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Bioethics: An Introduction to History, Methods, and Practice by Bioethics: An Introduction to the History, Methods, and Practice is one of the only texts to cover the history, methodology, and practice of bioethics. The text is broken into three sections. The first addresses the history of bioethics, explaining its emergence as discipline and discourse. The second looks carefully at ethical reasoning and the justification of moral beliefs, and the final section asks students to turn a critical eye to the topics of bioethics, including ethical issues that arise at the beginning and end of life. Bioethics is ideal for both graduate students and professional students in law, medicine, nursing or other health-related fields who will face bioethical issues in future careers.
Bioethics: A Systematic Approach by This book is the result of over 30 years of collaboration among its authors. It uses the systematic account of our common morality developed by one of its authors to provide a useful foundation for dealing with the moral problems and disputes that occur in the practice of medicine. Theanalyses of impartiality, rationality, and of morality as a public system not only explain why some bioethical questions, such as the moral acceptability of abortion, cannot be resolved, but also provide a method for determining the correct answer for those occasions when a bioethical question hasa unique correct answer. This new edition includes an entire chapter that has been added to address the controversial issue of abortion within the authors' distinct framework.This book presents the latest revisions of the authors' original analyses of the concepts of death and disease, analyses that have had a significant impact on the field of bioethics. It also includes an added chapter on mental disorders, where the authors' definition influenced what psychiatryclassifies as a mental disorder, and so has had an impact that reveals beyond the field of bioethics.In this edition, the authors also offer a new, more developed perspective on the concept of valid or informed consent by considering what information physicians should be required to know before proposing screening, diagnostic testing, prescribing medications, or performing surgery. The book alsointegrates some of the important insights of the field of clinical epidemiology into its discussion of valid consent. Its account of paternalism and its justification, perhaps the most ubiquitous moral problem in medical ethics, has had considerable influence. Its discussion of euthanasia andphysician assisted suicide challenges the standard views that have been put forward by both proponents and opponents of physician assisted suicide and voluntary active euthanasia.
Bioethics As Practice by Those who work in bioethics and the medical humanities come from many different backgrounds, such as health care, philosophy, law, the social sciences, and religious studies. The work they do also varies widely: consulting on ethical issues in patient care, working with legislatures, dealing with the media, teaching, speaking, writing and more. Writing as a participant in this developing field, Judith Andre offers a model to unify its diversity. Using the term "bioethics" broadly, to include all the medical humanities, she articulates ideals for the field, identifies its temptations and moral pitfalls, and argues for the central importance of certain virtues. Perhaps the most original of these is the virtue of choosing projects well, which demands not only broadening the field's focus but also understanding the forces that have kept it too narrow. Andre offers an imaginative analysis of the special problems presented by interdisciplinary work and discusses the intellectual virtues necessary for its success. She calls attention to the kinds of professional communities that are necessary to support good work. The book draws from interviews with many people in the field and from the findings of social scientists. It includes the author's personal reflections, several extended allegories, and philosophical analysis.
Biomedical Ethics: A Multidisciplinary Approach to Moral Issues in Medicine and Biology by Today's complex set of moral issues involving medical research, health care, and the biological sciences can best be understood through the diverse perspectives of healthcare-providers, scientists, and others who have a vital stake in the field. Culled from the pages of the groundbreaking journal, Lahey Clinic Medical Ethics, this book offers students, healthcare professionals, and the general public insights into key ethical concepts and their practical applications through the writings of physicians, philosophers, theologians, nurses, humanists, anthropologists, psychologists, historians, policy experts, lawyers, and others.The collection includes introductory articles by the editor, Dr. David Steinberg, that put into context the contributions by such noted experts as Jerome Kagan, Laurie Zoloth, Stuart Youngner, Daniel Callahan, Albert Jonson, George Annas, Dan Brock, Bernard Gert, Daniel Dennett, Peter Singer, Alexander Morgan Capron, and Robert Veatch. The volume includes discussions of bioethical challenges in the clinical arena; ethical challenges associated with advances in biotechnology, genetics, and reproductive medicine; legal perspectives; physician-assisted suicide and euthanasia; health policy and distributive justice; the experience of illness, and many more critical issues. Commentary on such issues from a broad range of perspectives-including debates among proponents of clashing viewpoints-adds to the book's richness, texture, and depth.Biomedical Ethics is an essential volume for professional schools of medicine, law, nursing, medical technology, social work, and healthcare administration, and it is an excellent supplemental text for ethics courses in philosophy, religion, sociology, and public policy.
A Companion to Bioethics by This second edition of A Companion to Bioethics, fully revised and updated to reflect the current issues and developments in the field, covers all the material that the reader needs to thoroughly grasp the ideas and debates involved in bioethics. Thematically organized around an unparalleled range of issues, including discussion of the moral status of embryos and fetuses, new genetics, life and death, resource allocation, organ donations, AIDS, human and animal experimentation, health care, and teaching Now includes new essays on currently controversial topics such as cloning and genetic enhancement Topics are clearly and compellingly presented by internationally renowned bioethicists A detailed index allows the reader to find terms and topics not listed in the titles of the essays themselves
Ethics: The Heart of Health Care by Ethics: The Heart of Health Care -- a classic ethics text in medical, health and nursing studies -- is recommended around the globe for its straightforward introduction to ethical analysis. In this Third Edition David Seedhouse again demonstrates tangibly and graphically how ethics and health care are inextricably bound together, and creates a firm theoretical basis for practical decision-making. He not only clarifies ethics but, with the aid of the acclaimed Ethical Grid, teaches an essential practical skill which can be productively applied in day-to-day health care. Completely revised and updated, this Third Edition presents an expanded theory of ethics section, and includes comprehensive and contemporary examples and case studies. Newly covered are introductions to rights in health care ethics, the ethics of care, intuitionism, privacy, euthanasia, suicide and consent, and an extensive FAQ section is added.
The Future of Bioethics by Bioethics, born in the 1960s and 1970s, has achieved great success, but also has experienced recent growing pains, as illustrated by the case of Terri Schiavo. In The Future of Bioethics, Howard Brody, a physician and scholar who dates his entry into the field in 1972, sifts through the various issues that bioethics is now addressing--and some that it is largely ignoring--to chart a course for the future. Traditional bioethical concerns such as medical care at the end of life and research on human subjects will continue to demand attention. Brody chooses to focus instead on less obvious issues that will promise to stimulate new ways of thinking. He argues for a bioethics grounded in interdisciplinary medical humanities, including literature, history, religion, and the social sciences.Drawing on his previous work, Brody argues that most of the issues concerned involve power disparities. Bioethics' response ought to combine new concepts that take power relationships seriously, with new practical activities that give those now lacking power a greater voice. A chapter on community dialogue outlines a role for the general public in bioethics deliberations. Lessons about power initially learned from feminist bioethics need to be expanded into new areas--cross cultural, racial and ethnic, and global and environmental issues, as well as the concerns of persons with disabilities. Bioethics has neglected important ethical controversies that are most often discussed in primary care, such as patient-centered care, evidence-based medicine, and pay-for-performance.Brody concludes by considering the tension between bioethics as contemplative scholarship and bioethics as activism. He urges a more activist approach, insisting that activism need not cause a premature end to ongoing conversations among bioethicists defending widely divergent views and thcories.
A Handbook of Bioethics Terms by The term bioethics was first used in the early 1970s by biologists who were concerned about ethical implications of genetic and ecological interventions, but was soon applied to all aspects of biomedical ethics, including health care delivery, research, and public policy. Its literature draws from disciplines as varied as clinical medicine and nursing, scientific research, theology and philosophy, law, and the social sciences--each with its own distinctive vocabulary and expressions. A Handbook of Bioethics Terms is a handy and concise glossary-style reference featuring over 400 entries on the significant terms, expressions, titles, and court cases that are most important to the field. Most entries are cross-referenced, making this handbook a valuable addition to the bookshelves of undergraduate and graduate students in health care ethics, physicians and nurses, members of institutional ethics committees and review boards, and others interested in bioethics. A sampling of terms from the handbook: AbortionDNR (Do Not Resuscitate)Eugenics Gene therapy Living will Natural lawPrimum non nocere Single-payer systemSurrogate consent Schiavo case Sample Definitions: Formalism: In ethical theory, a type of deontology in which an action is judged to be right if it is in accord with a moral rule, and wrong if it violates a moral rule. Xenograft: Organ or tissue transplanted from one individual to another individual of another species. (See Transplantation, organ and tissue)
The Hippocratic Oath and the Ethics of Medicine by This engaging book examines what the Hippocratic Oath meant to Greek physicians 2400 years ago and reflects on its relevance to medical ethics today. Drawing on the writings of ancient physicians, Greek playwrights, and modern scholars, each chapter explores one of its passages and concludes with a modern case discussion. The Oath proposes principles governing the relationship between the physician and society and patients. It rules out the use of poison and a hazardous abortive technique. It defines integrity and discretion in physicians' speech. The ancient Greek medical works written during the same period as the Oath reveal that Greek physicians understood that they had a duty to avoid medical errors and learn from bad outcomes. These works showed how and why to tell patients about their diseases and dire prognoses in order to develop a partnership for healing and to build the credibility of the profession. Miles uses these writings to illuminate the meaning of the Oath in its day and in so doing shows how and why it remains a valuable guide to the ethical practice of medicine. This is a book for anyone who loves medicine and is concerned about the ethics and history of this profession.
Medical Law and Ethics by Exceptional in the clarity of its explanations, Medical Law and Ethics not only provides coverage of all the important cases, statutes and legal principles but also looks at different ethical viewpoints, including feminist, religious, critical and sociological. Readers are therefore given afirm grounding in the legal principles of medical law, whilst also being encouraged to understand and think about the tensions and debates within its wider social context.In this second edition, boxed features place more emphasis on EU perspectives, and further information on 'hot topics' such as medical genetics and prenatal intelligence, PGD and tissue typing is provided. Detailed and analytical enough for both undergraduate and postgraduate law students, and clearenough to be used by students approaching the subject from a non-legal background, this book gives a user-friendly and thorough introduction to medical law and ethics.Key featuresBoxes throughout the text highlight different ethical viewpoints, EU perspectives, key cases and real-life examples of the law in action.Each chapter ends with a clear summary of the present lawFurther reading lists and end-of-chapter questions help students to further their studies and test their knowledge.Online Resource CentreAccompanied by an Online Resource Centre providing regular updates to the law and weblinks.
The Oxford Handbook of Bioethics by Bonnie Steinbock presents The Oxford Handbook of Bioethics --an authoritative, state-of-the-art guide to current issues in bioethics. Thirty-four contributors reflect the interdisciplinarity that is characteristic of bioethics, and its increasingly international character. Thirty topics are covered in original essays written by some of the world's leading figures in the field, as well as by some newer "up-and-comers." The essays address both perennial issues, such as the methodology of bioethics, autonomy, justice, death, and moral status, and newer issues, such as biobanking, stem cell research, cloning, pharmacogenomics, and bioterrorism. Other topics concern mental illness and moral agency, the rule of double effect, justice and the elderly, the definition of death, organ transplantation, feminist approaches to commodification of the body, life extension, advance directives, physician-assisted death, abortion, genetic research, population screening, enhancement, research ethics, and the implications of public and global health for bioethics. Anyone who wants to know how the central debates in bioethics have developed in recent years, and where the debates are going, will want to consult this book. It will be an invaluable resource not only for scholars and graduate students in bioethics, but also for those in philosophy, medicine, law, theology, social science, public policy, and public health who wish to keep abreast of developments in bioethics.
The Penn Center Guide to Bioethics by Named an Outstanding Academic Title for 2009 byChoice A] set of almost 70 essays, all well informed and many with attitude. Harold Shapiro, PhD Professor Emeritus and Professor of Economics and Public Affairs Princeton University, Former Chair, National Bioethics Advisory Board This most noteworthy and authoritative collection of 67 essays...represents 'the Penn way of doing bioethics' ....The Penn Center is widely known for multidisciplinary scholarship that emphasizes empirical inquiry on bioethical issues coupled with practical application(s)....The book provides excellent coverage of...both classical topics (e.g., informed consent, infertility, eugenics) and emerging issues (e.g., cloning, nonprofessional caregiving, privacy of thought in the age of brain imaging). The contributors, including the three editors, are either well-established or emerging scholars. Each essay offers historical background, an overview of relevant issues, a conclusion, and a list of references....Summing Up: Highly recommended."--Choice: Current Reviews for Academic Libraries This well-written book addresses a wide-ranging assortment of traditional bioethics issues that persist in the field as well as contemporary bioethics concerns that have evolved with new technologies and medical advances. This is a great resource for scholars in bioethics as well as various other relevant disciplines concerned with bioethical issues." Score: 96, 4 stars--Doody's Medical Reviews The Center for Bioethics at the University of Pennsylvania is the internationally recognized leader in bioethical education and research. Its interdisciplinary faculty is drawn from the fields of medicine, law, nursing, education, philosophy, psychology, and religious studies. Arthur L. Caplan, the Center's founding director, is recognized as one of the most influential experts in bioethics. He has authored numerous books and articles, and served as the Chair of the Advisory Committee to the United Nations on human cloning. The Penn Center's leading fellows, Autumn Fiester and Vardit Ravitsky, have combined their expertise with Dr. Caplan and over 80 other contributors to create The Penn Center Guide to Bioethics--the foremost authority on both traditional and cutting-edge bioethical issues. The Penn Guide navigates uncharted ethical terrains, undoubtedly shaping both academic and public discourses on the challenging controversies generated by new technologies, theories, and medical advances. This volume represents the Penn Center's distinct, pioneering approach to bioethics, one that emphasizes empirical treatment of bioethical issues, and the integration of bioethical scholarship with practical application. Learn what the Penn Center has to say about: Neuroethics and brain imaging: Is my mind mine? Choosing future people: reproductive technologies and identity Eugenics and survival of the fittest in the modern world Bioethics and national security Vaccination, abortion, nanotechnology, organ transplantation, end-of-life issues, and more The Penn Guide will be the definitive text for policy makers, health practitioners, researchers, and students. This book will also inform the general public, patients, and family members as they seek answers to the bioethical issues of the day."
Principles of Biomedical Ethics by Building on the best-selling tradition of previous editions, Principles of Biomedical Ethics, Seventh Edition, provides a highly original, practical, and insightful guide to morality in the health professions. Acclaimed authors Tom L. Beauchamp and James F. Childress thoroughly develop andadvocate for four principles that lie at the core of moral reasoning in health care: respect for autonomy, nonmaleficence, beneficence, and justice. Drawing from contemporary research--and integrating detailed case studies and vivid real-life examples and scenarios--they demonstrate how these primafacie principles can be expanded to apply to various conflicts and dilemmas, from how to deliver bad news to whether or not to withhold or withdraw life-sustaining treatments.Illuminating both theory and method throughout, Principles of Biomedical Ethics, Seventh Edition, considers what constitutes moral character and addresses the problem of moral status: what rights are due to people and animals, and when. It also examines the professional-patient relationship,surveys major philosophical theories--including utilitarianism, Kantianism, rights theory, and virtue theory--and describes methods of moral justification in bioethics. Ideal for courses in biomedical ethics, bioethics, and health care ethics, the text is enhanced by hundreds of annotated citationsand a substantial introduction that clarifies key terms and concepts.
Readings on Ethical and Social Issues in Biomedicine by 
A Short History of Medical Ethics by A physician says, "I have an ethical obligation never to cause the death of a patient," another responds, "My ethical obligation is to relieve pain even if the patient dies." The current argument over the role of physicians in assisting patients to die constantly refers to the ethical dutiesof the profession. References to the Hippocratic Oath are often heard. Many modern problems, from assisted suicide to accessible health care, raise questions about the traditional ethics of medicine and the medical profession. However, few know what the traditional ethics are and how they came intobeing. This book provides a brief tour of the complex story of medical ethics evolved over centuries in both Western and Eastern culture. It sets this story in the social and cultural contexts in which the work of healing was practiced and suggests that, behind the many different perceptions aboutthe ethical duties of physicians, certain themes appear constantly, and may be relevant to modern debates. The book begins with the Hippocratic medicine of ancient Greece, moves through the Middle Ages, Renaissance and Enlightenment in Europe, and the long history of Indian 7nd Chinese medicine,ending as the problems raised modern medical science and technology challenge the settled ethics of the long tradition.
Ethics, Computing, and Medicine: Informatics and the Transformation of Health Care (1998) by Framework for Addressing Ethical Dimensions of Emerging and Innovative Biomedical Technologies: A Synthesis of Relevant National Academies Reports by 
Mitochondrial Replacement Techniques: Ethical, Social, and Policy Considerations by Mitochondrial replacement techniques (MRTs) are designed to prevent the transmission of mitochondrial DNA (mtDNA) diseases from mother to child. While MRTs, if effective, could satisfy a desire of women seeking to have a genetically related child without the risk of passing on mtDNA disease, the technique raises significant ethical and social issues. It would create offspring who have genetic material from two women, something never sanctioned in humans, and would create mitochondrial changes that could be heritable (in female offspring), and therefore passed on in perpetuity. The manipulation would be performed on eggs or embryos, would affect every cell of the resulting individual, and once carried out this genetic manipulation is not reversible. Mitochondrial Replacement Techniques considers the implications of manipulating mitochondrial content both in children born to women as a result of participating in these studies and in descendants of any female offspring. This study examines the ethical and social issues related to MRTs, outlines principles that would provide a framework and foundation for oversight of MRTs, and develops recommendations to inform the Food and Drug Administration (TM)s consideration of investigational new drug applications.
Feminist Approaches to Bioethics: Theoretical Reflections and Practical Applications by No other cluster of medical issues affects the genders as differently as those related to procreation--contraception, sterilization, abortion, artificial insemination, in-vitro fertilization, surrogate motherhood, and genetic screening. Yet the moral diversity among feminists has led to political fragmentation, foiling efforts to create policies that are likely to serve the interests of the largest possible number of women. In this remarkable book, Rosemarie Tong offers an approach to feminist bioethics that serves as a catalyst, bringing together varied perspectives on choice, control, and connection. Emphasizing the complexity of feminist debates, she guides feminists toward consensus in thought, cooperation in action, and a world that would have no room for domination and subordination. Tong fairly and comprehensively presents the traditions of both feminist and nonfeminist ethics and bioethics. Although feminist approaches to bioethics derive many insights from nonfeminist ethics and bioethics, Tong shows that their primary source of inspiration is feminist ethics, leading feminist bioethicists to ask the so-called woman question in order to raise women's consciousness about the systems, structures, and relationships that oppress them. Feminist bioethicists are, naturally, committed to acting locally in the worlds of medicine and science. But their different feminist voices must also be raised at the policy table in order to make gender equity a present reality rather than a mere future possibility. Inability to define a plan that guarantees liberation for all women must not prevent feminists from offering a plan that promises to improve the welfare of many women. Otherwise, a perspective less appealing to women may fill the gap.
Feminist Bioethics: At the Center, On the Margins by This volume considers the place of feminist bioethics within the broader international bioethics community. Since its emergence two decades ago, the feminist perspective on bioethics has existed at the periphery of the discipline's mainstream. Concerns over reproduction and women's health issues--along with the concept that prevailing bioethical thought was fundamentally gendered--were largely subsumed by such overarching issues as the protection of research subjects and by theoretical and methodological frameworks derived from Kantian philosophy and practice-oriented principalism. Now feminist bioethics belongs to both the mainstream and the margins. The essays collected here explore the relation of feminist bioethics to mainstream bioethical thought and practice. The first section looks at the current trajectory of feminist bioethics, its contributions to the mainstream, and how different types of feminism can inform and strengthen feminist bioethics. In the second section, contributors address autonomy, universalism, and trust to probe how feminist perspectives have altered bioethical theory. The third section examines such challenging issues as cancer genetics, childbirth, rape, and prenatal selection to demonstrate the effect of feminist bioethics on mainstream methodology. Contributors to the fourth section reflect on the relationship between feminist bioethical thought and the viewpoints of racial, ethnic, and cultural minorities, including people with disabilities. Philosophically grounded, methodologically sound, and theoretically rigorous, this paradigm-challenging collection ponders the most dynamic areas of feminist inquiry into bioethical thought and practice and sketches future directions for this rapidly growing field.
Globalizing Feminist Bioethics: Crosscultural Perspectives by Globalizing Feminist Bioethics is a collection of new essays on the topic of international bioethics that developed out of the Third World Congress of the International Association of Bioethics in 1996. Rosemarie Tong is the primary editor of this collection, in which she, Gwen Anderson, and Aida Santos look at such international issues as female genital cutting, fatal daughter syndrome, use of reproductive technologies, male responsibility, pediatrics, breast cancer, pregnancy, and drug testing.
African American Bioethics: Culture, Race, and Identity by Do people of differing ethnicities, cultures, and races view medicine and bioethics differently? And, if they do, should they? Are doctors and researchers taking environmental perspectives into account when dealing with patients? If so, is it done effectively and properly? In African American Bioethics, Lawrence J. Prograis Jr. and Edmund D. Pellegrino bring together medical practitioners, researchers, and theorists to assess one fundamental question: Is there a distinctive African American bioethics? The book's contributors resoundingly answer yes-yet their responses vary. They discuss the continuing African American experience with bioethics in the context of religion and tradition, work, health, and U.S. society at large-finding enough commonality to craft a deep and compelling case for locating a black bioethical framework within the broader practice, yet recognizing profound nuances within that framework. As a more recent addition to the study of bioethics, cultural considerations have been playing catch-up for nearly two decades. African American Bioethics does much to advance the field by exploring how medicine and ethics accommodate differing cultural and racial norms, suggesting profound implications for growing minority groups in the United States.
Bioethics--Asian Perspectives: A Quest for Moral Diversity by This is the first volume on bioethics all contributors of which are exclusively non-western scholars. The book unfolds a rich and colorful picture and addresses thorny bioethical issues from comprehensive Asian perspectives and different from the western paradigm of bioethics. It is of interest to senior undergraduate and graduate students, philosophers, physicians, scholars of Asian and culture studies, geneticists, sinologists, medical anthropologists, health administrators, and health officials.
Bioethics in a European Perspective by This book gives an overview of the most salient themes in present-day bioethics. The book focuses on perspectives typical for the European context. This highlights not only particular bioethical themes such as social justice, choices in health care, and health policy (e.g., in post-communist countries), it also emphasizes specific approaches in ethical theory, in relation to Continental philosophies such as phenomenology and hermeneutics.
A Cross-Cultural Dialogue on Health Care Ethics by The ethical theories employed in health care today assume, in the main, a modern Western philosophical framework. Yet the diversity of cultural and religious assumptions regarding human nature, health and illness, life and death, and the status of the individual suggest that a cross-cultural study of health care ethics is needed. A Cross-Cultural Dialogue on Health Care Ethics provides this study. It shows that ethical questions can be resolved by examining the ethical principles present in each culture, critically assessing each value, and identifying common values found within all traditions, It encourages the development of global awareness and sensitivity to and respect for the diversity of peoples and their values and will advance understanding as well as help to foster a greater balance and a fuller truth in consideration of the human condition and what makes for health and wholeness.
Cross-Cultural Perspectives in Medical Ethics by Adding African and African-American perspectives to update the 1989 edition, 43 readings (1803-1998) explore the medical ethics of major Western and Eastern religious, philosophical, and legal traditions. Several point out how the Hippocratic Oath influenced other ethics, yet conflicts with the Jude
Ethics Culture and Psychiatry: International Perspectives by Ethics, Culture, and Psychiatry: International Perspectives is a textbook that explores the best ways to promote the use of the Declaration of Madrid, which outlines ethical standards for psychiatric practice throughout the world. The book is written with two questions in mind, both easy to pose and difficult to answer: * Is it possible to formulate a set of principles that will be valid for all psychiatrists, regardless of the cultures to which they belong or in which they live and practice, or are there as many sets of ethical principles as there are cultures?* If there is such a set of principles, what should we do to ensure that psychiatry as a discipline makes a significant contribution to societal good without helping the evil? To facilitate the exploration of this territory, 15 experts from a variety of cultures examine the most pressing ethical issues prevalent within the current practice of psychiatry. Many of the dilemmas probed in this book are routinely encountered by clinicians who work in increasingly multicultural societies. The text covers issues that are broadly relevant to clinical practice and research, including: * An overview of ethics and societies around the world* Discussions of ethical practices and dilemmas specific to various cultural regions* Transcultural debate on overarching issues, such as incompetent patients, informed consent, and mental health law reform* The complete copy of The Declaration of Madrid printed in the appendix Readers will find that this is a textbook that stimulates and supports, rather than closes, the debate on ethical aspects of professional psychiatric behavior. Ethics, Culture, and Psychiatry: International Perspectives is much more than just a book on ethics - it is a major contribution to understanding the impact of culture and history on the ethical practice of medicine around the world, and a continuous search for a consensus on how to live together and make contributions to the well-being of people with mental illness, their families, and the family of humans on our planet.
Japanese and Western Bioethics: Studies in Moral Diversity by The editors of the Philosophy and Medicine series recognize with grat itude the foresight, understanding, hard labor, and patience of Prof. Kazumasa Hoshino. It is his perseverance that has made this volume a reality. It was his faith in ideas that brought together a cluster of scholars in Tokyo on September 2-4, 1994, at Sophia University for a U. S. -J apan Bioethics Congress. With the support of the Foundation for Advance ment of International Science, the Japan Foundation Center for Global Partnership, the Foundation of Thanatology, the Japanese Center for Quality of Life Studies, and Sophia University, scholars from Canada, Germany, Japan, and the United States were able to explore the differ ences and similarities in their approaches to bioethics and health care policy. That conference first produced a volume through Shibunkaku Publishers of Kyoto that appeared in 1995 in J apanese: The Dignity of Death, edited by Kazumasa Hoshino. Selections from those materials have been reworked for an English audience and now appear, along with new essays, in this volume. The field of comparative bioethics is only in its infancy. We are deeply grateful to Prof. Kazumasa Hoshino, one of the fathers of J apanese bioethics, for having made this volume possible. H. Tristram Engelhardt, Jr. Stuart F. Spicker Vll ACKNOWLEDGEMENTS This volume's editors and Kluwer Academic Publishers wish to thank Shibunkaku Press, Kyoto, Japan, for permission to publish, without charge, essays derived from the U. S.
Private Bodies, Public Texts: Race, Gender, and a Cultural Bioethics by In Private Bodies, Public Texts, Karla FC Holloway examines instances where medical issues and information that would usually be seen as intimate, private matters are forced into the public sphere. As she demonstrates, the resulting social dramas often play out on the bodies of women and African Americans. Holloway discusses the spectacle of the Terri Schiavo right-to-die case and the injustice of medical researchers' use of Henrietta Lacks's cell line without her or her family's knowledge or permission. She offers a provocative reading of the Tuskegee syphilis study and a haunting account of the ethical dilemmas that confronted physicians, patients, and families when a hospital became a space for dying rather than healing during Hurricane Katrina; even at that dire moment, race mattered. Private Bodies, Public Texts is a compelling call for a cultural bioethics that attends to the historical and social factors that render some populations more vulnerable than others in medical and legal contexts. Holloway proposes literature as a conceptual anchor for discussions of race, gender, bioethics, and the right to privacy. Literary narratives can accommodate thick description, multiple subjectivities, contradiction, and complexity.
Three Patients: International Perspectives on Intensive Care at the End of Life by This volume explores how the scarce resources of intensive care units should be distributed. Three hypothetical patients, each with a different chance of survival, desire intensive care. A multinational panel of experienced critical care physicians offers assessments of the patients' conditions and outlines approaches to treatment. These approaches are then examined by academic medical experts and a medical ethicist, as well as from a legal perspective. The result is a well-rounded and introspective look at care for critically ill patients at or near the end of life.
Bioethics and Disability: Toward a Disability-Conscious Bioethics by Bioethics and Disability provides tools for understanding the concerns, fears and biases that have convinced some people with disabilities that the health care setting is a dangerous place and some bioethicists that disability activists have nothing to offer bioethics. It wrestles with the charge that bioethics as a discipline devalues the lives of persons with disabilities, arguing that reconciling the competing concerns of the disability community and the autonomy-based approach of mainstream bioethics is not only possible, but essential for a bioethics committed to facilitating good medical decision making and promoting respect for all persons, regardless of ability. Through in-depth case studies involving newborns, children and adults with disabilities, it proposes a new model for medical decision making that is both sensitive to and sensible about the fact of disability in medical cases.
Disability, Difference, Discrimination: Perspectives on Justice in Bioethics and Public Policy by How should we respond to individuals with disabilities? What does it mean to be disabled, and is a disabled person necessarily less independent and less competent than a person who is not disabled? Is a life with a disability a life worth living? In this compelling book, three experts on disability issues, ethics, and the law address several pressing issues in bioethics, including the prospect of genetic discrimination, heroic treatment of seriously impaired neonates, and whether severely impaired competent individuals should be permitted or assisted to die. Anita Silvers, David Wasserman, and Mary Mahowald bring important philosophical theories to bear on subjects of concern in a wide variety of disciplines dealing with disability, and they do so in the context of the groundbreaking Americans With Disabilities Act. Disability, Difference, Discrimination will be of great interest to the legal, philosophical, and medical communities engaged in ongoing debates about the disabled.
Global Justice and Bioethics by Despite the massive scale of global inequalities, until recently few political philosophers or bioethicists addressed their ethical implications. Questions of justice were thought to be primarily internal to the nation state. Over the last decade or so, there has been an explosion of interest in the philosophical issues surrounding global justice. These issues are of direct relevance to bioethics. The links between poverty and health imply that we cannot separate questions of global health from questions about fair distribution of global resources and the institutions governing the world order. Similarly, as increasing numbers of medical trials are conducted in the developing world, researchers and their sponsors have to confront the special problems of doing research in an unjust world, with corresponding obligations to correct injustice and avoid exploitation.This book presents a collection of original essays by leading thinkers in political theory, philosophy, and bioethics. They address the key issues concerning global justice and bioethics from two perspectives. The first is ideal theory, which is concerned with the social institutions that would regulate a just world. What is the relationship between human rights and the provision of health care? How, if at all, should a global order distinguish between obligations to compatriots and others? The second perspective is from non-ideal theory, which governs how people should behave in the unjust world in which we actually find ourselves. What sort of medical care should actual researchers working in impoverished countries offer their subjects? What should NGOs do in the face of cultural practices with which they deem unethical? If coordinated international action will not happen, what ought individual states to do?These questions have more than theoretical interest; their answers are of direct practical import for policymakers, researchers, advocates, NGOs, scholars, and others. This book is the first collection to comprehensively address the intersection of global justice and bioethical dilemmas.