23 found
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  1. Adverse consequences of article 12 of the UN Convention on the Rights of Persons with Disabilities for persons with mental disabilities and an alternative way forward.Matthé Scholten & Jakov Gather - 2018 - Journal of Medical Ethics 44 (4):226-233.
    It is widely accepted among medical ethicists that competence is a necessary condition for informed consent. In this view, if a patient is incompetent to make a particular treatment decision, the decision must be based on an advance directive or made by a substitute decision-maker on behalf of the patient. We call this the competence model. According to a recent report of the United Nations (UN) High Commissioner for Human Rights, article 12 of the UN Convention on the Rights of (...)
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  2.  27
    Equality in the Informed Consent Process: Competence to Consent, Substitute Decision-Making, and Discrimination of Persons with Mental Disorders.Matthé Scholten, Jakov Gather & Jochen Vollmann - 2021 - Journal of Medicine and Philosophy 46 (1):108-136.
    According to what we propose to call “the competence model,” competence is a necessary condition for valid informed consent. If a person is not competent to make a treatment decision, the decision must be made by a substitute decision-maker on her behalf. Recent reports of various United Nations human rights bodies claim that article 12 of the Convention on the Rights of Persons with Disabilities involves a wholesale rejection of this model, regardless of whether the model is based on a (...)
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  3.  11
    Adverse consequences of article 12 of the UN Convention on the Rights of Persons with Disabilities for persons with mental disabilities and an alternative way forward.Matthé Scholten & Jakov Gather - 2017 - Journal of Medical Ethics:medethics-2017-104414.
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  4.  42
    Testimoniale Ungerechtigkeit gegenüber Menschen mit psychischer Erkrankung in der Gesundheitsversorgung. Eine konzeptionelle und ethische Analyse.Mirjam Faissner, Georg Juckel & Jakov Gather - 2022 - Ethik in der Medizin 34 (2):145-160.
    Menschen mit psychischer Erkrankung sterben statistisch gesehen früher als die Allgemeinbevölkerung. Ein Grund hierfür ist, dass sie eine schlechtere somatische Gesundheitsversorgung erhalten. Wir argumentieren, dass ableistische Netzwerke sozialer Bedeutung zu einer Abwertung der epistemischen Kompetenz von Menschen mit psychischer Erkrankung führen. Diese Abwertung kann mit dem Konzept der testimonialen Ungerechtigkeit erfasst werden. Testimoniale Ungerechtigkeit bezeichnet das ungerechtfertigte Herabstufen der Glaubwürdigkeit einer*s Sprecher*in aufgrund eines Vorurteils gegen ihre*seine soziale Identität. Wir analysieren ethische und epistemische Folgen testimonialer Ungerechtigkeit als wichtige Ursachen der (...)
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  5.  15
    Preferences of Individual Mental Health Service Users Are Essential in Determining the Least Restrictive Type of Restraint.Christin Hempeler, Esther Braun, Mirjam Faissner, Jakov Gather & Matthé Scholten - 2024 - American Journal of Bioethics Neuroscience 15 (1):19-22.
    Crutchfield and Redinger (2024) propose that the use of a chemical restraint that affects only a particular conscious state is ethically permissible if, and only if, (1) it is the least restrictive...
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  6.  18
    When Treatment Pressures Become Coercive: A Context-Sensitive Model of Informal Coercion in Mental Healthcare.Christin Hempeler, Esther Braun, Sarah Potthoff, Jakov Gather & Matthé Scholten - forthcoming - American Journal of Bioethics:1-13.
    Treatment pressures are communicative strategies that mental health professionals use to influence the decision-making of mental health service users and improve their adherence to recommended treatment. Szmukler and Appelbaum describe a spectrum of treatment pressures, which encompasses persuasion, interpersonal leverage, offers and threats, arguing that only a particular type of threat amounts to informal coercion. We contend that this account of informal coercion is insufficiently sensitive to context and fails to recognize the fundamental power imbalance in mental healthcare. Based on (...)
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  7.  13
    Research ethics in practice: An analysis of ethical issues encountered in qualitative health research with mental health service users and relatives.Sarah Potthoff, Christin Hempeler, Jakov Gather, Astrid Gieselmann, Jochen Vollmann & Matthé Scholten - 2023 - Medicine, Health Care and Philosophy 26 (4):517-527.
    The ethics review of qualitative health research poses various challenges that are due to a mismatch between the current practice of ethics review and the nature of qualitative methodology. The process of obtaining ethics approval for a study by a research ethics committee before the start of a research study has been described as “procedural ethics” and the identification and handling of ethical issues by researchers during the research process as “ethics in practice.” While some authors dispute and other authors (...)
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  8.  37
    An Autonomy-Based Approach to Justifying Physician-Assisted Death: A Recent Judgment of the German Federal Constitutional Court.Jochen Vollmann, Matthé Scholten, Jakov Gather & Esther Braun - 2022 - American Journal of Bioethics 22 (2):71-73.
    Florijn’s analysis of the Dutch Supreme Court ruling on the Albert Heringa case demonstrates that the Dutch approach to justifying physician-assisted death is based primarily on the physician...
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  9.  14
    Ist Forschung in der forensischen Psychiatrie ethisch zulässig?Jakov Gather, Katrin Radenbach & Anna-Karina Jakovljević - 2019 - Ethik in der Medizin 31 (3):201-205.
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  10.  30
    Kommentar I zum Fall: „Problematik einer Patientenverfügung in der Psychiatrie“.Jakov Gather & Jochen Vollmann - 2014 - Ethik in der Medizin 26 (3):239-240.
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  11.  7
    Intersectionality as a tool for clinical ethics consultation in mental healthcare.Mirjam Faissner, Lisa Brünig, Anne-Sophie Gaillard, Anna-Theresa Jieman, Jakov Gather & Christin Hempeler - 2024 - Philosophy, Ethics and Humanities in Medicine 19 (1):1-11.
    Bioethics increasingly recognizes the impact of discriminatory practices based on social categories such as race, gender, sexual orientation or ability on clinical practice. Accordingly, major bioethics associations have stressed that identifying and countering structural discrimination in clinical ethics consultations is a professional obligation of clinical ethics consultants. Yet, it is still unclear how clinical ethics consultants can fulfill this obligation. More specifically, clinical ethics needs both theoretical tools to analyze and practical strategies to address structural discrimination within clinical ethics consultations. (...)
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  12.  15
    Beneficial Coercion in Psychiatry?: Foundations and Challenges.Jakov Gather, Tanja Henking, Alexa Nossek & Jochen Vollmann (eds.) - 2017 - Münster: Mentis.
    Coercion in the treatment of persons suffering from mental disorders is one of the major ethical controversies in psychiatry. Despite great efforts to reduce the use of coercive interventions, they are still widespread and differ between European countries regarding the specific type of intervention and the number of patients affected. It is common to justify measures against the present will of patients under the assumption that they promote their well-being, that is, by reference to the ethical principal of beneficence. However, (...)
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  13.  18
    The understanding of well-being in German guardianship law – an analysis on the occasion of the term’s removal from the reformed law.Esther Braun, Jakov Gather, Tanja Henking, Jochen Vollmann & Matthé Scholten - 2022 - Ethik in der Medizin 34 (4):515-528.
    Definition of the problem The reform of German guardianship law coming into force in 2023 will remove the term “well-being” from the law. This is intended to emphasise that the legal guardian should be guided by the subjective wishes of the person rather than by an objective understanding of well-being. This article analyses the understanding of well-being underlying the reformed guardianship law in comparison to common conceptions of well-being in philosophy and medical ethics, aiming to promote interdisciplinary understanding between ethics (...)
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  14.  17
    The understanding of well-being in German guardianship law – an analysis on the occasion of the term’s removal from the reformed law.Esther Braun, Jakov Gather, Tanja Henking, Jochen Vollmann & Matthé Scholten - 2022 - Ethik in der Medizin 34 (4):515-528.
    Definition of the problem The reform of German guardianship law coming into force in 2023 will remove the term “well-being” from the law. This is intended to emphasise that the legal guardian should be guided by the subjective wishes of the person rather than by an objective understanding of well-being. This article analyses the understanding of well-being underlying the reformed guardianship law in comparison to common conceptions of well-being in philosophy and medical ethics, aiming to promote interdisciplinary understanding between ethics (...)
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  15.  17
    Soll die UN-Behindertenrechtskonvention in der psychiatrischen Praxis umgesetzt werden? Eine aktuelle Debatte in Großbritannien.Esther Braun, Jakov Gather & Matthé Scholten - 2021 - Ethik in der Medizin 33 (1):113-116.
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  16.  16
    Kommentar I zum Fall: „Ethisch vertretbare Anwendung freiheitsentziehender Maßnahmen zur Durchführung einer Chemotherapie?“.Jakov Gather & Knut Hoffmann - 2018 - Ethik in der Medizin 30 (4):367-369.
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  17.  63
    The Evaluation of Psychopharmacological Enhancers Beyond a Normative “Natural”–“Artificial” Dichotomy.Jakov Gather - 2011 - Medicine Studies 3 (1):19-27.
    The extra-therapeutic use of psychotropic drugs to improve cognition and to enhance mood has been the subject of controversial discussion in bioethics, in medicine but also in public for many years. Concerns over a liberal dealing with pharmacological enhancers are raised not only from a biomedical–pharmacological perspective, but particularly from an ethical one. Within these ethical concerns, there is one objection about the normative differentiation between “natural” and “artificial” enhancers, which is theoretically indeed widely discredited in bioethics, which has, however, (...)
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  18.  25
    Vorausverfügte Therapieablehnungen in Situationen von Eigen- oder Fremdgefährdung. Ethische und rechtliche Überlegungen zur Umsetzung von Patientenverfügungen in der Psychiatrie.Jakov Gather, Tanja Henking, Georg Juckel & Jochen Vollmann - 2016 - Ethik in der Medizin 28 (3):207-222.
    ZusammenfassungBei gerichtlich angeordneten Unterbringungen aufgrund von Eigen- oder Fremdgefährdung können Patientenverfügungen zu klinisch und ethisch schwierigen Situationen führen. Dies gilt vor allem dann, wenn darin medizinisch indizierte psychiatrische Behandlungsmaßnahmen abgelehnt werden. In solchen Situationen können Patienten zunächst weder aus dem psychiatrischen Krankenhaus entlassen noch psychiatrisch behandelt werden. Der vorliegende Beitrag erörtert ethische Herausforderungen im Zusammenhang mit Therapieablehnungen durch Patientenverfügungen bei psychischen Erkrankungen aus interdisziplinärer Perspektive. Dabei werden die rechtlichen Grundlagen und Grenzen einer Patientenverfügung aufgezeigt. Mit Blick auf die klinische Praxis (...)
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  19.  17
    Folter in der Psychiatrie?Sabine Müller, Jakov Gather, Anna-K. Jakovljević & Annemarie Heberlein - 2014 - Ethik in der Medizin 26 (4):339-347.
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  20.  39
    Natural will, coercion and recognition – ethical considerations regarding incompetent patients in psychiatric hospitals.Alexa Nossek, Jakov Gather & Jochen Vollmann - 2018 - Ethik in der Medizin 30 (2):107-122.
    ZusammenfassungIn der neueren deutschen Rechtsprechung wurden die Anforderungen an die rechtliche Zulässigkeit von Zwangsbehandlungen verschärft und der Berücksichtigung des natürlichen Willens nicht selbstbestimmungsfähiger Patienten ein höherer Stellenwert eingeräumt. So ist der behandelnde Arzt etwa verpflichtet, einen letzten Versuch zu unternehmen, eine auf Vertrauen gegründete Zustimmung zu erhalten. In Anbetracht dessen, dass ein solches Gespräch im Kontext informellen Zwangs stattfindet, ergibt sich ein medizinethisches Dilemma: Entweder wird eine Zwangsbehandlung durchgeführt und somit direkter körperlicher Zwang angewendet, oder eine Zustimmung wird erzielt, jedoch (...)
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  21.  25
    The whole spectrum of psychiatric ethics in a standard work: John Z. Sadler, W. Van Staden, and K.W.M. Fulford . 2015. Oxford Handbook of Psychiatric Ethics . Oxford University Press, Oxford. 1712 pp., Price: £175.00, ISBN: 978-0199663880.Manuel Trachsel & Jakov Gather - 2017 - Medicine, Health Care and Philosophy 20 (1):151-152.
  22.  16
    Combining Supported Decision-Making with Competence Assessment: A Way to Protect Persons with Impaired Decision-Making Capacity against Undue Influence.Jochen Vollmann, Jakov Gather, Esther Braun & Matthé Scholten - 2021 - American Journal of Bioethics 21 (11):45-47.
    In a compelling article, Peterson, Karlawish and Largent argue that supported decision-making is preferable to substitute decision-making for people with dynamic impairments. We fully...
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  23. Intersectionality as a tool for clinical ethics consultation in mental healthcare.Mirjam Faissner, Lisa Brünig, Anne-Sophie Gaillard, Anna-Theresa Jieman, Jakov Gather & Christin Hempeler - 2024 - Philosophy, Ethics, and Humanities in Medicine 19 (1):1-11.
    Bioethics increasingly recognizes the impact of discriminatory practices based on social categories such as race, gender, sexual orientation or ability on clinical practice. Accordingly, major bioethics associations have stressed that identifying and countering structural discrimination in clinical ethics consultations is a professional obligation of clinical ethics consultants. Yet, it is still unclear how clinical ethics consultants can fulfill this obligation. More specifically, clinical ethics needs both theoretical tools to analyze and practical strategies to address structural discrimination within clinical ethics consultations. (...)
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