J. C. Wilkinson (2004). Selling Organs and Souls: Should the State Prohibit 'Demeaning' Practices? [REVIEW] Journal of Bioethical Inquiry 1 (1):27-31.
    It is sometimes argued that practices such as organ-selling should be prohibited because they are demeaning to the individuals involved. In this article the plausibility of such an argument is questioned. I will examine what it means to demean or be demeaned, and suggest that the mere fact that an individual is demeaning themself does not provide sufficient justification for legal prohibition. On the contrary, such laws might be argued to be demeaning.
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