27 found
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  1.  55
    Views of the person with dementia.Julian C. Hughes - 2001 - Journal of Medical Ethics 27 (2):86-91.
    In this paper I consider, in connection with dementia, two views of the person. One view of the person is derived from Locke and Parfit. This tends to regard the person solely in terms of psychological states and his/her connections. The second view of the person is derived from a variety of thinkers. I have called it the situated-embodied-agent view of the person. This view, I suggest, more readily squares with the reality of clinical experience. It regards the person as (...)
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  2.  28
    Thinking Through Dementia.Julian C. Hughes - 2011 - Oxford University Press.
    Dementia affects millions of people throughout the world. Thinking through Dementia offers a critique of the main models used to understand dementia-the biomedical, neuropsychological, and social constructionist. It discusses clinical issues and cases, together with philosophical work that might help us to better understand and treat this illness.
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  3. Dementia: Mind, Meaning, and the Person.Julian C. Hughes, Stephen J. Louw & Steven R. Sabat (eds.) - 2005 - Oxford University Press.
    Dementia is an illness that raises important questions about our own attitudes to illness and aging. It also raises very important issues beyond the bounds of dementia to do with how we think of ourselves as people--fundamental questions about personal identity. Is the person with dementia the same person he or she was before? Is the individual with dementia a person at all? In a striking way, dementia seems to threaten the very existence of the self.LThis book brings together philosophers (...)
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  4.  27
    Resuscitation decisions at the end of life: medical views and the juridification of practice.Fiona M. A. MacCormick, Charlotte Emmett, Paul Paes & Julian C. Hughes - 2018 - Journal of Medical Ethics 44 (6):376-383.
    BackgroundConcerns about decision making related to resuscitation have led to two important challenges in the courts resulting in new legal precedents for decision-making practice. Systematic research investigating the experiences of doctors involved in decisions about resuscitation in light of the recent changes in law remains lacking.AimTo analyse the practice of resuscitation decision making on hospital wards from the perspectives of doctors.DesignThe data presented in this paper were collected as part of a wider research study of end-of-life care in an acute (...)
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  5. The return of the living dead: Agency lost and found?Carmelo Aquilina & Julian C. Hughes - 2006 - In Julian C. Hughes, Stephen J. Louw & Steven R. Sabat (eds.), Dementia: Mind, Meaning, and the Person. Oxford University Press. pp. 143--161.
     
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  6.  96
    Value judgements and conceptual tensions: decision-making in relation to hospital discharge for people with dementia.Helen Greener, Marie Poole, Charlotte Emmett, John Bond, Stephen J. Louw & Julian C. Hughes - 2012 - Clinical Ethics 7 (4):166-174.
    We reflect, using a vignette, on conceptual tensions and the value judgements that lie behind difficult decisions about whether or not the older person with dementia should return home or move into long-term care following hospital admission. The paper seeks, first, to expose some of the difficulties arising from the assessment of residence capacity, particularly around the nature of evaluative judgements and conceptual tensions inherent in the legal approach to capacity. Secondly, we consider the assessment of best interests around place (...)
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  7.  23
    Nudging the Older Person Into Care: An End to the Dilemma?Julian C. Hughes, Marie Poole & Stephen J. Louw - 2013 - American Journal of Bioethics 13 (6):34-36.
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  8. Ethical Issues and Tagging in Dementia: a Survey.Julian C. Hughes, Jane Newby, Stephen J. Louw, Gill Campbell & Jane L. Hutton - 2009 - Journal of Ethics in Mental Health 3 (1):4.
     
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  9. Dementia is Dead, Long Live Ageing.Julian C. Hughes - 2013 - In K. W. M. Fulford, Martin Davies, Richard Gipps, George Graham, John Sadler, Giovanni Stanghellini & Tim Thornton (eds.), The Oxford handbook of philosophy and psychiatry. Oxford: Oxford University Press.
    Dementia is dead, long live aging! This chapter sets out the philosophical sources for understanding working with "dementia." The concept, "dementia," serves no useful purpose. Even "Alzheimer's disease" turns out to be problematic. This is because there is a lack of precision around the boundaries of these notions. The messiness that surrounds these notions, in terms of facts and values, is made obvious when we consider mild cognitive impairment, which is said to be a pre-dementia state. It makes more biological (...)
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  10. Case Study-" Hey Bill, smoking is bad for you...".Paul Kb Dagg, Julian C. Hughes & Sameer P. Sarkar - 2009 - Journal of Ethics in Mental Health 2 (2):11.
     
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  11.  19
    Challenges faced by patients, relatives and clinicians in end-stage dementia decision-making: a qualitative study of swallowing problems.Joseph Dimech, Emmanuel Agius, Julian C. Hughes & Paul Bartolo - 2021 - Journal of Medical Ethics 47 (12):e39-e39.
    BackgroundDecision-making in end-stage dementia is a complex process involving medical, social, legal and ethical issues. In ESD, the person suffers from severe cognitive problems leading to a loss of capacity to decide matters regarding health and end-of-life issues. The decisional responsibility is usually passed to clinicians and relatives who can face significant difficulty in making moral decisions, particularly in the presence of life-threatening swallowing problems.AimThis study aimed to understand the decision-making processes of clinical teams and relatives in addressing life-threatening swallowing (...)
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  12.  16
    Alzheimer's and other Dementias.Julian C. Hughes - 2011 - Oxford University Press.
    With more people in the world living into older age, Alzheimer's and other Dementias: The Facts takes a comprehensive look at the spread of dementia, and provides authoritative information and practical advice for sufferers, their families, and the medical professionals who care for them. -/- Written by a consultant in old age psychiatry, the book provides an overview of all the different types of dementia (including younger-onset dementias), from the most-recognized - Alzheimer's - to the less-frequent types, such as those (...)
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  13.  18
    From the Subjective Brain to the Situated Person.Julian C. Hughes - 2009 - American Journal of Bioethics 9 (9):29-30.
    Reading Grant Gillett (2009) is a bit like watching a supreme tightrope artist: his balance is always impeccable and his footing sure; and yet one cannot help occasionally holding one's breath. Ove...
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  14.  1
    Gesundheitsbegriffe in der Psychiatrie.Julian C. Hughes - 2021 - In Philip Eijk, Detlev Ganten & Roman Marek (eds.), Was Ist Gesundheit?: Interdisziplinäre Perspektiven Aus Medizin, Geschichte Und Kultur. De Gruyter. pp. 322-338.
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  15.  12
    "More Things in Heaven and Earth": The Worldly Situated Human Person Perspective.Julian C. Hughes - 2022 - Philosophy, Psychiatry, and Psychology 29 (2):107-109.
    It might seem too obvious to start with this quotation:O day and night, but this is wondrous strange!And therefore as a stranger give it welcome.There are more things in heaven and earth, Horatio,Than are dreamt of in your philosophy.But then, I think it is obviously correct, as Professor Waterman suggests, that "There are more things in heaven and earth" than simply the application of the scientific method to medical practice. Perhaps there are two quick comments to make about the quotation. (...)
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  16. Patterns of Practice: A Useful Notion in Medical Ethics?Julian C. Hughes - 2009 - Journal of Ethics in Mental Health 1 (1):1.
    This paper introduces the notion of patterns of practice and shows the extent to which it is useful at the level of practice and at a profound philosophical level. The notion makes deep connections with ideas in the realm of the philosophy of language and thought and, in addition, it connects to virtue ethics. Using the example of whether or not to admit someone using compulsory powers or whether to treat them in the community, the notion of patterns of practice (...)
     
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  17.  8
    Problemas éticos encontrados en la asistencia sanitaria y toma de decisiones que involucran a personas que viven con demencia y otros impedimentos cognitivos progresivos.Julian C. Hughes - 2020 - Medicina y Ética 31 (4):925-939.
    Este artículo discute los problemas relacionados con la toma de decisiones en la demencia (y otras deficiencias cognitivas progresivas). Presenta cinco de estos temas; a saber, los relacionados con el lugar de residencia, la atención forzada, la medicación encubierta (en relación con la cual también mencionaré la verdad), la sexualidad, la comida y la bebida, que incluye cierta consideración de suspender y retirar el tratamiento en general. Después reflexionará sobre cómo se trata la toma de decisiones en la práctica clínica; (...)
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  18. Seeing whole.Julian C. Hughes, Stephen J. Louw & Sabat & R. Steven - 2005 - In Julian Hughes, Stephen Louw & Steven R. Sabat (eds.), Dementia: Mind, Meaning, and the Person. Oxford University Press.
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  19.  19
    The advance directive conjuring trick and the person with dementia.Julian C. Hughes & Steven R. Sabat - 2008 - In Guy Widdershoven (ed.), Empirical ethics in psychiatry. New York: Oxford University Press. pp. 123--40.
  20.  13
    Truthfulness and the person living with dementia: Embedded intentions, speech acts and conforming to the reality.Julian C. Hughes - 2021 - Bioethics 35 (9):842-849.
    Highly reputable bodies have said that lying is to be avoided when speaking with people living with dementia, unless it cannot be. And yet, the evidence is that many professionals looking after people who live with dementia have been lying to them. I wish to consider an underlying philosophical justification for the moral position that allows lying under some circumstances whilst still condemning it generally. It can seem difficult to ignore the immorality of lying, but thinkers have developed arguments to (...)
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  21.  34
    The long life - by H. small.Julian C. Hughes - 2009 - Journal of Applied Philosophy 26 (1):112-114.
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  22. The use of new technologies in managing dementia patients.Julian C. Hughes - 2014 - In Charles Foster, Jonathan Herring & Israel Doron (eds.), The law and ethics of dementia. Portland, Oregon: Hart Publishing.
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  23.  26
    Understanding dementia : a Wittgensteinian critique of models of dementia.Julian C. Hughes - unknown
    How are we to understand dementia? The main argument involves an analysis (in Chapter 2) of intentional mental states, using Wittgenstein's discussion of rule-following, which suggests that such states demonstrate an irreducible, transcendental normativity. This externalist account of intentional mental states highlights the worldly embedding of practices. In Chapters 3,4 and 5, this analysis is applied respectively to the disease, cognitive neuropsychology and social constructionist models of dementia. Whilst clinically and scientifically useful, none generates an adequate account of normativity. The (...)
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  24.  21
    Introduction: The Heat of Mild Cognitive Impairment.Julian C. Hughes - 2006 - Philosophy, Psychiatry, and Psychology 13 (1):1-2.
    In lieu of an abstract, here is a brief excerpt of the content:Introduction:The Heat of Mild Cognitive ImpairmentJulian C. Hughes (bio)Keywordsaging, explanation, mild cognitive impairment, understanding, valuesDebates about mild cognitive impairment (MCI) are generating heat, albeit civilized heat. But under the surface, as I think the papers in this special issue demonstrate, the civilized heat comes from a good deal of passion. One way in which philosophy can contribute to the debate is by making plain the sources of this passion, (...)
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  25.  47
    Types of centredness in health care: themes and concepts. [REVIEW]Julian C. Hughes, Claire Bamford & Carl May - 2008 - Medicine, Health Care and Philosophy 11 (4):455-463.
    Background For a variety of sociological reasons, different types of centredness have become important in health and social care. In trying to characterize one type of centredness, we were led to consider, at a conceptual level, the importance of the notion of centredness in general and the reasons for there being different types of centeredness. Method We searched the literature for papers on client-, family-, patient-, person- and relationship- centred care. We identified reviews or papers that defined or discussed the (...)
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  26.  20
    Ageing, Autonomy and Resources. Edited by A Harry Lesser. [REVIEW]Julian C. Hughes - 2001 - Journal of Medical Ethics 27 (1):69-1.
    We should be passionate about the elderly. This book contains, albeit with the occasional lull, some passion, adroit philosophical argument and fascinating social and political insights. It originates from a conference in 1992 and, despite talk of Mrs Thatcher, the book has aged well. The first half deals with autonomy in the elderly; whilst the second considers the allocation of scarce resources. The shift from ethics, via clinical practice, to economics and politics is effected with little effort, precisely because of (...)
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  27.  25
    Emotions and Personhood. Exploring Fragility — Making Sense of Vulnerability by Giovanni Stanghellini & René Rosfort, 2013 Oxford, Oxford University Press xii + 340 pp, £44.99 (pb). [REVIEW]Julian C. Hughes - 2014 - Journal of Applied Philosophy 31 (1):106-108.
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