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  1. Advance Directives: The Principle of Determining Authenticity.Matilda Carter - 2022 - Hastings Center Report 52 (1):32-41.
    Hastings Center Report, Volume 52, Issue 1, Page 32-41, January/February 2022.
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  2. Should the Family Have a Role in Deceased Organ Donation Decision-Making? A Systematic Review of Public Knowledge and Attitudes Towards Organ Procurement Policies in Europe.Alberto Molina-Pérez, Janet Delgado, Mihaela Frunza, Myfanwy Morgan, Gurch Randhawa, Jeantine Reiger-Van de Wijdeven, Silke Schicktanz, Eline Schiks, Sabine Wöhlke & David Rodríguez-Arias - 2022 - Transplantation Reviews 36 (1).
    Goal: To assess public knowledge and attitudes towards the family’s role in deceased organ donation in Europe. -/- Methods: A systematic search was conducted in CINHAL, MEDLINE, PAIS Index, Scopus, PsycINFO, and Web of Science on December 15th, 2017. Eligibility criteria were socio-empirical studies conducted in Europe from 2008 to 2017 addressing either knowledge or attitudes by the public towards the consent system, including the involvement of the family in the decision-making process, for post-mortem organ retrieval. Screening and data collection (...)
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  3. Relational Autonomy, the Right to Reject Treatment, and Advance Directives in Japan.Anri Asagumo - 2021 - Asian Bioethics Review 14 (1):57-69.
    Although the patient’s right to decide what they want for themselves, which is encompassed in the notion of ‘patient-centred medicine’ and ‘informed consent’, is widely recognised and emphasised in Japan, there remain grave problems when it comes to respecting the wishes of the no-longer-competent when death is imminent. In general, it is believed that the concepts above do not include the right to refuse treatment when treatment withdrawal inevitably results in death, even when the patient previously expressed the wish to (...)
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  4. Association Between Knowledge and Attitudes Towards Advance Directives in Emergency Services.Anna Falcó-Pegueroles, Mireia Vicente-García, Núria Pomares-Quintana, Pere Sánchez-Valero, Pilar José-Maria de la Casa & Silvia Poveda-Moral - 2021 - BMC Medical Ethics 22 (1):1-15.
    BackgroundImplementing the routine consultation of patient advance directives in hospital emergency departments and emergency medical services has become essential, given that advance directives constitute the frame of reference for care personalisation and respect for patients’ values and preferences related to healthcare. The aim of this study was to assess the levels and relationship of knowledge and attitudes of nursing and medical professionals towards advance directives in hospital emergency departments and emergency medical services, and to determine the correlated and predictor variables (...)
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  5. Reasons for Endorsing or Rejecting ‘Self-Binding Directives’ in Bipolar Disorder: A Qualitative Study of Survey Responses From UK Service Users.Tania Gergel, Preety Das, Lucy Stephenson, Gareth Owen, Larry Rifkin, John Dawson, Alex Ruck Keene & Guy Hindley - 2021 - The Lancet Psychiatry 8.
    Summary Background Self-binding directives instruct clinicians to overrule treatment refusal during future severe episodes of illness. These directives are promoted as having potential to increase autonomy for individuals with severe episodic mental illness. Although lived experience is central to their creation, service users’ views on self-binding directives have not been investigated substantially. This study aimed to explore whether reasons for endorsement, ambivalence, or rejection given by service users with bipolar disorder can address concerns regarding self-binding directives, decision-making capacity, and human (...)
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  6. Advance Directives and Research Advance Directives.Dean Hart - 2021 - Voices in Bioethics 7.
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  7. Further Reflections: Surrogate Decisionmaking When Significant Mental Capacities Are Retained.Jennifer Hawkins - 2021 - Cambridge Quarterly of Healthcare Ethics 30 (1):192-198.
    Mackenzie Graham has made an important contribution to the literature on decisionmaking for patients with disorders of consciousness. He argues, and I agree, that decisions for unresponsive patients who are known to retain some degree of covert awareness ought to focus on current interests, since such patients likely retain the kinds of mental capacities that in ordinary life command our current respect and attention. If he is right, then it is not appropriate to make decisions for such patients by appealing (...)
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  8. European and Comparative Law Study Regarding Family’s Legal Role in Deceased Organ Procurement.Marina Morla-González, Clara Moya-Guillem, Janet Delgado & Alberto Molina-Pérez - 2021 - Revista General de Derecho Público Comparado 29.
    Several European countries are approving legislative reforms moving to a presumed consent system in order to increase organ donation rates. Nevertheless, irrespective of the consent system in force, family's decisional capacity probably causes a greater impact on such rates. In this contribution we have developed a systematic methodology in order to analyse and compare European organ procurement laws, and we clarify the weight given by each European law to relatives' decisional capacity over individual's preferences (expressed or not while alive) regarding (...)
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  9. Discussion Article: Comments on Joao Pinheiro da Silva's Paper: 'Popperian Hayek or Hayekian Popper?'.Mark Amadeus Notturno - 2021 - Economic Thought 10 (1):61.
  10. Popperian Hayek or Hayekian Popper?Joao Pinheiro da Silva - 2021 - Economic Thought 10 (1):46.
    Friedrich Hayek was a fervent advocate of the methodological specificity of the social sciences. However, given his contact with Karl Popper, several historians and philosophers have characterized his final position as Popperian, that is, a position that would have accepted the unity of scientific method. A closer look at Hayek's philosophy and Popper's own intellectual course shows that such a thesis is based on misconceptions that can be overcome by taking the Hayekian concept of 'spontaneous order' as the foundation of (...)
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  11. Vices in Autonomous Paternalism: The Case of Advance Directives and Persons Living with Dementia.Sungwoo Um - 2021 - Bioethics:1-8.
    Advance directives are intended to extend patient autonomy by enabling patients to prospectively direct the care of their future incapacitated selves. There has been much discussion about issues such as whether the future incompetent self is identical to the agent who issues the advance directives or whether advance directives can legitimately secure patient autonomy. However, there is another important question to ask: to what extent and in what conditions is it ethically appropriate for one to limit the liberty or agency (...)
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  12. Some Notes on the Nature and Limits of Posthumous Rights: A Response to Persad.Sean Aas - 2020 - Journal of Medical Ethics 46 (5):345-346.
    A person’s body can, it seems, survive well after losing the capacity to support Lockean personhood. If our rights in our bodies are, basically, rights in our selves or persons, this seems to imply that we do not after all have a right to direct the disposition of our living remains via advance directive. Govind Persad argues that our rights over our bodies persist after the loss of our personhood; we have a right to insist that our bodies die after (...)
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  13. Advance Directives and Transformative Experience: Resilience in the Face of Change.Govind C. Persad - 2020 - American Journal of Bioethics 20 (8):69-71.
    In this commentary, I critique three aspects of Emily Walsh's proposal to reduce the moral and legal weight of advance directives: (1) the ambiguity of its initial thesis, (2) its views about the ethics and legality of clinical practice, and (3) its interpretation and application of Ronald Dworkin’s account of advance directives and L.A. Paul's view on transformative experience. I also consider what Walsh’s proposal would mean for people facing the prospect of dementia. I conclude that our reasons to honor (...)
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  14. Epistemic Burdens and the Incentives of Surrogate Decision-Makers.Parker Crutchfield & Scott Scheall - 2019 - Medicine, Health Care and Philosophy 22 (4):613-621.
    We aim to establish the following claim: other factors held constant, the relative weights of the epistemic burdens of competing treatment options serve to determine the options that patient surrogates pursue. Simply put, surrogates confront an incentive, ceteris paribus, to pursue treatment options with respect to which their knowledge is most adequate to the requirements of the case. Regardless of what the patient would choose, options that require more knowledge than the surrogate possesses (or is likely to learn) will either (...)
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  15. Consent’s Dominion: Dementia and Prior Consent to Sexual Relations.Samuel Director - 2019 - Bioethics 33 (9):1065-1071.
    In this paper, I answer the following question: suppose that two individuals, C and D, have been in a long-term committed relationship, and D now has dementia, while C is competent; if D agrees to have sex with C, is it permissible for C to have sex with D? Ultimately, I defend the view that, under certain conditions, D can give valid consent to sex with C, rendering sex between them permissible. Specifically, I argue there is compelling reason to endorse (...)
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  16. Some Ethical Considerations About the Use of Biomarkers for the Classification of Adult Antisocial Individuals.Marko Jurjako, Luca Malatesti & Inti A. Brazil - 2019 - International Journal of Forensic Mental Health 18 (3):228-242.
    It has been argued that a biomarker-informed classification system for antisocial individuals has the potential to overcome many obstacles in current conceptualizations of forensic and psychiatric constructs and promises better targeted treatments. However, some have expressed ethical worries about the social impact of the use of biological information for classification. Many have discussed the ethical and legal issues related to possibilities of using biomarkers for predicting antisocial behaviour. We argue that prediction should not raise the most pressing ethical worries. Instead, (...)
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  17. Authority Without Identity: Defending Advance Directives Via Posthumous Rights Over One’s Body.Govind Persad - 2019 - Journal of Medical Ethics 45 (4):249-256.
    This paper takes a novel approach to the active bioethical debate over whether advance medical directives have moral authority in dementia cases. Many have assumed that advance directives would lack moral authority if dementia truly produced a complete discontinuity in personal identity, such that the predementia individual is a separate individual from the postdementia individual. I argue that even if dementia were to undermine personal identity, the continuity of the body and the predementia individual’s rights over that body can support (...)
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  18. No One Who Loves Anyone.Alison Reiheld - 2019 - Journal of Medical Humanities 40 (3):451-453.
    In this bioethical poem, the narrator reflects on the experience of their father's degenerative illness, and decisions that must be made about whether to continue life support technologies such as ventilation and nutrition/hydration. What is it that is owed to family and patient at the end of life? What must no one who loves anyone ever do to the one they love?
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  19. Should Aggregate Patient Preference Data Be Used to Make Decisions on Behalf of Unrepresented Patients?Nathaniel Sharadin - 2019 - AMA Journal of Ethics 21 (7):566-574.
    Patient preference predictors aim to solve the moral problem of making treatment decisions on behalf of incapacitated patients. This commentary on a case of an unrepresented patient at the end of life considers 3 related problems of such predictors: the problem of restricting the scope of inputs to the models (the “scope” problem), the problem of weighing inputs against one another (the “weight” problem), and the problem of multiple reasonable solutions to the scope and weight problems (the “multiple reasonable models” (...)
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  20. Why Letting Die Instead of Killing? Choosing Active Euthanasia on Moral Grounds.Evangelos Protopapadakis - 2018 - Proceedings of the XXIII World Congress of Philosophy.
    Ever since the debate concerning euthanasia was ignited, the distinction between active and passive euthanasia – or, letting die and killing – has been marked as one of its key issues. In this paper I will argue that a) the borderline between act and omission is an altogether blurry one, and it gets even vaguer when it comes to euthanasia, b) there is no morally significant difference between active and passive euthanasia, and c) if there is any, it seems to (...)
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  21. Advance Directives and the Descendant Argument.Jukka Varelius - 2018 - HEC Forum 30 (1):1-11.
    By issuing an advance treatment directive, an autonomous person can formally express what kinds of treatment she wishes and does not wish to receive in case she becomes ill or injured and unable to autonomously decide about her treatment. While many jurisdictions and medical associations endorse them, advance treatment directives have also been criticized. According to an important criticism, when a person irreversibly loses her autonomy what she formerly autonomously desired ceases to be of importance in deciding about her treatment. (...)
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  22. The Medical Surrogate as Fiduciary Agent.Dana Howard - 2017 - Journal of Law, Medicine and Ethics 45 (3):402-420.
    Within bioethics, two prevailing approaches structure how we think about the role of medical surrogates and the decisions that they must make on behalf of incompetent patients. One approach views the surrogate primarily as the patient's agent, obediently enacting the patient's predetermined will. The second approach views the surrogate as the patient's custodian, judging for herself how to best safeguard the patient's interests. This paper argues that both of these approaches idealize away some of the ethically relevant features of advance (...)
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  23. Deciding for the Incompetent.Eric Vogelstein - 2017 - In John K. Davis (ed.), Ethics at the End of Life: New Issues and Arguments. New York: Routledge. pp. 108-125.
    This chapter discusses the moral framework for surrogate decision-making for incompetent medical patients. The chapter focuses on the question of how we can respect the autonomy of those who are no longer competent to make such decisions. The standard counterfactual account of how to respect the autonomy of the incompetent is evaluated, along with accounts that ground respect for autonomy on the patient’s most recent desires and values (regardless of whether the patient still possesses those desires and values) as well (...)
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  24. Advance Directives for Euthanasia.Eric Vogelstein - 2017 - In Michael J. Cholbi (ed.), Euthanasia and Assisted Suicide: Global Views on Choosing to End Life. Santa Barbara, CA: Praeger. pp. 327-350.
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  25. What’s Good for Them? Best Interests and Severe Disorders of Consciousness.Jennifer Hawkins - 2016 - In Walter Sinnott Armstrong (ed.), Finding Consciousness. Oxford, UK: pp. 180-206.
    I consider the current best interests of patients who were once thought to be either completely unaware (to be in PVS) or only minimally aware (MCS), but who, because of advanced fMRI studies, we now suspect have much more “going on” inside their minds, despite no ability to communicate with the world. My goal in this chapter is twofold: (1) to set out and defend a framework that I think should always guide thinking about the best interests of highly cognitively (...)
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  26. Animals, Advance Directives, and Prudence: Should We Let the Cheerfully Demented Die?David Limbaugh - 2016 - Ethics, Medicine and Public Health 2 (4):481-489.
    A high level of confidence in the identity of individuals is required to let them die as ordered by an advance directive. Thus, if we are animalists, then we should lack the confidence required to apply lethal advance directives to the cheerfully demented, or so I argue. In short, there is consensus among animalists that the best way to avoid serious objections to their account is to adopt an ontology that denies the existence of brains, hands, tables, chairs, iced-tea, and (...)
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  27. Autonomy and the Moral Authority of Advance Directives.Eric Vogelstein - 2016 - Journal of Medicine and Philosophy 41 (5):500-520.
    Although advance directives are widely believed to be a key way to safeguard the autonomy of incompetent medical patients, significant questions exist about their moral authority. The main philosophical concern involves cases in which an incompetent patient no longer possesses the desires on which her advance directive was based. The question is, does that entail that prior expressions of medical choices are no longer morally binding? I believe that the answer is “yes.” I argue that a patient’s autonomy is not (...)
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  28. Fluctuating Capacity and Advanced Decision Making – Self-Binding Directives and Self-Determination’.Tania Gergel & Gareth Owen - 2015 - International Journal of Law and Psychiatry 105 (40):92-101.
    For people with Bipolar Affective Disorder, a self-binding (advance) directive (SBD), by which they commit themselves to treatment during future episodes of mania, even if unwilling, can seem the most rational way to deal with an imperfect predicament. Knowing that mania will almost certainly cause enormous damage to themselves, their preferred solution may well be to allow trusted others to enforce treatment and constraint, traumatic though this may be. No adequate provision exists for drafting a truly effective SBD and efforts (...)
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  29. Medicine & Well-Being.Daniel Groll - 2015 - In Guy Fletcher (ed.), The Routledge Handbook of Philosophy of Well-Being. Routledge.
    The connections between medicine and well-being are myriad. This paper focuses on the place of well-being in clinical medicine. It is here that different views of well-being, and their connection to concepts like “autonomy” and “authenticity”, both illuminate and are illuminated by looking closely at the kinds of interactions that routinely take place between clinicians, patients, and family members. -/- In the first part of the paper, I explore the place of well-being in a paradigmatic clinical encounter, one where a (...)
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  30. Professional Ethics in Extreme Circumstances: Responsibilities of Attending Physicians and Healthcare Providers in Hunger Strikes.Nurbay Irmak - 2015 - Theoretical Medicine and Bioethics 36 (4):249-263.
    Hunger strikes potentially present a serious challenge for attending physicians. Though rare, in certain cases, a conflict can occur between the obligations of beneficence and autonomy. On the one hand, physicians have a duty to preserve life, which entails intervening in a hunger strike before the hunger striker loses his life. On the other hand, physicians’ duty to respect autonomy implies that attending physicians have to respect hunger strikers’ decisions to refuse nutrition. International medical guidelines state that physicians should follow (...)
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  31. Advancing the Synergy Between Pediatric Bioethics and Child Rights.Alissa Swota, Jeffrey Goldhagen & Cheryl D. Lew - 2015 - Perspectives in Biology and Medicine 58 (3):247-251.
    The manuscripts in this issue of Perspectives in Biology and Medicine reflect the work of an international group of pediatric bioethicists and child rights advocates who convened in March 2014 to pursue several questions related to the intersection of pediatric bioethics and child rights. The prequel for the Symposium involved several years of dialogue between the editors of this volume—dialogue through which it became clear that there was much to be learned about our respective disciplines and how they might inform (...)
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  32. L'éthique et les professions de la santé [Ethics and the healthcare professionals].Rosangela Barcaro - 2014 - Arc En Ciel. La Revue de Nouveaux Droits de L’Homme (73):10.
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  33. Why Patients Have a Moral Obligation to Give Care to Clinicians.Stephen Buetow - 2014 - Journal of Evaluation in Clinical Practice 20 (6):890-895.
    Progress is being made in transitioning from clinicians who are torn between caring for patients and populations, to clinicians who are partnering with patients to care for patients as people. However, the focus is still on what patients and others can do for patients, however defined. For clinicians whose interests must be similarly respected for their own sake and because they are integrally related to those of patients, what can and should patients do? Patients can be exempted from some normal (...)
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  34. Alzheimer, Dementia and the Living Will: A Proposal.Claudia Burlá, Guilhermina Rego & Rui Nunes - 2014 - Medicine, Health Care and Philosophy 17 (3):389-395.
    The world population aged significantly over the twentieth century, leading to an increase in the number of individuals presenting progressive, incapacitating, incurable chronic-degenerative diseases. Advances in medicine to prolong life prompted the establishment of instruments to ensure their self-determination, namely the living will, which allows for an informed person to refuse a type of treatment considered unacceptable according to their set of values. From the knowledge on the progression of Alzheimer disease, it is possible to plan the medical care, even (...)
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  35. Implementation of Evidence-Based Falls Prevention in Clinical Services for High-Risk Clients.Lesley Day, Margaret J. Trotter, Keith D. Hill, Terry P. Haines & Catherine Thompson - 2014 - Journal of Evaluation in Clinical Practice 20 (3):255-259.
    The extent to which best practice for falls prevention is being routinely delivered by health care providers for community‐dwelling older adults is unclear. We investigated falls prevention practice among Hospital Admission Risk Programs (HARP) that provide and coordinate specialized health care for people at high risk of hospitalization.
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  36. Well-Being, Time, and Dementia.Jennifer Hawkins - 2014 - Ethics 124 (3):507-542.
    Philosophers concerned with what would be good for a person sometimes consider a person’s past desires. Indeed, some theorists have argued by appeal to past desires that it is in the best interests of certain dementia patients to die. I reject this conclusion. I consider three different ways one might appeal to a person’s past desires in arguing for conclusions about the good of such patients, finding flaws with each. Of the views I reject, the most interesting one is the (...)
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  37. Evidence, Errors, and Ethics.Franklin G. Miller, Steven Joffe & Aaron S. Kesselheim - 2014 - Perspectives in Biology and Medicine 57 (3):299-307.
    Novel therapeutics enter human testing after they show promise in animal and in vitro studies. They then begin a life cycle that extends from early phase trials without control groups, to randomized trials, to approval by regulatory authorities, to coverage by payers, to use in clinical practice. At each stage, scientific evidence is critical to determining whether to progress to the next step in this life cycle. Each of these decisions also implicitly involves issues of value and ethical norms based (...)
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  38. Persuading Bereaved Families to Permit Organ Donation.David Shaw & Bernice Elger - 2014 - Intensive Care Medicine 40:96-98.
    The annual UK potential donor audit captures families’ reasons for not consenting to donation of their deceased family members’ organs . Given that many families’ refusals and vetoes are based on false beliefs, cognitive bias and misunderstanding, it is incumbent upon doctors, nurses and transplant coordinators to invest sufficient time to facilitate informed consent or authorization. While such families are distressed, organ donation rates could be substantially improved if they were made aware of any mistaken beliefs, using recently suggested criteria (...)
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  39. Doctors' Compliance with National Guidelines and Clinical Pathway on the Treatment of Tuberculosis Inpatients in Hubei, China.Xiaofei Zheng, Fangying Zhong & Xinping Zhang - 2014 - Journal of Evaluation in Clinical Practice 20 (3):288-293.
    The Ministry of Health in China has enacted a revised National Tuberculosis Control Program (NTP) guidelines and clinical pathway (CP) on new smear‐positive pulmonary tuberculosis (TB) inpatients to improve the quality of TB care and asked doctors' compliance to them on the treatment of TB inpatients. However, it remains unknown whether doctors adhere to them well. So this study focuses on evaluating the doctors' compliance with them in one representative TB hospital for medical quality improvement.
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  40. Interactive Capacity, Decisional Capacity, and a Dilemma for Surrogates.Vanessa Carbonell - 2013 - American Journal of Bioethics Neuroscience 4 (4):36-37.
    In “Conscientious of the Conscious: Interactive Capacity as a Threshold Marker for Consciousness” (2013), Fischer and Truog argue that recent studies showing that some patients diagnosed as being in a vegetative state are in fact in a minimally conscious state raise various ethical questions for clinicians and family members. I argue that these findings raise a further ethical dilemma about how and whether to seek the involvement of the minimally conscious person herself in decisions about her care. There may be (...)
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  41. Should the Late Stage Demented Be Punished for Past Crimes?Annette Dufner - 2013 - Criminal Law and Philosophy 7 (1):137-150.
    The paper investigates whether it is plausible to hold the late stage demented criminally responsible for past actions. The concern is based on the fact that policy makers in the United States and in Britain are starting to wonder what to do with prison inmates in the later stages of dementia who do not remember their crimes anymore. The problem has to be expected to become more urgent as the population ages and the number of dementia patients increases. This paper (...)
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  42. Scientific Dishonesty—a Nationwide Survey of Doctoral Students in Norway.Bjørn Hofmann, Anne Ingeborg Myhr & Søren Holm - 2013 - BMC Medical Ethics 14 (1):3-.
    Background: The knowledge of scientific dishonesty is scarce and heterogeneous. Therefore this study investigates the experiences with and the attitudes towards various forms of scientific dishonesty among PhD-students at the medical faculties of all Norwegian universities.MethodAnonymous questionnaire distributed to all post graduate students attending introductory PhD-courses at all medical faculties in Norway in 2010/2011. Descriptive statistics. Results: 189 of 262 questionnaires were returned (72.1%). 65% of the respondents had not, during the last year, heard or read about researchers who committed (...)
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  43. Wanted Dead or Alive: Organ Donation and Ethical Limitations on Surrogate Consent for Non-Competent Living Donors.A. Wrigley - 2013 - In A. Wrigley (ed.), Ethics, Law and Society, Vol. V. Ashgate. pp. 209-234.
    People have understandable concerns over what happens to their bodies, both during their life and after they die. Consent to organ donation is often perceived as an altruistic decision made by individuals prior to their death so that others can benefit from use of their organs once they have died. More recently, live organ donation has also been possible, where an individual chooses to donate an organ or body tissue that will not result in their death (such as a kidney). (...)
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  44. Increased Performance and Better Patient Attendance in an Hospital with the Use of Smart Agendas.Ângelo Costa, Paulo Novais, Juan M. Corchado & José Neves - 2012 - Logic Journal of the IGPL 20 (4):689-698.
    Hospital environments tend to be very ineffective, resulting in the lost of valuable resources at all times. Current approaches that address this problem tend to ignore the patient, looking only at the economics. In our view, these systems must be patient centred, and for that reason, we look at the development of tools that can improve the use of timely resources in such environments. The solution presented in this work consists in the use of personal memory assistants to monitor single (...)
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  45. Der mutmaßliche Wille im deutschen Transplantationsgesetz.Christoph Schmidt-Petri - 2012 - In M. G. Weiss & H. Greif (eds.), Ethics-Society-Politics. ALWS.
    This paper discusses (in German) an idea enshrined in the recent (2012) revision of the German transplantation law. The law allows family members to make claims about what the deceased would have wanted to happen to his/her organs/tissue even though he/she never has voiced any relevant opinions. I argue that this is illegitimate.
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  46. We Should Not Let Relatives Veto Organ Donation From Their Dead Relatives.David Shaw - 2012 - British Medical Journal 34:e5275.
    This article highlights the often overlooked fact that doctors who respect a bereaved family's veto of a deceased patient's organ donation are complicit in the deaths of those who would have benefited from the organs in question. Respecting the veto violates the dying wish of the patient, is against the spirit of the law and contributes to the deaths of other patients.
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  47. A Direct Advance on Advance Directives.David Shaw - 2012 - Bioethics 26 (5):267-274.
    Advance directives (ADs), which are also sometimes referred to as ‘living wills’, are statements made by a person that indicate what treatment she should not be given in the event that she is not competent to consent or refuse at the future moment in question. As such, ADs provide a way for patients to make decisions in advance about what treatments they do not want to receive, without doctors having to find proxy decision-makers or having recourse to the doctrine of (...)
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  48. The Impact of Personal Identity on Advance Directives.Nada Gligorov & Christine Vitrano - 2011 - Journal of Value Inquiry 45 (2):147-158.
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  49. Justifying Research Risks in a Clinical Trial for Treatment of Multidrug-Resistant Tuberculosis.Charles Heilig - 2011 - IRB: Ethics & Human Research 33 (4):10-17.
    This article demonstrates a step-by-step component analysis of the LiMiT Study, a phase I–II randomized controlled trial designed to evaluate once-daily linezolid plus optimized background therapy versus placebo plus optimized background therapy for the first 16 weeks of study therapy for multidrug-resistant tuberculosis. This study represents a fairly complex, early-stage trial that we, as investigators, wanted to ensure met criteria for appropriate justification of research risks. Our analytic framework helped to isolate and clarify a few subtle issues that arise from (...)
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  50. Respect for Autonomy, Advance Directives, and Minimally Conscious State.Jukka Varelius - 2011 - Bioethics 25 (9):505-515.
    In this article, I consider whether the advance directive of a person in minimally conscious state ought to be adhered to when its prescriptions conflict with her current wishes. I argue that an advance directive can have moral significance after its issuer has succumbed to minimally conscious state. I also defend the view that the patient can still have a significant degree of autonomy. Consequently, I conclude that her advance directive ought not to be applied. Then I briefly assess whether (...)
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