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Joseph J. Fins [98]Joseph Jack Fins [1]
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Profile: Joseph Fins (Cornell University)
  1.  7
    The Effects of Closed-Loop Medical Devices on the Autonomy and Accountability of Persons and Systems.Philipp Kellmeyer, Thomas Cochrane, Oliver Müller, Christine Mitchell, Tonio Ball, Joseph J. Fins & Nikola Biller-Andorno - 2016 - Cambridge Quarterly of Healthcare Ethics 25 (4):623-633.
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  2.  5
    The Effects of Closed-Loop Medical Devices on the Autonomy and Accountability of Persons and Systems.Philipp Kellmeyer, Thomas Cochrane, Oliver Müller, Christine Mitchell, Tonio Ball, Joseph J. Fins & Nikola Biller-Andorno - 2016 - Cambridge Quarterly of Healthcare Ethics 25 (4):623-633.
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  3.  16
    Quality Attestation for Clinical Ethics Consultants: A Two‐Step Model From the American Society for Bioethics and Humanities.Eric Kodish, Joseph J. Fins, Clarence Braddock, Felicia Cohn, Nancy Neveloff Dubler, Marion Danis, Arthur R. Derse, Robert A. Pearlman, Martin Smith, Anita Tarzian, Stuart Youngner & Mark G. Kuczewski - 2013 - Hastings Center Report 43 (5):26-36.
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  4.  63
    Neuroimaging and Disorders of Consciousness: Envisioning an Ethical Research Agenda.Joseph J. Fins, Judy Illes, James L. Bernat, Joy Hirsch, Steven Laureys & Emily Murphy - 2008 - American Journal of Bioethics 8 (9):3 – 12.
    The application of neuroimaging technology to the study of the injured brain has transformed how neuroscientists understand disorders of consciousness, such as the vegetative and minimally conscious states, and deepened our understanding of mechanisms of recovery. This scientific progress, and its potential clinical translation, provides an opportunity for ethical reflection. It was against this scientific backdrop that we convened a conference of leading investigators in neuroimaging, disorders of consciousness and neuroethics. Our goal was to develop an ethical frame to move (...)
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  5.  12
    A Leg to Stand On: Sir William Osler and Wilder Penfield's "Neuroethics".Joseph J. Fins - 2008 - American Journal of Bioethics 8 (1):37 – 46.
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  6.  32
    Clinical Pragmatism: A Method of Moral Problem Solving.Joseph J. Fins, Matthew D. Bacchetta & Franklin G. Miller - 1997 - Kennedy Institute of Ethics Journal 7 (2):129-143.
    : This paper presents a method of moral problem solving in clinical practice that is inspired by the philosophy of John Dewey. This method, called "clinical pragmatism," integrates clinical and ethical decision making. Clinical pragmatism focuses on the interpersonal processes of assessment and consensus formation as well as the ethical analysis of relevant moral considerations. The steps in this method are delineated and then illustrated through a detailed case study. The implications of clinical pragmatism for the use of principles in (...)
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  7.  18
    Beyond Consent in Research.Emily Bell, Eric Racine, Paula Chiasson, Maya Dufourcq-Brana, Laura B. Dunn, Joseph J. Fins, Paul J. Ford, Walter Glannon, Nir Lipsman, Mary Ellen Macdonald, Debra J. H. Mathews & Mary Pat Mcandrews - 2014 - Cambridge Quarterly of Healthcare Ethics 23 (3):361-368.
    Vulnerability is an important criterion to assess the ethical justification of the inclusion of participants in research trials. Currently, vulnerability is often understood as an attribute inherent to a participant by nature of a diagnosed condition. Accordingly, a common ethical concern relates to the participant’s decisionmaking capacity and ability to provide free and informed consent. We propose an expanded view of vulnerability that moves beyond a focus on consent and the intrinsic attributes of participants. We offer specific suggestions for how (...)
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  8.  50
    Rethinking Disorders of Consciousness: New Research and its Implications.Joseph J. Fins - 2005 - Hastings Center Report 35 (2):22-24.
  9.  14
    Credentialing the Clinical Ethics Consultant: An Academic Medical Center Affirms Professionalism and Practice.Cathleen A. Acres, Kenneth Prager, George E. Hardart & Joseph J. Fins - 2012 - Journal of Clinical Ethics 23 (2):156.
    In response to national trends calling for increasing accountability and an emerging dialogue within bioethics, we describe an effort to credential clinical ethicists at a major academic medical center. This effort is placed within the historical context of prior calls for credentialing and certification and efforts currently underway within organized bioethics to engage this issue. The specific details, and conceptual rationale, behind the New York-Presbyterian Hospital’s graduated credentialing plan are shared as is their evolution and ratification within the context of (...)
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  10.  24
    The Humanities and the Future of Bioethics Education.Joseph J. Fins - 2010 - Cambridge Quarterly of Healthcare Ethics 19 (4):518-521.
    Let’s face it, the humanities are in trouble. Last year, in The Chronicle of Higher Education, Thomas H. Benton warned prospective graduate students to avoid doctoral studies in the humanities. His rationale: a job market down 40%, the improbability of tenure, the more certain prospect of life as an adjunct, and eventual outright exile from one’s chosen field. Benton, the pen name of William Pannapacker, an associate professor of English at Hope College in Holland, Michigan, pulled no punches. His piece (...)
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  11.  17
    The Effects of Closed-Loop Medical Devices on the Autonomy and Accountability of Persons and Systems—CORRIGENDUM.Philipp Kellmeyer, Thomas Cochrane, Oliver Müller, Christine Mitchell, Tonio Ball, Joseph J. Fins & Nikola Biller-Andorno - 2017 - Cambridge Quarterly of Healthcare Ethics 26 (1):180.
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  12.  10
    A Pilot Evaluation of Portfolios for Quality Attestation of Clinical Ethics Consultants.Joseph J. Fins, Eric Kodish, Felicia Cohn, Marion Danis, Arthur R. Derse, Nancy Neveloff Dubler, Barbara Goulden, Mark Kuczewski, Mary Beth Mercer, Robert A. Pearlman, Martin L. Smith, Anita Tarzian & Stuart J. Youngner - 2016 - American Journal of Bioethics 16 (3):15-24.
    Although clinical ethics consultation is a high-stakes endeavor with an increasing prominence in health care systems, progress in developing standards for quality is challenging. In this article, we describe the results of a pilot project utilizing portfolios as an evaluation tool. We found that this approach is feasible and resulted in a reasonably wide distribution of scores among the 23 submitted portfolios that we evaluated. We discuss limitations and implications of these results, and suggest that this is a significant step (...)
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  13.  42
    Islam and Informed Consent: Notes From Doha.Pablo Rodríguez Del Pozo & Joseph J. Fins - 2008 - Cambridge Quarterly of Healthcare Ethics 17 (3):273-279.
    Informed consent is a perennial topic in bioethics. It has given the field a place in clinical practice and the law and is often the starting point for introductory instruction in medical ethics. One would think that nearly everything has been said and done on this well-worn topic.
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  14.  7
    Clinical Pragmatism: Bridging Theory and Practice.Joseph J. Fins, Franklin G. Miller & Matthew D. Bacchetta - 1998 - Kennedy Institute of Ethics Journal 8 (1):37-42.
    : This response to Lynn Jansen's critique of clinical pragmatism concentrates on two themes: (1) contrasting approaches to moral epistemology and (2) the connection between theory and practice in clinical ethics. Particular attention is paid to the status of principles and the role of consensus, with some closing speculations on how Dewey might view the current state of bioethics.
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  15.  3
    What's Wrong with Evidence‐Based Medicine?Joseph J. Fins - 2016 - Hastings Center Report 46 (1).
    Medicine in the last decades of the twentieth century was ripe for a data sweep that would bring systematic analysis to treatment strategies that seemingly had stood the test of time but were actually unvalidated. Coalescing under the banner of evidence-based medicine, this process has helped to standardize care, minimize error, and promote patient safety. But with this advancement, something of the art of medicine has been lost.
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  16.  10
    Engineering Medical Decisions.Meredith Stark & Joseph J. Fins - 2013 - Cambridge Quarterly of Healthcare Ethics 22 (4):373-381.
  17.  6
    Inching Toward Health Decision Exceptionalism.Meredith Stark & Joseph J. Fins - 2013 - American Journal of Bioethics 13 (5):18-19.
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  18.  5
    Ideology and Microbiology: Ebola, Science, and Deliberative Democracy.Joseph J. Fins - 2015 - American Journal of Bioethics 15 (4):1-3.
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  19.  44
    Neuroethics and Neuroimaging: Moving Toward Transparency.Joseph J. Fins - 2008 - American Journal of Bioethics 8 (9):46 – 52.
    Without exaggeration, it could be said that we are entering a golden age of neuroscience. Informed by recent developments in neuroimaging that allow us to peer into the working brain at both a structural and functional level, neuroscientists are beginning to untangle mechanisms of recovery after brain injury and grapple with age-old questions about brain and mind and their correlates neural mechanisms and consciousness. Neuroimaging, coupled with new diagnostic categories and assessment scales are helping us develop a new diagnostic nosology (...)
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  20.  11
    Reinvigorating Ethics Consultations: An Impetus From the “Quality” Debate. [REVIEW]Elizabeth G. Nilson & Joseph J. Fins - 2006 - HEC Forum 18 (4):298-304.
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  21.  58
    Late Recovery From the Minimally Conscious State: Ethical and Policy Implications.Joseph J. Fins, Nicholas D. Schiff & Kathleen M. Foley - 2007 - Neurology 68 (4):304-307.
  22.  11
    The Effects of Closed-Loop Medical Devices on the Autonomy and Accountability of Persons and Systems—CORRIGENDUM.Philipp Kellmeyer, Thomas Cochrane, Oliver Müller, Christine Mitchell, Tonio Ball, Joseph J. Fins & Nikola Biller-Andorno - 2017 - Cambridge Quarterly of Healthcare Ethics 26 (1):180.
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  23.  11
    The Ethical Imperative to Think About Thinking.Meredith Stark & Joseph J. Fins - 2014 - Cambridge Quarterly of Healthcare Ethics 23 (4):386-396.
    While the medical ethics literature has well explored the harm to patients, families, and the integrity of the profession in failing to disclose medical errors once they occur, less often addressed are the moral and professional obligations to take all available steps to prevent errors and harm in the first instance. As an expanding body of scholarship further elucidates the causes of medical error, including the considerable extent to which medical errors, particularly in diagnostics, may be attributable to cognitive sources, (...)
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  24.  7
    Conflicts of Interest in Deep Brain Stimulation Research and the Ethics of Transparency.Joseph J. Fins & Nicholas D. Schiff - 2010 - Journal of Clinical Ethics 21 (2):125-132.
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  25.  13
    Shades of Gray: New Insights Into the Vegetative State.Joseph J. Fins & Nicholas D. Schiff - 2006 - Hastings Center Report 36 (6):8-8.
  26.  9
    In the Blink of the Mind's Eye.Joseph J. Fins & Nicholas D. Schiff - 2010 - Hastings Center Report 40 (3):21-23.
  27.  3
    Toward an Agile Defense of Patient Health Care Decisions.Meredith Stark & Joseph J. Fins - 2014 - American Journal of Bioethics 14 (3):44-46.
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  28.  2
    Narrative Symposium: Doctor in the Family: Stories and Dilemmas Surrounding Illness in Relatives.Joseph J. Fins, Kathleen N. Fenton, Amos Ritter, David Alfandre, Frances M. Nadel, Alexander A. Kon, Tania Moerenhout, Ambika Rao, Michael Rezak, Kate Robins–Browne, Jessica Turnbull, Sergio Salazar, Bonnie Salomon, John Z. Sadler, Millicent G. Zacher, Ronald W. Pies, Julia Bisschops & Suzanne Minor - 2018 - Narrative Inquiry in Bioethics 8 (1):4-E-13.
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  29.  10
    My Time in Medicine.Joseph J. Fins - 2017 - Perspectives in Biology and Medicine 60 (1):19-32.
    Autobiographical essays can be an indulgence. Often self-congratulatory and low on self-reflection, they seldom serve a purpose other than to stoke nostalgia. So when given this opportunity to write about my life in medicine and bioethics, I decided I would take stock, and not simply celebrate whatever accomplishments I might have had. Rather, I would use this opportunity to look for themes that linked the decades together. My hope was that the process might assemble the mosaic that has been my (...)
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  30.  23
    Commercialism in the Clinic: Finding Balance in Medical Professionalism.Joseph J. Fins - 2007 - Cambridge Quarterly of Healthcare Ethics 16 (4):425.
    There is a palpable malaise in American medicine as clinical practice veers off its moorings, swept along by a new commercialism that is displacing medical professionalism and its attendant moral obligations. Although the sociology of this phenomenon is complex and multifactorial, I argue that this move toward medical commercialism was accelerated by the abortive efforts of the Clinton Administration's Health Security Act. Through an analysis of performative speech I show that, although the Clinton plan drew on many strands of speech (...)
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  31.  17
    The Self, Social Media, and Social Construction.Meredith Stark & Joseph J. Fins - 2012 - American Journal of Bioethics 12 (10):38-39.
    The American Journal of Bioethics, Volume 12, Issue 10, Page 38-39, October 2012.
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  32.  10
    The Patient's Work.Leonard C. Groopman, Franklin G. Miller & Joseph J. Fins - 2007 - Cambridge Quarterly of Healthcare Ethics 16 (1):44-52.
    In The Healer's Power, Howard Brody placed the concept of power at the heart of medicine's moral discourse. Struck by the absence of “power” in the prevailing vocabulary of medical ethics, yet aware of peripheral allusions to power in the writings of some medical ethicists, he intuited the importance of power from the silence surrounding it. He formulated the problem of the healer's power and its responsible use as “the central ethical problem in medicine.” Through the prism of power he (...)
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  33.  7
    Introduction to the Special Issue.Franklin G. Miller & Joseph J. Fins - 2017 - Perspectives in Biology and Medicine 60 (1):1-1.
    Bioethics has been an interdisciplinary field since its inception. From the founding of the Hastings Center in 1969 and the Kennedy Institute of Ethics in 1971, scholars from many disciplines have come together to create a field of study strengthened by its interdisciplinarity. In this special issue of Perspectives in Biology and Medicine, we celebrate the interdisciplinary character of bioethics by means of essays by eight distinguished bioethics scholars hailing from backgrounds in philosophy, law, medicine, nursing, public health, history, sociology, (...)
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  34.  55
    In Memoriam: Dr. Edmund Pellegrino's Legacy: Secure in the Annals of Medicine.Joseph J. Fins - 2014 - Kennedy Institute of Ethics Journal 24 (2):97-104.
    I am honored to pay tribute to Dr. Pellegrino and a bit humbled as there are so many others who would want to have this opportunity and who knew Dr. Pellegrino better than I. Tom Beauchamp suggested that I might place Dr. Pellegrino into the broader context of the history of medicine. He wrote Thaddeus Pope:Without being disrespectful of the many celebrated figures from Hippocrates to Percival, my view is that no physician has been more productive in the field or (...)
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  35. Clinical Pragmatism and the Care of Brain Damaged Patients: Towards a Palliative Neuroethics for Disorders of Consciousness.Joseph J. Fins - 2006 - In Steven Laureys (ed.), Boundaries of Consciousness. Elsevier.
  36.  17
    Lessons From the Injured Brain: A Bioethicist in the Vineyards of Neuroscience.Joseph J. Fins - 2009 - Cambridge Quarterly of Healthcare Ethics 18 (1):7.
    I would like to share some reflections on how bioethics fosters dialogue between the sciences and humanities by talking a bit about my work as a physician-ethicist collaborating with neuroscientists studying severe brain injury and mechanisms of recovery. If I am successful in this Pilgrim's Progress, I hope I will convince you that the injured brain can teach us much about ourselves. It is not something I was prepared to believe as a medical student, when I was more certain of (...)
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  37.  1
    Off the Charts: Medical Documentation and Selective Redaction in the Age of Transparency.Matthew William McCarthy, Diego Real de Asua, Ezra Gabbay & Joseph J. Fins - 2018 - Perspectives in Biology and Medicine 61 (1):118-129.
    A 47-year-old woman with a history of anxiety disorder is admitted to the hospital for shortness of breath. On the third day of hospitalization, she asks her physician for a copy of all documents pertaining to her care. What expectation should she have for full disclosure? Are there limits on her access to her medical records and do her physician's concerns about professional privilege matter?The virtues of transparency in medicine have been well described. As proponents of transparency, we favor patient (...)
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  38.  48
    Neurological Diagnosis is More Than a State of Mind: Diagnostic Clarity and Impaired Consciousness.Joseph J. Fins & F. Plum - 2004 - Archives of Neurology 61 (9):1354-1355.
  39. Brain Injury and the Culture of Neglect: Musings on an Uncertain Future.Joseph J. Fins & Alexandra Suppes - 2011 - Social Research: An International Quarterly 78 (3):731-746.
    Our essay will address both the right-to-die movement in America and the emerging culture of neglect in the treatment of a class of patients with disorders of consciousness with which the right-to-die movement is entwined. We trace the etiology of these two themes through changes in our scientific understanding of brain injury and recovery against a growing societal acculturation to dominion over one's self at life's end.
     
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  40.  1
    Family Portrait.Joseph J. Fins - 2018 - Narrative Inquiry in Bioethics 8 (1):4-6.
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  41.  16
    Lights, Camera, Inaction? Neuroimaging and Disorders of Consciousness.Joseph J. Fins & Judy Illes - 2008 - American Journal of Bioethics 8 (9):W1 – W3.
  42.  11
    Strangers No More: Genuine Interdisciplinarity.Inmaculada de Melo-Martin & Joseph J. Fins - 2008 - American Journal of Bioethics 8 (3):16 – 17.
  43.  10
    Web of Care: How Will the Electronic Medical Record Change Medicine?Joseph J. Fins - 2008 - Hastings Center Report 38 (5):pp. 36-38.
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  44.  10
    Transgender Patients, Hospitalists, and Ethical Care.Matthew W. McCarthy, Elizabeth Reis & Joseph J. Fins - 2016 - Perspectives in Biology and Medicine 59 (2):234-245.
    A 28-year-old female-to-male transgender patient presents to the emergency room with one day of pleuritic chest pain and shortness of breath. The patient is found to have an acute pulmonary embolus and is admitted is to the academic hospitalist teaching service for further management.The transgender population is diverse in gender identity, expression, and sexual orientation. Although estimates vary, one study suggests that 0.3% of adults identify as transgender. The U.S. National Transgender Discrimination Survey revealed that 28% of transgender adults have (...)
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  45.  34
    Patently Controversial: Markets, Morals, and the President's Proposal for Embryonic Stem Cell Research.Joseph J. Fins & Madeleine Schachter - 2002 - Kennedy Institute of Ethics Journal 12 (3):265-278.
    : This essay considers the implications of President George W. Bush's proposal for human embryonic stem cell research. Through the perspective of patent law, privacy, and informed consent, we elucidate the ongoing controversy about the moral standing of human embryonic stem cells and their derivatives and consider how the inconsistencies in the president's proposal will affect clinical practice and research.
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  46.  25
    Iberian Influences on Pan-American Bioethics: Bringing Don Quixote to Our Shores.Pablo Rodríguez Del Pozo & Joseph J. Fins - 2006 - Cambridge Quarterly of Healthcare Ethics 15 (3):225-238.
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  47.  51
    Guest Editorial: The Many Voices of Spanish Bioethics—An Introduction.Pablo Rodríguez Del Pozo & Joseph J. Fins - 2009 - Cambridge Quarterly of Healthcare Ethics 18 (3):214.
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  48. Deep Brain Stimulation.Joseph J. Fins & S. G. Post - 2004 - Encyclopedia of Bioethics 2:629-634.
     
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  49.  21
    In Praise of the Humanities in Academic Medicine.Joseph J. Fins, Barbara Pohl & David J. Doukas - 2013 - Cambridge Quarterly of Healthcare Ethics 22 (4):355-364.
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  50. A Decided Lack of Empathy.Joseph J. Fins - 2001 - Hastings Center Report 31 (5):46-47.
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1 — 50 / 97