11 found
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  1.  37
    Investigating Trust, Expertise, and Epistemic Injustice in Chronic Pain.Daniel Z. Buchman, Anita Ho & Daniel S. Goldberg - 2017 - Journal of Bioethical Inquiry 14 (1):31-42.
    Trust is central to the therapeutic relationship, but the epistemic asymmetries between the expert healthcare provider and the patient make the patient, the trustor, vulnerable to the provider, the trustee. The narratives of pain sufferers provide helpful insights into the experience of pain at the juncture of trust, expert knowledge, and the therapeutic relationship. While stories of pain sufferers having their testimonies dismissed are well documented, pain sufferers continue to experience their testimonies as being epistemically downgraded. This kind of epistemic (...)
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  2. “This is Why You’Ve Been Suffering”: Reflections of Providers on Neuroimaging in Mental Health Care.Emily Borgelt, Daniel Z. Buchman & Judy Illes - 2011 - Journal of Bioethical Inquiry 8 (1):15-25.
    Mental health care providers increasingly confront challenges posed by the introduction of new neurotechnology into the clinic, but little is known about the impact of such capabilities on practice patterns and relationships with patients. To address this important gap, we sought providers’ perspectives on the potential clinical translation of functional neuroimaging for prediction and diagnosis of mental illness. We conducted 32 semi-structured telephone interviews with mental health care providers representing psychiatry, psychology, family medicine, and allied mental health. Our results suggest (...)
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  3.  61
    What's Trust Got to Do with It? Revisiting Opioid Contracts.Daniel Z. Buchman & Anita Ho - 2014 - Journal of Medical Ethics 40 (10):673-677.
    Prescription opioid abuse (POA) is an escalating clinical and public health problem. Physician worries about iatrogenic addiction and whether patients are ‘drug seeking’, ‘abusing’ and ‘diverting’ prescription opioids exist against a backdrop of professional and legal consequences of prescribing that have created a climate of distrust in chronic pain management. One attempt to circumvent these worries is the use of opioid contracts that outline conditions patients must agree to in order to receive opioids. Opioid contracts have received some scholarly attention, (...)
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  4.  29
    The Epidemic as Stigma: The Bioethics of Opioids.Daniel Z. Buchman, Pamela Leece & Aaron Orkin - 2017 - Journal of Law, Medicine and Ethics 45 (4):607-620.
    In this paper, we claim that we can only seek to eradicate the stigma associated with the contemporary opioid overdose epidemic when we understand how opioid stigma and the epidemic have co-evolved. Rather than conceptualizing stigma as a parallel social process alongside the epidemiologically and physiologically defined harms of the epidemic, we argue that the stigmatized history of opioids and their use defines the epidemic. We conclude by offering recommendations for disrupting the burden of opioid stigma.
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  5.  15
    An Ethical Bone to PICC: Considering a Harm Reduction Approach for a Second Valve Replacement for a Person Who Uses Drugs.Daniel Z. Buchman & Marie-Josee Lynch - 2018 - American Journal of Bioethics 18 (1):79-81.
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  6.  2
    Ethical Issues Associated with Solid Organ Transplantation and Substance Use: A Scoping Review.Daniel Z. Buchman, Ani Orchanian-Cheff, Denitsa Vasileva & Lauren Notini - 2019 - Monash Bioethics Review 37 (3-4):111-135.
    While solid organ transplantation for patients with substance use issues has attracted ethical discussion, a typology of the ethics themes has not been articulated in the literature. We conducted a scoping review of peer-reviewed literature on solid organ transplantation and substance use published between January 1997 and April 2016. We aimed to identify and develop a typology of the main ethical themes discussed in this literature and to identify gaps worthy of future research. Seventy articles met inclusion criteria and underwent (...)
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  7.  20
    Overdose Education and Naloxone Distribution Programmes and the Ethics of Task Shifting.Daniel Z. Buchman, Aaron M. Orkin, Carol Strike & Ross E. G. Upshur - 2018 - Public Health Ethics 11 (2):151-164.
    North America is in the grips of an epidemic of opioid-related poisonings. Overdose education and naloxone distribution programmes emerged as an option for structurally vulnerable populations who could not or would not access mainstream emergency medical services in the event of an overdose. These task shifting programmes utilize lay persons to deliver opioid resuscitation in the context of longstanding stigmatization and marginalization from mainstream healthcare services. OEND programmes exist at the intersection of harm reduction and emergency services. One goal of (...)
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  8.  4
    A Global Vision for Neuroethics Needs More Social Justice: Brain Imaging, Chronic Pain, and Population Health Inequalities.Daniel Z. Buchman & Sapna Wadhawan - 2019 - American Journal of Bioethics Neuroscience 10 (3):130-132.
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  9.  27
    Neglecting the Social System: Clinical Neuroimaging and the Biological Reductionism of Addiction.Daniel Z. Buchman - 2007 - Journal of Ethics in Mental Health 2 (2):1-5.
    A main strength of neuroimaging and neuroscience is its reductionist focus on the brain. A limitation is that it runs the possibility of ignoring larger social factors. The brain image may not necessarily indicate the brain’s neuroplastic ‘rewiring’ over time from genomic, epigenetic, environmental and social conditions. These factors are all necessary to understand the diverse nature of our brains, especially complex concerns such as addiction. For addiction to emerge it requires an intersection of genetic, environmental and social influences. It (...)
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  10.  26
    Power of Attorney for Research: The Need for a Clear Legal Mechanism.Ann M. Heesters, Daniel Z. Buchman, Kyle W. Anstey, Jennifer A. H. Bell, Barbara J. Russell & Linda Wright - 2017 - Public Health Ethics 10 (1).
    A recent article in this journal described practical and conceptual difficulties faced by public health researchers studying scabies outbreaks in British residential care facilities. Their study population was elderly, decisionally incapacitated residents, many of whom lacked a legally appropriate decision-maker for healthcare decisions. The researchers reported difficulties securing Research Ethics Committee approval. As practicing healthcare ethicists working in a large Canadian research hospital, we are familiar with this challenge and welcomed the authors’ invitation to join the discussion of the ‘outstanding (...)
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  11.  2
    Applying Futility in Psychiatry: A Concept Whose Time has Come.Sarah Levitt & Daniel Z. Buchman - forthcoming - Journal of Medical Ethics:medethics-2020-106654.
    Since its introduction in the 1980s, futility as a concept has held contested meaning and applications throughout medicine. There has been little discussion within the psychiatric literature about the use of futility in the care of individuals experiencing severe and persistent mental illness, despite some tacit acceptance that futility may apply in certain cases of psychiatric illness. In this paper, we explore the literature surrounding futility and argue that its connotation within medicine is to describe situations where patients believe that (...)
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