Applied Ethics, Miscellaneous

A series of studies investigated the capacity of children between the ages of 7 and 12 to give free and informed consent to participation in psychological research. Children were reasonably accurate in describing the purpose of studies, but many did not understand the possible benefits or especially the possible risks of participating. In several studies children's consent was not affected by the knowledge that their parents had given their permission or by the parents saying that they would not be upset (...) if the children refused. In contrast, other studies found that children were much more likely to stop their participation if the experimenter said explicitly that she would not be upset if they stopped. We suggest that experimenters should pay more attention to describing the possible risks and benefits of participation in research, and that they should also make it clearer to children that they are free to stop once they have begun. (shrink)

This article considers some political potentialities of the post-constructivist proposal for substituting truth with traceability. Traceability is a measure of truthfulness in which the rationality of a truth-claim is found in accounting for the work done to maintain links back to an internal referent through a chain of mediations. The substitution of traceability for truth is seen as necessary to move the entire political domain towards a greater responsiveness to the events of the natural-social world. In particular, it seeks to (...) disarm the strategy of ... (shrink)

The risk of stroke for a child with SCD is many times greater than that of a healthy child without SCD or heart disease. There is a technique that allows the identification of the children with SCD who have high risk even within this relatively high-risk group. And there is a highly effective preventive treatment. While this would on the surface appear to be a straightforward medical decision, it is not. One must weigh the benefits of preventing permanent brain damage (...) against the risks of infection from transfused blood, iron overload, which is the result of the frequent transfusions, and rare transfusion reactions. (shrink)

This paper attempts to establish the epistemological import and limits of informed consent in clinical research. It points out that informed consent is a necessary requirement in clinical research because it ensures adequate participation of care receivers in issues relating to their health. Besides ensuring that care receivers have knowledge of whatever medical intervention they are consenting to, informed consent, as an ideal, provides assurance that care receivers and others are neither coerced nor deceived. While the question of the value (...) of informed consent in health care delivery is not so much controverted, in contest is the question of whether or not complete and wholly specifically informed consent can indeed be realized in medical intervention. Two orientations are identified in this debate. One insists that an individual will be able to make an informed decision and make reasonable choices amongst alternatives when fully informed. The other orientation sees as an epistemic illusion, achieving full informed consent, and rather opts for informed request. This paper examines this debate by clarifying the notion of informed consent, its components and its nexus with knowledge. The position of the paper is that informed consent is not only an ethical ideal in clinical research and health care; it is also an epistemic virtue that must be continuously strived towards. This paper establishes that health care receivers can only have an epistemic claim of their medical situation if all requirements of informed consent in health care delivery such as provision of adequate information, the risk and benefits of treatment, avoidance of vague/ambiguous statements, voluntariness, etc. are met. (shrink)

Religion holds unique importance in peoplereligious factor effectiveness in rural areas. They thought that religious leaders could contribute positively to community education, and suggested ways in which they could educate the community in reproductive health issues. They also suggested various channels through which religious leaders could be approached to convince them to cooperate in reproductive health programmes. The study concludes that involving religious leaders in rural settings could enable reproductive health programmes and services to reach more conservative groups in society, (...) and thus contribute effectively to bringing about positive change in the attitudes of Pakistani society towards reproductive health. (shrink)

Close-up insights on how experts in the field are re-interpreting ethical principles to create workable policies for today and tomorrow, from the creators of ...

This paper examines the virtue of modesty and provides an account of what it means to be modest. A good account should not only delimit the proper application of the concept, but should also capture why it is that we think that modesty is a virtue. Recent work has yielded several interesting, but flawed, accounts of modesty. Julia Driver has argued that it consists in underestimating one’s self-worth, while Owen Flanagan has argued that modesty must entail an accurate—as opposed to (...) underestimated or inflated—conception of one’s self worth. Neither of these accounts provides a satisfactory characterization of modesty as a virtue. Driver leaves us wondering why modesty, understood, at least in part, as misunderstanding one’s merits, should earn the status of virtue, whereas Flanagan’s characterization does not adequately and uniquely pick out the concept of modesty. These criticisms have been presented by G. F. Schueler who goes on to defend the doctrine that modesty is, roughly, the lack of one’s desire for other people to be impressed by one’s accomplishments. My goal is to provide an account of modesty that improves upon those currently before us. My own positive account will draw off of Schueler’s account as well as work done by Jean-Paul Sartre and Gabriele Taylor on the moral emotion of shame. (shrink)

Se expone el resultado de una investigación sobre algunos aspectos de la vida y obra del médico y patriota cubano Diego Tamayo Figueredo, con el objetivo de revelar hechos trascendentales que definen su vocación médica, humanista e independentista. Para su elaboración se realizó una revisión documental sobre esta personalidad histórica. Results about some aspects of Diego Tamayo Figueredo's life and work, Cuban physician and patriot, were exposed; with the objective of revealing transcendental facts that define his medical, humanist and independentist (...) vocation. To elaborate this work a documental review about this historical personality was made. (shrink)

RESUMEN El presente trabajo de revisión expone cómo las prácticas de gestión en la anestesiología deben ser modificadas para encarar las cambiantes necesidades de pacientes, otros profesionales y sistemas sanitarios, a fin de mantener una función significativa en la atención sanitaria. Los servicios de anestesia han adoptado una amplia variedad de modelos para hacer frente a las necesidades del medio local, la relación entre los anestesiólogos y la comunidad, y los papeles desempeñados por los anestesiólogos en el tratamiento perioperatorio. El (...) sistema sanitario cubano se encuentra inmerso en un proceso de permanente adecuación de sus servicios a los problemas, demandas y necesidades de la población cubana y sus determinantes. Por ello, objetivo es exponer consideraciones teóricas en función del perfeccionamiento del servicio de Anestesiología y Reanimación. ABSTRACT This review paper presents how anesthesiology management practices must be modified in order to deal with the changing needs patients, other professionals and health systems have, in order to maintain a significant function in health care. Anesthesiology services have adopted a wide variety of models to face up to the needs the city, the relationship between anesthesiologists and the community and the role anesthesiologists play in perioperative treatment have. The Cuban health system services are in a process of permanent adaptation to the problems, demands and needs the Cuban population and its determinants have. For that reason, this paper aims at presenting theoretical considerations towards the improvement of the Anesthesiology and Resuscitation service. (shrink)

A new construct called rationalized justification, defined as the excusing or enabling reasons for otherwise unethical, improper, or unacceptable behavior is proposed that integrates related research from psychological and sociological perspectives. Rationalized justification is operationalized as past tendency to rationalize, ability to generate plausible justifications, and ethical/value flexibility. Evidence is provided for the reliability and validity of the measures including convergence with existing measures, and prediction of permissive attitudes and unethical conduct based on this sample of 381 participants. Males in (...) this sample displayed higher levels of rationalized justification and unethical behavior. Limited support was also provided for the existence of specific types of justifications. (shrink)

Changes in attitude toward intellectual property are covered here.