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Niels Lynöe [11]N. Lynoe [9]
  1. Niklas Juth, Åsa Nilsonne & Niels Lynöe (2013). Are Interpretations of Other People's Arguments Value-Impregnated? A Pilot Study Among Medical Students. Medicine, Health Care and Philosophy 16 (3):601-603.
    Analogously to Kuhn’s and Hanson’s understanding of observation as theory-impregnated, we try to test the hypothesis that observation and interpretation might also be value-impregnated. We use a written examination task for medical students who were asked to read and interpret a text where the authors provide arguments pro et contra euthanasia. Afterwards the students were asked to provide their own reflected opinion on the issue. We found that medical students who were against and indecisive provided interpretations of the text which (...)
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  2. Niels Lynoe (2013). Does Dual Use of J Ohansson's Proficiency Creativity Benefit Patients or Physicians? In Christer Svennerlind, Jan Almäng & Rögnvaldur Ingthorsson (eds.), Johanssonian Investigations. Ontos Verlag. 5--358.
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  3. Niels Lynöe & Niklas Juth (2013). Does Proficiency Creativity Solve Legal Dilemmas? Experimental Study of Medical Students' Ideas About Death-Causes. Medicine, Health Care and Philosophy 16 (4):789-793.
    The aim of the present study was to compare and examine how medical students on term one and nine understand and adopt ideas and reasoning when estimating death-causes. Our hypothesis was that compared to students in the beginning of their medical curriculum, term nine students would be more inclined to adopt ideas about causality that allows physicians to alleviate an imminently dying patient, without being suspected for manslaughter—a practice referred to as proficiency creativity. We used a questionnaire containing two similar (...)
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  4. Anna Lindblad, Niels Lynöe & Niklas Juth (2012). End-of-Life Decisions and the Reinvented Rule of Double Effect: A Critical Analysis. Bioethics.
  5. N. Juth, T. Tillberg & N. Lynoe (2011). Intentions in Critical Clinical Settings: A Study of Medical Students' Perceptions. Journal of Medical Ethics 37 (8):483-486.
    The aim of this pilot study was to develop a realistic clinical case for identifying Knobe's asymmetric effect, ie, the tendency to ascribe intentions to a larger extent when an act is considered wrong, as well as to compare medical students at the beginning and end of their curriculum. A vignette about a critically ill 72-year-old patient in need of an operation was used, with two different outcomes: the patient dies or the patient recovers. Approximately half of the students received (...)
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  6. Henrik Lerner, Anna Lindblad, Bo Algers & Niels Lynöe (2011). Veterinary Surgeons' Attitudes Towards Physician-Assisted Suicide: An Empirical Study of Swedish Experts on Euthanasia. Journal of Medical Ethics 37 (5):295-298.
    Aim To examine the hypothesis that knowledge about physician-assisted suicide (PAS) and euthanasia is associated with a more restrictive attitude towards PAS. Design A questionnaire about attitudes towards PAS, including prioritisation of arguments pro and contra, was sent to Swedish veterinary surgeons. The results were compared with those from similar surveys of attitudes among the general public and physicians. Participants All veterinary surgeons who were members of the Swedish Veterinary Association and had provided an email address (n=2421). Main outcome measures (...)
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  7. Erik Malmqvist, Niklas Juth, Niels Lynöe & Gert Helgesson (2011). Early Stopping of Clinical Trials: Charting the Ethical Terrain. Kennedy Institute of Ethics Journal 21 (1):51-78.
    Randomized and double-blind clinical trials are widely regarded as the most reliable way of studying the effects of medical interventions. According to received wisdom, if a new drug or treatment is to be accepted in clinical practice, its safety and efficacy must first be demonstrated in such trials. For ethical and scientific reasons, it is generally considered necessary to monitor a trial in various ways as it proceeds and to analyze data as they accumulate. Monitoring and interim analyses are often (...)
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  8. N. Juth & N. Lynoe (2010). Do Strong Value-Based Attitudes Influence Estimations of Future Events? Journal of Medical Ethics 36 (4):255-256.
    The purpose of the present study was to examine whether or not strong values might influence physicians' estimations of future events. In an empirical study about physicians' attitudes towards physician assisted suicide (PAS) we asked about the physicians' main reasons for being pro, doubtful or contra PAS and also asked them to estimate what would happen with patients' trust if PAS were to be legally accepted in Swedish society. Finally we asked the physicians about their own trust in healthcare in (...)
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  9. A. Lindblad, N. Juth, C. J. Furst & N. Lynoe (2010). When Enough is Enough; Terminating Life-Sustaining Treatment at the Patient's Request: A Survey of Attitudes Among Swedish Physicians and the General Public. Journal of Medical Ethics 36 (5):284-289.
    Objectives To explore attitudes and reasoning among Swedish physicians and the general public regarding the withdrawal of life-sustaining treatment at a competent patient's request. Design A vignette-based postal questionnaire including 1202 randomly selected individuals in the county of Stockholm and 1200 randomly selected Swedish physicians with various specialities. The vignettes described patients requesting withdrawal of their life-sustaining treatment: (1) a 77-year-old woman on dialysis; (2) a 36-year-old man on dialysis; (3) a 34-year-old ventilator-dependent tetraplegic man. Responders were asked to classify (...)
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  10. Niels Lynöe, Niklas Juth & Gert Helgesson (2010). How to Reveal Disguised Paternalism. Medicine, Health Care and Philosophy 13 (1):59-65.
    In a Swedish setting physicians are unlikely to give explicitly paternalistic reasons when asked about their attitudes towards patients’ involvement in decision-making. There is considerable risk that they will disguise their paternalism by giving ‘socially correct answers’. We suggest that disguised paternalism can be revealed with the help of indexes based on certain responses in postal questionnaires. The indexes were developed using material from a study examining attitudes of Swedish physicians to physician-assisted suicide (PAS). Apart from being asked about their (...)
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  11. G. Helgesson, A. Lindblad, H. Thulesius & N. Lynoe (2009). Reasoning About Physician-Assisted Suicide: Analysis of Comments by Physicians and the Swedish General Public. Clinical Ethics 4 (1):19-25.
    Two questionnaires directed to Swedish physicians and a sample of the Swedish population investigated attitudes towards physician-assisted suicide (PAS). The aim of the present work was to analyse qualitative data from these questionnaires in order to explore how respondents reason about PAS. Data were analysed in two steps. First, we categorized different kinds of responses and identified pro and con arguments. Second, we identified general conclusions from the responses. The data reflect the differences in attitudes towards PAS among the public (...)
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  12. Klaus Hoeyer & Niels Lynöe (2009). An Organizational Perspective on Ethics as a Form of Regulation. Medicine, Health Care and Philosophy 12 (4):385-392.
    In this paper we propose a theoretical framework for analysing the history and function of ethics as a form of regulation. Ethics in the form of codes, rules and declarations, constitutes regulatory policies, and we wish to suggest analysing such policies from an organizational perspective. In many instances ethics policies are reactions to particular events involving harm of patients or research participants. As such they seem to come forward as solutions to specific problems. However, not all such events that instigate (...)
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  13. M. Wessel, G. Helgesson & N. Lynoe (2009). Experiencing Bad Treatment: Qualitative Study of Patient Complaints Concerning Their Treatment by Public Health-Care Practitioners in the County of Stockholm. Clinical Ethics 4 (4):195-201.
    The aim of this study was to investigate patients' experiences of not being treated well in medical health care in Stockholm County, Sweden. The study was conducted by implementing qualitative content analysis using categorization of empirical material for 2006 and 2007 provided by the Patients' Advisory Committee (Patientnämnden) in Stockholm. Complaints about not being treated well accounted for 13% of all complaints to the Patients' Advisory Committee. A sample of those who complained about their medical treatment shows that about 30% (...)
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  14. G. Helgesson & N. Lynoe (2008). Should Physicians Fake Diagnoses to Help Their Patients? Journal of Medical Ethics 34 (3):133-136.
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  15. N. Lynoe, R. Lofmark & H. O. Thulesius (2008). Teaching Medical Ethics: What is the Impact of Role Models? Some Experiences From Swedish Medical Schools. Journal of Medical Ethics 34 (4):315-316.
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  16. Niels Lynoe, R. Löfmark & H. O. Thulesius (2008). Teaching Medical Ethics: What is the Impact of Role Models? Some Experiences From Swedish Medical Schools. Journal of Medical Ethics 34 (4):315-316.
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  17. Klaus Hoeyer, Lisa Dahlager & Niels Lynöe (2006). Ethical Conflicts During the Social Study of Clinical Practice: The Need to Reassess the Mutually Challenging Research Ethics Traditions of Social Scientists and Medical Researchers. Clinical Ethics 1 (1):41-45.
    When anthropologists and other social scientists study health services in medical institutions, tensions sometimes arise as a result of the social scientists and health care professionals having different ideas about the ethics of research. In order to resolve this type of conflict and to facilitate mutual learning, we describe two general categories of research ethics framing: those of anthropology and those of medicine. The latter focuses on protection of the individual through the preservation of autonomy expressed through the requirement of (...)
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  18. Klaus Hoeyer & Niels Lynöe (2006). Motivating Donors to Genetic Research? Anthropological Reasons to Rethink the Role of Informed Consent. Medicine, Health Care and Philosophy 9 (1):13-23.
    In this article we explore the contribution from social anthropology to the medical ethical debates about the use of informed consent in research, based on blood samples and other forms of tissue. The article springs from a project exploring donors’ motivation for providing blood and healthcare data for genetic research to be executed by a Swedish start-up genomics company. This article is not confined to empirical findings, however, as we suggest that anthropology provides reason to reassess the theoretical understanding of (...)
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  19. N. Lynoe (2005). Quantitative Aspects of Informed Consent: Considering the Dose Response Curve When Estimating Quantity of Information. Journal of Medical Ethics 31 (12):736-738.
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  20. N. Lynoe, L. Jacobsson & E. Lundgren (1999). Fraud, Misconduct or Normal Science in Medical Research--An Empirical Study of Demarcation. Journal of Medical Ethics 25 (6):501-506.
    OBJECTIVES: To study and describe how a group of senior researchers and a group of postgraduate students perceived the so-called "grey zone" between normal scientific practice and obvious misconduct. DESIGN: A questionnaire concerning various practices including dishonesty and obvious misconduct. The answers were obtained by means of a visual analogue scale (VAS). The central (two quarters) of the VAS were designated as a grey zone. SETTING: A Swedish medical faculty. SURVEY SAMPLE: 30 senior researchers and 30 postgraduate students. RESULTS: Twenty (...)
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