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  1.  1
    Gender by Dasein? A Heideggerian Critique of Suzanne Kessler and the Medical Management of Infants Born with Disorders of Sexual Development.Lauren L. Baker - 2017 - Theoretical Medicine and Bioethics 38 (6):447-463.
    This article explores the relationship between gender, technology, language, and how infants and children born with disorders of sexual development are shaped into intelligible members of the community. The contemporary medical model maintains that children ought to be both socially and surgically assigned and reared as one particular gender. Gender scholar Suzanne Kessler rejects this position and argues for the acceptance of greater genital variability through the use of language. Using a Heideggerian lens, the main question I seek to answer (...)
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  2. Philosophy of Medicine 2017: Reviewing the Situation.Patrick Daly - 2017 - Theoretical Medicine and Bioethics 38 (6):483-488.
    In this introduction to a special subsection of Theoretical Medicine and Bioethics comprising separate reviews of the Springer Handbook of the Philosophy of Medicine, The Routledge Companion to Philosophy of Medicine, and The Bloomsbury Companion to Contemporary Philosophy of Medicine, I compare the three texts with respect to their overall organization and their approach to the relation between the science and the art of medicine. I then indicate two areas that merit more explicit attention in developing a comprehensive philosophy of (...)
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  3. Thomas Schramme and Steven Edwards : Handbook of the Philosophy of Medicine.Patrick Daly - 2017 - Theoretical Medicine and Bioethics 38 (6):489-494.
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  4.  3
    Miriam Solomon, Jeremy R. Simon, and Harold Kincaid : The Routledge Companion to Philosophy of Medicine.E. Stempsey William - 2017 - Theoretical Medicine and Bioethics 38 (6):495-499.
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  5.  1
    What Does the Character of Medicine as a Social Practice Imply for Professional Conscientious Objection?Thomas S. Huddle - 2017 - Theoretical Medicine and Bioethics 38 (6):429-445.
    The dispute over professional conscientious objection presumes a picture of medicine as a practice governed by rules. This rule-based conception of medical practice is identifiable with John Rawls’s conception of social practices. This conception does not capture the character of medical practice as experienced by practitioners, for whom it is a sensibility or “form of life” rather than rules. Moreover, the sensibility of medical practice as experienced by physicians is at best neutral, and at worst hostile, to the demands of (...)
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  6.  7
    Narrative Self-Appropriation: Embodiment, Alienness, and Personal Responsibility in the Context of Borderline Personality Disorder.Køster Allan - 2017 - Theoretical Medicine and Bioethics 38 (6):465-482.
    It is often emphasised that persons diagnosed with borderline personality disorder show difficulties in understanding their own psychological states. In this article, I argue that from a phenomenological perspective, BPD can be understood as an existential modality in which the embodied self is profoundly saturated by an alienness regarding the person’s own affects and responses. However, the balance of familiarity and alienness is not static, but can be cultivated through, e.g., psychotherapy. Following this line of thought, I present the idea (...)
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  7. Marcum, James A. : The Bloomsbury Companion to Contemporary Philosophy of Medicine.Mary Jean Walker - 2017 - Theoretical Medicine and Bioethics 38 (6):501-506.
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  8.  1
    John C. Moskop: Ethics and Health Care: An Introduction.Challita Marie - 2017 - Theoretical Medicine and Bioethics 38 (5):425-428.
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  9. Multiple Studies and Weak Evidential Defeat.Nikk Effingham & Malcolm J. Price - 2017 - Theoretical Medicine and Bioethics 38 (5):353-366.
    When a study shows statistically significant correlation between an exposure and an outcome, the credence of a real connection between the two increases. Should that credence remain the same when it is discovered that further independent studies between the exposure and other independent outcomes were conducted? Matthew Kotzen argues that it should remain the same, even if the results of those further studies are discovered. However, we argue that it can differ dependent upon the results of the studies.
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  10.  4
    Harm and the Concept of Medical Disorder.Neil Feit - 2017 - Theoretical Medicine and Bioethics 38 (5):367-385.
    According to Jerome Wakefield’s harmful dysfunction analysis of medical disorder, the inability of some internal part or mechanism to perform its natural function is necessary, but not sufficient, for disorder. HDA also requires that the part dysfunction be harmful to the individual. I consider several problems for HDA’s harm criterion in this article. Other accounts on which harm is necessary for disorder will suffer from all or almost all of these problems. Comparative accounts of harm imply that one is harmed (...)
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  11.  19
    If Abortion, Then Infanticide.David B. Hershenov & Rose J. Hershenov - 2017 - Theoretical Medicine and Bioethics 38 (5):387-409.
    Our contention is that all of the major arguments for abortion are also arguments for permitting infanticide. One cannot distinguish the fetus from the infant in terms of a morally significant intrinsic property, nor are they morally discernible in terms of standing in different relationships to others. The logic of our position is that if such arguments justify abortion, then they also justify infanticide. If we are right that infanticide is not justified, then such arguments will fail to justify abortion. (...)
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  12.  3
    Health, Interests, and Equality.David Hershenov & Rose Joanna Hershenov - 2017 - Theoretical Medicine and Bioethics 38 (5):417-419.
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  13.  2
    Personhood, Pregnancy, and Gender: A Reply to Hershenov and Hershenov.Sally Markowitz - 2017 - Theoretical Medicine and Bioethics 38 (5):411-415.
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  14. Robyn Bluhm: Knowing and Acting in Medicine.Andrea Semplicini - 2017 - Theoretical Medicine and Bioethics 38 (5):421-423.
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  15.  6
    Re-Evaluating Concepts of Biological Function in Clinical Medicine: Towards a New Naturalistic Theory of Disease.Benjamin Chin-Yee & Ross E. G. Upshur - 2017 - Theoretical Medicine and Bioethics 38 (4):245-264.
    Naturalistic theories of disease appeal to concepts of biological function, and use the notion of dysfunction as the basis of their definitions. Debates in the philosophy of biology demonstrate how attributing functions in organisms and establishing the function-dysfunction distinction is by no means straightforward. This problematization of functional ascription has undermined naturalistic theories and led some authors to abandon the concept of dysfunction, favoring instead definitions based in normative criteria or phenomenological approaches. Although this work has enhanced our understanding of (...)
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  16.  1
    Where’s the Problem? Considering Laing and Esterson’s Account of Schizophrenia, Social Models of Disability, and Extended Mental Disorder.Rachel Cooper - 2017 - Theoretical Medicine and Bioethics 38 (4):295-305.
    In this article, I compare and evaluate R. D. Laing and A. Esterson’s account of schizophrenia as developed in Sanity, Madness and the Family, social models of disability, and accounts of extended mental disorder. These accounts claim that some putative disorders should not be thought of as reflecting biological or psychological dysfunction within the afflicted individual, but instead as external problems. In this article, I consider the grounds on which such claims might be supported. I argue that problems should not (...)
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  17. Symptom Modelling Can Be Influenced by Psychiatric Categories: Choices for Research Domain Criteria.Sam Fellowes - 2017 - Theoretical Medicine and Bioethics 38 (4):279-294.
    Psychiatric researchers typically assume that the modelling of psychiatric symptoms is not influenced by psychiatric categories; symptoms are modelled and then grouped into a psychiatric category. I highlight this primarily through analysing research domain criteria. RDoC’s importance makes it worth scrutinizing, and this assessment also serves as a case study with relevance for other areas of psychiatry. RDoC takes inadequacies of existing psychiatric categories as holding back causal investigation. Consequently, RDoC aims to circumnavigate existing psychiatric categories by directly investigating the (...)
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  18.  20
    Exemplars, Ethics, and Illness Narratives.Ian James Kidd - 2017 - Theoretical Medicine and Bioethics 38 (4):323-334.
    Many people report that reading first-person narratives of the experience of illness can be morally instructive or educative. But although they are ubiquitous and typically sincere, the precise nature of such educative experiences is puzzling—for those narratives typically lack the features that modern philosophers regard as constitutive of moral reason. I argue that such puzzlement should disappear, and the morally educative power of illness narratives explained, if one distinguishes two different styles of moral reason: an inferentialist style that generates the (...)
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  19.  4
    The Muddle of Medicalization: Pathologizing or Medicalizing?Sholl Jonathan - 2017 - Theoretical Medicine and Bioethics 38 (4):265-278.
    Medicalization appears to be an issue that is both ubiquitous and unquestionably problematic as it seems to signal at once a social and existential threat. This perception of medicalization, however, is nothing new. Since the first main writings in the 1960s and 1970s, it has consistently been used to describe inappropriate or abusive instances of medical authority. Yet, while this standard approach claims that medicalization is a growing problem, it assumes that there is simply one “medical model” and that the (...)
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  20.  4
    Understanding Disease and Illness.Jeremy R. Simon, Havi Carel & Alexander Bird - 2017 - Theoretical Medicine and Bioethics 38 (4):239-244.
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  21. Evaluating the UK House of Commons Science and Technology Committee’s Position on the Implausible Effectiveness of Homeopathic Treatments.Andrew Turner - 2017 - Theoretical Medicine and Bioethics 38 (4):335-352.
    In 2009, the UK House of Commons Science and Technology Committee conducted an ‘evidence check’ on homeopathy to evaluate evidence for its effectiveness. In common with the wider literature critical of homeopathy, the STC report seems to endorse many of the strong claims that are made about its implausibility. In contrast with the critical literature, however, the STC report explicitly does not place any weight on implausibility in its evaluation. I use the contrasting positions of the STC and the wider (...)
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  22.  3
    Diagnosis, Narrative Identity, and Asymptomatic Disease.Walker Mary Jean & A. Rogers Wendy - 2017 - Theoretical Medicine and Bioethics 38 (4):307-321.
    An increasing number of patients receive diagnoses of disease without having any symptoms. These include diseases detected through screening programs, as incidental findings from unrelated investigations, or via routine checks of various biological variables like blood pressure or cholesterol. In this article, we draw on narrative identity theory to examine how the process of making sense of being diagnosed with asymptomatic disease can trigger certain overlooked forms of harm for patients. We show that the experience of asymptomatic disease can involve (...)
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  23. From Method to Hermeneutics: Which Epistemological Framework for Narrative Medicine?Camille Abettan - 2017 - Theoretical Medicine and Bioethics 38 (3):179-193.
    The past 10 years have seen considerable developments in the use of narrative in medicine, primarily through the emergence of the so-called narrative medicine. In this article, I question narrative medicine’s self-understanding and contend that one of the most prominent issues is its lack of a clear epistemological framework. Drawing from Gadamer’s work on hermeneutics, I first show that narrative medicine is deeply linked with the hermeneutical field of knowledge. Then I try to identify which claims can be legitimately expected (...)
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  24.  5
    “Big Eye” Surgery: The Ethics of Medicalizing Asian Features.Yves Saint James Aquino - 2017 - Theoretical Medicine and Bioethics 38 (3):213-225.
    The popularity of surgical modifications of race-typical features among Asian women has generated debates on the ethical implications of the practice. Focusing on blepharoplasty as a representative racial surgery, this article frames the ethical discussion by viewing Asian cosmetic surgery as an example of medicalization, which can be interpreted in two forms: treatment versus enhancement. In the treatment form, medicalization occurs by considering cosmetic surgery as remedy for pathologized Asian features; the pathologization usually occurs in reference to western features as (...)
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  25.  3
    Clashes of Consensus: On the Problem of Both Justifying Abortion of Fetuses with Down Syndrome and Rejecting Infanticide.Henrik Friberg-Fernros - 2017 - Theoretical Medicine and Bioethics 38 (3):195-212.
    Although the abortion of fetuses with Down syndrome has become commonplace, infanticide is still widely rejected. Generally, there are three ways of justifying the differentiation between abortion and infanticide: by referring to the differences between the moral status of the fetus versus the infant, by referring to the differences of the moral status of the act of abortion versus the act of infanticide, or by separating the way the permissibility of abortion is justified from the way the impermissibility of infanticide (...)
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  26. Alex Broom: Dying: A Social Perspective on the End of Life.Andrea Semplicini - 2017 - Theoretical Medicine and Bioethics 38 (3):235-237.
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  27.  1
    Franklin G. Miller and Robert D. Truog: Death, Dying, and Organ Transplantation: Reconstructing Medical Ethics at the End of Life.Susanna Maria Taraschi - 2017 - Theoretical Medicine and Bioethics 38 (3):229-233.
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  28. Erratum To: Solidarity, Justice, and Recognition of the Other.Ruud ter Meulen - 2017 - Theoretical Medicine and Bioethics 38 (3):227-227.
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  29. Hearing Sub-Saharan African Voices in Bioethics.Kevin Gary Behrens - 2017 - Theoretical Medicine and Bioethics 38 (2):95-99.
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  30.  3
    Chronicles of Communication and Power: Informed Consent to Sterilisation in the Namibian Supreme Court’s LM Judgment of 2015.Nyasha Chingore-Munazvo, Katherine Furman, Annabel Raw & Mariette Slabbert - 2017 - Theoretical Medicine and Bioethics 38 (2):145-162.
    The 2015 judgment of the Namibia Supreme Court in Government of the Republic of Namibia v LM and Others set an important precedent on informed consent in a case involving the coercive sterilisation of HIV-positive women. This article analyses the reasoning and factual narratives of the judgment by applying Neil Manson and Onora O’Neill’s approach to informed consent as a communicative process. This is done in an effort to understand the practical import of the judgment in the particular context of (...)
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  31. Dealing with the Other Between the Ethical and the Moral: Albinism on the African Continent.Elvis Imafidon - 2017 - Theoretical Medicine and Bioethics 38 (2):163-177.
    Albinism is a global public health issue but it assumes a peculiar nature in the African continent due, in part, to the social stigma faced by persons with albinism in Africa. I argue that there are two essential reasons for this precarious situation. First, in the African consciousness, albinism is an alterity or otherness. The PWA in Africa is not merely a physical other but also an ontological other in the African community of beings, which provides a hermeneutic for the (...)
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  32.  36
    Ancillary Care Obligations in Light of an African Bioethic: From Entrustment to Communion.Thaddeus Metz - 2017 - Theoretical Medicine and Bioethics 38 (2):111–126.
    Henry Richardson has recently published the first book ever devoted to ancillary care obligations, which roughly concern what medical researchers are morally required to provide to participants beyond what safety requires. In it Richardson notes that he has presented the ‘only fully elaborated view out there’ on this topic, which he calls the ‘partial-entrustment model’. In this article, I provide a new theory of ancillary care obligations, one that is grounded on ideals of communion salient in the African philosophical tradition (...)
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  33.  2
    Giving Voice to African Thought in Medical Research Ethics.Godfrey B. Tangwa - 2017 - Theoretical Medicine and Bioethics 38 (2):101-110.
    In this article, I consider the virtual absence of an African voice and perspective in global discourses of medical research ethics against the backdrop of the high burden of diseases and epidemics on the continent and the fact that the continent is actually the scene of numerous and sundry medical research studies. I consider some reasons for this state of affairs as well as how the situation might be redressed. Using examples from the HIV/AIDS and Ebola epidemics, I attempt to (...)
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  34. Partiality and Distributive Justice in African Bioethics.Wareham Christopher Simon - 2017 - Theoretical Medicine and Bioethics 38 (2):127-144.
    African ethical theories tend to hold that moral agents ought to be partial, in the sense that they should favour members of their family or close community. This is considered an advantage over the impartiality of many Western moral theories, which are regarded as having counterintuitive implications, such as the idea that it is unethical to save a family member before a stranger. The partiality of African ethics is thought to be particularly valuable in the context of bioethics. Thaddeus Metz, (...)
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  35.  3
    Jochen Vollmann, Verena Sandow, Sabastian Wäscher, and Jan Schildmann : The Ethics of Personalised Medicine: Critical Perspectives.Silviya Aleksandrova-Yankulovska - 2017 - Theoretical Medicine and Bioethics 38 (1):89-94.
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  36.  3
    An Integral Approach to Health Science and Healthcare.Patrick Daly - 2017 - Theoretical Medicine and Bioethics 38 (1):15-40.
    Defining disease and delineating its boundaries is a contested area in contemporary philosophy of medicine. The leading naturalistic theory faces a new round of difficulties related to defining a normal environment alongside normal organismic functioning and to delineating a discrete boundary between risk factors and disease. Normative theories face ongoing and seemingly intractable difficulties related to value pluralism and the problematic relation between theory and practice. In this article, I argue for an integral—as opposed to a hybrid—philosophy of health based (...)
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  37.  1
    Indeterminacy and the Principle of Need.Herlitz Anders - 2017 - Theoretical Medicine and Bioethics 38 (1):1-14.
    The principle of need—the idea that resources should be allocated according to need—is often invoked in priority setting in the health care sector. In this article, I argue that a reasonable principle of need must be indeterminate, and examine three different ways that this can be dealt with: appendicizing the principle with further principles, imposing determinacy, or empowering decision makers. I argue that need must be conceptualized as a composite property composed of at least two factors: health shortfall and capacity (...)
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  38. Susan R. Holman: Beholden: Religion, Global Health, and Human Rights.Daniel Takarabe Kim - 2017 - Theoretical Medicine and Bioethics 38 (1):83-87.
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  39.  16
    Death with Dignity From the Confucian Perspective.Yaming Li & Jianhui Li - 2017 - Theoretical Medicine and Bioethics 38 (1):63-81.
    Death with dignity is a significant issue in modern bioethics. In modern healthcare, the wide use of new technologies at the end of life has caused heated debate on how to protect human dignity. The key point of contention lies in the different understandings of human dignity and the dignity of death. Human dignity has never been a clear concept in Western ethical explorations, and the dignity of death has given rise to more confusions. Although there is no such term (...)
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  40.  12
    The Causal Explanatory Functions of Medical Diagnoses.Hane Htut Maung - 2017 - Theoretical Medicine and Bioethics 38 (1):41-59.
    Diagnoses in medicine are often taken to serve as explanations of patients’ symptoms and signs. This article examines how they do so. I begin by arguing that although some instances of diagnostic explanation can be formulated as covering law arguments, they are explanatory neither in virtue of their argumentative structures nor in virtue of general regularities between diagnoses and clinical presentations. I then consider the theory that medical diagnoses explain symptoms and signs by identifying their actual causes in particular cases. (...)
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  41.  2
    Erratum To: The Causal Explanatory Functions of Medical Diagnoses.Hane Htut Maung - 2017 - Theoretical Medicine and Bioethics 38 (1):61-62.
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