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  1. George J. Agich (2011). Defense Mechanisms in Ethics Consultation. HEC Forum 23 (4):269-279.
    While there is no denying the relevance of ethical knowledge and analytical and cognitive skills in ethics consultation, such knowledge and skills can be overemphasized. They can be effectively put into practice only by an ethics consultant, who has a broad range of other skills, including interpretive and communicative capacities as well as the capacity effectively to address the psychosocial needs of patients, family members, and healthcare professionals in the context of an ethics consultation case. In this paper, I discuss (...)
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  2. Iva Sorta-Bilajac, Ksenija Baždarić, Morana Brkljačić Žagrović, Ervin Jančić, Boris Brozović, Tomislav Čengić, Stipe Ćorluka & George J. Agich (2011). How Nurses and Physicians Face Ethical Dilemmas — the Croatian Experience. Nursing Ethics 18 (3):341-355.
    The aim of this study was to assess nurses’ and physicians’ ethical dilemmas in clinical practice. Nurses and physicians of the Clinical Hospital Centre Rijeka were surveyed (N = 364). A questionnaire was used to identify recent ethical dilemma, primary ethical issue in the situation, satisfaction with the resolution, perceived usefulness of help, and usage of clinical ethics consultations in practice. Recent ethical dilemmas include professional conduct for nurses (8%), and near-the-end-of-life decisions for physicians (27%). The main ethical issue is (...)
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  3. George J. Agich (2010). Why I Wrote … Dependence and Autonomy in Old Age. Clinical Ethics 5 (2):108-110.
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  4. George J. Agich (2009). The Issue of Expertise in Clinical Ethics. Diametros 22:3-20.
    The proliferation of ethics committees and ethics consultation services has engendered a discussion of the issue of the expertise of those who provide clinical ethics consultation services. In this paper, I discuss two aspects of this issue: the cognitive dimension or content knowledge that the clinical ethics consultant should possess and the practical dimension or set of dispositions, skills, and traits that are necessary for effective ethics consultation. I argue that the failure to differentiate and fully explicate these dimensions contributes (...)
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  5. George J. Agich (2009). Why Quality Is Addressed So Rarely in Clinical Ethics Consultation. Cambridge Quarterly of Healthcare Ethics 18 (04):339-.
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  6. George J. Agich & Stella Reiter-Theil (2009). Guest Editorial: Encouraging the Dialogue. Cambridge Quarterly of Healthcare Ethics 18 (04):333-.
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  7. Stella Reiter-Theil & George J. Agich (2008). Research on Clinical Ethics and Consultation. Introduction to the Theme. Medicine, Health Care and Philosophy 11 (1):3-5.
    Clinical ethics consultation has developed from local pioneer projects into a field of growing interest among both clinicians and ethicists. What is needed are more systematic studies on the ethical challenges faced in clinical practice and problem solving through ethics consultation from interdisciplinary perspectives. The Thematic Issue covers a range of topics and includes five recent studies from various European countries and the USA, focusing on issues such as the ethical difficulties of end of life decisions, experiences with newly developed (...)
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  8. Iva Sorta-Bilajac, Ksenija Baždarić, Boris Brozović & George J. Agich (2008). Croatian Physicians' and Nurses' Experience with Ethical Issues in Clinical Practice. Journal of Medical Ethics 34 (6):450-455.
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  9. George J. Agich (2007). 2. Autonomy as a Problem for Clinical Ethics. In Thomas Nys, Yvonne Denier & T. Vandevelde (eds.), Autonomy & Paternalism: Reflections on the Theory and Practice of Health Care. Peeters. 5--71.
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  10. George J. Agich (2007). Review of Linda Farber Post, Jeffrey Blustein, and Nancy Neveloff Dubler, Handbook for Healthcare Ethics Committees. [REVIEW] American Journal of Bioethics 7 (6):66-67.
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  11. George J. Agich (2007). Reflections on the Function of Dignity in the Context of Caring for Old People. Journal of Medicine and Philosophy 32 (5):483 – 494.
    This article accepts the proposition that old people want to be treated with dignity and that statements about dignity point to ethical duties that, if not independent of rights, at least enhance rights in ethically important ways. In contexts of policy and law, dignity can certainly have a substantive as well as rhetorical function. However, the article questions whether the concept of dignity can provide practical guidance for choosing among alternative approaches to the care of old people. The article explores (...)
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  12. George J. Agich (2005). What Kind of Doing is Clinical Ethics? Theoretical Medicine and Bioethics 26 (1):7-24.
    This paper discusses the importance of Richard M. Zaners work on clinical ethics for answering the question: what kind of doing is ethics consultation? The paper argues first, that four common approaches to clinical ethics – applied ethics, casuistry, principlism, and conflict resolution – cannot adequately address the nature of the activity that makes up clinical ethics; second, that understanding the practical character of clinical ethics is critically important for the field; and third, that the practice of clinical ethics is (...)
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  13. George J. Agich (2004). Seeking the Everyday Meaning of Autonomy in Neurologic Disorders. Philosophy, Psychiatry, and Psychology 11 (4):295-298.
  14. George J. Agich & Maria Siemionow (2004). Facing the Ethical Questions in Facial Transplantation. American Journal of Bioethics 4 (3):25 – 27.
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  15. George J. Agich (2003). Joining the Team: Ethics Consultation at the Cleveland Clinic. [REVIEW] HEC Forum 15 (4):310-322.
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  16. George J. Agich (2001). Ethics and Innovation in Medicine. Journal of Medical Ethics 27 (5):295-296.
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  17. George J. Agich (2001). The Question of Method in Ethics Consultation. American Journal of Bioethics 1 (4):31 – 41.
    This paper offers an exposition of what the question of method in ethics consultation involves under two conditions: when ethics consultation is regarded as a practice and when the question of method is treated systematically. It discusses the concept of the practice and the importance of rules in constituting the actions, cognition, and perceptions of practitioners. The main body of the paper focuses on three elements of the question of method: canon, discipline, and history, which are treated heuristically to outline (...)
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  18. George J. Agich (2001). The Salience of Narrative for Bioethics. American Journal of Bioethics 1 (1):50-50.
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  19. N. Biller-Andomo & George J. Agich (2001). An Extremely Urgent Transplantation? Hastings Center Report 31 (2):27.
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  20. Nikola Biller-Andorno, George J. Agich, Karen Doepkens & Henning Schauenburg (2001). Who Shall Be Allowed to Give? Living Organ Donors and the Concept of Autonomy. Theoretical Medicine and Bioethics 22 (4):351-368.
    Free and informed consent is generally acknowledged as the legal andethical basis for living organ donation, but assessments of livingdonors are not always an easy matter. Sometimes it is necessary toinvolve psychosomatics or ethics consultation to evaluate a prospectivedonor to make certain that the requirements for a voluntary andautonomous decision are met. The paper focuses on the conceptualquestions underlying this evaluation process. In order to illustrate howdifferent views of autonomy influence the decision if a donor's offer isethically acceptable, three cases (...)
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  21. George J. Agich (2000). Organizing Ethics. Hastings Center Report 30 (6):46-47.
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  22. George J. Agich & Heidi Forster (2000). Conflicts of Interest and Management in Managed Care. Cambridge Quarterly of Healthcare Ethics 9 (02):189-204.
    The bioethics literature on managed care has devoted significant attention to a broad range of conflicts that managed care is perceived to have introduced into the practice of medicine. In the first part of this paper we discuss three kinds of conflict of interest: conflicts of economic incentives, conflicts with patient and physician autonomy, and conflicts with the fiduciary character of the physician–patient relationship. We argue that the conflicts are either not as serious as they are often alleged to be (...)
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  23. George J. Agich (1999). Response to “From Pittsburgh to Cleveland: NHBD Controversies and Bioethics” by George J. Agich (CQ Vol 8, No 3). Cambridge Quarterly of Healthcare Ethics 8 (4):517-523.
    Frank Koughan and Walt Bogdanich's response to my article, reminds me of the Shakespearean line, My article was not about the specifics of the 60Minutes April 13, 1997, story on NHBD at the Cleveland Clinic Foundation (CCF), even though the story formed the basis for the reflection. I did not attack the critics, though I do believe that bioethicists are accountable for their scholarly and public pronouncements. Although I do not see why the 60Minutes' story should be treated with deference, (...)
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  24. George J. Agich (1999). The Importance of Management for Understanding Managed Care. Journal of Medicine and Philosophy 24 (5):518-534.
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  25. George J. Agich (1999). From Pittsburgh to Cleveland: NHBD Controversies and Bioethics. Cambridge Quarterly of Healthcare Ethics 8 (03):269-274.
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  26. George J. Agich (1999). Response to “From Pittsburgh to Cleveland: NHBD Controversies and Bioethics” by George J. Agich (CQ Vol 8, No 3)Say It Ain't So: 60 Minutes on NHBD. [REVIEW] Cambridge Quarterly of Healthcare Ethics 8 (4):517-523.
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  27. Jacquelyn Slomka, George J. Agich, Susan J. Stagno & Martin L. Smith (1998). Physical Restraint Elimination in the Acute Care Setting: Ethical Considerations. [REVIEW] HEC Forum 10 (3-4):244-262.
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  28. George J. Agich (1995). Authority in Ethics Consultation. Journal of Law, Medicine and Ethics 23 (3):273-283.
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  29. John Z. Sadler & George J. Agich (1995). Diseases, Functions, Values, and Psychiatric Classification. Philosophy, Psychiatry, and Psychology 2 (3):219-231.
  30. George J. Agich (1994). Expertise in Clinical Ethics Consultation. HEC Forum 6 (6):379-383.
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  31. George J. Agich (1994). Key Concepts: Autonomy. Philosophy, Psychiatry, and Psychology 1 (4):267-269.
  32. George J. Agich (1993). Autonomy and Long-Term Care. Oxford University Press.
    The realities and myths of long-term care and the challenges it poses for the ethics of autonomy are analyzed in this perceptive work. The book defends the concept of autonomy, but argues that the standard view of autonomy as non-interference and independence has only a limited applicability for long term care. The treatment of actual autonomy stresses the developmental and social nature of human persons and the priority of identification over autonomous choice. The work balances analysis of the ethical concepts (...)
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  33. George J. Agich & Stuart J. Youngner (1991). For Experts Only? Hastings Center Report 21 (5):17-24.
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  34. George J. Agich (1990). Medicine as Business and Profession. Theoretical Medicine and Bioethics 11 (4).
    This paper analyzes one dimension of the frequently alleged contradiction between treating medicine as a business and as a profession, namely the incompatibility between viewing the physician patient relationship in economic and moral terms. The paper explores the utilitarian foundations of economics and the deontological foundations of professional medical ethics as one source for the business/medicine conflict that influences beliefs about the proper understanding of the therapeutic relationship. It, then, focuses on the contrast and distinction between medicine as business and (...)
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  35. George J. Agich (1990). Reassessing Autonomy in Long‐Term Care. Hastings Center Report 20 (6):12-17.
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  36. George J. Agich (1990). Rationing and Professional Autonomy. Journal of Law, Medicine and Ethics 18 (1-2):77-84.
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  37. George J. Agich & Martin Schneider (1990). Book Reviews. [REVIEW] Theoretical Medicine and Bioethics 11 (2).
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  38. George J. Agich (1987). Incentives and Obligations Under Prospective Payment. Journal of Medicine and Philosophy 12 (2):123-144.
    In this paper I analyze the alleged conflict between economic incentives to efficiently utilize health care resources and the obligation to provide patients with the best possible medical care. My analysis is developed in four stages. First, I discuss briefly the nature of prospective payment systems and economic incentives as well as the issue of professional autonomy. Second, I disscuss the notion of an incentive for action both as an economic incentive and as a concept of moral psychology. Third, I (...)
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  39. George J. Agich & Royce P. Jones (1986). Personal Identity and Brain Death: A Critical Response. Philosophy and Public Affairs 15 (3):267-274.
  40. George J. Agich (1985). Roles and Responsibilities: Theoretical Issues in the Definition of Consultation Liaison Psychiatry. Journal of Medicine and Philosophy 10 (2):105-126.
    Central to much medical ethical analysis is the concept of the role of the physician. While this concept plays an important role in medical ethics, its function is largely tacit. The present paper attempts to bring the concept of a social role to prominence by focusing on an historically recent and rather richly contextured role, namely, that of consultation liaison psychiatry. Since my intention is primarily theoretical, I largely ignore the empirical studies which purport to develop the detailed functioning of (...)
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  41. George J. Agich (1983). Disease and Value: A Rejection of the Value-Neutrality Thesis. Theoretical Medicine and Bioethics 4 (1).
    Recent philosophical attention to the language of disease has focused primarily on the question of its value-neutrality or non-neutrality. Proponents of the value-neutrality thesis symbolically combine political and other criticisms of medicine in an attack on what they see as value-infected uses of disease language. The present essay argues against two theses associated with this view: a methodological thesis which tends to divorce the analysis of disease language from the context of the practice of medicine and a substantive thesis which (...)
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  42. George J. Agich (1983). L. W. Beck's Proposal of Meta-Critique and the “Critique of Judgment”. Kant-Studien 74 (3):261-270.
  43. George J. Agich, James Le Roy Smith, Larry R. Churchill, Laurence B. McCullough, Hans J. Schwanitz, Robert Tschiedel, H. Seithe & B. Baldus (1983). Reviews. [REVIEW] Theoretical Medicine and Bioethics 4 (2).
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  44. George J. Agich (1981). The Foundation of Medical Ethics. Theoretical Medicine and Bioethics 2 (1):31-34.
    Thomasma and Pellegrino''s [3] focus on the healing relationship as the way to give medical ethics a philosophical foundation contains a number of difficulties. Most importantly, their approach focuses philosophical analysis on an idealized view of the healing relationship in which the ideal of health is seen as an uncontroversial norm in the individual case. medical ethics is then characterized as an intrinsic part of the medical act itself. Philosophical inquiry seems limited to a description of the practice of medicine (...)
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  45. George J. Agich (1980). Professionalism and Ethics in Health Care. Journal of Medicine and Philosophy 5 (3):186-199.
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