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  1.  1
    Violence, Research, and Non-Identity in the Psychiatric Clinic.Michelle Bach - 2018 - Theoretical Medicine and Bioethics 39 (4):283-299.
    Violence in psychiatric clinics has been a consistent problem since the birth of modern psychiatry. In this paper, I examine current efforts to understand and reduce both violence and coercive responses to violence in psychiatry, arguing that these efforts are destined to fall short. By and large, scholarship on psychiatric violence reduction has focused on identifying discrete factors that are statistically associated with violence, such as patient demographics and clinical qualities, in an effort to quantify risk and predict violent acts (...)
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  2.  1
    Sarah Ferber: Bioethics in Historical Perspective.Massimiliano Colucci - 2018 - Theoretical Medicine and Bioethics 39 (4):337-339.
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  3.  2
    Letter to the Editor.Michael L. Gross - 2018 - Theoretical Medicine and Bioethics 39 (4):335-336.
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  4.  2
    Twin Inc.Rose Hershenov & Derek Doroski - 2018 - Theoretical Medicine and Bioethics 39 (4):301-319.
    This paper presents an account of how human spontaneous embryonic chimeras are formed. On the prevalent view in the philosophical literature, it is said that chimeras are the product of two embryos that fuse to form a new third embryo. We call this version of fusion synthesis. In contrast to synthesis, we present an alternative mechanism for chimera formation called incorporation, wherein one embryo incorporates the cells of a second embryo into its body. We argue that the incorporation thesis explains (...)
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  5.  3
    Prisoners’ Competence to Die: Hunger Strike and Cognitive Competence.Zohar Lederman - 2018 - Theoretical Medicine and Bioethics 39 (4):321-334.
    Several bioethicists have recently advocated the force-feeding of prisoners, based on the assumption that prisoners have reduced or no autonomy. This assumed lack of autonomy follows from a decrease in cognitive competence, which, in turn, supposedly derives from imprisonment and/or being on hunger strike. In brief, causal links are made between imprisonment or voluntary total fasting and mental disorders and between mental disorders and lack of cognitive competence. I engage the bioethicists that support force-feeding by severing both of these causal (...)
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  6.  2
    The Discourse on Faith and Medicine: A Tale of Two Literatures.Jeff Levin - 2018 - Theoretical Medicine and Bioethics 39 (4):265-282.
    Research and writing at the intersection of faith and medicine by now include thousands of published studies, review articles, books, chapters, and essays. Yet this emerging field has been described, from within, as disheveled on account of imprecision and lack of careful attention to conceptual and theoretical concerns. An important source of confusion is the fact that scholarship in this field constitutes two distinct literatures, or rather meta-literatures, which can be termed faith as a problematic for medicine and medicine as (...)
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  7.  1
    James Tabery: Beyond Versus: The Struggle to Understand the Interaction of Nature and Nurture.Leonardo Nepi - 2018 - Theoretical Medicine and Bioethics 39 (4):341-342.
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  8.  4
    Benjamin Smart: Concepts and Causes in the Philosophy of Disease.Jeremy R. Simon - 2018 - Theoretical Medicine and Bioethics 39 (4):343-346.
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  9.  1
    Proportionate Palliative Sedation and the Giving of a Deadly Drug: The Conundrum.Thomas A. Cavanaugh - 2018 - Theoretical Medicine and Bioethics 39 (3):221-231.
    Among the oldest extant medical ethics, the Hippocratic Oath prohibits the giving of a deadly drug, regarding this act as an egregious violation of a medical ethic that is exclusively therapeutic. Proportionate palliative sedation involves the administration of a deadly drug. Hence it seems to violate the venerable Hippocratic promise associated with the dawn of Western medicine not to give a deadly drug. Relying on distinctions commonly employed in the analysis and evaluation of human actions, this article distinguishes physician-assisted suicide (...)
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  10.  2
    Palliative Sedation: Clinical Context and Ethical Questions.Farr A. Curlin - 2018 - Theoretical Medicine and Bioethics 39 (3):197-209.
    Practitioners of palliative medicine frequently encounter patients suffering distress caused by uncontrolled pain or other symptoms. To relieve such distress, palliative medicine clinicians often use measures that result in sedation of the patient. Often such sedation is experienced as a loss by patients and their family members, but sometimes such sedation is sought as the desired outcome. Peace is wanted. Comfort is needed. Sedation appears to bring both. Yet to be sedated is to be cut off existentially from human experience, (...)
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  11.  1
    Reckoning with the Last Enemy.Douglas Farrow - 2018 - Theoretical Medicine and Bioethics 39 (3):181-195.
    Developing the ethics of palliative sedation, particularly in contrast to terminal sedation, requires consideration of the relation between body and soul and of the nature of death and dying. Christianly considered, it also requires attention to the human vocation to immortality and hence to the relation between medicine and discipline. Leaning on Augustine’s rendering of the latter, this paper provides a larger anthropological and soteriological frame of reference for the ethics of palliative sedation, organized by way of nine briefly expounded (...)
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  12.  6
    Comforting When We Cannot Heal: The Ethics of Palliative Sedation.Gilbert Meilaender - 2018 - Theoretical Medicine and Bioethics 39 (3):211-220.
    This essay considers whether palliative sedation is or is not appropriate medical care. This requires one to consider whether, in addition to the good of health, relief of suffering is also a proper end of medicine; whether unconsciousness can ever be a good for a human being; and how double-effect reasoning can help us think about difficult cases. The author concludes that palliative sedation may be proper medical care, but only in a limited range of cases.
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  13.  3
    Sedation and Care at the End of Life.Daniel P. Sulmasy - 2018 - Theoretical Medicine and Bioethics 39 (3):171-180.
    This special issue of Theoretical Medicine and Bioethics takes up the question of palliative sedation as a source of potential concern or controversy among Christian clinicians and thinkers. Christianity affirms a duty to relieve unnecessary suffering yet also proscribes euthanasia. Accordingly, the question arises as to whether it is ever morally permissible to render dying patients unconscious in order to relieve their suffering. If so, under what conditions? Is this practice genuinely morally distinguishable from euthanasia? Can one ever aim directly (...)
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  14.  3
    The Last Low Whispers of Our Dead: When is It Ethically Justifiable to Render a Patient Unconscious Until Death?Daniel P. Sulmasy - 2018 - Theoretical Medicine and Bioethics 39 (3):233-263.
    A number of practices at the end of life can causally contribute to diminished consciousness in dying patients. Despite overlapping meanings and a confusing plethora of names in the published literature, this article distinguishes three types of clinically and ethically distinct practices: double-effect sedation, parsimonious direct sedation, and sedation to unconsciousness and death. After exploring the concept of suffering, the value of consciousness, the philosophy of therapy, the ethical importance of intention, and the rule of double effect, these three practices (...)
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  15.  2
    Physician-Assisted Dying: Thoughts Drawn From Albert Camus’ Writing.Claudia Bozzaro - 2018 - Theoretical Medicine and Bioethics 39 (2):111-122.
    Physician-assisted dying is currently an intensely discussed topic in several countries. Despite differences in legislation and application, countries with end-of-life laws have similar eligibility criteria for assistance in dying: individuals must be in a hopeless situation and experience unbearable suffering. Hopelessness, as a basic aspect of the human condition, is a central topic in Albert Camus’ philosophical work The Myth of Sisyphus, which addresses the question of suicide. Suffering in the face of a hopeless situation, and the way doctors approach (...)
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  16.  3
    Conscientious Objection and Person-Centered Care.Stephen Buetow & Natalie Gauld - 2018 - Theoretical Medicine and Bioethics 39 (2):143-155.
    Person-centered care offers a promising way to manage clinicians’ conscientious objection to providing services they consider morally wrong. Health care centered on persons, rather than patients, recognizes clinicians and patients on the same stratum. The moral interests of clinicians, as persons, thus warrant as much consideration as those of other persons, including patients. Interconnected moral interests of clinicians, patients, and society construct the clinician as a socially embedded and integrated self, transcending the simplistic duality of private conscience versus public role (...)
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  17.  4
    Against the iDoctor: Why Artificial Intelligence Should Not Replace Physician Judgment.Kyle E. Karches - 2018 - Theoretical Medicine and Bioethics 39 (2):91-110.
    Experts in medical informatics have argued for the incorporation of ever more machine-learning algorithms into medical care. As artificial intelligence research advances, such technologies raise the possibility of an “iDoctor,” a machine theoretically capable of replacing the judgment of primary care physicians. In this article, I draw on Martin Heidegger’s critique of technology to show how an algorithmic approach to medicine distorts the physician–patient relationship. Among other problems, AI cannot adapt guidelines according to the individual patient’s needs. In response to (...)
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  18.  2
    Taking Responsibility for Health in an Epistemically Polluted Environment.Neil Levy - 2018 - Theoretical Medicine and Bioethics 39 (2):123-141.
    Proposals for regulating or nudging healthy choices are controversial. Opponents often argue that individuals should take responsibility for their own health, rather than be paternalistically manipulated for their own good. In this paper, I argue that people can take responsibility for their own health only if they satisfy certain epistemic conditions, but we live in an epistemic environment in which these conditions are not satisfied. Satisfying the epistemic conditions for taking responsibility, I argue, requires regulation of this environment. I describe (...)
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  19.  4
    Fredrik Svenaeus: Phenomenological Bioethics: Medical Technologies, Human Suffering, and the Meaning of Being Alive.James A. Marcum - 2018 - Theoretical Medicine and Bioethics 39 (2):165-169.
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  20.  3
    The Composite Redesign of Humanity’s Nature: A Work in Process.Lantz Fleming Miller - 2018 - Theoretical Medicine and Bioethics 39 (2):157-164.
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  21.  6
    Inmaculada de Melo-Martín: Rethinking Reprogenetics: Enhancing Ethical Analyses of Reprogenetic Technologies. Oxford University Press, New York, 2017, 288 Pp, ISBN 9780190460204. [REVIEW]Natalia Fernández-Jimeno - 2018 - Theoretical Medicine and Bioethics 39 (1):85-90.
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  22.  12
    A New Path for Humanistic Medicine.Juliette Ferry-Danini - 2018 - Theoretical Medicine and Bioethics 39 (1):57-77.
    According to recent approaches in the philosophy of medicine, biomedicine should be replaced or complemented by a humanistic medical model. Two humanistic approaches, narrative medicine and the phenomenology of medicine, have grown particularly popular in recent decades. This paper first suggests that these humanistic criticisms of biomedicine are insufficient. A central problem is that both approaches seem to offer a straw man definition of biomedicine. It then argues that the subsequent definition of humanism found in these approaches is problematically reduced (...)
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  23.  8
    The Ethics of Separating Conjoined Twins: Two Arguments Against.Luke Kallberg - 2018 - Theoretical Medicine and Bioethics 39 (1):27-56.
    I argue that the separation of conjoined twins in infancy or early childhood is unethical. Cases may be divided into three types: both twins suffer from lethal abnormalities, only one twin has a lethal abnormality, or neither twin does. In the first kind of case, there is no reason to separate, since both twins will die regardless of treatment. In the third kind of case, I argue that separation at an early age is unethical because the twins are likely to (...)
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  24. How (Not) to Think of the ‘Dead-Donor’ Rule.Adam Omelianchuk - 2018 - Theoretical Medicine and Bioethics 39 (1):1-25.
    Although much has been written on the dead-donor rule in the last twenty-five years, scant attention has been paid to how it should be formulated, what its rationale is, and why it was accepted. The DDR can be formulated in terms of either a Don’t Kill rule or a Death Requirement, the former being historically rooted in absolutist ethics and the latter in a prudential policy aimed at securing trust in the transplant enterprise. I contend that the moral core of (...)
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  25.  10
    Antoine Suarez, Joachim Huarte : Is This Cell a Human Being? Exploring the Status of Embryos, Stem Cells and Human - Animal Hybrids.Susanna Maria Taraschi - 2018 - Theoretical Medicine and Bioethics 39 (1):79-83.
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