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  Subjects -> PHILOSOPHY (Total: 762 journals)
Showing 1 - 135 of 135 Journals sorted by number of followers
Philosophical Review     Full-text available via subscription   (Followers: 70)
Ethics     Full-text available via subscription   (Followers: 69)
European Journal of Philosophy     Hybrid Journal   (Followers: 66)
Journal of Political Philosophy     Hybrid Journal   (Followers: 65)
Mind     Hybrid Journal   (Followers: 62)
Australasian Journal of Philosophy     Hybrid Journal   (Followers: 57)
Philosophy & Public Affairs     Hybrid Journal   (Followers: 57)
Contemporary Political Theory     Hybrid Journal   (Followers: 52)
Nous     Hybrid Journal   (Followers: 51)
International Journal for Philosophy of Religion     Hybrid Journal   (Followers: 51)
Philosophical Quarterly     Hybrid Journal   (Followers: 46)
Journal of the History of Philosophy     Full-text available via subscription   (Followers: 46)
Journal of Applied Philosophy     Hybrid Journal   (Followers: 43)
American Journal of Theology & Philosophy     Full-text available via subscription   (Followers: 41)
British Journal for the History of Philosophy     Hybrid Journal   (Followers: 41)
British Journal for the Philosophy of Science     Hybrid Journal   (Followers: 40)
Analysis     Hybrid Journal   (Followers: 36)
Journal of Moral Philosophy     Hybrid Journal   (Followers: 36)
Philosophy and Phenomenological Research     Hybrid Journal   (Followers: 35)
Philosophy of Science     Full-text available via subscription   (Followers: 33)
Journal of Medical Ethics     Partially Free   (Followers: 32)
Erkenntnis     Hybrid Journal   (Followers: 30)
Philosophy and Literature     Full-text available via subscription   (Followers: 30)
Journal of Social Philosophy     Hybrid Journal   (Followers: 27)
Inquiry : An Interdisciplinary Journal of Philosophy     Hybrid Journal   (Followers: 27)
Journal of Ethics & Social Philosophy     Open Access   (Followers: 27)
Constellations     Hybrid Journal   (Followers: 26)
Canadian Journal of Philosophy     Full-text available via subscription   (Followers: 25)
Continental Philosophy Review     Partially Free   (Followers: 25)
Social Philosophy and Policy     Full-text available via subscription   (Followers: 25)
Ethical Theory and Moral Practice     Hybrid Journal   (Followers: 24)
Journal of Law, Medicine & Ethics     Hybrid Journal   (Followers: 23)
Philosophy & Social Criticism     Hybrid Journal   (Followers: 22)
Philosophical Studies     Hybrid Journal   (Followers: 22)
Linguistics and Philosophy     Hybrid Journal   (Followers: 22)
British Journal of Aesthetics     Hybrid Journal   (Followers: 22)
The Heythrop Journal     Hybrid Journal   (Followers: 21)
Philosophy and Rhetoric     Full-text available via subscription   (Followers: 20)
Philosophy Compass     Hybrid Journal   (Followers: 19)
BMC Medical Ethics     Open Access   (Followers: 19)
Biology and Philosophy     Hybrid Journal   (Followers: 18)
Journal of Medical Ethics and History of Medicine     Open Access   (Followers: 18)
Philosophers' Imprint     Open Access   (Followers: 17)
Philosophy     Full-text available via subscription   (Followers: 17)
Jurisprudence     Hybrid Journal   (Followers: 17)
Assuming Gender     Open Access   (Followers: 16)
Mouseion: Journal of the Classical Association of Canada     Full-text available via subscription   (Followers: 16)
Pragmatics & Cognition     Hybrid Journal   (Followers: 16)
International Studies in the Philosophy of Science     Hybrid Journal   (Followers: 15)
Journal of the Philosophy of History     Hybrid Journal   (Followers: 15)
Bioethics Research Notes     Full-text available via subscription   (Followers: 15)
Philosophy East and West     Full-text available via subscription   (Followers: 15)
Journal of Media Ethics : Exploring Questions of Media Morality     Hybrid Journal   (Followers: 14)
Episteme     Hybrid Journal   (Followers: 14)
Midwest Studies In Philosophy     Hybrid Journal   (Followers: 14)
Review of Philosophy and Psychology     Hybrid Journal   (Followers: 13)
Social Epistemology: A Journal of Knowledge, Culture and Policy     Hybrid Journal   (Followers: 13)
Phronesis : A journal for Ancient Philosophy     Hybrid Journal   (Followers: 13)
Philosophy & Technology     Hybrid Journal   (Followers: 13)
Ethical Perspectives     Full-text available via subscription   (Followers: 12)
Pragmatics and Society     Hybrid Journal   (Followers: 12)
Reformed Theological Review, The     Full-text available via subscription   (Followers: 12)
Journal of Global Ethics     Hybrid Journal   (Followers: 12)
Utilitas     Hybrid Journal   (Followers: 11)
Philosophy of Photography     Hybrid Journal   (Followers: 11)
Open Journal of Philosophy     Open Access   (Followers: 11)
Philosophy, Psychiatry, & Psychology     Full-text available via subscription   (Followers: 11)
Estudos Bíblicos     Open Access   (Followers: 11)
Journal of Chinese Philosophy     Hybrid Journal   (Followers: 11)
Journal of Indian Philosophy     Hybrid Journal   (Followers: 11)
Kennedy Institute of Ethics Journal     Full-text available via subscription   (Followers: 10)
Metaphor and Symbol     Hybrid Journal   (Followers: 10)
Pacific Philosophical Quarterly     Hybrid Journal   (Followers: 10)
Polis : The Journal of the Society for Greek Political Thought     Hybrid Journal   (Followers: 10)
Dao : A Journal of Comparative Philosophy     Hybrid Journal   (Followers: 10)
Myth & Symbol     Hybrid Journal   (Followers: 9)
Philosophical Transactions of the Royal Society A: Mathematical, Physical and Engineering Sciences     Full-text available via subscription   (Followers: 9)
Journal of Philosophical Logic     Hybrid Journal   (Followers: 9)
Film-Philosophy Journal     Open Access   (Followers: 9)
Journal of the Gilded Age and Progressive Era     Full-text available via subscription   (Followers: 9)
HTS Theological Studies     Open Access   (Followers: 9)
Philosophical Perspectives     Hybrid Journal   (Followers: 8)
Philosophia     Hybrid Journal   (Followers: 8)
Research in Phenomenology     Hybrid Journal   (Followers: 8)
Philosophical Books     Hybrid Journal   (Followers: 8)
Diogenes     Hybrid Journal   (Followers: 8)
Philosophical Issues     Hybrid Journal   (Followers: 7)
African Journal of Business Ethics     Open Access   (Followers: 7)
SubStance     Full-text available via subscription   (Followers: 7)
Metaphilosophy     Hybrid Journal   (Followers: 7)
Medicine, Health Care and Philosophy     Hybrid Journal   (Followers: 7)
Nordic Journal of Aesthetics     Open Access   (Followers: 7)
Contributions to the History of Concepts     Full-text available via subscription   (Followers: 7)
International Journal of Philosophical Studies     Hybrid Journal   (Followers: 7)
Axiomathes     Hybrid Journal   (Followers: 6)
The Southern Journal of Philosophy     Hybrid Journal   (Followers: 6)
Journal of Speculative Philosophy     Full-text available via subscription   (Followers: 6)
Think     Full-text available via subscription   (Followers: 6)
Zeitschrift für philosophische Forschung     Full-text available via subscription   (Followers: 6)
History and Philosophy of Logic     Hybrid Journal   (Followers: 6)
Philosophical Investigations     Hybrid Journal   (Followers: 6)
Contemporary Chinese Thought     Full-text available via subscription   (Followers: 6)
Contagion : Journal of Violence, Mimesis, and Culture     Full-text available via subscription   (Followers: 6)
Philosophical Magazine Letters     Hybrid Journal   (Followers: 6)
Philosophical Explorations: An International Journal for the Philosophy of Mind and Action     Hybrid Journal   (Followers: 6)
Dialogue Canadian Philosophical Review/Revue canadienne de philosophie     Full-text available via subscription   (Followers: 6)
International Journal of the Platonic Tradition     Open Access   (Followers: 5)
Journal of Empirical Research on Human Research Ethics     Full-text available via subscription   (Followers: 5)
Journal of Critical Realism     Hybrid Journal   (Followers: 5)
Australasian Catholic Record, The     Full-text available via subscription   (Followers: 5)
Critical Horizons     Hybrid Journal   (Followers: 5)
Journal of Nietzsche Studies     Full-text available via subscription   (Followers: 5)
Aisthesis     Open Access   (Followers: 5)
Endeavour     Hybrid Journal   (Followers: 5)
Philosophical Papers     Hybrid Journal   (Followers: 5)
Review of Contemporary Philosophy     Full-text available via subscription   (Followers: 5)
Zeitschrift für Religions- und Geistesgeschichte     Hybrid Journal   (Followers: 5)
Church Heritage     Full-text available via subscription   (Followers: 4)
South African Journal of Philosophy = Suid-Afrikaanse Tydskrif vir Wysbegeerte     Hybrid Journal   (Followers: 4)
Bochumer Philosophisches Jahrbuch für Antike und Mittelalter     Hybrid Journal   (Followers: 4)
Franciscan Studies     Full-text available via subscription   (Followers: 4)
Transactions of the Charles S. Peirce Society     Full-text available via subscription   (Followers: 4)
Hume Studies     Full-text available via subscription   (Followers: 4)
Journal of Theoretical & Philosophical Psychology     Full-text available via subscription   (Followers: 4)
The Philosophical Forum     Hybrid Journal   (Followers: 4)
National Catholic Bioethics Quarterly     Hybrid Journal   (Followers: 4)
Royal Institute of Philosophy Supplements     Full-text available via subscription   (Followers: 4)
Philosophy in Review     Open Access   (Followers: 4)
Recherches de Théologie et Philosophie Médiévales     Full-text available via subscription   (Followers: 3)
Topoi     Hybrid Journal   (Followers: 3)
Australian Humanist, The     Full-text available via subscription   (Followers: 3)
Studia Logica     Hybrid Journal   (Followers: 3)
Utopian Studies     Full-text available via subscription   (Followers: 3)
Russell : the Journal of Bertrand Russell Studies     Full-text available via subscription   (Followers: 3)
Journal of Religion and Business Ethics     Open Access   (Followers: 3)
The Pluralist     Full-text available via subscription   (Followers: 3)
Bijdragen     Full-text available via subscription   (Followers: 3)
Studies in Philology     Full-text available via subscription   (Followers: 3)
Bulletin de Philosophie Medievale     Full-text available via subscription   (Followers: 3)
Kantian Review     Full-text available via subscription   (Followers: 3)
CR : The New Centennial Review     Full-text available via subscription   (Followers: 3)
Between the Species     Open Access   (Followers: 2)
International Journal of Žižek Studies     Open Access   (Followers: 2)
Socioaffective Neuroscience and Psychology     Open Access   (Followers: 2)
Horizonte : Revista de Estudos de Teologia e Ciências da Religião     Open Access   (Followers: 2)
International Journal for the Study of Skepticism     Hybrid Journal   (Followers: 2)
Cultura : International Journal of Philosophy of Culture and Axiology     Open Access   (Followers: 2)
Erasmus Studies     Hybrid Journal   (Followers: 2)
Empedocles : European Journal for the Philosophy of Communication     Hybrid Journal   (Followers: 2)
Sartre Studies International     Full-text available via subscription   (Followers: 2)
Journal of Scottish Philosophy     Hybrid Journal   (Followers: 2)
Journal of Friends of Lutheran Archives     Full-text available via subscription   (Followers: 2)
Philosophy & Theory in Biology     Open Access   (Followers: 2)
Kriterion: Revista de Filosofia     Open Access   (Followers: 2)
Poiesis & Praxis : International Journal of Technology Assessment and Ethics of Science     Open Access   (Followers: 2)
Quaestio     Full-text available via subscription   (Followers: 2)
Grazer Philosophische Studien     Full-text available via subscription   (Followers: 2)
Journal of Aesthetic Education     Full-text available via subscription   (Followers: 2)
Australian Journal of Parapsychology     Full-text available via subscription   (Followers: 2)
Noesis     Open Access   (Followers: 1)
Journal of Humanistic Mathematics     Open Access   (Followers: 1)
Éthique publique     Open Access   (Followers: 1)
Philosophia Scientiæ     Open Access   (Followers: 1)
Nóema     Open Access   (Followers: 1)
International Journal of Social Quality     Full-text available via subscription   (Followers: 1)
Revista Latinoamericana de Filosofía     Open Access   (Followers: 1)
PAN: Philosophy Activism Nature     Full-text available via subscription   (Followers: 1)
Revue Philosophique de Louvain     Full-text available via subscription   (Followers: 1)
Le Portique     Open Access   (Followers: 1)
Temporalités     Open Access   (Followers: 1)
Husserl Studies     Hybrid Journal   (Followers: 1)
Revue d’études benthamiennes     Open Access   (Followers: 1)
Ethische Perspectieven     Full-text available via subscription   (Followers: 1)
Laval théologique et philosophique     Full-text available via subscription   (Followers: 1)
Eleutheria     Open Access   (Followers: 1)
Veritas : Revista de Filosofí­a y Teología     Open Access   (Followers: 1)
Hobbes Studies     Hybrid Journal   (Followers: 1)
Collingwood and British Idealism Studies     Full-text available via subscription  
Grotiana     Hybrid Journal  
Signos Filosóficos     Open Access  
Eidos     Open Access  
Cinta de Moebio     Open Access  
Cuyo Anuario de Filosofía Argentina y Americana     Open Access  
Tópicos. Revista de Filosofía de Santa Fe     Open Access  
Rhuthmos     Open Access  
Philosophiques     Open Access  
Ramon Llull Journal of Applied Ethics     Open Access  
Studia Philosophica Estonica     Open Access  
Synthesis (La Plata)     Open Access  
Revista de Filosofia     Open Access  
Alpha (Osorno)     Open Access  
Circe de clásicos y modernos     Open Access  
Estudios de Filosofía Práctica e Historia de las Ideas     Open Access  
Doctor virtualis     Open Access  
Humanidades Médicas     Open Access  
Methodos     Open Access  
Labyrinthe     Open Access  
Astérion     Open Access  
Trans/Form/Ação - Revista de Filosofia     Open Access  
Russian Studies in Philosophy     Full-text available via subscription  

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Similar Journals
Journal Cover
Medicine, Health Care and Philosophy
Journal Prestige (SJR): 0.479
Citation Impact (citeScore): 1
Number of Followers: 7  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1386-7423 - ISSN (Online) 1572-8633
Published by Springer-Verlag Homepage  [2469 journals]
  • Ethical, legal, and social aspects of symptom checker applications: a
           scoping review

    • Free pre-print version: Loading...

      Abstract: Abstract Symptom Checker Applications (SCA) are mobile applications often designed for the end-user to assist with symptom assessment and self-triage. SCA are meant to provide the user with easily accessible information about their own health conditions. However, SCA raise questions regarding ethical, legal, and social aspects (ELSA), for example, regarding fair access to this new technology. The aim of this scoping review is to identify the ELSA of SCA in the scientific literature. A scoping review was conducted to identify the ELSA of SCA. Ten databases (e.g., Web of Science and PubMed) were used. Studies on SCA that address ELSA, written in English or German, were included in the review. The ELSA of SCA were extracted and synthesized using qualitative content analysis. A total of 25,061 references were identified, of which 39 were included in the analysis. The identified aspects were allotted to three main categories: (1) Technology; (2) Individual Level; and (3) Healthcare system. The results show that there are controversial debates in the literature on the ethical and social challenges of SCA usage. Furthermore, the debates are characterised by a lack of a specific legal perspective and empirical data. The review provides an overview on the spectrum of ELSA regarding SCA. It offers guidance to stakeholders in the healthcare system, for example, patients, healthcare professionals, and insurance providers and could be used in future empirical research to investigate the perspectives of those affected, such as users.
      PubDate: 2022-10-01
       
  • Disclosing the person in renal care coordination: why unpredictability,
           uncertainty, and irreversibility are inherent in person-centred care

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      Abstract: Abstract This article explores an example of person-centred care: the work of so-called renal care coordinators. The empirical basis of the article consists of qualitative interviews with renal care coordinators, alongside participant observations of their patient interactions. During the analyses of the empirical material, I found that that one of the coordinators’ most fundamental ambitions is to get to know who the patient is. This is also a central tenet of person-centred care. The aim of the article is not only to argue for the plausibility of this tenet, but also, and more importantly, to highlight and explore its implications in the context of healthcare, through the example of renal care coordination. By drawing on the philosophy of Hannah Arendt, the article shows that the disclosure of who the patient is that takes place in person-centred care requires speech and action, which are modes of human activity that initiate processes characterized by unpredictability, uncertainty, and irreversibility. This unpredictability, uncertainty, and irreversibility, found to be inherent in person-centred care, is then discussed in relation to the pursuit of certainty characterizing contemporary evidence-based medicine. At the end of the article the conclusion is drawn that, if healthcare is to be person-centred, it must find ways of accommodating the contradictory pursuits of certainty and uncertainty found in evidence-based medicine and person-centred care respectively.
      PubDate: 2022-09-20
       
  • Why physicians have authority over patients

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      Abstract: Abstract In this article, we argue that physicians have normative authority over patients. First we elaborate on the nature of normative authority. We then examine and critique Arthur Isak Applbaum’s view that physicians lack authority over patients. Our argument appeals to four cases that demonstrate physicians’ authority.
      PubDate: 2022-09-01
       
  • Evaluating emotions in medical practice: a critical examination of
           

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      Abstract: Abstract In this article I propose to reframe debates about ideals of emotion in medicine, abandoning the current binary setup of this debate as one between ‘clinical detachment’ and empathy. Inspired by observations from my own field work and drawing on Sky Gross’ anthropological work on rituals of practice as well as Henri Lefebvre’s notion of rhythm, I propose that the normative drive of clinical practice can be better understood through the notion of attunement. In this framework individual types of emotions are not, as such, appropriate or inappropriate, but are evaluated depending on their synchronicity with the specific rhythms of the practice. To set up this proposal, I show how typical arguments about emotions in medicine—what I call emotion-entity focused frameworks—are insufficient. I then draw on ethnographic observations from two orthopaedic departments and interviews with medical practitioners to show (1) how clinical practice is driven by rhythmicity, shaped in the case of orthopaedic surgery by a clinical aim of efficient, controlled intervention, and (2) how clinicians continuously refer to this drive and the flow of rhythms when evaluating inappropriate or problematic emotion. I argue that the use of a rhythm framework rather than ideals of detachment or empathy allows for a sensitivity to the complexity and situation-dependent elements of emotional ideals in clinical practice; and I end by proposing the term ‘attuned concern’—which stresses the importance of regulation and adjustment to circumstances rather than of maintaining a constant distance/involvement—as a more fitting alternative to ‘clinical detachment’.
      PubDate: 2022-09-01
       
  • Bodily obsessions: intrusiveness of organs in somatic
           obsessive–compulsive disorder

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      Abstract: Abstract In this paper, I will provide a phenomenological analysis of somatic obsessions at times present in obsessive–compulsive disorder. I will compare two different types of bodily obsessions, which have a different neurological-physiological underpinning: anguishing awareness of one’s own heartbeat and of one’s own breathing. In addition, I will contrast these two with how one experiences one’s own liver. I will use the concepts "tactility obsessions” and "motility obsessions”, which I have coined for the purpose of this comparison. In other words, these are obsessions concerning the felt sense of one’s autonomous organs and obsessions concerning one’s ability to voluntarily move. Ultimately, I claim that the core lived experience in somatic obsessive–compulsive disorder should not only be understood as having to do with intruding and "distorted thoughts” concerning bodily processes, but could also be understood as having to do with a felt sense of our organs interrupting and intruding our daily lives.
      PubDate: 2022-09-01
       
  • Revisiting respect for persons: conceptual analysis and implications for
           clinical practice

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      Abstract: Abstract In everyday conversations, professional codes, policy debates, and academic literature, the concept of respect is referred to frequently. Bioethical arguments in recent decades equate the idea of respect for persons with individuals who are capable of autonomous decision-making, with the focus being explicitly on ‘autonomy,’ ‘capacity,’ or ‘capability.’ In much of bioethics literature, respect for persons is replaced by respect for autonomy. Though the unconditional respect for persons and their autonomy (irrespective of actual decision-making capacity) is established in Kantian bioethics, current argument and debates often revolve around a thin concept of autonomy, focusing on capacity and capability: persons are owed respect because they are ‘rational beings’ or with a focus on ‘agency’ and ‘decision-making abilities.’ However, these aspects alone are insufficient while engaging the concept of respect for persons, particularly in healthcare settings. This paper sets out to explore if the concept of respect for persons—as opposed to a thin concept of autonomy—could help us engage better in healthcare practices. We shall probe the practical value of the experiential aspect of respect—understood as the recognition of persons as respect-worthy through certain dispositions and deliberative acts—by reflecting on instances in clinical practice that tend to be dismissed as negligible or even unavoidable in a stressful environment such as a busy hospital. We shall argue that these instances are far from trivial but carry moral significance and express an unacceptable—disrespectful—attitude that can compromise the moral habitus in hospital settings. In our conclusion, we call for practicing recognition respect in the health professional–patient encounter by focussing on manners, attitudes, and behaviors. Furthermore, we call for continuous medical ethics education programs to address the moral significance of disrespectful behaviors and their manifestations in particular socio-cultural contexts.
      PubDate: 2022-09-01
       
  • The medical gap: intuition in medicine

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      Abstract: Abstract Intuition is frequently used in medicine. Along with the use of existing medical rules, there is a separate channel that physicians rely on when making decisions: their intuition. To cope with the epistemic problem of using intuition, I use some clues from Wittgenstein's philosophy to illuminate the decision-making process in medicine. First, I point to a connection between intuition as functioning in medicine and Wittgenstein's notions of "seeing as" or noticing "aspects". Secondly, I use Wittgenstein notion of empirical regularities hardened into rules to suggest that there are two stages that should be addressed in the analysis of medical practice: the first concerns the accumulation of cases and the second pertains to the setting a rule based on these cases. I argue further that the medical context is exceptional in that the two stages are intertwined and, and explain the consequences of this fact for the physician's work. Finally, inspired by Wittgenstein's rule-following conundrum, I argue that medicine is particularly prone to difficulties in applying a general rule to a specific case represented by an individual patient. Recourse to intuition is reflects the physicians' efforts to bridge this gap.
      PubDate: 2022-09-01
       
  • The hermeneutics of symptoms

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      Abstract: Abstract The clinical encounter begins with presentation of an illness experience; but throughout that encounter, something else is constructed from it – a symptom. The symptom is a particular interpretation of that experience, useful for certain purposes in particular contexts. The hermeneutics of medicine – the study of the interpretation of human experience in medical terms – has largely taken the process of symptom-construction to be transparent, focussing instead on how constellations of symptoms are interpreted as representative of particular conditions. This paper examines the hermeneutical activity of symptom-construction more closely. I propose a fourfold account of the clinical function of symptoms: as theoretical entities; as tools for communication; as guides to palliative intervention; and as candidates for medical explanation or intervention. I also highlight roles they might play in illness experience. I use this framework to discuss four potential failures of symptom-interpretation: failure of symptom-type and symptom-token recognition; loss of the complete picture of illness experience through overwhelming emphasis on its symptomatic interpretation; and intersubjective feedback effects of symptom description altering the ill person’s own perceptions of their phenomenal experience. I conclude with some suggestions of potential remedies for failures in the process of symptom-construction.
      PubDate: 2022-09-01
       
  • Personal identity, possible worlds, and medical ethics

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      Abstract: Abstract Thought experiments that concoct bizarre possible world modalities are standard fare in debates on personal identity. Appealing to intuitions raised by such evocations is often taken to settle differences between conflicting theoretical views that, albeit, have practical implications for ethical controversies of personal identity in health care. Employing thought experiments that way is inadequate, I argue, since personhood is intrinsically linked to constraining facts about the actual world. I defend a moderate modal skepticism according to which intuiting across conceptually incongruent worlds constitutes ‘invalid intuition-inferences’—i.e., carrying over intuitions gathered from facts about possible worlds that are at odds with facts about the actual world, for the purpose of making claims about real-life persons and their identity, leads to conceptual incongruences. Such a methodological fallout precludes accurate, informative judgments about personal identity in the actual world, calling into question the adequacy of thought experimental considerations for potential real-world applications in medical ethics.
      PubDate: 2022-09-01
       
  • The Many Moral Matters of Organoid Models: A systematic review of reasons

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      Abstract: Objective To present the ethical issues, moral arguments, and reasons found in the ethical literature on organoid models. Design In this systematic review of reasons in ethical literature, we selected sources based on predefined criteria: (1) The publication mentions moral reasons or arguments directly relating to the creation and/or use of organoid models in biomedical research; (2) These moral reasons and arguments are significantly addressed, not as mere passing mentions, or comprise a large portion of the body of work; (3) The publication is peer-reviewed and published in an academic article, book, national-level report, working paper, or Ph.D. thesis; (4) The publications collected are in English. Analysis Each article was read in-depth for identifiable moral reasons, arguments, and concerns. These were then inductively classified and synthesized to create broader categories of reasons, and eventually an overarching conceptual scheme was created. Results A total of twenty-three sources were included and analyzed out of an initial 266 collected sources. Five themes of ethical issues and arguments were found: Animal Experimentation; Clinical Applications and Experiments; Commercialization and Consent; Organoid Ontology and Moral Status; and Research Ethics and Research Integrity. These themes are then further broken down into sub-themes and topics. Given the extensive nature of the topics found, we will focus on describing the topics that comprised of more in-depth reasons and arguments rather than few, passing mentions or concerns. Conclusions The ethics of organoids requires further deliberation in multiple areas, as much of the discussions are not presented as in-depth arguments. Such sentiments are also echoed throughout the organoid ethics literature.
      PubDate: 2022-09-01
       
  • Correction: Beyond ethical post-mortems

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      PubDate: 2022-08-20
       
  • Beyond ethical post-mortems

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      Abstract: Abstract: After WWII ethics has gone through a process of professionalization, developing approaches to ethical case deliberation as well as methods of practicing ethics in research and innovation (R&I). This process is described as having advantages and disadvantages. In addition, it is pointed out that foresight has been incorporated into ethical case deliberation with relative ease, whilst the incorporation of foresight in methods of practicing ethics in (R&I) has turned out to be more challenging. It is finally stressed that in a world with fast changing emerging technologies, ethicists ' to remain relevant - will have to further improve their foresight analysis skills in relation to (R&I).
      PubDate: 2022-08-01
       
  • The significance of Emmanuel Levinas’ ethics of responsibility for
           medical judgment

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      Abstract: Abstract At a time when the practice of medicine is subject to technical and biopolitical imperatives that give rise to defensive bioethics, it is essential to revitalize the ethical dimensions of care at the very heart of the clinic, in order to give new meaning to the moral responsibility that inhabits it. This contribution seeks to meet this challenge by drawing on the ethical resources of the work of Emmanuel Levinas. In Levinas’ view, ethical responsibility is the response to the injunction, the interpellation, of the other’s face, and humaneness is conceived entangled in the other’s face. Against this background, I suggest that Levinas’ philosophical insight constitutes a turning point from a traditional to a new conception of responsibility that may bear great significance to a renewed understanding of an hermeneutics and an ethics of care. By drawing on this aspect of Levinas’ thought, I would like to reveal the ethical core of an ethics of clinical care that shapes a new insight on medical judgment.
      PubDate: 2022-07-31
       
  • How to gain evidence for causation in disease and therapeutic
           intervention: from Koch’s postulates to counter-counterfactuals

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      Abstract: Abstract Researchers, clinicians, and patients have good reasons for wanting answers to causal questions of disease and therapeutic intervention. This paper uses microbiologist Robert Koch’s pioneering work and famous postulates to extrapolate a logical sequence of evidence for confirming the causes of disease: association between individuals with and without a disease; isolation of causal agents; and the creation of a counterfactual (demonstrating that an agent is sufficient to reproduce the disease anew). This paper formally introduces counter-counterfactuals, which appear to have been used, perhaps intuitively, since the time of Koch and possibly earlier. An argument is presented that counter-counterfactuals (disease-preventers) are a useful tool for identifying necessary causes of disease, and sometimes must be used in place of isolation which is not always possible. In addition, a logical sequence of causal evidence for a therapeutic intervention is presented: creating a counterfactual (demonstrating that the intervention is sufficient to change the natural course of a disease), comparisons between subjects in receipt of treatment versus those who are not (typically within a randomised controlled trial, which can quantify effects of intervention), and counter-counterfactuals (treatment-preventers, which can identify the intervention’s mechanisms of action).
      PubDate: 2022-07-06
      DOI: 10.1007/s11019-022-10096-x
       
  • Intergenerational contract in Ageing Democracies: sustainable Welfare
           Systems and the interests of future generations

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      Abstract: Abstract As the assumptions of perpetual economic and population growth no longer stand, the welfare systems built on such promises are in peril. Policymakers must reallocate the responsibility for providing care between generations. Democratic theories can help establish procedures for finding solutions, particularly in ageing democratic countries. By analysing existing representative and deliberative democratic theories, this paper explores how the interests of future generations could be included in such procedures. A hypothetical social health insurance scheme with the pay-as-you-go financial arrangement is selected as an illustrative case. This paper argues that due to the intrinsic bias towards the current generation, both representative and deliberative democratic health policymaking are limited in making decisions that account for future generations. Instead, their interests could be at best represented by benevolent representatives.
      PubDate: 2022-06-13
      DOI: 10.1007/s11019-022-10098-9
       
  • The limitations of liberal reproductive autonomy

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      Abstract: Abstract The common liberal understanding of reproductive autonomy – characterized by free choice and a principle of non-interference – serves as a useful way to analyse the normative appeal of having certain choices open to people in the reproductive realm, especially for issues like abortion rights. However, this liberal reading of reproductive autonomy only offers us a limited ethical understanding of what is at stake in many kinds of reproductive choices, particularly when it comes to different uses of reproductive technologies and third-party reproduction. This is because the liberal framework does not fully capture who benefits from which reproductive options, the extent of the risks and harms involved in various reproductive interventions, and the reasons for why people are driven to make certain reproductive choices.
      PubDate: 2022-06-10
      DOI: 10.1007/s11019-022-10097-w
       
  • Ethico-Political aspects of clinical judgment in opportunistic screening
           for cognitive impairment: Arendtian and aristotelian perspectives

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      Abstract: Abstract This article examines a population-based opportunistic screening practice for cognitive impairment that takes place at a hospital in Sweden. At the hospital, there is a routine in place that stipulates that all patients over the age of 65 who are admitted to the ward will be offered testing for cognitive impairment, unless they have been tested within the last six months or have been diagnosed with any form of cognitive impairment. However, our analysis shows that this routine is not universally and mechanically applied. Rather, the health care professionals have developed and use an ethico-political judgment, concerning, for example, whom to test, when to offer the tests, and how to explain and perform them. This article explores the role and practice of this form of judgment, emphasising its political and ethical nature. The analysis is based on qualitative interviews with professionals and patients, and draws on the theories of Aristotle and Hannah Arendt.
      PubDate: 2022-06-10
      DOI: 10.1007/s11019-022-10095-y
       
  • Possibilities and paradoxes in medicine: love of order, loveless order and
           the order of love

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      Abstract: Abstract We have a desire to discover and create order, and our constitution, including our rational faculties, indicates that we are predisposed for such productivity. This affinity for order and the establishment of order is fundamental to humans and naturally also leaves its mark on the medical discipline. When this profession is made subject to criticism, frequently in terms of well-used reproofs such as reductionism, reification and de-humanisation, this systematising productivity is invariably involved in some way or other. It is, however, problematic that we rarely delve deeper and ask what order means, or reflect on its underlying, omnipresent and self-evident role. In order to approach this challenge, we initially and briefly place order in a conceptual and historical context. In what follows, we examine order explicitly, i.e. made an object of study, by taking a closer look at extensive multidisciplinary efforts to uncover the secrets of all its facets. Here we also try to identify some systems of order in medical science, including methodological and procedural order, which are indispensable as well as a source of problems. In the sections that follow, order is not defined as an explicit object of study, but comes to light in some exploratory and philosophising projects based on physics, mathematics and phenomenology . Each of these lets order and that which is ordered emerge in ways that may also shed light on opportunities and paradoxes in the medical domain. Key themes here include the Gordian knot of psyche – soma, the order of disorder and the patient as Other.
      PubDate: 2022-06-09
      DOI: 10.1007/s11019-022-10093-0
       
  • Solidarity and Public Health

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      Abstract: Abstract We argue that an unqualified use of the term solidarity in public health is not only equivocal but problematic toward the ends of public health. The term may be deployed normatively by public health advocates to strengthen the bonds among public health practitioners and refer to an ideal society in which the importance of interdependence among members ought to be acknowledged throughout the polity. We propose an important distinction between partisan solidarity and societal solidarity. Because any moralized belief in a vision of a broad societal solidarity will be a contested political ideal, political reality would limit solidarity based on such a vision to partisan solidarity. An idealized vision of societal solidarity is simply not politically feasible in pluralistic, liberal, democratic societies. However, although societal solidarity is unlikely with respect to any particular policy, it might be hoped for with respect to constitutional procedures that provide boundaries for the agon of the political process. We suggest that moralizing assertions of a solidaristic ideal in a pluralistic society might be counterproductive to generating the political support necessary for public health per se and establishing legitimate public health policy. A pragmatic political approach would be for public health advocates to generate sufficient strong political support for those public health policies that are most amenable to the political and social realities of a time and place.
      PubDate: 2022-06-09
      DOI: 10.1007/s11019-022-10084-1
       
  • How to evaluate the quality of an ethical deliberation' A pragmatist
           proposal for evaluation criteria and collaborative research

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      Abstract: Abstract Ethics designates a structured process by which important human values and meanings of life are understood and tackled. Therein, the ability to discuss openly and reflect on (aka deliberation) understandings of moral problems, on solutions to these problems, and to explore what a meaningful resolution could amount to is highly valued. However, the indicators of what constitutes a high-quality ethical deliberation remain vague and unclear. This article proposes and develops a pragmatist approach to evaluate the quality of deliberation. Deliberation features three important moments: (1) broadening and deepening the understanding of the situation, (2) envisioning action scenarios, (3) coming to a judgment based on the comparative evaluation of scenarios. In this paper, we propose seven criteria to evaluate ethical deliberations: (1) collaborative diversity, (2) experiential literacy, (3) organization of experiences, (4) reflective capacity to instrumentalize the experiences of others, (5) interactional creativity, (6) openness of agents, (7) quality of the reformulation of scenarios. These criteria are explained and applied to the three moments of deliberation. Based on these criteria, three kinds of outcomes for deliberations are identified and discussed: good ethical deliberations, partial ethical deliberations, bad ethical deliberations. Our proposal will guide researchers and practitioners interested in the evaluation of the quality of ethical deliberations. It provides a reference tool that allows them to identify the possible limitations of a deliberation and to implement actions aimed at correcting these limitations in order to achieve the desired qualitative objectives.
      PubDate: 2022-06-09
      DOI: 10.1007/s11019-022-10091-2
       
 
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