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Alistair James Bruce Wardrope
University of Sheffield
  1.  63
    Medicalization and Epistemic Injustice.Alistair Wardrope - 2015 - Medicine, Health Care and Philosophy 18 (3):341-352.
    Many critics of medicalization express concern that the process privileges individualised, biologically grounded interpretations of medicalized phenomena, inhibiting understanding and communication of aspects of those phenomena that are less relevant to their biomedical modelling. I suggest that this line of critique views medicalization as a hermeneutical injustice—a form of epistemic injustice that prevents people having the hermeneutical resources available to interpret and communicate significant areas of their experience. Interpreting the critiques in this fashion shows they frequently fail because they: neglect (...)
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  2.  62
    Authenticity and Autonomy in Deep-Brain Stimulation.Alistair Wardrope - 2014 - Journal of Medical Ethics 40 (8):563-566.
    Felicitas Kraemer draws on the experiences of patients undergoing deep-brain stimulation to propose two distinct and potentially conflicting principles of respect: for an individual's autonomy , and for their authenticity. I argue instead that, according to commonly-invoked justifications of respect for autonomy, authenticity is itself in part constitutive of an analysis of autonomy worthy of respect; Kraemer's argument thus highlights the shortcomings of practical applications of respect for autonomy that emphasise competence while neglecting other important dimensions of autonomy such as (...)
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  3.  9
    Health Justice in the Anthropocene: Medical Ethics and the Land Ethic.Alistair Wardrope - 2020 - Journal of Medical Ethics 46 (12):791-796.
    Industrialisation, urbanisation and economic development have produced unprecedented improvements in human health. They have also produced unprecedented exploitation of Earth’s life support systems, moving the planet into a new geological epoch, the Anthropocene—one defined by human influence on natural systems. The health sector has been complicit in this influence. Bioethics, too, must acknowledge its role—the environmental threats that will shape human health in this century represent a ‘perfect moral storm’ challenging the ethical theories of the last. The US conservationist Aldo (...)
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  4.  11
    Diagnosis by Documentary: Professional Responsibilities in Informal Encounters.Alistair Wardrope & Markus Reuber - 2016 - American Journal of Bioethics 16 (11):40-50.
    Most work addressing clinical workers' professional responsibilities concerns the norms of conduct within established professional–patient relationships, but such responsibilities may extend beyond the clinical context. We explore health workers' professional responsibilities in such “informal” encounters through the example of a doctor witnessing the misdiagnosis and mistreatment of a serious long-term condition in a television documentary, arguing that neither internalist approaches to professional responsibility nor externalist ones provide sufficiently clear guidance in such situations. We propose that a mix of both approaches, (...)
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  5.  20
    Does Clinical Ethics Need a Land Ethic?Alistair Wardrope - 2019 - Medicine, Health Care and Philosophy 22 (4):531-543.
    A clinical ethics fit for the Anthropocene—our current geological era in which human activity is the primary determinant of environmental change—needs to incorporate environmental ethics to be fit for clinical practice. Conservationist Aldo Leopold’s essay ‘The Land Ethic’ is probably the most widely-cited source in environmental philosophy; but Leopold’s work, and environmental ethics generally, has made little impression on clinical ethics. The Land Ethic holds that “A thing is right when it tends to preserve the integrity, stability, and beauty of (...)
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  6.  15
    Reinterpreting Respect for Relationally and Biologically Informed Autonomy.Alistair Wardrope - 2016 - American Journal of Bioethics 16 (2):50-52.
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  7.  8
    Intergenerational and Social Justice: There Is More to Environmental Justice Than Accountability for Reasonableness.Alistair Wardrope - 2018 - American Journal of Bioethics 18 (3):51-53.
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  8.  30
    Scarce Vaccine Supplies in an Influenza Pandemic Should Not Be Distributed Randomly: Reply to McLachlan.Alistair Wardrope - 2012 - Journal of Medical Ethics 38 (12):765-767.
    In a recent paper, Hugh McLachlan argues from a deontological perspective that the most ethical means of distributing scarce supplies of an effective vaccine in the context of an influenza pandemic would be via an equal lottery. I argue that, even if one accepts McLachlan's ethical theory, it does not follow that one should accept the vaccine lottery. McLachlan's argument relies upon two suppressed premises which, I maintain, one need not accept; and it misconstrues vaccination programmes as clinical interventions targeted (...)
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  9.  19
    Autonomy as Ideology: Towards an Autonomy Worthy of Respect.Alistair Wardrope - 2015 - The New Bioethics 21 (1):56-70.
    Recent criticism of the role of respect for autonomy in bioethics has focused on that principle's status as ‘dogma’ or ‘ideology’. I suggest that lying beneath many applications of respect for autonomy in medical ethics are some influential dogmas — propositions accepted, not as explicit premises or as a consequence of reasoned argument, but simply because moral problems are so frequently framed in such terms. Furthermore, I will argue that rejecting these dogmas is vital to secure and protect an autonomy (...)
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  10.  11
    Liberal Individualism, Relational Autonomy, and the Social Dimension of Respect.Alistair Wardrope - 2015 - International Journal of Feminist Approaches to Bioethics 8 (1):37-66.
    The principle of respect for autonomy in clinical ethics is frequently linked to bioethics’ neglect of community-level ethical considerations. I argue that the latter is not an inevitable consequence of the former; rather, that neglect results from a common interpretation of respect for autonomy in solely synchronic and individual terms. A relational understanding of autonomy reveals the way in which respect inescapably involves diachronic and social dimensions. When these are acknowledged, the association between respect for autonomy and liberal individualism is (...)
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  11.  1
    The Hermeneutics of Symptoms.Alistair Wardrope & Markus Reuber - forthcoming - Medicine, Health Care and Philosophy.
    The clinical encounter begins with presentation of an illness experience; but throughout that encounter, something else is constructed from it – a symptom. The symptom is a particular interpretation of that experience, useful for certain purposes in particular contexts. The hermeneutics of medicine – the study of the interpretation of human experience in medical terms – has largely taken the process of symptom-construction to be transparent, focussing instead on how constellations of symptoms are interpreted as representative of particular conditions. This (...)
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  12.  6
    Response to Open Peer Commentaries on “Diagnosis By Television Documentary: Professional Responsibilities in Informal Encounters”.Alistair Wardrope & Markus Reuber - 2016 - American Journal of Bioethics 16 (12):12-14.
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