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George J. Agich [62]George John Agich [1]
  1.  33
    The Question of Method in Ethics Consultation.George J. Agich - 2001 - American Journal of Bioethics 1 (4):31 – 41.
    This paper offers an exposition of what the question of method in ethics consultation involves under two conditions: when ethics consultation is regarded as a practice and when the question of method is treated systematically. It discusses the concept of the practice and the importance of rules in constituting the actions, cognition, and perceptions of practitioners. The main body of the paper focuses on three elements of the question of method: canon, discipline, and history, which are treated heuristically to outline (...)
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  2.  83
    Autonomy and Long-Term Care.George J. Agich - 1993 - Oxford University Press.
    The realities and myths of long-term care and the challenges it poses for the ethics of autonomy are analyzed in this perceptive work. The book defends the concept of autonomy, but argues that the standard view of autonomy as non-interference and independence has only a limited applicability for long term care. The treatment of actual autonomy stresses the developmental and social nature of human persons and the priority of identification over autonomous choice. The work balances analysis of the ethical concepts (...)
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  3.  43
    Joining the Team: Ethics Consultation at the Cleveland Clinic. [REVIEW]George J. Agich - 2003 - HEC Forum 15 (4):310-322.
  4.  35
    For Experts Only? Access to Hospital Ethics Committees.George J. Agich & Stuart J. Youngner - 1991 - Hastings Center Report 21 (5):17-24.
  5.  21
    Research on Clinical Ethics and Consultation. Introduction to the Theme.Stella Reiter-Theil & George J. Agich - 2008 - Medicine, Health Care and Philosophy 11 (1):3-5.
    Clinical ethics consultation has developed from local pioneer projects into a field of growing interest among both clinicians and ethicists. What is needed are more systematic studies on the ethical challenges faced in clinical practice and problem solving through ethics consultation from interdisciplinary perspectives. The Thematic Issue covers a range of topics and includes five recent studies from various European countries and the USA, focusing on issues such as the ethical difficulties of end of life decisions, experiences with newly developed (...)
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  6. What Kind of Doing is Clinical Ethics?George J. Agich - 2004 - Theoretical Medicine and Bioethics 26 (1):7-24.
    This paper discusses the importance of Richard M. Zaners work on clinical ethics for answering the question: what kind of doing is ethics consultation? The paper argues first, that four common approaches to clinical ethics – applied ethics, casuistry, principlism, and conflict resolution – cannot adequately address the nature of the activity that makes up clinical ethics; second, that understanding the practical character of clinical ethics is critically important for the field; and third, that the practice of clinical ethics is (...)
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  7.  38
    Authority in Ethics Consultation.George J. Agich - 1995 - Journal of Law, Medicine and Ethics 23 (3):273-283.
  8.  37
    Reassessing Autonomy in Long‐Term Care.George J. Agich - 1990 - Hastings Center Report 20 (6):12-17.
  9.  17
    Ethics Consultation: Critical Distance/Clinical Competence.George J. Agich - 2018 - American Journal of Bioethics 18 (6):45-47.
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  10.  16
    Authority in Ethics Consultation.George J. Agich - 1995 - Journal of Law, Medicine and Ethics 23 (3):273-283.
  11. Dependence and Autonomy in Old Age an Ethical Framework for Long-Term Care.George J. Agich - 2003
     
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  12.  29
    Ethics and Innovation in Medicine.George J. Agich - 2001 - Journal of Medical Ethics 27 (5):295-296.
  13.  45
    Why Quality Is Addressed So Rarely in Clinical Ethics Consultation.George J. Agich - 2009 - Cambridge Quarterly of Healthcare Ethics 18 (4):339.
    In a practice like ethics consultation, quality and accountability are intertwined. Critics of ethics consultation have complained that clinical ethics consultants exercise power or influence in patient care without sufficient external oversight. Without oversight or external accountability, ethics consultation is seen as more sophistical than philosophical. Although there has been more discussion of accountability, concern for quality in ethics consultation is arguably more important, because it represents a central challenge for the field, namely, how to structure a responsible practice of (...)
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  14. Who Shall Be Allowed to Give? Living Organ Donors and the Concept of Autonomy.Nikola Biller-Andorno, George J. Agich, Karen Doepkens & Henning Schauenburg - 2001 - Theoretical Medicine and Bioethics 22 (4):351-368.
    Free and informed consent is generally acknowledged as the legal andethical basis for living organ donation, but assessments of livingdonors are not always an easy matter. Sometimes it is necessary toinvolve psychosomatics or ethics consultation to evaluate a prospectivedonor to make certain that the requirements for a voluntary andautonomous decision are met. The paper focuses on the conceptualquestions underlying this evaluation process. In order to illustrate howdifferent views of autonomy influence the decision if a donor's offer isethically acceptable, three cases (...)
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  15.  21
    Facing the Ethical Questions in Facial Transplantation.George J. Agich & Maria Siemionow - 2004 - American Journal of Bioethics 4 (3):25 – 27.
  16. The Issue of Expertise in Clinical Ethics.George J. Agich - 2009 - Diametros 22:3-20.
    The proliferation of ethics committees and ethics consultation services has engendered a discussion of the issue of the expertise of those who provide clinical ethics consultation services. In this paper, I discuss two aspects of this issue: the cognitive dimension or content knowledge that the clinical ethics consultant should possess and the practical dimension or set of dispositions, skills, and traits that are necessary for effective ethics consultation. I argue that the failure to differentiate and fully explicate these dimensions contributes (...)
     
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  17. What Kind of Doing is Ethics Consultation?,“.George J. Agich - 2005 - Theoretical Medicine and Bioethics 26 (1):7-24.
    This paper discusses the importance of Richard M. Zaner’s work on clinical ethics for answering the question: what kind of doing is ethics consultation? The paper argues first, that four common approaches to clinical ethics – applied ethics, casuistry, principlism, and conflict resolution – cannot adequately address the nature of the activity that makes up clinical ethics; second, that understanding the practical character of clinical ethics is critically important for the field; and third, that the practice of clinical ethics is (...)
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  18.  46
    Defense Mechanisms in Ethics Consultation.George J. Agich - 2011 - HEC Forum 23 (4):269-279.
    While there is no denying the relevance of ethical knowledge and analytical and cognitive skills in ethics consultation, such knowledge and skills can be overemphasized. They can be effectively put into practice only by an ethics consultant, who has a broad range of other skills, including interpretive and communicative capacities as well as the capacity effectively to address the psychosocial needs of patients, family members, and healthcare professionals in the context of an ethics consultation case. In this paper, I discuss (...)
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  19. Personal Identity and Brain Death: A Critical Response.George J. Agich & Royce P. Jones - 1986 - Philosophy and Public Affairs 15 (3):267-274.
  20. Disease and Value: A Rejection of the Value-Neutrality Thesis.George J. Agich - 1983 - Theoretical Medicine and Bioethics 4 (1).
    Recent philosophical attention to the language of disease has focused primarily on the question of its value-neutrality or non-neutrality. Proponents of the value-neutrality thesis symbolically combine political and other criticisms of medicine in an attack on what they see as value-infected uses of disease language. The present essay argues against two theses associated with this view: a methodological thesis which tends to divorce the analysis of disease language from the context of the practice of medicine and a substantive thesis which (...)
     
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  21.  16
    Truth in Advertising: Reasonable Versus Unreasonable Claims About Improving Ethics Consultation.George J. Agich - 2016 - American Journal of Bioethics 16 (3):25-26.
  22.  19
    Diseases, Functions, Values, and Psychiatric Classification.John Z. Sadler & George J. Agich - 1995 - Philosophy, Psychiatry, and Psychology 2 (3):219-231.
    The philosophy of medicine and psychiatry has considered the defining of disease, illness, and disorder an important project for over three decades. Within this literature, accounts based on adaptive "functions" have been prominent, particularly in the DSM nosology. In response to this trend, Jerome Wakefield has presented a view of mental disorder as "harmful dysfunction." In this view, "harm" contributes the value-element to disorder concepts, while "dysfunction" implies a value-free foundation as long as the latter is grounded in evolutionary biology. (...)
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  23.  69
    Reflections on the Function of Dignity in the Context of Caring for Old People.George J. Agich - 2007 - Journal of Medicine and Philosophy 32 (5):483 – 494.
    This article accepts the proposition that old people want to be treated with dignity and that statements about dignity point to ethical duties that, if not independent of rights, at least enhance rights in ethically important ways. In contexts of policy and law, dignity can certainly have a substantive as well as rhetorical function. However, the article questions whether the concept of dignity can provide practical guidance for choosing among alternative approaches to the care of old people. The article explores (...)
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  24.  65
    From Pittsburgh to Cleveland: NHBD Controversies and Bioethics.George J. Agich - 1999 - Cambridge Quarterly of Healthcare Ethics 8 (3):269-274.
    In March 1997, 60 Minutes, a nationally syndicated news magazine program, featured a story in which it was claimed that The Cleveland Clinic Foundation had in place a non-heart-beating donor protocol that involved killing patients for their organs. These charges were brought by a philosopher from a local university. A student who worked at LifeBanc, the northeastern Ohio organ procurement agency where the organ donation protocol originated, was given the protocol by LifeBanc with the understanding that it was to be (...)
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  25.  12
    Knowing One’s Way Around: The Challenge of Identifying and Overseeing Innovations in Patient Care.George J. Agich - 2019 - American Journal of Bioethics 19 (6):1-3.
    Volume 19, Issue 6, June 2019, Page 1-3.
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  26.  96
    Seeking the Everyday Meaning of Autonomy in Neurologic Disorders.George J. Agich - 2004 - Philosophy, Psychiatry, and Psychology 11 (4):295-298.
  27.  48
    Expertise in Clinical Ethics Consultation.George J. Agich - 1994 - HEC Forum 6 (6):379-383.
  28.  73
    The Foundation of Medical Ethics.George J. Agich - 1981 - Theoretical Medicine and Bioethics 2 (1):31-34.
    Thomasma and Pellegrino''s [3] focus on the healing relationship as the way to give medical ethics a philosophical foundation contains a number of difficulties. Most importantly, their approach focuses philosophical analysis on an idealized view of the healing relationship in which the ideal of health is seen as an uncontroversial norm in the individual case. medical ethics is then characterized as an intrinsic part of the medical act itself. Philosophical inquiry seems limited to a description of the practice of medicine (...)
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  29.  22
    How Nurses and Physicians Face Ethical Dilemmas — the Croatian Experience.Iva Sorta-Bilajac, Ksenija Baždarić, Morana Brkljačić Žagrović, Ervin Jančić, Boris Brozović, Tomislav Čengić, Stipe Ćorluka & George J. Agich - 2011 - Nursing Ethics 18 (3):341-355.
    The aim of this study was to assess nurses’ and physicians’ ethical dilemmas in clinical practice. Nurses and physicians of the Clinical Hospital Centre Rijeka were surveyed (N = 364). A questionnaire was used to identify recent ethical dilemma, primary ethical issue in the situation, satisfaction with the resolution, perceived usefulness of help, and usage of clinical ethics consultations in practice. Recent ethical dilemmas include professional conduct for nurses (8%), and near-the-end-of-life decisions for physicians (27%). The main ethical issue is (...)
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  30. Professionalism and Ethics in Health Care.George J. Agich - 1980 - Journal of Medicine and Philosophy 5 (3):186-199.
  31.  38
    Physical Restraint Elimination in the Acute Care Setting: Ethical Considerations. [REVIEW]Jacquelyn Slomka, George J. Agich, Susan J. Stagno & Martin L. Smith - 1998 - HEC Forum 10 (3-4):244-262.
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  32.  31
    Incentives and Obligations Under Prospective Payment.George J. Agich - 1987 - Journal of Medicine and Philosophy 12 (2):123-144.
    In this paper I analyze the alleged conflict between economic incentives to efficiently utilize health care resources and the obligation to provide patients with the best possible medical care. My analysis is developed in four stages. First, I discuss briefly the nature of prospective payment systems and economic incentives as well as the issue of professional autonomy. Second, I disscuss the notion of an incentive for action both as an economic incentive and as a concept of moral psychology. Third, I (...)
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  33. Responsibility in Health Care.George J. Agich & Trans-Disciplinary Symposium on Philosophy And Medicine - 1982
  34.  24
    2. Autonomy as a Problem for Clinical Ethics.George J. Agich - 2007 - In Thomas Nys, Yvonne Denier & T. Vandevelde (eds.), Autonomy & Paternalism: Reflections on the Theory and Practice of Health Care. Peeters. pp. 5--71.
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  35.  20
    Freitas on Disease in Nanomedicine: Implications for Ethics. [REVIEW]Vassiliki L. Leontis & George J. Agich - 2010 - NanoEthics 4 (3):205-214.
    This paper critically examines the volitional normative model of disease and its underlying nanotechnologic vision of medicine both defended by Robert Freitas. Having provided an account of this vision, we explicate the highlight of the model, which is a concept of disease based on individual values and preferences. The model’s normative positions are then critiqued based on our argument that the epistemic basis of Freitas’s vision of nanotechnologic medicine and, by extension, of his volitional normative model of disease is scientifically (...)
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  36.  46
    Response to “From Pittsburgh to Cleveland: NHBD Controversies and Bioethics” by George J. Agich (CQ Vol 8, No 3).George J. Agich - 1999 - Cambridge Quarterly of Healthcare Ethics 8 (4):517-523.
    Frank Koughan and Walt Bogdanich's response to my article, reminds me of the Shakespearean line, My article was not about the specifics of the 60Minutes April 13, 1997, story on NHBD at the Cleveland Clinic Foundation (CCF), even though the story formed the basis for the reflection. I did not attack the critics, though I do believe that bioethicists are accountable for their scholarly and public pronouncements. Although I do not see why the 60Minutes' story should be treated with deference, (...)
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  37.  27
    Rationing and Professional Autonomy.George J. Agich - 1990 - Journal of Law, Medicine and Ethics 18 (1-2):77-84.
  38.  25
    The Importance of Management for Understanding Managed Care.George J. Agich - 1999 - Journal of Medicine and Philosophy 24 (5):518-534.
  39.  17
    Organizing Ethics. [REVIEW]George J. Agich - 2000 - Hastings Center Report 30 (6):46.
  40.  61
    Conflicts of Interest and Management in Managed Care.George J. Agich & Heidi Forster - 2000 - Cambridge Quarterly of Healthcare Ethics 9 (2):189-204.
    The bioethics literature on managed care has devoted significant attention to a broad range of conflicts that managed care is perceived to have introduced into the practice of medicine. In the first part of this paper we discuss three kinds of conflict of interest: conflicts of economic incentives, conflicts with patient and physician autonomy, and conflicts with the fiduciary character of the physician–patient relationship. We argue that the conflicts are either not as serious as they are often alleged to be (...)
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  41.  21
    Key Concepts: Autonomy.George J. Agich - 1994 - Philosophy, Psychiatry, and Psychology 1 (4):267-269.
  42.  36
    Rationing and Professional Autonomy.George J. Agich - 1990 - Journal of Law, Medicine and Ethics 18 (1-2):77-84.
  43. Disease and Value: A Rejection of the Value-Neutrality Thesis.George J. Agich - 1982 - Theoretical Medicine: An International Journal for the Philosophy and Methodology of Medical Research and Practice 4:27-41.
    RECENT PHILOSOPHICAL ATTENTION TO THE LANGUAGE OF DISEASE HAS FOCUSED PRIMARILY ON THE QUESTION OF ITS VALUE-NEUTRALITY OR NON-NEUTRALITY. PROPONENTS OF THE VALUE-NEUTRALITY THESIS SYMBOLICALLY COMBINE POLITICAL AND OTHER CRITICISMS OF MEDICINE IN AN ATTACK ON WHAT THEY SEE AS VALUE-INFECTED USES OF DISEASE LANGUAGE. THE PRESENT ESSAY ARGUES AGAINST TWO THESES ASSOCIATED WITH THIS VIEW: A METHODOLOGICAL THESIS WHICH TENDS TO DIVORCE THE ANALYSIS OF DISEASE LANGUAGE FROM THE CONTEXT OF THE PRACTICE OF MEDICINE AND A SUBSTANTIVE THESIS WHICH (...)
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  44.  11
    Silence: The Phenomenon and its Ontological Significance, by Bernard P. Dauenhauer.George J. Agich - 1985 - Journal of the British Society for Phenomenology 16 (1):105-105.
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  45.  35
    Why I Wrote … Dependence and Autonomy in Old Age.George J. Agich - 2010 - Clinical Ethics 5 (2):108-110.
  46.  7
    The Foundation of Medical Ethics.George J. Agich - 1981 - Metamedicine 2 (1):31-34.
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  47.  14
    The Salience of Narrative for Bioethics.George J. Agich - 2001 - American Journal of Bioethics 1 (1):50-50.
  48.  25
    Roles and Responsibilities: Theoretical Issues in the Definition of Consultation Liaison Psychiatry.George J. Agich - 1985 - Journal of Medicine and Philosophy 10 (2):105-126.
    Central to much medical ethical analysis is the concept of the role of the physician. While this concept plays an important role in medical ethics, its function is largely tacit. The present paper attempts to bring the concept of a social role to prominence by focusing on an historically recent and rather richly contextured role, namely, that of consultation liaison psychiatry. Since my intention is primarily theoretical, I largely ignore the empirical studies which purport to develop the detailed functioning of (...)
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  49.  10
    Organizing EthicsOrganization Ethics in Health Care.George J. Agich, Edward M. Spencer, Ann E. Mills, Mary V. Rorty & Patricia H. Werhane - 2000 - Hastings Center Report 30 (6):46.
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  50.  18
    Ethical Theory and Clinical Ethics Consultation: Toward Understanding the Relationship.George J. Agich - 2016 - American Journal of Bioethics 16 (9):36-37.
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