27 found
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  1.  16
    The Zone of Parental Discretion and the Complexity of Paediatrics: A Response to Alderson.Rosalind McDougall, Lynn Gillam, Merle Spriggs & Clare Delany - 2018 - Clinical Ethics 13 (4):172-174.
    Alderson critiques our recent book on the basis that it overlooks children’s own views about their medical treatment. In this response, we discuss the complexity of the paediatric clinical context and the value of diverse approaches to investigating paediatric ethics. Our book focuses on a specific problem: entrenched disagreements between doctors and parents about a child’s medical treatment in the context of a paediatric hospital. As clinical ethicists, our research question arose from clinicians’ concerns in practice: What should a clinician (...)
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  2.  11
    Collaboration in Clinical Ethics Consultation: A Method for Achieving “Balanced Accountability”.Rosalind McDougall, Clare Delany, Merle Spriggs & Lynn Gillam - 2014 - American Journal of Bioethics 14 (6):47-48.
  3.  58
    Ethical Questions Must Be Considered for Electronic Health Records.Merle Spriggs, Michael V. Arnold, Christopher M. Pearce & Craig Fry - 2012 - Journal of Medical Ethics 38 (9):535-539.
    National electronic health record initiatives are in progress in many countries around the world but the debate about the ethical issues and how they are to be addressed remains overshadowed by other issues. The discourse to which all others are answerable is a technical discourse, even where matters of privacy and consent are concerned. Yet a focus on technical issues and a failure to think about ethics are cited as factors in the failure of the UK health record system. In (...)
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  4.  34
    Unresolved Ethical Challenges for the Australian Personally Controlled Electronic Health Record System: Key Informant Interview Findings.Craig L. Fry, Merle Spriggs, Michael Arnold & Chris Pearce - 2014 - Ajob Empirical Bioethics 5 (4):30-36.
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  5.  30
    Body Dysmorphic Disorder: Contraindication or Ethical Justification for Female Genital Cosmetic Surgery in Adolescents.Merle Spriggs & Lynn Gillam - 2016 - Bioethics 30 (9):706-713.
    Is Female Genital Cosmetic Surgery for an adolescent with Body Dysmorphic Disorder ever ethically justified? Cosmetic genital surgery for adolescent girls is one of the most ethically controversial forms of cosmetic surgery and Body Dysmorphic Disorder is typically seen as a contraindication for cosmetic surgery. Two key ethical concerns are that Body Dysmorphic Disorder undermines whatever capacity for autonomy the adolescent has; and even if there is valid parental consent, the presence of Body Dysmorphic Disorder means that cosmetic surgery will (...)
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  6.  9
    “I Don’T See That as a Medical Problem”: Clinicians’ Attitudes and Responses to Requests for Cosmetic Genital Surgery by Adolescents.Merle Spriggs & Lynn Gillam - 2018 - Journal of Bioethical Inquiry 15 (4):535-548.
    Labiaplasty is a form of genital surgery to reduce large or protruding labia minora. Internationally, the rates of this surgery among women and girls is increasing and is viewed as a worrying trend. Currently, the main clinical strategy is to reassure adolescents that they are normal by talking about the variation of labia size and appearance and showing pictures demonstrating the wide range of normal female genital appearance. For the most part, policy documents recommend against labiaplasty in adolescents, claiming that (...)
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  7.  53
    The Unique Nature of Clinical Ethics in Allied Health Pediatrics: Implications for Ethics Education.Clare Delany, Merle Spriggs, Craig L. Fry & Lynn Gillam - 2010 - Cambridge Quarterly of Healthcare Ethics 19 (4):471-480.
    Ethics education is recognized as an integral component of health professionals’ education and has been occurring in various guises in the curricula of health professional training in many countries since at least the 1970s. However, there are a number of different aims and approaches adopted by individual educators, programs, and, importantly, different health professions that may be characterized according to strands or trends in ethics education.
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  8.  55
    Cutting to the Core: Exploring the Ethics of Contested Surgeries.Michael Benatar, Leslie Cannold, Dena Davis, Merle Spriggs, Julian Savulescu, Heather Draper, Neil Evans, Richard Hull, Stephen Wilkinson, David Wasserman, Donna Dickenson, Guy Widdershoven, Françoise Baylis, Stephen Coleman, Rosemarie Tong, Hilde Lindemann, David Neil & Alex John London - 2006 - Rowman & Littlefield Publishers.
    When the benefits of surgery do not outweigh the harms or where they do not clearly do so, surgical interventions become morally contested. Cutting to the Core examines a number of such surgeries, including infant male circumcision and cutting the genitals of female children, the separation of conjoined twins, surgical sex assignment of intersex children and the surgical re-assignment of transsexuals, limb and face transplantation, cosmetic surgery, and placebo surgery.
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  9.  18
    Autonomy and Patients' Decisions.Merle Spriggs - 2005 - Lexington Books.
    By looking closely at the ideas of Rosseau, Kant, and Mill, Autonomy and Patients' Decisions traces the modern concept of autonomy from its historical roots, ...
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  10.  13
    Should We Tell Children and Young People About the Positive Experience of Taking Part in Clinical Trials?Merle Spriggs - 2015 - American Journal of Bioethics 15 (11):35-36.
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  11.  13
    Deception of Children in Research.Merle Spriggs & Lynn Gillam - 2015 - Journal of Medical Ethics 41 (2):179-182.
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  12.  16
    When "Risk" and "Benefit" Are Open to Interpretation - as is Generally the Case.Merle Spriggs - 2007 - American Journal of Bioethics 7 (3):17 – 19.
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  13.  30
    Can We Help Addicts Become More Autonomous? Inside the Mind of An Addict.Merle Spriggs - 2003 - Bioethics 17 (5-6):542-554.
  14.  42
    Ashley's Interests Were Not Violated Because She Does Not Have the Necessary Interests.Merle Spriggs - 2010 - American Journal of Bioethics 10 (1):52-54.
    (2010). Ashley's Interests Were Not Violated Because She Does Not Have the Necessary Interests. The American Journal of Bioethics: Vol. 10, No. 1, pp. 52-54.
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  15.  4
    Ethical Implications of Women’s Underrepresentation in Clinical Trials.Merle Spriggs - 1999 - Monash Bioethics Review 18 (2):S11-S20.
    Excluding women from participating in clinical drug trials might seem like a good thing. It may seem like a good way to protect women from the risks of being a research subject and a way to prevent fetal harm. However, the exclusion or inadequate representation of women in clinical trials may actually cause harm. Excluding women from clinical trials does not rule out the possibility of damage to offspring. Nor does it guarantee researchers or institutions freedom from legal liability. The (...)
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  16.  30
    Can Children Be Altruistic Research Subjects?Merle Spriggs - 2006 - American Journal of Bioethics 6 (5):49-50.
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  17. Book Reviews-Philosophy of Medicine and Bioethics: A Twenty-Year Retrospective and Critical Appraisal.Ronald A. Carson, Chester R. Burns & Merle Spriggs - 2000 - Bioethics 14 (2):175-177.
     
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  18.  1
    Telling the Truth to Child Cancer Patients in COVID-19 Times.Lynn Gillam, Merle Spriggs, Clare Delany, Rachael Conyers & Maria McCarthy - 2020 - Journal of Bioethical Inquiry 17 (4):797-801.
    A notable feature of the COVID-19 pandemic is that children are less at risk of becoming infected or, if infected, less likely to become seriously unwell, so ethical discussions have consequently focused on the adult healthcare setting. However, despite a lower risk of children becoming acutely ill with COVID-19, there nevertheless may be significant and potentially sustained effects of COVID-19 on the physical, psychological, and emotional health and well-being of children. Focusing on the context of children’s cancer care, and specifically (...)
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  19.  9
    A Cautionary Note on Anonymous Referrals for Clinical Ethics Case Consultations.Merle Spriggs & Lynn Gillam - 2015 - American Journal of Bioethics 15 (5):32-33.
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  20.  15
    Children, Biological Samples, and Broad Consent.Merle Spriggs & Craig Fry - 2015 - American Journal of Bioethics 15 (9):70-72.
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  21.  99
    Clarifying Ethical Responsibilities in Pediatric Biobanking.Merle Spriggs & Craig L. Fry - 2016 - Ajob Empirical Bioethics 7 (3):167-174.
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  22.  28
    Consent in Cyberspace: Internet-Based Research Involving Young People.Merle Spriggs - 2009 - Monash Bioethics Review 28 (4):32-1.
    Social networking sites such as MySpace and virtual communities such as on-line support groups can be a rich source of data for researchers. These sites can be an effective way of reaching and researching young people in order to address their particular health needs. Internet-based research is also potentially risky and exploitative. There is some guidance for conducting research online, but there are no detailed or universally accepted ethics guidelines for research of webspaces such as MySpace or virtual communities in (...)
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  23.  11
    Ethical Complexities in Child Co-Research.Merle Spriggs & Lynn Gillam - 2017 - Research Ethics 15 (1):1-16.
    Child co-research has become popular in social research involving children. This is attributed to the emphasis on children’s rights and is seen as a way to promote children’s agency and voice. It is a way of putting into practice the philosophy, common amongst childhood researchers, that children are experts on childhood. In this article, we discuss ethical complexities of involving children as co-researchers, beginning with an analysis of the literature, then drawing on data from interviews with researchers who conduct child (...)
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  24.  12
    Is Pragmatism Just an Apology for Unrestrained Science?Merle Spriggs - 2008 - American Journal of Bioethics 8 (4):39 – 41.
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  25.  21
    Justifying Pediatric Research Not Expected to Benefit Child Subjects.Merle Spriggs - 2012 - American Journal of Bioethics 12 (1):42 - 44.
    The American Journal of Bioethics, Volume 12, Issue 1, Page 42-44, January 2012.
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  26.  37
    The Ethics of Research on Less Expensive, Less Effective Interventions: A Case for Analysis. [REVIEW]Merle Spriggs - 2008 - Journal of Bioethical Inquiry 5 (4):295-302.
    The Kennedy Krieger lead paint study is a landmark case in human experimentation and a classic case in research ethics. In this paper I use the lead paint study to assist in the analysis of the ethics of research on less expensive, less effective interventions. I critically evaluate an argument by Buchanan and Miller who defend both the Kennedy Krieger lead paint study and public health research on less expensive, less effective interventions. I conclude that Buchanan and Miller’s argument is (...)
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  27.  12
    Enhancing Children’s Intelligence: Do the Means Matter Morally?Kara Woolley & Merle Spriggs - 2007 - Monash Bioethics Review 26 (1-2):79.
    This article deals with the prospect of genetically enhancing intelligence. We identify and contrast social attitudes to the use of future genetic technology with social attitudes for environmental methods of enhancing intelligence. Using various forms of the argument that the means by which enhancement is achieved has moral significance, we look for differences that could justify the different attitudes. We find that the different attitudes cannot be ethically justified. We predict that the lack of ethical justification for distinguishing between means (...)
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