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  1. Short-Term Fasting Selectively Influences Impulsivity in Healthy Individuals.Maxine Howard, Jonathan P. Roiser, Sam J. Gilbert, Paul W. Burgess, Peter Dayan & Lucy Serpell - 2020 - Frontiers in Psychology 11.
    Previous research has shown that short-term fasting in healthy individuals is associated with changes in risky decision-making. The current experiment was designed to examine the influence of short-term fasting in healthy individuals on four types of impulsivity: reflection impulsivity, risky decision-making, delay aversion, and action inhibition. Participants were tested twice, once when fasted for 20 hours, and once when satiated. Participants demonstrated impaired action inhibition when fasted; committing significantly more errors of commission during a food-related Affective Shifting Task. Participants also (...)
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  • Recent Case Developments in Health Law.Brett Hartman, Faina Shalts & Caitlyn Ross - 2009 - Journal of Law, Medicine and Ethics 37 (2):380-388.
    In January 2009, the California Court of Appeal for the Fifth District held that an individual suffering from paranoid schizophrenia could be forcefed and medicated despite his refusal of consent. The patient was a prison inmate, who engaged in a hunger strike to protest imagined abuses by prison guards. The court, reconciling conflicting provisions of California law, upheld the appointment of a conservator to make treatment decisions because the patient could not participate in those decisions “by means of a rational (...)
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  • The land of no milk and no honey: force feeding in Israel.Zohar Lederman & Shmuel Lederman - 2017 - Monash Bioethics Review 34 (3-4):158-188.
    In 2015, the Israeli Knesset passed the force-feeding act that permits the director of the Israeli prison authority to appeal to the district court with a request to force-feed a prisoner against his expressed will. A recent position paper by top Israeli clinicians and bioethicists, published in Hebrew, advocates for force-feeding by medical professionals and presents several arguments that this would be appropriate. Here, we first posit three interrelated questions: 1. Do prisoners have a right to hunger-strike? 2. Should governing (...)
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  • Force-feeding political prisoners on hunger strike.Michael Weingarten - 2017 - Clinical Ethics 12 (2):86-94.
    A Palestinian administrative detainee in Israel asked for the author to care for him as an independent physician while in hospital on two hunger strikes, lasting 66 and 55 days, respectively. Hunger striking is placed in the context of other forms of food refusal and artificial feeding. The various perspectives on the challenge of the medical care of hunger strikers are reviewed, as seen by the state, the public, the doctor and the patient. Institutional statements on the management of hunger (...)
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  • Professional ethics in extreme circumstances: responsibilities of attending physicians and healthcare providers in hunger strikes.Nurbay Irmak - 2015 - Theoretical Medicine and Bioethics 36 (4):249-263.
    Hunger strikes potentially present a serious challenge for attending physicians. Though rare, in certain cases, a conflict can occur between the obligations of beneficence and autonomy. On the one hand, physicians have a duty to preserve life, which entails intervening in a hunger strike before the hunger striker loses his life. On the other hand, physicians’ duty to respect autonomy implies that attending physicians have to respect hunger strikers’ decisions to refuse nutrition. International medical guidelines state that physicians should follow (...)
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  • The Minnesota Starvation Experiment and Force Feeding of Prisoners—Relying on Unethical Research to Justify the Unjustifiable.Zohar Lederman & Teck Chuan Voo - 2021 - Journal of Bioethical Inquiry 18 (3):407-416.
    This article poses a response to one argument supporting the force feeding of political prisoners. This argument assumes that prisoners have moral autonomy and thus cannot be force fed in the early stages of their hunger strike. However, as their fasting progresses, their cognitive competence declines, and they are no longer autonomous. Since they are no longer autonomous, force feeding becomes justified. This article questions the recurrent citation of a paper in empirical support of the claim that hunger strike causes (...)
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  • Prisoners’ competence to die: hunger strike and cognitive competence.Zohar Lederman - 2018 - Theoretical Medicine and Bioethics 39 (4):321-334.
    Several bioethicists have recently advocated the force-feeding of prisoners, based on the assumption that prisoners have reduced or no autonomy. This assumed lack of autonomy follows from a decrease in cognitive competence, which, in turn, supposedly derives from imprisonment and/or being on hunger strike. In brief, causal links are made between imprisonment or voluntary total fasting and mental disorders and between mental disorders and lack of cognitive competence. I engage the bioethicists that support force-feeding by severing both of these causal (...)
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