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Joseph J. Fins [78]Joseph Jack Fins [1]
  1.  2
    Eric Kodish, Joseph J. Fins, Clarence Braddock, Felicia Cohn, Nancy Neveloff Dubler, Marion Danis, Arthur R. Derse, Robert A. Pearlman, Martin Smith, Anita Tarzian, Stuart Youngner & Mark G. Kuczewski (2013). Quality Attestation for Clinical Ethics Consultants: A Two‐Step Model From the American Society for Bioethics and Humanities. Hastings Center Report 43 (5):26-36.
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  2.  43
    Joseph J. Fins, Judy Illes, James L. Bernat, Joy Hirsch, Steven Laureys & Emily Murphy (2008). Neuroimaging and Disorders of Consciousness: Envisioning an Ethical Research Agenda. American Journal of Bioethics 8 (9):3 – 12.
    The application of neuroimaging technology to the study of the injured brain has transformed how neuroscientists understand disorders of consciousness, such as the vegetative and minimally conscious states, and deepened our understanding of mechanisms of recovery. This scientific progress, and its potential clinical translation, provides an opportunity for ethical reflection. It was against this scientific backdrop that we convened a conference of leading investigators in neuroimaging, disorders of consciousness and neuroethics. Our goal was to develop an ethical frame to move (...)
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  3.  9
    Joseph J. Fins (2008). A Leg to Stand On: Sir William Osler and Wilder Penfield's "Neuroethics". American Journal of Bioethics 8 (1):37 – 46.
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  4.  5
    Emily Bell, Eric Racine, Paula Chiasson, Maya Dufourcq-Brana, Laura B. Dunn, Joseph J. Fins, Paul J. Ford, Walter Glannon, Nir Lipsman, Mary Ellen Macdonald, Debra J. H. Mathews & Mary Pat Mcandrews (2014). Beyond Consent in Research. Cambridge Quarterly of Healthcare Ethics 23 (3):361-368.
    Vulnerability is an important criterion to assess the ethical justification of the inclusion of participants in research trials. Currently, vulnerability is often understood as an attribute inherent to a participant by nature of a diagnosed condition. Accordingly, a common ethical concern relates to the participant’s decisionmaking capacity and ability to provide free and informed consent. We propose an expanded view of vulnerability that moves beyond a focus on consent and the intrinsic attributes of participants. We offer specific suggestions for how (...)
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  5.  22
    Joseph J. Fins, Matthew D. Bacchetta & Franklin G. Miller (1997). Clinical Pragmatism: A Method of Moral Problem Solving. Kennedy Institute of Ethics Journal 7 (2):129-143.
    : This paper presents a method of moral problem solving in clinical practice that is inspired by the philosophy of John Dewey. This method, called "clinical pragmatism," integrates clinical and ethical decision making. Clinical pragmatism focuses on the interpersonal processes of assessment and consensus formation as well as the ethical analysis of relevant moral considerations. The steps in this method are delineated and then illustrated through a detailed case study. The implications of clinical pragmatism for the use of principles in (...)
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  6.  32
    Joseph J. Fins (2005). Rethinking Disorders of Consciousness: New Research and its Implications. Hastings Center Report 35 (2):22-24.
  7.  8
    Meredith Stark & Joseph J. Fins (2013). Engineering Medical Decisions. Cambridge Quarterly of Healthcare Ethics 22 (4):373-381.
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  8.  4
    Joseph J. Fins (2015). Ideology and Microbiology: Ebola, Science, and Deliberative Democracy. American Journal of Bioethics 15 (4):1-3.
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  9.  14
    Joseph J. Fins (2010). The Humanities and the Future of Bioethics Education. Cambridge Quarterly of Healthcare Ethics 19 (4):518-521.
    Let’s face it, the humanities are in trouble. Last year, in The Chronicle of Higher Education, Thomas H. Benton warned prospective graduate students to avoid doctoral studies in the humanities. His rationale: a job market down 40%, the improbability of tenure, the more certain prospect of life as an adjunct, and eventual outright exile from one’s chosen field. Benton, the pen name of William Pannapacker, an associate professor of English at Hope College in Holland, Michigan, pulled no punches. His piece (...)
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  10.  2
    Meredith Stark & Joseph J. Fins (2013). Inching Toward Health Decision Exceptionalism. American Journal of Bioethics 13 (5):18-19.
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  11.  4
    Meredith Stark & Joseph J. Fins (2014). The Ethical Imperative to Think About Thinking. Cambridge Quarterly of Healthcare Ethics 23 (4):386-396.
    While the medical ethics literature has well explored the harm to patients, families, and the integrity of the profession in failing to disclose medical errors once they occur, less often addressed are the moral and professional obligations to take all available steps to prevent errors and harm in the first instance. As an expanding body of scholarship further elucidates the causes of medical error, including the considerable extent to which medical errors, particularly in diagnostics, may be attributable to cognitive sources, (...)
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  12.  6
    Cathleen A. Acres, Kenneth Prager, George E. Hardart & Joseph J. Fins (2012). Credentialing the Clinical Ethics Consultant: An Academic Medical Center Affirms Professionalism and Practice. Journal of Clinical Ethics 23 (2):156.
    In response to national trends calling for increasing accountability and an emerging dialogue within bioethics, we describe an effort to credential clinical ethicists at a major academic medical center. This effort is placed within the historical context of prior calls for credentialing and certification and efforts currently underway within organized bioethics to engage this issue. The specific details, and conceptual rationale, behind the New York-Presbyterian Hospital’s graduated credentialing plan are shared as is their evolution and ratification within the context of (...)
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  13.  1
    Meredith Stark & Joseph J. Fins (2014). Toward an Agile Defense of Patient Health Care Decisions. American Journal of Bioethics 14 (3):44-46.
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  14.  9
    Elizabeth G. Nilson & Joseph J. Fins (2006). Reinvigorating Ethics Consultations: An Impetus From the “Quality” Debate. [REVIEW] HEC Forum 18 (4):298-304.
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  15.  25
    Joseph J. Fins & Alexandra Suppes (2011). Brain Injury and the Culture of Neglect: Musings on an Uncertain Future. Social Research: An International Quarterly 78 (3):731-746.
    Our essay will address both the right-to-die movement in America and the emerging culture of neglect in the treatment of a class of patients with disorders of consciousness with which the right-to-die movement is entwined. We trace the etiology of these two themes through changes in our scientific understanding of brain injury and recovery against a growing societal acculturation to dominion over one's self at life's end.
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  16.  47
    Joseph J. Fins (2014). In Memoriam: Dr. Edmund Pellegrino's Legacy: Secure in the Annals of Medicine. Kennedy Institute of Ethics Journal 24 (2):97-104.
    I am honored to pay tribute to Dr. Pellegrino and a bit humbled as there are so many others who would want to have this opportunity and who knew Dr. Pellegrino better than I. Tom Beauchamp suggested that I might place Dr. Pellegrino into the broader context of the history of medicine. He wrote Thaddeus Pope:Without being disrespectful of the many celebrated figures from Hippocrates to Percival, my view is that no physician has been more productive in the field or (...)
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  17.  12
    Joseph J. Fins & Nicholas D. Schiff (2006). Shades of Gray: New Insights Into the Vegetative State. Hastings Center Report 36 (6):8-8.
  18.  35
    Joseph J. Fins (2008). Neuroethics and Neuroimaging: Moving Toward Transparency. American Journal of Bioethics 8 (9):46 – 52.
    Without exaggeration, it could be said that we are entering a golden age of neuroscience. Informed by recent developments in neuroimaging that allow us to peer into the working brain at both a structural and functional level, neuroscientists are beginning to untangle mechanisms of recovery after brain injury and grapple with age-old questions about brain and mind and their correlates neural mechanisms and consciousness. Neuroimaging, coupled with new diagnostic categories and assessment scales are helping us develop a new diagnostic nosology (...)
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  19.  41
    Joseph J. Fins, Nicholas D. Schiff & Kathleen M. Foley (2007). Late Recovery From the Minimally Conscious State: Ethical and Policy Implications. Neurology 68 (4):304-307.
  20.  4
    Joseph J. Fins, Franklin G. Miller & Matthew D. Bacchetta (1998). Clinical Pragmatism: Bridging Theory and Practice. Kennedy Institute of Ethics Journal 8 (1):37-42.
    : This response to Lynn Jansen's critique of clinical pragmatism concentrates on two themes: (1) contrasting approaches to moral epistemology and (2) the connection between theory and practice in clinical ethics. Particular attention is paid to the status of principles and the role of consensus, with some closing speculations on how Dewey might view the current state of bioethics.
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  21.  5
    Meredith Stark & Joseph J. Fins (2012). The Self, Social Media, and Social Construction. American Journal of Bioethics 12 (10):38-39.
    The American Journal of Bioethics, Volume 12, Issue 10, Page 38-39, October 2012.
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  22.  10
    Pablo Rodríguez Del Pozo & Joseph J. Fins (2008). Islam and Informed Consent: Notes From Doha. Cambridge Quarterly of Healthcare Ethics 17 (3):273-279.
    Informed consent is a perennial topic in bioethics. It has given the field a place in clinical practice and the law and is often the starting point for introductory instruction in medical ethics. One would think that nearly everything has been said and done on this well-worn topic.
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  23.  3
    Joseph J. Fins (2016). What's Wrong with Evidence‐Based Medicine? Hastings Center Report 46 (1):inside back cover-inside back co.
    Medicine in the last decades of the twentieth century was ripe for a data sweep that would bring systematic analysis to treatment strategies that seemingly had stood the test of time but were actually unvalidated. Coalescing under the banner of evidence-based medicine, this process has helped to standardize care, minimize error, and promote patient safety. But with this advancement, something of the art of medicine has been lost.
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  24.  7
    Joseph J. Fins & Nicholas D. Schiff (2010). In the Blink of the Mind's Eye. Hastings Center Report 40 (3):21-23.
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  25.  47
    Joseph J. Fins & F. Plum (2004). Neurological Diagnosis is More Than a State of Mind: Diagnostic Clarity and Impaired Consciousness. Archives of Neurology 61 (9):1354-1355.
  26.  14
    Pablo Rodríguez Del Pozo & Joseph J. Fins (2008). Islam and Informed Consent: Notes From Doha. Cambridge Quarterly of Healthcare Ethics 17 (3):273-279.
    Informed consent is a perennial topic in bioethics. It has given the field a place in clinical practice and the law and is often the starting point for introductory instruction in medical ethics. One would think that nearly everything has been said and done on this well-worn topic.
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  27.  10
    Joseph J. Fins (2009). Lessons From the Injured Brain: A Bioethicist in the Vineyards of Neuroscience. Cambridge Quarterly of Healthcare Ethics 18 (1):7.
    I would like to share some reflections on how bioethics fosters dialogue between the sciences and humanities by talking a bit about my work as a physician-ethicist collaborating with neuroscientists studying severe brain injury and mechanisms of recovery. If I am successful in this Pilgrim's Progress, I hope I will convince you that the injured brain can teach us much about ourselves. It is not something I was prepared to believe as a medical student, when I was more certain of (...)
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  28.  15
    Joseph J. Fins (2007). Commercialism in the Clinic: Finding Balance in Medical Professionalism. Cambridge Quarterly of Healthcare Ethics 16 (4):425.
    There is a palpable malaise in American medicine as clinical practice veers off its moorings, swept along by a new commercialism that is displacing medical professionalism and its attendant moral obligations. Although the sociology of this phenomenon is complex and multifactorial, I argue that this move toward medical commercialism was accelerated by the abortive efforts of the Clinton Administration's Health Security Act. Through an analysis of performative speech I show that, although the Clinton plan drew on many strands of speech (...)
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  29.  10
    Joseph J. Fins & Judy Illes (2008). Lights, Camera, Inaction? Neuroimaging and Disorders of Consciousness. American Journal of Bioethics 8 (9):W1 – W3.
  30. Joseph J. Fins & Nicholas D. Schiff (2009). Conflicts of Interest in Deep Brain Stimulation Research and the Ethics of Transparency. Journal of Clinical Ethics 21 (2):125-132.
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  31.  8
    Inmaculada de Melo-Martin & Joseph J. Fins (2008). Strangers No More: Genuine Interdisciplinarity. American Journal of Bioethics 8 (3):16 – 17.
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  32.  7
    Joseph J. Fins (2008). Web of Care: How Will the Electronic Medical Record Change Medicine? Hastings Center Report 38 (5):pp. 36-38.
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  33.  13
    Joseph J. Fins, Barbara Pohl & David J. Doukas (2013). In Praise of the Humanities in Academic Medicine. Cambridge Quarterly of Healthcare Ethics 22 (4):355-364.
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  34.  25
    Joseph J. Fins & Madeleine Schachter (2002). Patently Controversial: Markets, Morals, and the President's Proposal for Embryonic Stem Cell Research. Kennedy Institute of Ethics Journal 12 (3):265-278.
    : This essay considers the implications of President George W. Bush's proposal for human embryonic stem cell research. Through the perspective of patent law, privacy, and informed consent, we elucidate the ongoing controversy about the moral standing of human embryonic stem cells and their derivatives and consider how the inconsistencies in the president's proposal will affect clinical practice and research.
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  35.  1
    Leonard C. Groopman, Franklin G. Miller & Joseph J. Fins (2006). The Patient's Work. Cambridge Quarterly of Healthcare Ethics 16 (1):44-52.
    In The Healer's Power, Howard Brody placed the concept of power at the heart of medicine's moral discourse. Struck by the absence of “power” in the prevailing vocabulary of medical ethics, yet aware of peripheral allusions to power in the writings of some medical ethicists, he intuited the importance of power from the silence surrounding it. He formulated the problem of the healer's power and its responsible use as “the central ethical problem in medicine.” Through the prism of power he (...)
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  36.  5
    Pablo Rodríguez Del Pozo & Joseph J. Fins (2006). Iberian Influences on Pan-American Bioethics: Bringing Don Quixote to Our Shores. Cambridge Quarterly of Healthcare Ethics 15 (3):225-238.
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  37. Joseph J. Fins & S. G. Post (2004). Deep Brain Stimulation. Encyclopedia of Bioethics 2:629-634.
     
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  38.  1
    Joseph J. Fins (2015). Distinguishing Professionalism and Heroism When Disaster Strikes. Cambridge Quarterly of Healthcare Ethics 24 (4):373-384.
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  39.  4
    Joseph J. Fins (1992). The Hidden Costs of Market‐Based Health Care Reform. Hastings Center Report 22 (3):6-6.
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  40.  8
    Joseph J. Fins (2005). Everyday Disasters. Cambridge Quarterly of Healthcare Ethics 14 (2):207-213.
    “That's my dad on the floor.”And there he was unconscious in a pool of blood in the bathroom. A paramedic who had accompanied him to the john was holding him off the ground, the USMC tattoo on his forearm cradling his head. My sister shrieked, and I went down on my knees to see about his airway. “We need a doctor here. Cardiac Team!” Could this really be happening to him? To us? Jesus Christ.
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  41.  17
    Pablo Rodríguez Del Pozo & Joseph J. Fins (2009). Guest Editorial: The Many Voices of Spanish Bioethics—An Introduction. Cambridge Quarterly of Healthcare Ethics 18 (3):214.
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  42.  18
    Pablo Rodríguez Del Pozo & Joseph J. Fins (2009). Guest Editorial: The Many Voices of Spanish Bioethics—An Introduction. Cambridge Quarterly of Healthcare Ethics 18 (3):214.
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  43.  15
    Joseph J. Fins (2011). In Defense of Bioethics and the Humanities. Cambridge Quarterly of Healthcare Ethics 20 (04):615-616.
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  44.  2
    Joseph J. Fins (1992). At the Center. Hastings Center Report 22 (3).
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  45.  2
    Joseph J. Fins & Milton Viederman (1995). But Is It Assisted Suicide? Hastings Center Report 25 (3):24-25.
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  46.  2
    Joseph J. Fins (1993). Praxis Makes Perfect? Hastings Center Report 23 (5):16-19.
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  47.  2
    Joseph J. Fins (1995). The Face of Finitude. Hastings Center Report 25 (2):38-38.
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  48.  14
    Joseph J. Fins (2005). Baseball and Bioethics. Cambridge Quarterly of Healthcare Ethics 14 (4):434-443.
    David and I were at a conference on Amelia Island in Florida back in 1995. The meeting, sponsored by the University of Florida, was entitled, “Physician-Assisted Death: Implications for Patients, Care Providers, and Society,” a title that seems quaint given the controversy over the right to die engendered by the Schiavo case. But that's a different talk for a different time.
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  49.  3
    Joseph J. Fins & Daniel Callahan (1992). Palliation in the Age of Chronic Disease. Hastings Center Report 22 (1):41-42.
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  50.  4
    Meredith Stark & Joseph J. Fins (2013). What's Not Being Shared in Shared Decision‐Making? Hastings Center Report 43 (4):13-16.
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