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David Schwan
Central Washington University
  1.  38
    Should Physicians Be Empathetic? Rethinking Clinical Empathy.David Schwan - 2018 - Theoretical Medicine and Bioethics 39 (5):347-360.
    The role and importance of empathy in clinical practice has been widely discussed. This paper focuses on the ideal of clinical empathy, as involving both cognitive understanding and affective resonance. I argue that this account is subject to a number of objections. Affective resonance may serve more as a liability than as a benefit in clinical settings, and utilizing this capacity is not clearly supported by the relevant empirical literature. Instead, I argue that the ideal account of empathy in medicine (...)
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  2.  13
    Beneficent Dehumanization: Employing Artificial Intelligence and Carebots to Mitigate Shame‐Induced Barriers to Medical Care.Amitabha Palmer & David Schwan - 2022 - Wiley: Bioethics 36 (2):187-193.
    As costs decline and technology inevitably improves, current trends suggest that artificial intelligence (AI) and a variety of "carebots" will increasingly be adopted in medical care. Medical ethicists have long expressed concerns that such technologies remove the human element from medicine, resulting in dehumanization and depersonalized care. However, we argue that where shame presents a barrier to medical care, it is sometimes ethically permissible and even desirable to deploy AI/carebots because (i) dehumanization in medicine is not always morally wrong, and (...)
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  3.  7
    An Ethical Case for Medical Scribes.David Schwan - 2022 - Cambridge Quarterly of Healthcare Ethics 31 (1):95-104.
    This article addresses ethical concerns with the use of electronic health records (EHRs) by physicians in clinical practice. It presents arguments for two claims. First, requiring physicians to maintain patient EHRs for medically unnecessary tasks is likely contributing to increased burnout, decreased quality of care, and potential risks to patient safety. Second, medical institutions have ethical reasons to employ medical scribes to maintain patient EHRs. Finally, this article reviews central objections to employing medical scribes and provides responses to each.
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  4.  36
    J. S. Mill on Coolie Labour and Voluntary Slavery.David Schwan - 2013 - British Journal for the History of Philosophy 21 (4):754-766.
    This article discusses John Stuart Mill's voluntary slavery argument in On Liberty. The author shows that standard interpretations of the argument rely on the assumption that part of Mill's objection to voluntary slavery is the permanent nature of the decision. However, in correspondence, Mill also objects to voluntary ?coolie? labour contracts, which he regards as a form of slavery. This produces difficulties for standard interpretations of the voluntary slavery argument. Finally, the author provides a revised interpretation of Mill's argument to (...)
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  5. Does Affective Empathy Require Perspective-Taking or Affective Matching?David Schwan - 2019 - American Philosophical Quarterly 56 (3):277-287.
    Affective empathy has been variously characterized. First, I argue that we have reasons to prefer a narrower account of affective empathy, which requires the cognitive mechanisms of perspective-taking. Second, I mount a challenge to the standard account of affective matching thought to be required for affective empathy. On one widely held view, affective empathy requires an actual affective match between the subject and the target of empathy. I reject this view. While empathy often involves an actual match, we also count (...)
     
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