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  1. Coercion in psychiatry: is it right to involuntarily treat inpatients with capacity?Harry Hudson - 2019 - Journal of Medical Ethics 45 (11):742-745.
    Psychiatric inpatients with capacity may be treated paternalistically under the Mental Health Act 1983. This violates bodily autonomy and causes potentially significant harm to health and moral status, both of which may be long-lasting. I suggest that such harms may extend to killing moral persons through the impact of psychotropic drugs on psychological connectedness. Unsurprisingly, existing legislation is overwhelmingly disliked by psychiatric inpatients, the majority of whom have capacity. I present four arguments for involuntary treatment: individual safety, public safety, authentic (...)
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  • Authority without identity: defending advance directives via posthumous rights over one’s body.Govind Persad - 2019 - Journal of Medical Ethics 45 (4):249-256.
    This paper takes a novel approach to the active bioethical debate over whether advance medical directives have moral authority in dementia cases. Many have assumed that advance directives would lack moral authority if dementia truly produced a complete discontinuity in personal identity, such that the predementia individual is a separate individual from the postdementia individual. I argue that even if dementia were to undermine personal identity, the continuity of the body and the predementia individual’s rights over that body can support (...)
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  • Why sex selection should be legal.David McCarthy - 2001 - Journal of Medical Ethics 27 (5):302-307.
    Reliable medically assisted sex selection which does not involve abortion or infanticide has recently become available, and has been used for non-medical reasons. This raises questions about the morality of sex selection for non-medical reasons. But reasonable people continue to disagree about the answers to these questions. So another set of questions is about what the law should be on medically assisted sex selection for non-medical reasons in the face of reasonable disagreement about the morality of sex selection. This paper (...)
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  • Infanticide and moral consistency.Jeff McMahan - 2013 - Journal of Medical Ethics 39 (5):273-280.
    The aim of this essay is to show that there are no easy options for those who are disturbed by the suggestion that infanticide may on occasion be morally permissible. The belief that infanticide is always wrong is doubtfully compatible with a range of widely shared moral beliefs that underlie various commonly accepted practices. Any set of beliefs about the morality of abortion, infanticide and the killing of animals that is internally consistent and even minimally credible will therefore unavoidably contain (...)
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  • Implant ethics.S. O. Hansson - 2005 - Journal of Medical Ethics 31 (9):519-525.
    Implant ethics is defined here as the study of ethical aspects of the lasting introduction of technological devices into the human body. Whereas technological implants relieve us of some of the ethical problems connected with transplantation, other difficulties arise that are in need of careful analysis. A systematic approach to implant ethics is proposed. The major specific problems are identified as those concerning end of life issues (turning off devices), enhancement of human capabilities beyond normal levels, mental changes and personal (...)
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  • Life-extending enhancements and the narrative approach to personal identity.Andrea Sauchelli - 2018 - Journal of Medical Ethics 44 (4):219-225.
    Various debates on the desirability and rationality of life-extending enhancements have been pursued under the presupposition that a generic psychological theory of personal identity is correct. I here discuss how the narrative approach to personal identity can contribute to these debates. In particular, I argue that two versions of the narrative approach offer good reasons to reject an argument against the rationality of life-extending enhancements.
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  • Just another reproductive technology? The ethics of human reproductive cloning as an experimental medical procedure.D. Elsner - 2006 - Journal of Medical Ethics 32 (10):596-600.
    Human reproductive cloning has not yet resulted in any live births. There has been widespread condemnation of the practice in both the scientific world and the public sphere, and many countries explicitly outlaw the practice. Concerns about the procedure range from uncertainties about its physical safety to questions about the psychological well-being of clones. Yet, key aspects such as the philosophical implications of harm to future entities and a comparison with established reproductive technologies such as in vitro fertilisation are often (...)
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  • Preimplantation HLA typing: having children to save our loved ones.K. Devolder - 2005 - Journal of Medical Ethics 31 (10):582-586.
    Next SectionPreimplantation tissue typing has been proposed as a method for creating a tissue matched child that can serve as a haematopoietic stem cell donor to save its sick sibling in need of a stem cell transplant. Despite recent promising results, many people have expressed their disapproval of this method. This paper addresses the main concerns of these critics: the risk of preimplantation genetic diagnosis (PGD) for the child to be born; the intention to have a donor child; the limits (...)
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  • Environmental ethics and intergenerational equity.Robin Attfield - 1998 - Inquiry: An Interdisciplinary Journal of Philosophy 41 (2):207 – 222.
    Possible environmental and related impacts of human activity are shown to include the extinction of humanity and other sentient species, excessive human numbers, and a deteriorating quality of life (I). I proceed to argue that neither future rights, nor Kantian respect for future people's autonomy, nor a contract between the generations supplies a plausible basis of obligations with regard to future generations. Obligations concern rather promoting the well-being of the members of future generations, whoever they may be, as well as (...)
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  • The best possible child.M. Parker - 2007 - Journal of Medical Ethics 33 (5):279-283.
    Julian Savulescu argues for two principles of reproductive ethics: reproductive autonomy and procreative beneficence, where the principle of procreative beneficence is conceptualised in terms of a duty to have the child, of the possible children that could be had, who will have the best opportunity of the best life. Were it to be accepted, this principle would have significant implications for the ethics of reproductive choice and, in particular, for the use of prenatal testing and other reproductive technologies for the (...)
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  • Is it in the best interests of an intellectually disabled infant to die?D. Wilkinson - 2006 - Journal of Medical Ethics 32 (8):454-459.
    One of the most contentious ethical issues in the neonatal intensive care unit is the withdrawal of life-sustaining treatment from infants who may otherwise survive. In practice, one of the most important factors influencing this decision is the prediction that the infant will be severely intellectually disabled. Most professional guidelines suggest that decisions should be made on the basis of the best interests of the infant. It is, however, not clear how intellectual disability affects those interests. Why should intellectual disability (...)
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  • Climate Change: Aristotelian Virtue Theory, the Aidōs Response and Proper Primility.John W. Voelpel - 2018 - Dissertation, University of South Florida
    Climate change is the first anthropogenic alteration of a global Earth system. It is globally catastrophic in terms of food production, sea level rise, fresh water availability, temperature elevation, ocean acidification, species disturbance and destruction to name just a few crisis concerns. In addition, while those changes are occurring now, they are amplifying over decadal periods and will last for centuries and possibly millennia. While there are a number of pollutants involved, carbon dioxide which results from the combustion of any (...)
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  • Golden opportunity, reasonable risk and personal responsibility for health.Julian Savulescu - 2017 - Journal of Medical Ethics 44 (1):59-61.
    In her excellent and comprehensive article, Friesen argues that utilising personal responsibility in healthcare is problematic in several ways: it is difficult to ascribe responsibility to behaviour; there is a risk of prejudice and bias in deciding which behaviours a person should be held responsible for; it may be ineffective at reducing health costs. In this short commentary, I will elaborate the critique of personal responsibility in health but suggest one way in which it could be used ethically. In doing (...)
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  • The ethics of using genetic engineering for sex selection.S. Matthew Liao - 2005 - Journal of Medical Ethics 31 (2):116-118.
    It is quite likely that parents will soon be able to use genetic engineering to select the sex of their child by directly manipulating the sex of an embryo. Some might think that this method would be a more ethical method of sex selection than present technologies such as preimplantation genetic diagnosis (PGD) because, unlike PGD, it does not need to create and destroy “wrong gendered” embryos. This paper argues that those who object to present technologies on the grounds that (...)
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  • Utilitarianism and Replaceability or Are Animals Expendable?Stefan Sencerz - 2011 - Between the Species 14 (1):5.
    In her very interesting paper, “Peter Singer on Expendability,” L. A. Kemmerer re-examines Peter Singer’s utilitarian argument implying that some being are replaceable and the implications of this argument for the issue of treating animals. I attempt to defend Singer, and more generally utilitarianism , against these objections. I argue that, given a utilitarian outlook, some animals are indeed replaceable. But I also argue that few animals are replaceable in practice.
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  • In praise of unprincipled ethics.J. Harris - 2003 - Journal of Medical Ethics 29 (5):303-306.
    In this paper a plea is made for an unprincipled approach to biomedical ethics, unprincipled of course just in the sense that the four principles are neither the start nor the end of the process of ethical reflection. While the four principles constitute a useful “checklist” approach to bioethics for those new to the field, and possibly for ethics committees without substantial ethical expertise approaching new problems, it is an approach which if followed by the bioethics community as a whole (...)
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  • Advance directives in psychiatric care: a narrative approach.G. Widdershoven - 2001 - Journal of Medical Ethics 27 (2):92-97.
    Advance directives for psychiatric care are the subject of debate in a number of Western societies. By using psychiatric advance directives , it would be possible for mentally ill persons who are competent and with their disease in remission, and who want timely intervention in case of future mental crisis, to give prior authorisation to treatment at a later time when they are incompetent, have become non-compliant, and are refusing care. Thus the devastating consequences of recurrent psychosis could be minimised.Ulysses (...)
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  • Do brain tissue transplants alter personal identity? Inadequacies of some "standard" arguments.G. Northoff - 1996 - Journal of Medical Ethics 22 (3):174-180.
    Currently, brain tissue transplantations are being developed as a clinical-therapeutic tool in neurodegenerative diseases such as Parkinson's or Alzheimer's disease. From an ethical point of view, distinguishing between the preservation and an alteration of personal identity seems to be central to determining the scope for further application of brain tissue transplantation therapy. The purpose of this article is to review "standard" arguments which are used on the one hand by proponents to prove preservation of personal identity and by opponents on (...)
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  • Advance directives for non-therapeutic dementia research: some ethical and policy considerations.R. L. Berghmans - 1998 - Journal of Medical Ethics 24 (1):32-37.
    This paper explores the use of advance directives in clinical dementia research. The focus is on advance consent to participation of demented patients in non-therapeutic research involving more than minimal risks and/or burdens. First, morally relevant differences between advance directives for treatment and care, and advance directives for dementia research are discussed. Then attention is paid to the philosophical issue of dementia and personal identity, and the implications for the moral authority of research advance directives. Thirdly, a number of practical (...)
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  • Respect for autonomy: deciding what is good for oneself.Brent Michael Kious - 2016 - Journal of Medical Ethics 42 (12):769-775.
    Paternalistic interference in autonomous decisions is typically impermissible. This has several explanations, among which is a view I call theagent-constitution of the good: that the autonomous agent not onlyknowswhat is best for herself, butdetermineswhat is best for herself through her desires, goals and so on (heraims). For instance, it might seem that if an autonomous person does choose not to take insulin for her diabetes, then not only is it inappropriate to force treatment upon her, it is also not in (...)
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