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  1.  8
    Narrativity and Medicine: Some Critical Reflections.Rolf Ahlzén - 2019 - Philosophy, Ethics, and Humanities in Medicine 14 (1):9.
    During the last three decades there has been a wave of interest in narrative and narrativity in the humanistic and the social sciences. This “narrative turn” has spilled over to medicine, where narrative medicine has gained a considerable influence.However, there have also appeared second thoughts on the role of narratives in our lives, as well as on what narratives may mean in relation to clinical medicine.This article presents some influential voices in this debate and scrutinizes the assumptions of narrative medicine (...)
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  2.  1
    Narrativity and Medicine: Some Critical Reflections.Rolf Ahlzén - 2019 - Philosophy, Ethics, and Humanities in Medicine 14 (1):1-10.
    During the last three decades there has been a wave of interest in narrative and narrativity in the humanistic and the social sciences. This “narrative turn” has spilled over to medicine, where narrative medicine has gained a considerable influence. However, there have also appeared second thoughts on the role of narratives in our lives, as well as on what narratives may mean in relation to clinical medicine. This article presents some influential voices in this debate and scrutinizes the assumptions of (...)
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  3.  5
    Viewing “P” Through the Lens of the Philosophy of Medicine.Sara Asato & James Giordano - 2019 - Philosophy, Ethics, and Humanities in Medicine 14 (1):8.
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  4. Viewing “P” Through the Lens of the Philosophy of Medicine.Sara Asato & James Giordano - 2019 - Philosophy, Ethics, and Humanities in Medicine 14 (1):1-3.
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  5.  6
    An Ethical Comparison of Living Kidney Donation and Surrogacy: Understanding the Relational Dimension.Katharina Beier & Sabine Wöhlke - 2019 - Philosophy, Ethics, and Humanities in Medicine 14 (1):13.
    BackgroundThe bioethical debates concerning living donation and surrogacy revolve around similar ethical questions and moral concepts. Nevertheless, the ethical discourses in both fields grew largely isolated from each other.MethodsBased on a review of ethical, sociological and anthropological research this paper aims to link the ethical discourses on living kidney donation and surrogacy by providing a comparative analysis of the two practices’ relational dimension with regard to three aspects, i.e. the normative role of relational dynamics, social norms and gender roles, and (...)
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  6.  17
    The Concept of Vulnerability in Medical Ethics and Philosophy.Joachim Boldt - 2019 - Philosophy, Ethics, and Humanities in Medicine 14 (1):6.
    BackgroundHealthcare is permeated by phenomena of vulnerability and their ethical significance. Nonetheless, application of this concept in healthcare ethics today is largely confined to clinical research. Approaches that further elaborate the concept in order to make it suitable for healthcare as a whole thus deserve renewed attention.MethodsConceptual analysis.ResultsTaking up the task to make the concept of vulnerability suitable for healthcare ethics as a whole involves two challenges. Firstly, starting from the concept as it used in research ethics, a more detailed (...)
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  7. The Concept of Vulnerability in Medical Ethics and Philosophy.Joachim Boldt - 2019 - Philosophy, Ethics, and Humanities in Medicine 14 (1):1-8.
    Healthcare is permeated by phenomena of vulnerability and their ethical significance. Nonetheless, application of this concept in healthcare ethics today is largely confined to clinical research. Approaches that further elaborate the concept in order to make it suitable for healthcare as a whole thus deserve renewed attention. Conceptual analysis. Taking up the task to make the concept of vulnerability suitable for healthcare ethics as a whole involves two challenges. Firstly, starting from the concept as it used in research ethics, a (...)
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  8.  6
    The Orphan Child: Humanities in Modern Medical Education.Mary E. Kollmer Horton - 2019 - Philosophy, Ethics, and Humanities in Medicine 14 (1):1.
    Use of humanities content in American medical education has been debated for well over 60 years. While many respected scholars and medical educators have purported the value of humanities content in medical training, its inclusion remains unstandardized, and the undergraduate medical curriculum continues to be focused on scientific and technical content. Cited barriers to the integration of humanities include time and space in an already overburdened curriculum, and a lack of consensus on the exact content, pedagogy and instruction. Edmund Pellegrino, (...)
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  9.  5
    The Moral Imperative to Approve Pregnant Women’s Participation in Randomized Clinical Trials for Pregnancy and Newborn Complications.Dan Kabonge Kaye - 2019 - Philosophy, Ethics, and Humanities in Medicine 14 (1):1-11.
    Background There is longstanding consensus on the need to include pregnant women in research. The goal of clinical research is to find highly regulated, carefully controlled, morally responsible ways to generate evidence about how to effectively and safely prevent illness or treat sick people. This manuscripts present a conceptual analysis of the ethicality of clinical trials in 3 scenarios: where the pregnant is involved in clinical trials as a participant during pregnancy for data that addresses pregnancy complications, where the pregnant (...)
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  10.  1
    The Moral Imperative to Approve Pregnant Women’s Participation in Randomized Clinical Trials for Pregnancy and Newborn Complications.Dan Kabonge Kaye - 2019 - Philosophy, Ethics, and Humanities in Medicine 14 (1):1-11.
    Background There is longstanding consensus on the need to include pregnant women in research. The goal of clinical research is to find highly regulated, carefully controlled, morally responsible ways to generate evidence about how to effectively and safely prevent illness or treat sick people. This manuscripts present a conceptual analysis of the ethicality of clinical trials in 3 scenarios: where the pregnant is involved in clinical trials as a participant during pregnancy for data that addresses pregnancy complications, where the pregnant (...)
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  11.  1
    Humanism Influencing the Organization of the Health Care System and the Ethics of Medical Relations in the Society of Bosnia-Herzegovina.Ante Kvesić, Kristina Galić & Mladenka Vukojević - 2019 - Philosophy, Ethics, and Humanities in Medicine 14 (1):12.
    Every successful health care system should be based on some general humanistic ideals. However, the nationally organized health care systems of most European countries usually suffer from a deficiency in common ethical values based on universal human principles. When transitional societies, such as that of Bosnia-Herzegovina are concerned, health care organizational models are even more dysfunctional. The sources of a dysfunction in medical care system of Bosnia-Herzegovina are manifold and mutually controversial, including a lack of shared principles, an inappropriate involvement (...)
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  12.  3
    Humanism Influencing the Organization of the Health Care System and the Ethics of Medical Relations in the Society of Bosnia-Herzegovina.Ante Kvesić, Kristina Galić & Mladenka Vukojević - 2019 - Philosophy, Ethics, and Humanities in Medicine 14 (1):1-6.
    Every successful health care system should be based on some general humanistic ideals. However, the nationally organized health care systems of most European countries usually suffer from a deficiency in common ethical values based on universal human principles. When transitional societies, such as that of Bosnia-Herzegovina are concerned, health care organizational models are even more dysfunctional. The sources of a dysfunction in medical care system of Bosnia-Herzegovina are manifold and mutually controversial, including a lack of shared principles, an inappropriate involvement (...)
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  13.  7
    Utilitarianism and the Ethical Foundations of Cost-Effectiveness Analysis in Resource Allocation for Global Health.Elliot Marseille & James G. Kahn - 2019 - Philosophy, Ethics, and Humanities in Medicine 14 (1):5.
    Efficiency as quantified and promoted by cost-effectiveness analysis sometimes conflicts with equity and other ethical values, such as the “rule of rescue” or rights-based ethical values. We describe the utilitarian foundations of cost-effectiveness analysis and compare it with alternative ethical principles. We find that while fallible, utilitarianism is usually superior to the alternatives. This is primarily because efficiency – the maximization of health benefits under a budget constraint – is itself an important ethical value. Other ethical frames may be irrelevant, (...)
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  14. Utilitarianism and the Ethical Foundations of Cost-Effectiveness Analysis in Resource Allocation for Global Health.Elliot Marseille & James G. Kahn - 2019 - Philosophy, Ethics, and Humanities in Medicine 14 (1):1-7.
    Efficiency as quantified and promoted by cost-effectiveness analysis sometimes conflicts with equity and other ethical values, such as the “rule of rescue” or rights-based ethical values. We describe the utilitarian foundations of cost-effectiveness analysis and compare it with alternative ethical principles. We find that while fallible, utilitarianism is usually superior to the alternatives. This is primarily because efficiency – the maximization of health benefits under a budget constraint – is itself an important ethical value. Other ethical frames may be irrelevant, (...)
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  15.  4
    Potential Use of Clinical Polygenic Risk Scores in Psychiatry – Ethical Implications and Communicating High Polygenic Risk.A. C. Palk, S. Dalvie, J. De Vries, A. R. Martin & D. J. Stein - 2019 - Philosophy, Ethics, and Humanities in Medicine 14 (1):4.
    Psychiatric disorders present distinct clinical challenges which are partly attributable to their multifactorial aetiology and the absence of laboratory tests that can be used to confirm diagnosis or predict risk. Psychiatric disorders are highly heritable, but also polygenic, with genetic risk conferred by interactions between thousands of variants of small effect that can be summarized in a polygenic risk score. We discuss four areas in which the use of polygenic risk scores in psychiatric research and clinical contexts could have ethical (...)
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  16.  2
    The Dental Anomaly: How and Why Dental Caries and Periodontitis Are Phenomenologically Atypical.Dylan Rakhra - 2019 - Philosophy, Ethics, and Humanities in Medicine 14 (1):15.
    BackgroundDespite their shared origins, medicine and dentistry are not always two sides of the same coin. There is a long history in medical philosophy of defining disease and various medical models have come into existence. Hitherto, little philosophical and phenomenological work has been done considering dental caries and periodontitis as examples of disease and illness.MethodsA philosophical methodology is employed to explore how we might define dental caries and periodontitis using classical medical models of disease – the naturalistic and normativist. We (...)
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  17.  1
    The Dental Anomaly: How and Why Dental Caries and Periodontitis Are Phenomenologically Atypical.Dylan Rakhra - 2019 - Philosophy, Ethics, and Humanities in Medicine 14 (1):1-7.
    Despite their shared origins, medicine and dentistry are not always two sides of the same coin. There is a long history in medical philosophy of defining disease and various medical models have come into existence. Hitherto, little philosophical and phenomenological work has been done considering dental caries and periodontitis as examples of disease and illness. A philosophical methodology is employed to explore how we might define dental caries and periodontitis using classical medical models of disease – the naturalistic and normativist. (...)
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  18.  4
    Commentary: Patient Well-Being and Individual Outcomes in the Medical Practice: Impulses From Philosophy.Gernot Rüter & Thomas Fröhlich - 2019 - Philosophy, Ethics, and Humanities in Medicine 14 (1):2.
    In an everyday private practice setting, regularly also existential topics will emerge from doctor-patient encounters. These are often questions of coping with life and lifestyle. To enable a thorough discussion of such topics, an implicit, and sometimes also explicit reference to a philosophical background is needed. Philosophical concepts to be used in this realm are discussed. An individual patient-doctor interaction is used as an example to demonstrate the doctor’s choice of hermeneutical and phenomenological philosophical concepts.
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  19. Critique of the Concept of Motivation and its Implications for Healthcare Practices.Leonardo Augusto Negreiros Parente Sampaio & José Ricardo de Carvalho Mesquita Ayres - 2019 - Philosophy, Ethics, and Humanities in Medicine 14 (1):1-10.
    Motivation is a crucial and widespread theme within medicine. From clinical to surgical scenarios, acquiescence in taking a pill or coming to a consultation is imperative for medical treatment to thrive. The “decade of the brain” gave practitioners substantial neuroscientific data on human behavior, helped to explain why people do what they do and created the concept of “motivated brain”. Findings from empirical psychology stratified motivation into stages of change, which became more complex over the decades. This research seeks to (...)
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  20.  2
    An Empirical and Philosophical Exploration of Clinical Practice.Michael Saraga, Donald Boudreau & Abraham Fuks - 2019 - Philosophy, Ethics, and Humanities in Medicine 14 (1):3.
    BackgroundPrevious empirical work among physicians has led us to propose that clinical practice is experienced by clinicians as an engagement-in-the-clinical-situation. In this study, we pursue our exploration of clinical practice ‘on its own terms’ by turning to the experience of patients.MethodsPhenomenological analysis of in-depth individual interviews with 8 patients.ResultsWe describe the patient experience as a set of three motifs: the shock on the realization of the illness, the chaos of the health care environment, and the anchor point provided by an (...)
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  21.  7
    Ethical Aspects of the Abuse of Pharmaceutical Enhancements by Healthy People in the Context of Improving Cognitive Functions.Tina Tomažič & Anita Kovačič Čelofiga - 2019 - Philosophy, Ethics, and Humanities in Medicine 14 (1).
    Better memory, greater motivation and concentration lead to greater productivity, efficiency and performance, all of which are features that are highly valued in a modern society focused on productivity. In the effort for better cognitive abilities, otherwise healthy individuals use cognitive enhancers, medicines for the treatment of cognitive deficits of patients with various disorders and health problems, such as Alzheimer’s disease, schizophrenia, stroke, Attention Deficit Hyperactivity Disorder or ageing. The use of these is more common in professions with emphasised cognitive (...)
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  22.  1
    Virtue Ethics and the Commitment to Learn: Overcoming Disparities Faced by Transgender Individuals.Jennifer Markusic Wimberly - 2019 - Philosophy, Ethics, and Humanities in Medicine 14 (1):10.
    The purpose of this paper is to utilize virtue ethics as the appropriate paradigm by which to improve health care delivery to transgender individuals. Health disparities for transgender individuals occur external to the medical environment as well as internal to the medical profession. A commitment to virtue ethics should be undertaken to improve the care to transgender individuals.In this manuscript I call on virtue ethics to address the intersectionality of such environmental structures for the promotion of the good of the (...)
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