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Dominic Sisti [24]Dominic A. Sisti [17]
  1.  71
    Ethics and ego dissolution: the case of psilocybin.William R. Smith & Dominic Sisti - 2021 - Journal of Medical Ethics 47 (12):807-814.
    Despite the fact that psychedelics were proscribed from medical research half a century ago, recent, early-phase trials on psychedelics have suggested that they bring novel benefits to patients in the treatment of several mental and substance use disorders. When beneficial, the psychedelic experience is characterized by features unlike those of other psychiatric and medical treatments. These include senses of losing self-importance, ineffable knowledge, feelings of unity and connection with others and encountering ‘deep’ reality or God. In addition to symptom relief, (...)
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  2.  42
    Journeying to Ixtlan: Ethics of Psychedelic Medicine and Research for Alzheimer’s Disease and Related Dementias.Andrew Peterson, Emily A. Largent, Holly Fernandez Lynch, Jason Karlawish & Dominic Sisti - 2023 - American Journal of Bioethics Neuroscience 14 (2):107-123.
    In this paper, we examine the case of psychedelic medicine for Alzheimer’s disease and related dementias (AD/ADRD). These “mind-altering” drugs are not currently offered as treatments to persons with AD/ADRD, though there is growing interest in their use to treat underlying causes and associated psychiatric symptoms. We present a research agenda for examining the ethics of psychedelic medicine and research involving persons living with AD/ADRD, and offer preliminary analyses of six ethical issues: the impact of psychedelics on autonomy and consent; (...)
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  3.  56
    Ethical Advocacy Across the Autism Spectrum: Beyond Partial Representation.Matthew S. McCoy, Emily Y. Liu, Amy S. F. Lutz & Dominic Sisti - 2020 - American Journal of Bioethics 20 (4):13-24.
    Recent debates within the autism advocacy community have raised difficult questions about who can credibly act as a representative of a particular population and what responsibilities that...
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  4.  81
    Social Media, E‐Health, and Medical Ethics.Mélanie Terrasse, Moti Gorin & Dominic Sisti - 2019 - Hastings Center Report 49 (1):24-33.
    Given the profound influence of social media and emerging evidence of its effects on human behavior and health, bioethicists have an important role to play in the development of professional standards of conduct for health professionals using social media and in the design of online systems themselves. In short, social media is a bioethics issue that has serious implications for medical practice, research, and public health. Here, we inventory several ethical issues across four areas at the intersection of social media (...)
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  5.  24
    Skip the Trip? Five Arguments on the Use of Nonhallucinogenic Psychedelics in Psychiatry.Andrew Peterson & Dominic Sisti - 2022 - Cambridge Quarterly of Healthcare Ethics 31 (4):472-476.
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  6.  20
    Bio-Psycho-Spiritual Perspectives on Psychedelics: Clinical and Ethical Implications.Logan Neitzke-Spruill, Nese Devenot, Dominic Sisti, Lynnette A. Averill & Amy L. McGuire - 2024 - Perspectives in Biology and Medicine 67 (1):117-142.
    ABSTRACT:Psychedelics have again become a subject of widespread interest, owing to the reinvigoration of research into their traditional uses, possible medical applications, and social implications. As evidence for psychedelics' clinical potential mounts, the field has increasingly focused on searching for mechanisms to explain the effects of psychedelics and therapeutic efficacy of psychedelic-assisted therapy (PAT). This paper reviews three general frameworks that encompass several prominent models for understanding psychedelics' effects—specifically, neurobiological, psychological, and spiritual frameworks. Following our review, the implications of each (...)
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  7. How do high school students justify internet plagiarism?Dominic A. Sisti - 2007 - Ethics and Behavior 17 (3):215 – 231.
    Internet plagiarism continues unabated and may even be increasing. Questions pertaining to the ethical-moral construct employed by students to justify Internet plagiarism among high school students have remained relatively untouched. Understanding not simply the prevalence of Internet plagiarism but also the variety of explanations used by students to justify their plagiarism seems crucial to curtailing its practice. In this study, I surveyed 160 high school students and endeavored to understand and describe the practices of students who use the Internet for (...)
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  8. Health, Disease, and Illness: Concepts in Medicine.Arthur L. Caplan, James J. McCartney & Dominic A. Sisti (eds.) - 2004 - Georgetown University Press.
    Health, Disease, and Illness brings together a sterling list of classic and contemporary thinkers to examine the history, state, and future of ever-changing "concepts" in medicine.
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  9.  50
    Physician Aid-in-Dying for Individuals With Serious Mental Illness: Clarifying Decision-Making Capacity and Psychiatric Futility.Dominic A. Sisti, Maria A. Oquendo, Yingcheng Xu & Rocksheng Zhong - 2019 - American Journal of Bioethics 19 (10):61-63.
    Volume 19, Issue 10, October 2019, Page 61-63.
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  10. The concept of disease.Dominic Sisti & Arthur L. Caplan - 2016 - In Miriam Solomon, Jeremy R. Simon & Harold Kincaid (eds.), The Routledge Companion to Philosophy of Medicine. New York, NY: Routledge.
  11.  39
    Borderline personality disorder, therapeutic privilege, integrated care: is it ethical to withhold a psychiatric diagnosis?Erika Sims, Katharine J. Nelson & Dominic Sisti - 2021 - Journal of Medical Ethics 48 (11):801-804.
    Once common, therapeutic privilege—the practice whereby a physician withholds diagnostic or prognostic information from a patient intending to protect the patient—is now generally seen as unethical. However, instances of therapeutic privilege are common in some areas of clinical psychiatry. We describe therapeutic privilege in the context of borderline personality disorder, discuss the implications of diagnostic non-disclosure on integrated care and offer recommendations to promote diagnostic disclosure for this patient population. There are no data in this work.
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  12.  35
    Competence, Voluntariness, and Oppressive Socialization: A Feminist Critique of the Threshold Elements of Informed Consent.Dominic Sisti & Joseph Stramondo - 2015 - International Journal of Feminist Approaches to Bioethics 8 (1):67-85.
    Feminists have argued that oppressive socialization undermines the liberal model of autonomy. We contend that this argument can also be employed effectively as a challenge to the standard bioethical model of informed consent. We claim that the standard model is inadequate because it relies on presumptions of procedural autonomy and rational choice that overlook the problem of how agents are often socialized so that they adopt and internalize oppressive norms as part of their motivational structure. The argument that oppressive socialization (...)
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  13.  42
    Policing Compliance: Digital Medicine and Criminal Justice-Involved Persons.Mélanie Terrasse & Dominic A. Sisti - 2018 - American Journal of Bioethics 18 (9):57-58.
    Klugman et al. (2018) describe how new medical devices track treatment adherence more accurately than a clinician relying on his or her patient’s self-report. For example, these devices promise to...
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  14. The case of Terri Schiavo: ethics at the end of life.Arthur L. Caplan, James J. McCartney & Dominic A. Sisti (eds.) - 2006 - Amherst, N.Y.: Prometheus Books.
    Gathers medical and legal documents, opinions from various perspectives, and a timeline of events in the Terri Shiavo case to provide a resource for examining the moral and ethical issues surrounding end-of-life decisions.
  15.  30
    Expanding Our Lens: Thinking Beyond Genomics.Jessica Mozersky, Shana D. Stites & Dominic A. Sisti - 2017 - American Journal of Bioethics 17 (4):29-31.
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  16.  25
    Research Moratoria and Off-Label Use of Ketamine.Andrea Segal & Dominic Sisti - 2016 - American Journal of Bioethics 16 (4):60-61.
    We wish to point out an additional consequence of the Catch-22 described by Andreae and colleagues (Andreae et al. 2016). The decades-long research gridlock of controlled drugs has unintentionally...
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  17. The Tarasoff rule: the implications of interstate variation and gaps in professional training.Rebecca Johnson, Govind Persad & Dominic Sisti - 2014 - Journal of the American Academy of Psychiatry and the Law Online 42 (4):469-477.
    Recent events have revived questions about the circumstances that ought to trigger therapists' duty to warn or protect. There is extensive interstate variation in duty to warn or protect statutes enacted and rulings made in the wake of the California Tarasoff ruling. These duties may be codified in legislative statutes, established in common law through court rulings, or remain unspecified. Furthermore, the duty to warn or protect is not only variable between states but also has been dynamic across time. In (...)
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  18.  27
    Assent as an ethical imperative in the treatment of ADHD.Anson J. Koshy & Dominic A. Sisti - 2015 - Journal of Medical Ethics 41 (12):977-981.
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  19.  46
    Naturalism and the social model of disability: allied or antithetical?Dominic A. Sisti - 2015 - Journal of Medical Ethics 41 (7):553-556.
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  20.  44
    Assessing Decision-Making Capacity: A Primer for the Development of Hospital Practice Guidelines.Andrew M. Siegel, Anna S. Barnwell & Dominic A. Sisti - 2014 - HEC Forum 26 (2):159-168.
    Decision making capacity (DMC) is a fundamental concept grounding the principle of respect for autonomy and the practice of obtaining informed consent. DMC must be determined and documented every time a patient undergoes a hospital procedure and for routine care when there is reason to believe decision making ability is compromised. In this paper we explore a path toward ethically informed development and implementation of a hospital policy related to DMC assessment. We begin with a review of the context of (...)
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  21.  58
    Past Is Prologue: Ethical Issues in Pediatric Psychedelics Research and Treatment.Gail A. Edelsohn & Dominic Sisti - 2023 - Perspectives in Biology and Medicine 66 (1):129-144.
    Abstractabstract:Recent clinical trials of psychedelic drugs aim to treat a range of psychiatric conditions in adults. MDMA and psilocybin administered with psychotherapy have received FDA designation as "breakthrough therapies" for post-traumatic stress disorder (PTSD) and treatment-resistant depression (TRD) respectively. Given the potential benefit for minors burdened with many of the same disorders, calls to expand experimentation to minors are inevitable. This essay examines psychedelic research conducted on children from 1959 to 1974, highlighting methodological and ethical flaws. It provides ethics and (...)
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  22.  13
    Introduction to the Special Section on Psychedelics Research and Treatment.Dominic Sisti - 2024 - Perspectives in Biology and Medicine 67 (1):114-116.
    In lieu of an abstract, here is a brief excerpt of the content:Introduction to the Special Section on Psychedelics Research and TreatmentDominic SistiAgainst a backdrop of post-pandemic malaise, diseases of despair, and a fragmented mental health care system, psychedelics have enjoyed a resurgence of interest as powerful psychotherapeutic agents and as catalysts of personal growth. The true power of these substances—some of which are considered sacramental by Indigenous peoples—has been shrouded for half a century by cultural mythology, political propaganda, and (...)
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  23.  26
    Deceiving Without Debriefing: A Pragmatic Overreach?Dominic Sisti, Andrea Segal & Jan Jaeger - 2013 - American Journal of Bioethics 13 (11):50-52.
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  24.  45
    Psychiatric Research Ethics.Dominic Sisti & William R. Smith - 2020 - In Ana Smith Iltis & Douglas McKay (eds.), The Oxford Handbook of Research Ethics. New York, NY, USA: Oxford University Press.
    Psychiatric research often poses special ethical concerns. This chapter first provides historical context, including scandals that stoked public concern about psychiatric research and led to the promulgation of canonical documents and bioethics scholarship, and then explores issues related to the decision-making capacity and safety of participants—including the use of placebos and washout periods, the design of suicide prevention studies, and research in emergency psychiatry. The chapter then describes how shifting models of psychiatric nosology have precipitated conflicts in the determination of (...)
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  25.  24
    A Call for Greater Regulation of Digital Mental Health Technologies.Katrina Hui, Moti Gorin & Dominic Sisti - 2022 - American Journal of Bioethics Neuroscience 13 (3):193-195.
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  26.  53
    Clinical Wisdom in Psychoanalysis and Psychodynamic Psychotherapy: A Philosophical and Qualitative Analysis.Cynthia Baum-Baicker & Dominic A. Sisti - 2012 - Journal of Clinical Ethics 23 (1):13-27.
    To precisely define wisdom has been an ongoing task of philosophers for millennia. Investigations into the psychological dimensions of wisdom have revealed several features that make exemplary persons "wise." Contemporary bioethicists took up this concept as they retrieved and adapted Aristotle's intellectual virtue of phronesis for applications in medical contexts. In this article, we build on scholarship in both psychology and medical ethics by providing an account of clinical wisdom qua phronesis in the context of the practice of psychoanalysis and (...)
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  27.  27
    Comparing Patient, Clinician, and Caregiver Perceptions of Care for Early Psychosis: A Free Listing Study.Erich M. Dress, Rosemary Frasso, Monica E. Calkins, Allison E. Curry, Christian G. Kohler, Lyndsay R. Schmidt & Dominic A. Sisti - 2018 - Narrative Inquiry in Bioethics 8 (2):157-178.
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  28.  29
    Prescribing medical cannabis: ethical considerations for primary care providers.Aaron Glickman & Dominic Sisti - 2020 - Journal of Medical Ethics 46 (4):227-230.
    Medical cannabis is widely available in the USA and legalisation is likely to expand. Despite the increased accessibility and use of medical cannabis, physicians have significant knowledge gaps regarding evidence of clinical benefits and potential harms. We argue that primary care providers have an ethical obligation to develop competency to provide cannabis to appropriate patients. Furthermore, specific ethical considerations should guide the recommendation of medical cannabis. In many cases, these ethical considerations are extensions of well-established principles of beneficence and nonmaleficence, (...)
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  29.  25
    Decision-Making Capacity Will Have a Limited Effect on Civil Commitment Practices.Jason Karlawish, Dominic A. Sisti & Rocksheng Zhong - 2019 - American Journal of Bioethics 19 (10):86-88.
    Volume 19, Issue 10, October 2019, Page 86-88.
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  30.  2
    Experiential Training in Psychedelic‐Assisted Therapy: A Risk‐Benefit Analysis.Daniel Rosenbaum, Crystal Hare, Emma Hapke, Yarissa Herman, Susan E. Abbey, Dominic Sisti & Daniel Z. Buchman - 2024 - Hastings Center Report 54 (4):32-46.
    Well-trained, competent therapists are crucial for safe and effective psychedelic-assisted therapy (PAT). The question whether PAT training programs should require aspiring therapists to undergo their own PAT—commonly referred to as “experiential training”—has received much attention within the field. In this article, we analyze the potential benefits of experiential training in PAT by applying the framework developed by Rolf Sandell et al. concerning the functions of any training therapy (the therapeutic, modeling, empathic, persuasive, and theoretical functions). We then explore six key (...)
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  31.  30
    When patients refuse COVID-19 testing, quarantine, and social distancing in inpatient psychiatry: clinical and ethical challenges.Mark J. Russ, Dominic Sisti & Philip J. Wilner - 2020 - Journal of Medical Ethics 46 (9):579-580.
    The COVID-19 pandemic has introduced new ethical challenges in the care of patients with serious psychiatric illness who require inpatient treatment and who may have beeen exposed to COVID-19 or have mild to moderate COVID-19 but refuse testing and adherence to infection prevention protocols. Such situations increase the risk of infection to other patients and staff on psychiatric inpatient units. We discuss medical and ethical considerations for navigating this dilemma and offer a set of policy recommendations.
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  32.  10
    Clinical Wisdom and Evidence-Based Medicine Are (Indeed) Complementary: A Reply to Bursztajn and Colleagues.Dominic A. Sisti & Cynthia Baum-Baicker - 2012 - Journal of Clinical Ethics 23 (1):37-40.
    We briefly respond to Bursztajn and colleagues’ commentary on our article, “Clinical Wisdom in Psychoanalysis and Psychodynamic Psychotherapy: A Philosophical and Qualitative Analysis.”.
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  33.  18
    Editor's Introduction to the Special Issue on Mental Health and Illness.Dominic Sisti - 2021 - Perspectives in Biology and Medicine 64 (1):1-5.
    Mental illness affects every aspect of life and society, from relationships between individuals and within families, to small communities and entire polities. People with serious mental illness die decades before those without. Mentally ill people suffer daily as they struggle to function in societies that are unforgiving and uninterested in their pain. Those with serious mental illness may be incarcerated because of their sickness, they may be passed over or fired from jobs, subjected to ridicule and mockery, given little treatment (...)
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  34.  33
    Help Wanted: Entrepreneurs Needed to Serve Bioethics' Outsiders.Dominic A. Sisti & Arthur L. Caplan - 2001 - American Journal of Bioethics 1 (3):48-49.
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  35.  24
    Health and Disease: Conceptual Perspectives and Ethical Implications.Dominic Sisti - 2009 - In Vardit Ravitsky, Autumn Fiester & Arthur L. Caplan (eds.), The Penn Center Guide to Bioethics. Springer Publishing Company. pp. 59.
  36.  17
    There he is . . . master of bioethics.Dominic A. Sisti - 2002 - American Journal of Bioethics 2 (4):28 – 30.
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  37. Challenges in Assessing Affect and Values in Decision-Making Capacity.Rocksheng Zhong & Dominic Sisti - 2024 - American Journal of Bioethics 24 (8):103-106.
    Volume 24, Issue 8, August 2024, Page 103-106.
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  38.  51
    Practical Decision Making in Health Care Ethics. [REVIEW]Dominic A. Sisti - 2006 - Teaching Philosophy 29 (3):261-263.