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Sample records for relational ethics perspective

  1. Work engagement in nursing practice: a relational ethics perspective.

    PubMed

    Keyko, Kacey

    2014-12-01

    The concept of work engagement has existed in business and psychology literature for some time. There is a significant body of research that positively correlates work engagement with organizational outcomes. To date, the interest in the work engagement of nurses has primarily been related to these organizational outcomes. However, the value of work engagement in nursing practice is not only an issue of organizational interest, but of ethical interest. The dialogue on work engagement in nursing must expand to include the ethical importance of engagement. The relational nature of work engagement and the multiple levels of influence on nurses' work engagement make a relational ethics approach to work engagement in nursing appropriate and necessary. Within a relational ethics perspective, it is evident that work engagement enables nurses to have meaningful relationships in their work and subsequently deliver ethical care. In this article, I argue that work engagement is essential for ethical nursing practice. If engagement is essential for ethical nursing practice, the environmental and organizational factors that influence work engagement must be closely examined to pursue the creation of moral communities within healthcare environments. PMID:24714045

  2. Unresolved pain in children: a relational ethics perspective.

    PubMed

    Olmstead, Deborah L; Scott, Shannon D; Austin, Wendy J

    2010-11-01

    It is considered the right of children to have their pain managed effectively. Yet, despite extensive research findings, policy guidelines and practice standard recommendations for the optimal management of paediatric pain, clinical practices remain inadequate. Empirical evidence definitively shows that unrelieved pain in children has only harmful consequences, with no benefits. Contributing factors identified in this undermanaged pain include the significant role of nurses. Nursing attitudes and beliefs about children's pain experiences, the relationships nurses share with children who are suffering, and knowledge deficits in pain management practices are all shown to impact unresolved pain in children. In this article, a relational ethics perspective is used to explore the need for nurses to engage in authentic relationships with children who are experiencing pain, and to use evidence-based practices to manage that pain in order for this indefensible suffering of children to end. PMID:21097968

  3. Relative Values: Perspectives on a Neuroimaging Technology From Above and Within the Ethical Landscape.

    PubMed

    Samuel, Gabrielle; Cribb, Alan; Owens, John; Williams, Clare

    2016-09-01

    In this paper we contribute to "sociology in bioethics" and help clarify the range of ways sociological work can contribute to ethics scholarship. We do this using a case study of an innovative neurotechnology, functional magnetic resonance imaging, and its use to attempt to diagnose and communicate with severely brain-injured patients. We compare empirical data from interviews with relatives of patients who have a severe brain injury with perspectives from mainstream bioethics scholars. We use the notion of an "ethical landscape" as an analogy for the different ethical positions subjects can take-whereby a person's position relative to the landscape makes a difference to the way they experience and interact with it. We show that, in comparison to studying abstract ethics "from above" the ethical landscape, which involves universal generalizations and global judgements, studying ethics empirically "from the ground," within the ethical landscape foregrounds a more plural and differentiated picture. We argue it is important not to treat empirical ethics as secondary to abstract ethics, to treat on-the-ground perspectives as useful only insofar as they can inform ethics from above. Rather, empirical perspectives can illuminate the plural vantage points in ethical judgments, highlight the "lived" nature of ethical reasoning, and point to all ethical vantage points as being significant. This is of epistemic importance to normative ethics, since researchers who pay attention to the various positions in and trajectories through the ethical landscape are unlikely to think about ethics in terms of abstract agency-as can happen with top-down ethics-or to elide agency with the agency of policymakers. Moreover, empirical perspectives may have transformative implications for people on the ground, especially where focus on the potential harms and benefits they face brings their experiences and interests to the forefront of ethical and policy discussion. PMID:27334528

  4. A Global Perspective on Public Relations Ethics: The Middle East.

    ERIC Educational Resources Information Center

    Kruckeberg, Dean

    Sophisticated public relations is being practiced in the Middle East. However, the models used in that region are not identical to American models, nor are they identical to those in other Western countries usually considered part of the "First World." In particular, Moslem culture heavily influences Middle East practice. Can the ethics of public…

  5. Historical Roots and Future Perspectives Related to Nursing Ethics.

    ERIC Educational Resources Information Center

    Freitas, Lorraine

    1990-01-01

    This article traces the evolution of the development and refinement of the professional code from concerns about the ethical conduct of nurses to its present state as a professional code for all nurses. The relationship of the Ethics Committee of the American Nurses' Association to the development of the code is also discussed. (Author/MLW)

  6. Historical roots and future perspectives related to nursing ethics.

    PubMed

    Freitas, L

    1990-01-01

    This article traces the evolution of the development and the refinement of the professional code from concerns about the ethical conduct of nurses to its present state as a professional code for all nurses. The importance and the relationship of the Ethics Committee of the American Nurses' Association (ANA) to the development of the code and other ANA programs and structural units is also presented. The recognized need for a code of ethics to establish nursing as a profession has been present throughout the evolution of the professional nursing organization. A distinction between ethical conduct of nurses and a code of ethics for professional nurses has been made by nursing leaders. The code has been refined to reflect nursing's changing relationship to society and the societal concerns of the times. PMID:2198306

  7. Brain resuscitation. Ethical perspectives.

    PubMed

    Omery, A; Caswell, D

    1989-03-01

    Brain resuscitation is the newest in a long line of treatment protocols that is designed to aid us in sustaining not just life, but quality life in the critical care setting. Like other, previously established protocols, it is not value free. Its implementation brings ethical considerations that must be addressed. If the issues are not addressed, there is the real danger that the resulting moral dilemmas will overwhelm the nurse. In brain resuscitation, there are at least three ethical issues that must be recognized. These are the role of resuscitation in the life process, allocation of scarce resources, and participation in research. To address these issues, nurses will have to be aware of the ethical principle and/or perspectives involved. For some of these issues, the solutions will have to come from nursing's national organizations, such as the American Association of Critical Care Nurses. Other solutions presented will require the nurse to come to an individual decision regarding the ethics of brain resuscitation. The journey to the conclusion of this discussion will end with disappointment for those who sought an algorhythm or decision tree with which to make definitive decisions in regard to ethical decisions about brain resuscitation. To have assumed that such an absolute discussion in regard to the ethical perspectives related to brain resuscitation is possible or even desirable would have been to deny the moral/ethical responsibilities of the nurse who practices in a critical care setting. While these ethical responsibilities can be overwhelmingly burdensome, they can also be opportunities. They can be positive opportunities for our health care colleagues, our patients, and ourselves. PMID:2803694

  8. Hippocrates and Bernays: A Medical Ethics Perspective on the Ethics of Public Relations.

    ERIC Educational Resources Information Center

    Kruckeberg, Dean

    While comparisons of public relations practitioners and attorneys remain attractive among practitioners and scholars searching for evidence of public relation's emergence as a profession, practitioners would be better served by emulating physicians in their "healing" role rather than attorneys in their "advocacy" role. Public relations's use of…

  9. Ethical Perspectives: Leadership Subscales Applied to Education.

    ERIC Educational Resources Information Center

    Gable, Sherry K.; Kavich, Larry L.

    Ethical perspectives are needed to gain insight into the history of leader behavior, especially as related to the current emphasis on contingency and Path-Goal Theories. An instrument to help select professionals who reflect ethical traits is the Leadership Behavior Description Questionnaire with 12 leadership subscales (LBDQ, Form XII). Selected…

  10. Perspectives on ethics

    PubMed Central

    Parker, C

    2007-01-01

    In his recent paper about understanding ethical issues, Boyd suggests that traditional approaches based on principles or people are understood better in terms of perspectives, especially the perspective‐based approach of hermeneutics, which he uses for conversation rather than controversy. However, we find that Boyd's undefined contrast between conversation and controversy does not point to any improvement in communication: disputes occur during conversation and controversy may be conducted in gentle tones. We agree with Boyd, that being prepared to listen and learn are excellent attitudes, but his vague attempts to establish these and similar virtues in hermeneutic theory are not plausible. Additionally, the current controversy about the use of human embryos in stem cell therapy research shows Boyd missing the opportunity to illustrate how conversation would improve understanding. PMID:17209105

  11. Relational ethics and psychosomatic assessment.

    PubMed

    Barbosa, António

    2012-01-01

    The main ethical perspective in the clinical relationship takes into consideration the vulnerability of the clinical condition before threats and risks that can undermine the integrity and dignity of the person. Psychosomatic medicine faces complex cases whose ethical problems cannot only be solved by applying top-down deontological or utilitarian approaches, principlism, which is limited mainly to easing ethical tensions, or a bottom-up approach, the casuistic model, case-based reasoning. In introducing vulnerability as the core of ethical questioning as a principle ontological priority over other principles, relational ethics refers to the appreciation of the responsibility of health professionals through which a health care professional and the patient 'together' can construct more reasonable and prudential courses of action with, for, and by the patient. The model of relational ethics is based on three main aspects, clinically integrated approach, science/philosophy partnership, and deliberative process, that when taken together, form an intermediate model that ensures prudent and reasonable decision-making. The three structural elements and characteristics of relational ethics create and maintain a responsible relationship between the professional and the patient being aware that the mutual vulnerability of health professional and the patient has a moral value and recognizing that their relationship will allow for personal development of each. I conceptualized the model of relational ethics as one that embraces the meta-ethical principles of vulnerability, dignity, responsibility, and respect for autonomy as they are considered by many international declarations or conventions. This model integrates three key polarities: ensure conditions of authenticity, facilitate a process of cooperative mutuality, and promote opportunities for growth and development. Relational ethics can be used to solve major ethical problems in psychosomatic medicine, capacity

  12. Lifelong Learning from Ethical Perspective

    ERIC Educational Resources Information Center

    Najder-Stefaniak, Krystyna

    2013-01-01

    The author reflects upon the specific character of ethics as a domain of knowledge that came into being in order to gather truths, which would help human beings to wisely take care of themselves. She argues that the ethical perspective should be taken into account while planning the lifelong learning activities. Further, she notes that if the goal…

  13. Moral Objectivity, Jurgen Habermas's Discourse Ethics, and Public Relations.

    ERIC Educational Resources Information Center

    Leeper, Roy V.

    1996-01-01

    States that while increasing attention is being paid by people in public relations to ethical theory, the predominant ethical perspective is still situational. Analyzes the applicability of the Discourse Ethics theory of Jurgen Habermas to public relations ethics. Concludes that Discourse Ethics holds the potential of a new, more objective…

  14. Ethical Issues Related to Restructuring.

    ERIC Educational Resources Information Center

    Mielke, Patricia L.; Schuh, John H.

    1995-01-01

    Offers a framework for thinking about ethical principles through the use of codes of ethics. Examines the ethical issues of restructuring and discusses specific ethical dilemmas. Specifically outlines ethics related to resources allocation and management, and details critical points in restructuring. Argues that ethical guidelines help shape…

  15. Ethics in International Business Education: Perspectives from Five Business Disciplines.

    ERIC Educational Resources Information Center

    LeClair, Debbie Thorne; Clark, Robert; Ferrell, Linda; Joseph, Gilbert; Leclair, Daniel

    1999-01-01

    Examines international ethics issues and perspectives from the vantage points of five disciplines in business education: economics, management, finance, accounting, and marketing. Finds an underlying theme of management awareness, accountability, and control of ethical decision-making. Suggests some ethics-related curriculum projects. (DB)

  16. Ethical perspectives on managed care as it relates to child and adolescent psychiatry.

    PubMed

    Geraty, R D; Hendren, R L; Flaa, C J

    1992-05-01

    Managed health care is providing an increasing influence in the way child and adolescent psychiatry is practiced. The goals of managed care have been to manage price, service, and quality. As external forces are brought to bear on child and adolescent psychiatry, ethical and legal dilemmas are faced. Underlying principles and the impact of society force physicians to reexamine their values and reeducate themselves about legal developments. PMID:1592769

  17. Ethical Perspectives on Evaluating Community College Faculty

    ERIC Educational Resources Information Center

    Stumpf, Dan; King, Stephanie; Blendinger, Jack; Davis, Ed

    2013-01-01

    Because the process of faculty evaluation in the community college gives rise to ethical concerns about what is evaluated, who is involved in the process, and how data are collected and used, the purpose of this paper is to provide a meaningful ethical perspective for conducting faculty evaluation. The authors discuss ethical issues that arise in…

  18. Environmental Ethics: A Hindu Perspective.

    ERIC Educational Resources Information Center

    Asopa, Sheel K.

    1992-01-01

    Discusses the Hindu religious scriptures as teachings about the human relationship with the environment and attitude toward ecology. Describes how religion has been a historical teacher of environmental ethics. Presents the Hindu view of humanity as it relates to the environment as portrayed in the Hindu theories. (10 references) (MCO)

  19. [Xenotransplantation from a Christian-ethical perspective].

    PubMed

    Grosse, Heinrich W

    2003-01-01

    Xenotransplantation is a question of "ethics between man and animal". Because those affected in different ways by xenotransplantation (patients, relatives, medical doctors, laypeople) have different perceptions, "foreign" perspectives must be consciously considered next to one's own perspective in the ethical judgement. As xenotransplantation is still at the stage of preclinical research, this special opportunity for an early public ethical discussion should be taken. According to biblical teaching, man is responsible for his fellows before God, therefore every decision of a patient (or a doctor) in favour of a xenotransplantation made without consideration of the social environment or the society as a whole cannot be ethically justified. From the Jewish-Christian point of view, the "innate value of man's fellow creatures" should be considered. What happens to the animals used for research into transplantation may not simply "vanish" before the vision of a successful xenotransplantation. What man's responsibility to creatures should prevent commonly happens: animals are exploited as instruments or treated as objects to reach human goals, they are perceived only as their utility value. We humans, with God's biblical mandate for our fellow creatures, must remember that the unavoidable weighing up between the (proposed) welfare of man and the welfare of animals should not be decided to the detriment of the animals too easily. The effects of medical technological possibilities on the conception of man and on our value system show themselves in a special way in xenotransplantation. Are the hopes set in xenotransplantation an expression of a mechanistic understanding of the human body and a conception of man that blends out the mortality and imperfection of human life? Focussing on human-ethical aspects leads to the neglect of the animal-ethical aspects by some Protestant ethicists. However, it is necessary to forego at least extremely severe animal experiments and so

  20. Socioscience and ethics in science classrooms: Teacher perspectives and strategies

    NASA Astrophysics Data System (ADS)

    Sadler, Troy D.; Amirshokoohi, Aidin; Kazempour, Mahsa; Allspaw, Kathleen M.

    2006-04-01

    This study explored teacher perspectives on the use of socioscientific issues (SSI) and on dealing with ethics in the context of science instruction. Twenty-two middle and high school science teachers from three US states participated in semi-structured interviews, and researchers employed inductive analyses to explore emergent patterns relative to the following two questions. (1) How do science teachers conceptualize the place of ethics in science and science education? (2) How do science teachers handle topics with ethical implications and expression of their own values in their classrooms? Profiles were developed to capture the views and reported practices, relative to the place of ethics in science and science classrooms, of participants. Profile A comprising teachers who embraced the notion of infusing science curricula with SSI and cited examples of using controversial topics in their classes. Profile B participants supported SSI curricula in theory but reported significant constraints which prohibited them from actualizing these goals. Profile C described teachers who were non-committal with respect to focusing instruction on SSI and ethics. Profile D was based on the position that science and science education should be value-free. Profile E transcended the question of ethics in science education; these teachers felt very strongly that all education should contribute to their students' ethical development. Participants also expressed a wide range of perspectives regarding the expression of their own values in the classroom. Implications of this research for science education are discussed.

  1. Medical ethics: principles, persons, and perspectives: from controversy to conversation.

    PubMed

    Boyd, K M

    2005-08-01

    Medical ethics, principles, persons, and perspectives is discussed under three headings: History, Theory, and Practice. Under Theory, the author will say something about some different approaches to the study and discussion of ethical issues in medicine--especially those based on principles, persons, or perspectives. Under Practice, the author will discuss how one perspectives based approach, hermeneutics, might help in relation first to everyday ethical issues and then to public controversies. In that context some possible advantages of moving from controversy to conversation will be explored; and that will then be illustrated with reference to a current controversy about the use of human embryos in stem cell therapy research. The paper begins with history, and it begins in the author's home city of Edinburgh. PMID:16076975

  2. A Critical Review of Theories and Measures of Ethics-Related Leadership.

    PubMed

    Zhu, Weichun; Zheng, Xiaoming; Riggio, Ronald E; Zhang, Xi

    2015-01-01

    This chapter reviews the different theoretical perspectives and measurements of ethics-related leadership models, including ethical leadership, transformational leadership, authentic leadership, servant leadership, spiritual leadership, and a virtues-based approach to leadership ethics. The similarities and differences among these theoretical models and measures to ethics-related leadership are discussed. PMID:26894906

  3. A public health perspective on research ethics

    PubMed Central

    Buchanan, D R; Miller, F G

    2006-01-01

    Ethical guidelines for conducting clinical trials have historically been based on a perceived therapeutic obligation to treat and benefit the patient‐participants. The origins of this ethical framework can be traced to the Hippocratic oath originally written to guide doctors in caring for their patients, where the overriding moral obligation of doctors is strictly to do what is best for the individual patient, irrespective of other social considerations. In contrast, although medicine focuses on the health of the person, public health is concerned with the health of the entire population, and thus, public health ethics is founded on the societal responsibility to protect and promote the health of the population as a whole. From a public health perspective, research ethics should be guided by giving due consideration to the risks and benefits to society in addition to the individual research participants. On the basis of a duty to protect the population as a whole, a fiduciary obligation to realise the social value of the research and the moral responsibility to distribute the benefits and burdens of research fairly across society, how a public health perspective on research ethics results in fundamental re‐assessments of the proper course of action for two salient topical issues in research ethics is shown: stopping trials early for reasons of efficacy and the conduct of research on less expensive yet less effective interventions. PMID:17145915

  4. Ethical issues in human reproduction: Catholic perspectives.

    PubMed

    Lanzone, Antonio

    2013-11-01

    The catholic perspective in human reproduction is based on the concept that the human being is to be respected and treated as a person from the moment of conception. In this paper the ethical implications derived from such a principle are discussed. PMID:24020861

  5. Ethics in surgery: historical perspective.

    PubMed

    Tung, T; Organ, C H

    2000-01-01

    Ethics codes and guidelines date back to the origins of medicine in virtually all civilizations. Developed by the medical practitioners of each era and culture, oaths, prayers, and codes bound new physicians to the profession through agreement with the principles of conduct toward patients, colleagues, and society. Although less famous than the Hippocratic oath, the medical fraternities of ancient India, seventh-century China, and early Hebrew society each had medical oaths or codes that medical apprentices swore to on professional initiation. The Hippocratic oath, which graduating medical students swear to at more than 60% of US medical schools, is perhaps the most enduring medical oath of Western civilization. Other oaths commonly sworn to by new physicians include the Declaration of Geneva (a secular, updated form of the Hippocratic oath formulated by the World Medical Association, Ferney-Voltaire, France) and the Prayer of Moses Maimondes, developed by the 18th-century Jewish physician Marcus Herz. PMID:10636339

  6. Teaching Ethics across the Public Relations Curriculum.

    ERIC Educational Resources Information Center

    Hutchison, Liese L.

    2002-01-01

    Suggests ways of incorporating ethics across the undergraduate public relations curriculum. Reviews current coverage of ethics in public relations principles, writing, cases, and textbooks. Suggests other methods that teachers can use to incorporate ethical pedagogical tools in all public relations courses in an effort to develop students' ethical…

  7. What is good medical ethics? A clinician's perspective.

    PubMed

    Kong, Wing May

    2015-01-01

    Speaking from the perspective of a clinician and teacher, good medical ethics needs to make medicine better. Over the past 50 years medical ethics has helped shape the culture in medicine and medical practice for the better. However, recent healthcare scandals in the UK suggest more needs to be done to translate ethical reasoning into ethical practice. Focusing on clinical practice and individual patient care, I will argue that, to be good, medical ethics needs to become integral to the activities of health professionals and healthcare organisations. Ethics is like a language which brings a way of thinking and responding to the world. For ethics to become embedded in clinical practice, health professionals need to progress from classroom learners to fluent social speakers through ethical dialogue, ethical reflection and ethical actions. I will end by discussing three areas that need to be addressed to enable medical ethics to flourish and bring about change in everyday clinical care. PMID:25516942

  8. "Ethics and Clinical Research" in Biographical Perspective.

    PubMed

    Lederer, Susan E

    2016-01-01

    Henry K. Beecher (1904-1976) played an important role in the development of bioethics. His 1966 article "Ethics and Clinical Research" in the New England Journal of Medicine intensified concern about the welfare of patients participating in clinical research, and his leadership in the 1968 Harvard Ad Hoc Committee on Brain Death redefined the determination of death. Beecher deserves, and even demands, explanation and explication. This essay offers a biographical perspective on the Harvard professor. In addition to his early life and education in both Kansas and Boston, the essay explores how Beecher's experiences in World War II and in the new geopolitical realities of the Cold War shaped his views about the ethical dilemmas of clinical research. PMID:27499482

  9. Uterine Transplantation: Ethical Considerations within Middle Eastern Perspectives.

    PubMed

    Altawil, Zaid; Arawi, Thalia

    2016-08-01

    The field of reproductive medicine witnessed a breakthrough in September 2014 with the first successful live birth post uterine transplantation. This success represents the culmination of decades' worth of research on infertility and reproductive medicine. This subject of infertility gathers special attention in the Middle East, as childbearing is given paramount importance in the family unit. And as with any new medical advancement, Middle Eastern people look to their religious authorities for guidance. This paper describes the various ethical quandaries related to uterine transplantation, from a perspective of the religious and societal factors that are unique to the Middle East, and embeds them within the conversation of its alternative solutions. PMID:25982588

  10. Ethical Challenges in Evaluation with Communities: A Manager's Perspective.

    ERIC Educational Resources Information Center

    Nee, David; Mojica, Maria I.

    1999-01-01

    Senior staff members at a family foundation share their perspectives, as managers and practitioners, on the ethical challenges and opportunities facing professionals engaged in the evaluation of comprehensive, community-based initiatives and other nontraditional program strategies. (Author/SLD)

  11. Ethical issues in astrobiology: a Christian perspective (Invited)

    NASA Astrophysics Data System (ADS)

    Randolph, R. O.

    2009-12-01

    With its focus on the origin, extent, and future of life, Astrobiology raises exciting, multidisciplinary questions for science. At the same time, Astrobiology raises important questions for the humanities. For instance, the prospect of discovering extraterrestrial life - either intelligent or unintelligent - raises questions about humans’ place in the universe and our relationship with nature on planet Earth. Fundamentally, such questions are rooted in our understanding of what it means to be human. From a Christian perspective, the foundational claim about human nature is that all persons bear the "imago dei", the image of God. This concept forms the basis for how humans relate to one another (dignity) and how humans relate to nature (stewardship). For many Christians the "imago dei" also suggests that humans are at the center of the universe. The discovery of extraterrestrial life would be another scientific development - similar to evolution - that essentially de-centers humanity. For some Christian perspectives this de-centering may be problematic, but I will argue that the discovery of extraterrestrial life would actually offer a much needed theological corrective for contemporary Christians’ understanding of the "imago dei". I will make this argument by examining two clusters of ethical issues confronting Astrobiology: 1. What ethical obligations would human explorers owe to extraterrestrial life? Are there ethical obligations to protect extraterrestrial ecosystems from harm or exploitation by human explorers? Do our ethical considerations change, if the extraterrestrial life is a “second genesis;” in other words a form of life completely different and independent from the carbon-based life that we know on Earth? 2. Do we have an ethical obligation to promote life as much as we can? If human explorers discover extraterrestrial life and through examination determine that it is struggling to survive, do we have an ethical obligation to assist that

  12. Issues in the Ethics of Public Relations.

    ERIC Educational Resources Information Center

    Hamilton, Peter K.

    There is little doubt that the field of public relations needs to be concerned with both the ethical standards and behaviors of practitioners and the perceptions of these standards and actions held by clients, other communications professionals, and the public. What constitutes ethical standards and practices, however, continues to be debated…

  13. Further Validation of the Relational Ethics Scale.

    ERIC Educational Resources Information Center

    Hargrave, Terry D.; Bomba, Anne K.

    1993-01-01

    Conducted two studies to examine effects of marital status and age on Relational Ethics Scale. Study One indicated that scale was reliable and valid among single, never married young adults (n=162). Study Two examined differences between scores for this population and original normative sample. Findings suggest that ethical issues with…

  14. Ethical perspectives for public and environmental health: fostering autonomy and the right to know.

    PubMed Central

    Lambert, Timothy William; Soskolne, Colin L; Bergum, Vangie; Howell, James; Dossetor, John B

    2003-01-01

    In this paper we develop an ethical perspective for public and environmental health practice in consideration of the "right to know" by contrasting consequential and deontological perspectives with relational ethics grounded in the concept of fostering autonomy. From the consequential perspective, disclosure of public and environmental health risks to the public depends on the expected or possible consequences. We discuss three major concerns with this perspective: respect for persons, justice, and ignorance. From a deontological perspective, the "right to know" means that there is a "duty" to communicate about all public health risks and consideration of the principles of prevention, precaution, and environmental justice. Relational ethics develops from consideration of a mutual limitation of the traditional perspectives. Relational ethics is grounded in the relationship between the public and public/environmental health providers. In this paper we develop a model for this relationship, which we call "fostering autonomy through mutually respectful relationships." Fostering autonomy is both an end in public health practice and a means to promote the principles of prevention, precaution, and environmental justice. We discuss these principles as they relate to practical issues of major disasters and contaminants in food, such as DDT, toxaphene, chlordane, and mercury. PMID:12573894

  15. Ethical Perspectives on Knowledge Translation in Rehabilitation

    PubMed Central

    Banja, John D.; Eisen, Arri

    2013-01-01

    Although the literature on the ethical dimensions of knowledge creation, use, and dissemination is voluminous, it has not particularly examined the ethical dimensions of knowledge translation in rehabilitation. Yet, whether research is done in a wet lab or treatments are provided to patients in therapeutic settings, rehabilitation professionals commonly use (as well as create) knowledge and disseminate it to peers, patients, and various others. This article will refer to knowledge creation, use, and transfer as knowledge translation and examine some of its numerous ethical challenges. Three ethical dimensions of knowledge translation will particularly attract our attention: (1) the quality of knowledge disseminated to rehabilitationists; (2) ethical challenges in being too easily persuaded by or unreasonably resistant to putative knowledge; and (3) organizational barriers to knowledge translation. We will conclude with some recommendations on facilitating the ethical soundness of knowledge translation in rehabilitation. PMID:23168302

  16. Science, technology and ethics: from critical perspective to dialectical perspective.

    PubMed

    Lavelle, Sylvain

    2005-06-01

    It has been agreed upon, according to critical perspective, to distinguish the problems raised by scientific issues on the one hand and the problems raised by moral issues on the other. This distinction, at the genesis of theoretical ideology, postulates that experimental science is mere knowledge which, since it has nothing to do with action, cannot raise a moral problem. Yet the use of experimental techniques turns out to be a necessary means, although an insufficient one, to put to the test and to confirm the theoretical hypothesis of science. Thus, those techniques produce perceptible effects which can be assimilated to genuine transformation and are consequently capable of raising moral problems. It follows that the technical imperative of science can be conditioned by a moral imperative of technique, which leads to modification of the object of the research and dubs it, a dialectical object. It is, however, advisable to effect a demarcation between that which, within the frame work of research in experimental science, can pose a moral problem and which cannot. The criterion of refusability of practical projects, by analogy with Popper's criterion of refutability of theoretical conjectures, allows for this demarcation to be implemented. It postulates that only the technical projects of science, apart from scientific theories, can pose a moral problem or can be recognized as moral, providing that the conditions of a possible ethical refusal can be expressed. From the analysis and the synthesis of heterogeneous possibilities, dialectical perspective thus outlined represents an endeavour to go beyond critical perspective, while trying to seek an intermediary channel between the "progressist dogmatism" of science and the obscurantist scepticism" of morals. PMID:16619430

  17. Medical Ethics in Nephrology: A Jewish Perspective.

    PubMed

    Friedman, Allon N

    2016-01-01

    Jewish medical ethics is arguably the oldest recorded system of bioethics still in use. It should be of interest to practicing nephrologists because of its influence on the ethical systems of Christianity, Islam, and Western secular society; because of the extensive written documentation of rabbinical response in addressing a broad range of bioethical dilemmas; and in understanding the values of patients who choose to adhere to religious Jewish law. The goal of this review is to provide a brief overview of the basic principles underlying mainstream traditional Jewish medical ethics, apply them to common clinical scenarios experienced in nephrology practice, and contrast them with that of secular medical ethics. PMID:27101218

  18. Medical Ethics in Nephrology: A Jewish Perspective

    PubMed Central

    Friedman, Allon N.

    2016-01-01

    Jewish medical ethics is arguably the oldest recorded system of bioethics still in use. It should be of interest to practicing nephrologists because of its influence on the ethical systems of Christianity, Islam, and Western secular society; because of the extensive written documentation of rabbinical response in addressing a broad range of bioethical dilemmas; and in understanding the values of patients who choose to adhere to religious Jewish law. The goal of this review is to provide a brief overview of the basic principles underlying mainstream traditional Jewish medical ethics, apply them to common clinical scenarios experienced in nephrology practice, and contrast them with that of secular medical ethics. PMID:27101218

  19. Ethical issues in human reproduction: Islamic perspectives.

    PubMed

    Serour, G I

    2013-11-01

    Sexual and reproductive rights of women are essential components of human rights. They should never be transferred, renounced or denied for any reason based on race, religion, origin, political opinion or economic conditions. Women have the right to the highest attainable standard of health care for all aspects of their reproductive and sexual health (RSH). The principle of autonomy emphasizes the important role of women in the decision-making. Choices of women in reproduction, after providing evidence based information, should be respected. Risks, benefits and alternatives should be clearly explained before they make their free informed consent. Justice requires that all be treated with equal standard and have equal access to their health needs without discrimination or coercion. When resources are limited there is tension between the principle of justice and utility. Islamic perspectives of bioethics are influenced by primary Sharia namely the Holy Quran, authenticated traditions and saying of the Profit Mohamed (PBUH), Igmaa and Kias (analogy). All the contemporary ethical principles are emphasized in Islamic Shariaa, thus these principles should be observed when providing reproductive and sexual health services for Muslim families or communities. The Family is the basic unit in Islam. Safe motherhood, family planning, and quality reproductive and sexual health information and services and assisted reproductive technology are all encouraged within the frame of marriage. While the Shiaa sect permits egg donation, and surrogacy the Sunni sect forbids a third party contribution to reproduction. Harmful practices in RSH as FGM, child marriage and adolescent pregnancy are prohibited in Islam. Conscientious objection to treatment should not refrain the physician from appropriate referral. PMID:24004295

  20. Ethics in Clinical Research: The Indian Perspective

    PubMed Central

    Sanmukhani, J.; Tripathi, C. B.

    2011-01-01

    Ethics in clinical research focuses largely on identifying and implementing the acceptable conditions for exposure of some individuals to risks and burdens for the benefit of society at large. Ethical guidelines for clinical research were formulated only after discovery of inhumane behaviour with participants during research experiments. The Nuremberg Code was the first international code laying ethical principles for clinical research. With increasing research all over, World Health Organization formulated guidelines in the form of Declaration of Helsinki in 1964. The US laid down its guidelines for ethical principles in the Belmont Report after discovery of the Tuskegee's Syphilis study. The Indian Council of Medical Research has laid down the ‘Ethical Guidelines for Biomedical Research on Human Subjects’ in the year 2000 which were revised in 2006. It gives twelve general principles to be followed by all biomedical researchers working in the country. The Ethics Committee stands as the bridge between the researcher and the ethical guidelines of the country. The basic responsibility of the Ethics Committee is to ensure an independent, competent and timely review of all ethical aspects of the project proposals received in order to safeguard the dignity, rights, safety and well-being of all actual or potential research participants. A well-documented informed consent process is the hallmark of any ethical research work. Informed consent respects individual's autonomy, to participate or not to participate in research. Concepts of vulnerable populations, therapeutic misconception and post trial access hold special importance in ethical conduct of research, especially in developing countries like India, where most of the research participants are uneducated and economically backward. PMID:22303053

  1. Ethics in clinical research: the Indian perspective.

    PubMed

    Sanmukhani, J; Tripathi, C B

    2011-03-01

    Ethics in clinical research focuses largely on identifying and implementing the acceptable conditions for exposure of some individuals to risks and burdens for the benefit of society at large. Ethical guidelines for clinical research were formulated only after discovery of inhumane behaviour with participants during research experiments. The Nuremberg Code was the first international code laying ethical principles for clinical research. With increasing research all over, World Health Organization formulated guidelines in the form of Declaration of Helsinki in 1964. The US laid down its guidelines for ethical principles in the Belmont Report after discovery of the Tuskegee's Syphilis study. The Indian Council of Medical Research has laid down the 'Ethical Guidelines for Biomedical Research on Human Subjects' in the year 2000 which were revised in 2006. It gives twelve general principles to be followed by all biomedical researchers working in the country. The Ethics Committee stands as the bridge between the researcher and the ethical guidelines of the country. The basic responsibility of the Ethics Committee is to ensure an independent, competent and timely review of all ethical aspects of the project proposals received in order to safeguard the dignity, rights, safety and well-being of all actual or potential research participants. A well-documented informed consent process is the hallmark of any ethical research work. Informed consent respects individual's autonomy, to participate or not to participate in research. Concepts of vulnerable populations, therapeutic misconception and post trial access hold special importance in ethical conduct of research, especially in developing countries like India, where most of the research participants are uneducated and economically backward. PMID:22303053

  2. Ethics in health care marketing: the Twin Cities perspective.

    PubMed

    Sodergren, L

    1990-03-01

    Do hospital-based marketers have a common perspective on what practices are ethical for the promotion of health services to consumers? Do they find adequate guidance in making ethical decisions on marketing practices from the mission statements of their institutions? The author sought answers to these questions through a survey of marketers and other health care professionals in the highly competitive Twin Cities health care environment. PMID:10104015

  3. Empirical and normative ethics: a synthesis relating to the care of older patients.

    PubMed

    Jonasson, Lise-Lotte; Liss, Per-Erik; Westerlind, Björn; Berterö, Carina

    2011-11-01

    The aim of this study was to synthesize the concepts from empirical studies and analyze, compare and interrelate them with normative ethics. The International Council of Nurses (ICN) and the Health and Medical Service Act are normative ethics. Five concepts were used in the analysis; three from the grounded theory studies and two from the theoretical framework on normative ethics. A simultaneous concept analysis resulted in five outcomes: interconnectedness, interdependence, corroboratedness, completeness and good care are all related to the empirical perspective of the nurse's interaction with the older patient, and the normative perspective, i.e. that found in ICN code and SFS law. Empirical ethics and normative ethics are intertwined according to the findings of this study. Normative ethics influence the nurse's practical performance and could be supporting documents for nurses as professionals. PMID:21733960

  4. Perspectives of Egyptian Research Ethics Committees Regarding Their Effective Functioning

    PubMed Central

    Matar, Amal; Silverman, Henry

    2013-01-01

    The recent increase in research in the Middle East has been associated with the establishment of research ethics committees (RECs). Our aim was to obtain perspectives of RECs regarding the challenges that impede their effective functioning. We conducted in-depth interviews using a semi-structured interview guide. We transcribed and analyzed the interviews to uncover major themes and subthemes. We identified the following themes: membership composition; training needs of members; availability of human and capital resources; role of the national government; concerns with the informed consent process; government scrutiny of research; investigator-related issues; and concerns with transfer of biological samples to other countries. Our interview study revealed several barriers that need to be considered by appropriate stakeholders to enhance adequate functioning of RECs. PMID:23485669

  5. Ethical Perspectives on the Middle East Respiratory Syndrome Coronavirus Epidemic in Korea

    PubMed Central

    2016-01-01

    Ethical considerations are essential in planning for and responding to outbreaks of infectious diseases. During the outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV) in the Republic of Korea in 2015, serious challenges emerged regarding important ethical issues, such as transparency and the protection of privacy. The development of bioethics in Korea has been influenced by individualistic perspectives applied in clinical contexts, leading to a paucity of ethical perspectives relevant to population-level phenomena such as outbreaks. Alternative theories of public health ethics include the perspectives of relational autonomy and the patient as victim and vector. Public health actions need to incorporate clear and systematic procedures founded upon ethical principles. The MERS-CoV epidemic in Korea created significant public support for more aggressive early interventions in future outbreaks. This trend makes it all the more imperative for ethical principles and procedures to be implemented in future planning and responses to outbreaks in order to promote perceptions of legitimacy and civic participation. PMID:26841881

  6. New perspectives on the theory of justice: implications for physical therapy ethics and clinical practice.

    PubMed

    Edwards, Ian; Delany, Clare M; Townsend, Anne F; Swisher, Laura Lee

    2011-11-01

    Recent revisions of physical therapy codes of ethics have included a new emphasis concerning health inequities and social injustice. This emphasis reflects the growing evidence regarding the importance of social determinants of health, epidemiological trends for health service delivery, and the enhanced participation of physical therapists in shaping health care reform in a number of international contexts. This perspective article suggests that there is a "disconnect" between the societal obligations and aspirations expressed in the revised codes and the individualist ethical frameworks that predominantly underpin them. Primary health care is an approach to health care arising from an understanding of the nexus between health and social disadvantage that considers the health needs of patients as expressive of the health needs of the communities of which they are members. It is proposed that re-thinking ethical frameworks expressed in codes of ethics can both inform and underpin practical strategies for working in primary health care. This perspective article provides a new focus on the ethical principle of justice: the ethical principle that arguably remains the least consensually understood and developed in the ethics literature of physical therapy. A relatively recent theory of justice known as the "capability approach to justice" is discussed, along with its potential to assist physical therapy practitioners to further develop moral agency in order to address situations of health inequity and social injustice in clinical practice. PMID:21885447

  7. Can Suicide Be Ethical? A Utilitarian Perspective on the Appropriateness of Choosing to Die

    ERIC Educational Resources Information Center

    Feldman, David B.

    2006-01-01

    In his article in the current issue of Death Studies, "Can Suicide be a Good Death?" David Lester argues that each person should determine whether suicide is appropriate for him or her in relative isolation from the opinions of others. In the present article, I use a utilitarian ethical perspective to critique this assertion. According to…

  8. Journal Editing and Ethical Research Practice: Perspectives of Journal Editors

    ERIC Educational Resources Information Center

    Randell-Moon, Holly; Anderson, Nicole; Bretag, Tracey; Burke, Anthony; Grieshaber, Sue; Lambert, Anthony; Saltmarsh, David; Yelland, Nicola

    2011-01-01

    This article offers perspectives from academics with recent journal editing experience on a range of ethical issues and dilemmas that regularly pose challenges for those in editorial roles. Each contributing author has provided commentary and reflection on a select topic that was identified in the research literature concerning academic publishing…

  9. Learned Ethical Behavior: An Academic Perspective

    ERIC Educational Resources Information Center

    Gundersen, David E.; Capozzoli, Ernest A.; Rajamma, Rajasree K.

    2008-01-01

    The authors analyzed the reactions of various academic-level respondent groups to 14 short scenarios reflecting ethical dilemmas in higher education and research. As the authors hypothesized, groups differed in their views of the dilemmas presented. The results did not support a 2nd hypothesis predicting a linear relationship between academic…

  10. Teachers' Professional Ethics from Avicenna's Perspective

    ERIC Educational Resources Information Center

    Heidari, Mohammad Hossein; Heshi, Kamal Nosrati; Mottagi, Zohre; Amini, Mehrnosh; Shiri, Ali Shiravani

    2015-01-01

    The purpose of this paper is to express Avicenna's standpoints in the area of teachers' professional ethics. Making use of a qualitative approach and a descriptive-analytic method, this study attempted to describe and analyze Avicenna's viewpoints on prerequisites of teaching profession by the help of the available resources. In general, the…

  11. [Organizing health care: an ethical perspective].

    PubMed

    2013-06-01

    Health care at population level is a complex problem. Having this in mind, the purpose of this paper is to focus on the goods that are ethically relevant in the process of caring for health at this level. We briefly analyze some of the Chilean health statistics that, although they show important improvements along the years, demonstrate that certain conditions are to be deemed as inadequate by both healthcare providers and patients. Ethics is a central component to determine how to structure and organize health care systems and how they should operate. We emphasize human dignity as an ethical corner stone of the health care system, along with other important values such as justice and humanization, under the scope of the ends of medicine, and other components such as technical competence of providers and the financing of the whole process. We conclude that as far as a health care system is organized in a way that medical practice is well ordered, primarily and fundamentally according the ends of medicine and the good of persons, such a health care system is ethically adequate. PMID:24121582

  12. Ethical Perspectives on RNA Interference Therapeutics

    PubMed Central

    Ebbesen, Mette; Jensen, Thomas G.; Andersen, Svend; Pedersen, Finn Skou

    2008-01-01

    RNA interference is a mechanism for controlling normal gene expression which has recently begun to be employed as a potential therapeutic agent for a wide range of disorders, including cancer, infectious diseases and metabolic disorders. Clinical trials with RNA interference have begun. However, challenges such as off-target effects, toxicity and safe delivery methods have to be overcome before RNA interference can be considered as a conventional drug. So, if RNA interference is to be used therapeutically, we should perform a risk-benefit analysis. It is ethically relevant to perform a risk-benefit analysis since ethical obligations about not inflicting harm and promoting good are generally accepted. But the ethical issues in RNA interference therapeutics not only include a risk-benefit analysis, but also considerations about respecting the autonomy of the patient and considerations about justice with regard to the inclusion criteria for participation in clinical trials and health care allocation. RNA interference is considered a new and promising therapeutic approach, but the ethical issues of this method have not been greatly discussed, so this article analyses these issues using the bioethical theory of principles of the American bioethicists, Tom L. Beauchamp and James F. Childress. PMID:18612370

  13. The ethics of cost containment from the anesthesiologist's perspective.

    PubMed

    Vogel, W A; Manecke, G R; Poppers, P J

    1999-02-01

    Cost containment, as an essential part of current effort to manage health care, has been examined thoroughly from the perspectives of finance and patient care. In this article, the ethics of cost containment are discussed from the vantage point of the health care provider. Cost-cutting initiatives, however necessary and sound, nevertheless may place anesthesiologists in situations of ethical conflict and ultimately interfere with their rights as workers and professionals. The anesthesiology community is encouraged to investigate the effect of cost-cutting measures on patients and physicians alike. PMID:10396723

  14. Diversity, Power and Influence: Multiple Perspectives on the Ethics of School Leadership.

    ERIC Educational Resources Information Center

    Reitzug, Ulrich C.

    1994-01-01

    Explores ethical issues of cultural diversity, power, and influence embedded in leadership and school practices. Explores ethical criteria suggested by various perspectives (functionalism, interpretivism, and critical theory), arguing that ethical issues can be more thoroughly addressed by using criteria from multiple perspectives. Single-lens…

  15. Overservicing in dental practice--ethical perspectives.

    PubMed

    Hartshorne, Johan; Hasegawa, Thomas K

    2003-10-01

    Overservicing or the acceptance of unnecessary, inappropriate, excessive or fraudulent treatment is regarded as sanctioned lying, cheating or stealing and thus constitutes unethical conduct and a breach of the integrity of the profession. During the past year the media have repeatedly reported that the private sector is bloated with overservicing: one of the most important factors contributing to the increasing inflation of health care costs. Overservicing is an ethical problem presenting with a conflict situation among the interests of the patient, the provider and the funder. For example, since dentists are in a position to gain financially from their professional recommendations, they are at risk of having a conflict of interest: by overservicing they collect more fees. Low medical aid tariffs, delayed payment of benefits, oversupply of dentists, decreasing business and the spiralling costs of dental materials and equipment are the primary causes of high practice overheads and low cash-flow levels. Dentists may seek alternatives such as overservicing or unnecessary treatment to generate income and to improve their cash flow and/or profit. The main motives for overservicing are economic survival and financial gain. Some dentists may overtreat unintentionally due to out-dated treatment philosophies or where criteria for diagnosis and effective care are not clear, leading to variation in treatment decisions. Some overservicing may be due to patient-initiated demand. Dentists are largely unregulated as to the appropriateness or necessity of treatment decisions because of their professional status. Society trusts that their professionals will put the benefit of those they serve above their own self-interests. The aim of this review is to provide dentists with some guidance to the process of ethical decision making, the ethical principles involved, moral rules, and guidelines for professional standard of care. Business considerations whether profit, financial gain or

  16. Leadership and organizational ethics: the three dimensional African perspectives

    PubMed Central

    2013-01-01

    This paper addresses the past, present and future aspects of African leadership and organizational ethics that have, are and will be key for any organization to sustain its systems and structures. Organizational ethics revolves around written and/or unwritten guidelines, ethical values, principles, rules and standards, that are drawn from the harmonious coexistence with the biosphere and it is how these elements are applied that dictates the style of leadership and the ethical thinking of the leaders. Africa has a wide range of complexities which are compounded by, inter alia, tribal divisiveness, selfish leadership, wealth inequality, and massive unemployment. Africans tend to draw their leadership and ethical practices and reflections from the events in the environment with which they have interacted for many years. However, in order to fully address and understand the African perspective in leadership and organizational ethics, a broad comprehension of the African diverse and complex landscape is needed through unravelling of the three dimensional existence of the people. African ethics, developed over time, unifies organizations and leadership since it is part of life and is practised, sub-consciously or unconsciously, by the people as they transform from one practice to the other, and during intergenerational transitions. Globalization, liberalization, technological changes and advancement, and market changes are rapidly transforming the environment in which organizations operate. In such a situation, an effective and true leader cannot be rigid but should be flexible, with the ability to use different leadership styles whenever the situation calls for it. Only those leaders with a three-dimensional perspective live inspiring lives, live with a cause and adopt organizational ethics and leadership styles that will stand the test of time. Despite Africa being the cradle of humankind, leadership and organizational ethics is still in its infancy and wanting, even

  17. Leadership and organizational ethics: the three dimensional African perspectives.

    PubMed

    Mathooko, Jude Mutuku

    2013-01-01

    This paper addresses the past, present and future aspects of African leadership and organizational ethics that have, are and will be key for any organization to sustain its systems and structures. Organizational ethics revolves around written and/or unwritten guidelines, ethical values, principles, rules and standards, that are drawn from the harmonious coexistence with the biosphere and it is how these elements are applied that dictates the style of leadership and the ethical thinking of the leaders. Africa has a wide range of complexities which are compounded by, inter alia, tribal divisiveness, selfish leadership, wealth inequality, and massive unemployment. Africans tend to draw their leadership and ethical practices and reflections from the events in the environment with which they have interacted for many years. However, in order to fully address and understand the African perspective in leadership and organizational ethics, a broad comprehension of the African diverse and complex landscape is needed through unravelling of the three dimensional existence of the people. African ethics, developed over time, unifies organizations and leadership since it is part of life and is practised, sub-consciously or unconsciously, by the people as they transform from one practice to the other, and during intergenerational transitions. Globalization, liberalization, technological changes and advancement, and market changes are rapidly transforming the environment in which organizations operate. In such a situation, an effective and true leader cannot be rigid but should be flexible, with the ability to use different leadership styles whenever the situation calls for it. Only those leaders with a three-dimensional perspective live inspiring lives, live with a cause and adopt organizational ethics and leadership styles that will stand the test of time. Despite Africa being the cradle of humankind, leadership and organizational ethics is still in its infancy and wanting, even

  18. Clarifying appeals to dignity in medical ethics from an historical perspective.

    PubMed

    Van Der Graaf, Rieke; Van Delden, Johannes Jm

    2009-03-01

    Over the past few decades the concept of (human) dignity has deeply pervaded medical ethics. Appeals to dignity, however, are often unclear. As a result some prefer to eliminate the concept from medical ethics, whereas others try to render it useful in this context. We think that appeals to dignity in medical ethics can be clarified by considering the concept from an historical perspective. Firstly, on the basis of historical texts we propose a framework for defining the concept in medical debates. The framework shows that dignity can occur in a relational, an unconditional, a subjective and a Kantian form. Interestingly, all forms relate to one concept since they have four features in common: dignity refers, in a restricted sense, to the 'special status of human beings'; it is based on essential human characteristics; the subject of dignity should live up to it; and it is a vulnerable concept, it can be lost or violated. We argue that being explicit about the meaning of dignity will prevent dignity from becoming a conversation-stopper in moral debate. Secondly, an historical perspective on dignity shows that it is not yet time to dispose of dignity in medical ethics. At least Kantian and relational dignity can be made useful in medical ethics. PMID:19161568

  19. Ethical concepts and future challenges of neuroimaging: an Islamic perspective.

    PubMed

    Al-Delaimy, Wael K

    2012-09-01

    Neuroscience is advancing at a rapid pace, with new technologies and approaches that are creating ethical challenges not easily addressed by current ethical frameworks and guidelines. One fascinating technology is neuroimaging, especially functional Magnetic Resonance Imaging (fMRI). Although still in its infancy, fMRI is breaking new ground in neuroscience, potentially offering increased understanding of brain function. Different populations and faith traditions will likely have different reactions to these new technologies and the ethical challenges they bring with them. Muslims are approximately one-fifth of world population and they have a specific and highly regulated ethical and moral code, which helps them deal with scientific advances and decision making processes in an Islamically ethical manner. From this ethical perspective, in light of the relevant tenets of Islam, neuroimaging poses various challenges. The privacy of spirituality and the thought process, the requirement to put community interest before individual interest, and emphasis on conscious confession in legal situations are Islamic concepts that can pose a challenge for the use of something intrusive such as an fMRI. Muslim moral concepts such as There shall be no harm inflicted or reciprocated in Islam and Necessities overrule prohibitions are some of the criteria that might appropriately be used to guide advancing neuroscience. Neuroscientists should be particularly prudent and well prepared in implementing neuroscience advances that are breaking new scientific and ethical ground. Neuroscientists should also be prepared to assist in setting the ethical frameworks in place in advance of what might be perceived as runaway applications of technology. PMID:22865482

  20. Paternalism, autonomy and reciprocity: ethical perspectives in encounters with patients in psychiatric in-patient care

    PubMed Central

    2013-01-01

    Background Psychiatric staff members have the power to decide the options that frame encounters with patients. Intentional as well as unintentional framing can have a crucial impact on patients’ opportunities to be heard and participate in the process. We identified three dominant ethical perspectives in the normative medical ethics literature concerning how doctors and other staff members should frame interactions in relation to patients; paternalism, autonomy and reciprocity. The aim of this study was to describe and analyse statements describing real work situations and ethical reflections made by staff members in relation to three central perspectives in medical ethics; paternalism, autonomy and reciprocity. Methods All staff members involved with patients in seven adult psychiatric and six child and adolescent psychiatric clinics were given the opportunity to freely describe ethical considerations in their work by keeping an ethical diary over the course of one week and 173 persons handed in their diaries. Qualitative theory-guided content analysis was used to provide a description of staff encounters with patients and in what way these encounters were consistent with, or contrary to, the three perspectives. Results The majority of the statements could be attributed to the perspective of paternalism and several to autonomy. Only a few statements could be attributed to reciprocity, most of which concerned staff members acting contrary to the perspective. The result is presented as three perspectives containing eight values. •Paternalism; 1) promoting and restoring the health of the patient, 2) providing good care and 3) assuming responsibility. •Autonomy; 1) respecting the patient’s right to self-determination and information, 2) respecting the patient’s integrity and 3) protecting human rights. •Reciprocity; 1) involving patients in the planning and implementation of their care and 2) building trust between staff and patients. Conclusions

  1. Solicitude: balancing compassion and empowerment in a relational ethics of hope-an empirical-ethical study in palliative care.

    PubMed

    Olsman, Erik; Willems, Dick; Leget, Carlo

    2016-03-01

    The ethics of hope has often been understood as a conflict between duties: do not lie versus do not destroy hope. However, such a way of framing the ethics of hope may easily place healthcare professionals at the side of realism and patients at the side of (false) hope. That leaves unexamined relational dimensions of hope. The objective of this study was to describe a relational ethics of hope based on the perspectives of palliative care patients, their family members and their healthcare professionals. A qualitative longitudinal method based on narrative theories was used. Semi-structured interviews on hope were conducted with twenty-nine palliative care patients, nineteen friends or family members, and fifty-two healthcare professionals, which were recorded and transcribed. Data on hope were thematically analyzed. The researchers wrote memos and did member checking with participants. When participants spoke about hope, they referred to power and empowerment, like the powerful bonding of hope between patients and physicians. They also associated hope with the loss of hope and suffering. Several participating healthcare professionals tried to balance both sides, which involved acknowledgment of hope and suffering. Hope and power were reflected in the ethical concept of empowerment, whereas suffering and the loss of hope were reflected in the ethical concept of compassion. Empowerment and compassion can be balanced in solicitude. In conclusion, a relational ethics of hope requires solicitude, in which healthcare professionals are able to weigh empowerment and compassion within particular relationships. PMID:25944316

  2. Human experimentation in historical and ethical perspectives.

    PubMed

    Howard-Jones, N

    1982-01-01

    Prepared as background material for a World Health Organization/Council for International Organizations of Medical Sciences document, Proposed International Guidelines for Biomedical Research Involving Human Subjects (1982), this article reviews historical aspects of human experimentation and considers several current issues. It refers to early experiments, including auto-experiments by physicians; traces the history of drug trials through the pharmacotherapeutic revolution and the thalidomide tragedy; and describes the formulation of ethical requirements during the Weimar Republic in Germany. Contemporary problems discussed are the use of controls and placebos, investigators as subjects, special categories of subjects, and informed and vicarious consent. The text of the proposed WHO/CIOMS Guidelines is appended. PMID:6753169

  3. Experiences of ethical dilemmas in rehabilitation: Swedish occupational therapists' perspectives.

    PubMed

    Kassberg, Ann-Charlotte; Skär, Lisa

    2008-12-01

    The aim of this study was to describe Swedish occupational therapists' experiences of encountering ethical dilemmas in rehabilitation and strategies they used to handle the situations. Twelve occupational therapists who work with adults with developmental disabilities were interviewed using a semi-structured interview design. Data were analysed using qualitative content analysis. The results showed that ethical dilemmas were common in the occupational therapists' daily work within rehabilitation. Many situations that created ethical dilemmas were related to occupational therapists who worked with clients and their relatives, and other healthcare providers. The results showed further that occupational therapists found it difficult to make decisions and to optimize clients' participation in decision-making, to set limits and act professionally, and to best handle the situation for the client and avoid ethical dilemmas. This study indicates the importance of illustrating experiences of ethical dilemmas within occupational therapy praxis and the meaning of discussing ethical dilemmas with different healthcare providers to reach a divided view of the client in order to develop successful and healthy strategies that will optimize the rehabilitation of clients with developmental disabilities. PMID:18609243

  4. Telemedicine: medical, legal and ethical perspectives.

    PubMed

    Clark, Peter A; Capuzzi, Kevin; Harrison, Joseph

    2010-12-01

    Technological innovations in medical care have led to the development of telemedicine programs in both rural and urban environments. The necessity for telemedicine has increased immensely as more cost-effective treatment options have become available for both patients and physicians through the addition of telecommunication technologies to medical practice. The development of telemedicine systems began as a means of providing access to health care resources for individuals living in isolated rural areas, grew into advanced medical intervention techniques for soldiers on the battlefield, and have become prevalent in urban medical centers both as a resource to the underserved populations and as a platform for physicians off-site to conduct patient consults remotely. Urban telemedicine systems, as monitored in the Mercy Health System (Philadelphia, Pennsylvania) and AtlantiCare Regional Medical Center (Atlantic City, New Jersey), display the enormous benefits of telemedicine as a form of preliminary analysis of patients for the treatment of various medical conditions including chronic disease, mental health disorders and stroke. However, the initiation of telemedicine programs requires new protocols and safeguards to be initiated to protect patient confidentiality/privacy, ensure the appropriate licensure of physicians practicing across state borders, and educate patients on the use of new technological systems. Telemedicine represents the progression of medicine in the presence of improving communication technologies and should be instituted in all urban medical centers. This conclusion is based upon the ethical responsibility to treat all persons with dignity and respect, which in this case, mandates the provision of the most cost-effective, beneficial medical care for all populations. PMID:21119593

  5. Ethics of tobacco harm reduction from a liberal perspective.

    PubMed

    van der Eijk, Yvette

    2016-05-01

    Mixed evidence on the possible harms, benefits and usage patterns of electronic nicotine delivery systems (ENDS, or 'e-cigarettes'), has led to vigorous and ongoing debates on the issue. The ethical trade-off often represented is that, though smokers should be permitted access to ENDS as a less harmful alternative to smoking, this comes at the expense of non-smokers and children who may experiment with ENDS, become addicted to them, or experience health issues from long-term exposure to passive ENDS vapour. Lacking from many debates is a balanced analysis based on sound ethical reasoning, so this paper aims to examine the issue from a liberal perspective. More specifically, focus is on how ENDS policy can help to promote freedom in a broader sense, with 'freedom' considered as originating from having options and the necessary information and ability to autonomously choose between these options. PMID:26612426

  6. What is it to do good medical ethics? An orthodox Jewish physician and ethicist's perspective.

    PubMed

    Steinberg, Avraham

    2015-01-01

    This article, dedicated to the 40th anniversary of the Journal of Medical Ethics, approaches the question 'what does it mean to do good medical ethics?' first from a general perspective and then from the personal perspective of a Jewish Orthodox physician and ethicist who tries, both at a personal clinical level and in national and sometimes international discussions and debates, to reconcile his own religious ethical values-especially the enormous value given by Jewish ethics to the preservation of human life-with the prima facie 'principlist' moral norms of contemporary secular medical ethics, especially that of respect for patients' autonomy. PMID:25516953

  7. An Investigation of Ethical Leadership Perspectives among Ohio School District Superintendents

    ERIC Educational Resources Information Center

    Fowler, Denver J.; Johnson, Jerry

    2014-01-01

    The purpose of this study was to investigate the ethical leadership perspectives of Ohio public school superintendents. Secondly, this study examined to what extent ethical leadership perspectives of Ohio public school superintendents vary according to school district characteristics. Furthermore, the study examined to what extent do ethical…

  8. EHR in the perspective of security, integrity and ethics.

    PubMed

    Nordberg, Ragnar

    2006-01-01

    Success stories of modern applications in healthcare and welfare, like the electronic health record, are always linked to end user awareness, confidence, and acceptance. Reports and surveys have given proof of these dependencies. Knowing about existing and emerging concerns and weaknesses right in advance allows to taking actions on an ethical, social, and societal level. This paper gives a review of specific observations regarding security, privacy, authentication, integrity and ethical aspects when operating an electronic health record (EHR) system in a hospital, an open care department and in a wider community of the health care sector. A reference is given to existing and emerging international standards related to the aforementioned aspects. PMID:17095827

  9. Practicing physiotherapy in Danish private practice: an ethical perspective.

    PubMed

    Praestegaard, Jeanette; Gard, Gunvor; Glasdam, Stinne

    2013-08-01

    Despite an increasingly growth of professional guidelines, textbooks and research about ethics in health care, awareness about ethics in Danish physiotherapy private practice seen vague. This article explores how physiotherapists in Danish private practice, from an ethical perspective, perceive to practice physiotherapy. The empirical data consists of interviews with twenty-one physiotherapists. The interviews are analysed from a hermeneutic approach, inspired by Ricoeur's textual interpretation of distanciation. The analysis follows three phases: naïve reading, structural analysis and comprehensive analysis. Four main themes are constructed: Beneficence as the driving force; Disciplining the patient through the course of physiotherapy; Balancing between being a trustworthy professional and a businessperson; The dream of a code of practice. Private practice physiotherapy is embedded in a structural frame directed by both political and economical conditions that shape the conditions for practicing physiotherapy. It means that beneficence in practice is a balance between the patient, the physiotherapists themselves and the business. Beneficence towards the patient is expressed as an implicit demand. Physiotherapeutic practice is expressed as being an integration of professionalism and personality which implies that the physiotherapists also have to benefit themselves. Private practice seems to be driven by a paternalistic approach towards the patient, where disciplining the patient is a crucial element of practice, in order to optimise profit. Physiotherapists wish for a more beneficent practice in the future by aiming at bridging 'to be' and 'ought to be'. PMID:23160855

  10. Risky Treatments: A Jewish Medical Ethics Perspective

    PubMed Central

    Steinberg, Avraham

    2015-01-01

    The Jewish principle concerning a decision with regard to a dangerous treatment is as following: A patient who is estimated to die within 12 months because of a fatal illness is permitted to undergo a treatment that on the one hand may extend his life beyond 12 months, but on the other hand may hasten his death. There are, however, several limitations to this ruling related to the chances of success with the proposed treatment, the nature of the treatment, whether it is intended to be curative or merely to postpone the danger and death, whether the treatment is absolutely necessary, and others. One is not obligated to undergo a dangerous treatment, but one is permitted to do so. The permissibility to forfeit a short life expectancy in order to achieve more prolonged life applies only with the patient’s consent. That consent is valid and is not considered a form of attempted suicide. Neither is a refusal to submit to treatment considered an act of suicide; the patient has the right to refuse a dangerous procedure. In all situations where a permissive ruling is granted for a patient to endanger his short life expectancy, the ruling should be arrived at after careful reflection and with the approval of the rabbinic authorities acting on the recommendation of the most expert physicians. PMID:26241221

  11. Ethics or Choosing Complexity in Music Relations

    ERIC Educational Resources Information Center

    Schmidt, Patrick

    2012-01-01

    The hardship and pleasure of a life in ethics, as in music, springs not from a commitment to the veneration of stability, refinement and consistency, as some political and aesthetic discourses often suggest. Rather, the productive tensions of ethical living arise from a restless interaction between constant motion and adaptability; both marks of…

  12. A quantitative perspective on ethics in large team science.

    PubMed

    Petersen, Alexander M; Pavlidis, Ioannis; Semendeferi, Ioanna

    2014-12-01

    The gradual crowding out of singleton and small team science by large team endeavors is challenging key features of research culture. It is therefore important for the future of scientific practice to reflect upon the individual scientist's ethical responsibilities within teams. To facilitate this reflection we show labor force trends in the US revealing a skewed growth in academic ranks and increased levels of competition for promotion within the system; we analyze teaming trends across disciplines and national borders demonstrating why it is becoming difficult to distribute credit and to avoid conflicts of interest; and we use more than a century of Nobel prize data to show how science is outgrowing its old institutions of singleton awards. Of particular concern within the large team environment is the weakening of the mentor-mentee relation, which undermines the cultivation of virtue ethics across scientific generations. These trends and emerging organizational complexities call for a universal set of behavioral norms that transcend team heterogeneity and hierarchy. To this end, our expository analysis provides a survey of ethical issues in team settings to inform science ethics education and science policy. PMID:24919946

  13. International Nursing Consultation: A Perspective on Ethical Issues.

    ERIC Educational Resources Information Center

    Andrews, Margaret M.; Fargotstein, Barbara P.

    1986-01-01

    The ethical issues faced by international nurse consultants are examined, and the ways in which ethical theories can be useful to nurses dealing with ethical conflicts while serving as consultants of other countries are explored. (Author/MLW)

  14. Pediatric Nurses’ Information and Applications Related To Ethical Codes

    PubMed Central

    Turkmen, Ayse Sonay; Savaser, Sevim

    2015-01-01

    Background: Ethics is defined as the entirety of moral principles that form the basis of individuals’ behavior; it can also be defined as “moral theory” or “theoretical ethics”. Objectives: To determinate information and applications related to ethical codes of pediatric nurses. Patients and Methods: Participants were nurses attending the Neonatal Intensive Care Unit Nursing Course and the Pediatric Nursing Course conducted in Istanbul between September 2011 and December 2012. A total of nurses attending the courses at the specified dates and who agreed to participate in the study were included in the analysis. Data were collected through a questionnaire that we developed in accordance with current literature on nursing ethics. Results 140 nurses participated in this study. Information and applications were related to ethical codes of nurses including four categories; autonomy, beneficence, nonmaleficence, justice. The principle of confidentiality/keeping secrets. Exactly 64.3% of nurses reported having heard of nursing ethical codes. The best-known ethical code was the principle of justice. Furthermore, while the rates were generally low, some nurses engaged in unethical practices such as patient discrimination and prioritizing acquaintances. Conclusions: We conclude that most nurses working in pediatric clinics act in compliance with ethical codes. We also found that the majority of nurses wanted to learn about ethical codes. For this reason, we recommended that nurses working in clinics and future nurses in training be informed of the appropriate ethical behavior and codes. PMID:26199697

  15. Philosophical and ethical perspectives on cardiovascular disease risk in low-wage workers.

    PubMed

    Hwang, Won Ju

    2011-01-01

    One of the overriding goals of Healthy People 2010 is to reduce the health disparities observed among Americans. Because workers in small businesses tend to have little or no access to health screening or preventive health education programs, they may be unaware of their unique risk factors and are thus more at risk of cardiovascular disease (CVD). Furthermore, occupational health nurses are more likely to be available in health programs to employees in large rather than small businesses. The purpose of this paper is to illustrate how nursing values and philosophy might influence public health nurses' thinking about nursing science and ethical issues relating to the risk of CVD among low-wage workers. The following questions will guide the exploration of health disparities among low-wage workers: (a) What are the health disparities observed among low-wage workers with CVD risk? (b) What are the philosophical and ethical perspectives on the issues presented? (c) Based on these findings, how should limited resources be allocated? and (d) How does this affect nursing? These approaches will provide the foundation for developing a culturally sensitive ethical and philosophical perspective to prevent CVD and promote cardiovascular health among low-wage workers. PMID:21732971

  16. Ethical issues in predictive genetic testing: a public health perspective.

    PubMed

    Fulda, K G; Lykens, K

    2006-03-01

    As a result of the increase in genetic testing and the fear of discrimination by insurance companies, employers, and society as a result of genetic testing, the disciplines of ethics, public health, and genetics have converged. Whether relatives of someone with a positive predictive genetic test should be notified of the results and risks is a matter urgently in need of debate. Such a debate must encompass the moral and ethical obligations of the diagnosing physician and the patient. The decision to inform or not will vary depending on what moral theory is used. Utilising the utilitarian and libertarian theories produces different outcomes. The principles of justice and non-maleficence will also play an important role in the decision. PMID:16507657

  17. Access to high cost medicines in Australia: ethical perspectives.

    PubMed

    Lu, Christine Y; Macneill, Paul; Williams, Ken; Day, Ric

    2008-01-01

    Access to "high cost medicines" through Australia's Pharmaceutical Benefits Scheme (PBS) is tightly regulated. It is inherently difficult to apply any criteria-based system of control in a way that provides a fair balance between efficient use of limited resources for community needs and equitable individual access to care. We suggest, in relation to very high cost medicines, that the present arrangements be re-considered in order to overcome potential inequities. The biological agents for the treatment of rheumatoid arthritis are used as an example by which to discuss the ethical issues associated with the current scheme. Consideration of ethical aspects of the PBS and similar programs is important in order to achieve the fairest outcomes for individual patients, as well as for the community. PMID:18489760

  18. Social and ethical perspectives of landslide risk mitigation measures

    NASA Astrophysics Data System (ADS)

    Kalsnes, Bjørn; Vangelsten, Bjørn V.

    2015-04-01

    Landslide risk may be mitigated by use of a wide range of measures. Mitigation and prevention options may include (1) structural measures to reduce the frequency, severity or exposure to the hazard, (2) non-structural measures, such as land-use planning and early warning systems, to reduce the hazard frequency and consequences, and (3) measures to pool and transfer the risks. In a given situation the appropriate system of mitigation measures may be a combination of various types of measures, both structural and non-structural. In the process of choosing mitigation measures for a given landslide risk situation, the role of the geoscientist is normally to propose possible mitigation measures on basis of the risk level and technical feasibility. Social and ethical perspectives are often neglected in this process. However, awareness of the need to consider social as well as ethical issues in the design and management of mitigating landslide risk is rising. There is a growing understanding that technical experts acting alone cannot determine what will be considered the appropriate set of mitigation and prevention measures. Issues such as environment versus development, questions of acceptable risk, who bears the risks and benefits, and who makes the decisions, also need to be addressed. Policymakers and stakeholders engaged in solving environmental risk problems are increasingly recognising that traditional expert-based decision-making processes are insufficient. This paper analyse the process of choosing appropriate mitigation measures to mitigate landslide risk from a social and ethical perspective, considering technical, cultural, economical, environmental and political elements. The paper focus on stakeholder involvement in the decision making process, and shows how making strategies for risk communication is a key for a successful process. The study is supported by case study examples from Norway and Italy. In the Italian case study, three different risk mitigation

  19. Strikes by physicians: a historical perspective toward an ethical evaluation.

    PubMed

    Thompson, Stephen L; Salmon, J Warren

    2006-01-01

    Current conditions surrounding the house of medicine-including corporate and government cost-containment strategies, increasing market-penetration schemes in health care, along with clinical scrutiny and the administrative control imposed under privatization by managed care firms, insurance companies, and governments-have spurred an upsurge in physician unionization, which requires a revisiting of the issue of physician strikes. Strikes by physicians have been relatively rare events in medical history. When they have occurred, they have aroused intense debate over their ethical justification among professionals and the public alike, notwithstanding what caused the strikes. As physicians and other health care providers increasingly find employment within organizations as wage-contract employees and their work becomes more highly rationalized, more physicians will join labor organizations to protect both their economic and their professional interests. As a result, these physicians will have to come to terms with the use of the strike weapon. On the surface, many health care strikes may not ever seem justifiable, but in certain defined situations a strike would be not only permissible but an ethical imperative. With an exacerbation of labor strife in the health sector in many nations, it is crucial to explore the question of what constitutes an ethical physician strike. PMID:16878396

  20. [Poverty, demographic growth, and birth control: a critique of Peter Singer s ethical perspective on the relationship between rich and poor].

    PubMed

    Romero, D E

    1998-01-01

    This article analyzes the relationship between population growth and ethical principles relating to poverty. The paper is a critical approach to the thesis presented by Peter Singer in his book Practical Ethics. The first part briefly examines the principal topics of his thesis. The author then analyzes the basis of Singer's theory with respect to the following questions: 1. Is overpopulation the main reason for poverty? Is it possible to establish an association between the poverty phenomenon and population growth? 2. Is Singer s demographic perspective valid? 3. Can problems of resource distribution be ignored when talking about poverty from an ethical perspective? 4. Is it true that birth control policy was successfully implemented in Mexico, Colombia, and Brazil? 5. Does Singer s position on population growth have a negative influence on the "collective imagination"? The paper concludes by suggesting some useful arguments for understanding an ethical perspective towards poverty. PMID:9761607

  1. [Ethical questions related to nutrition and hidration: basic aspects].

    PubMed

    Collazo Chao, E; Girela, E

    2011-01-01

    Conditions that pose ethical problems related to nutrition and hydration are very common nowdays, particularly within Hospitals among terminally ill patients and other patients who require nutrition and hydration. In this article we intend to analyze some circumstances, according to widely accepted ethical values, in order to outline a clear action model to help clinicians in making such difficult decisions. The problematic situations analyzed include: should hydration and nutrition be considered basic care or therapeutic measures?, and the ethical aspects of enteral versus parenteral nutrition. PMID:22411365

  2. Psychological and ethical implications related to infertility.

    PubMed

    Minucci, Daria

    2013-12-01

    Being a parent is deeply demanding and one of the most important events in life; parents experience the deepening of human relationships with their partner, within their families, and in society, and moreover the fundamental relationship between parent and child. Every medical, social, and political effort must be made to prevent infertility but also to offer infertile couples the best diagnostic and therapeutic paths. Understanding the suffering of the couple and their families prevents and helps ease the possible psychological and social complications of infertility. Therefore, infertility concerns not only biomedical sciences but also psychological and social ones-ethics and law-in their combined efforts to identify areas of understanding and of research for solutions while respecting the dignity of the couple and unborn child. The Catholic Church offers an ongoing contribution through dialogue in looking for ethical principles guiding scientific and medical research respectful of the true life of human beings. PMID:24156989

  3. Neurofunctional Correlates of Ethical, Food-Related Decision-Making

    PubMed Central

    Cherry, J. Bradley C.; Bruce, Jared M.; Lusk, Jayson L.; Crespi, John M.; Lim, Seung-Lark; Bruce, Amanda S.

    2015-01-01

    For consumers today, the perceived ethicality of a food’s production method can be as important a purchasing consideration as its price. Still, few studies have examined how, neurofunctionally, consumers are making ethical, food-related decisions. We examined how consumers’ ethical concern about a food’s production method may relate to how, neurofunctionally, they make decisions whether to purchase that food. Forty-six participants completed a measure of the extent to which they took ethical concern into consideration when making food-related decisions. They then underwent a series of functional magnetic resonance imaging (fMRI) scans while performing a food-related decision-making (FRDM) task. During this task, they made 56 decisions whether to purchase a food based on either its price (i.e., high or low, the “price condition”) or production method (i.e., with or without the use of cages, the “production method condition”), but not both. For 23 randomly selected participants, we performed an exploratory, whole-brain correlation between ethical concern and differential neurofunctional activity in the price and production method conditions. Ethical concern correlated negatively and significantly with differential neurofunctional activity in the left dorsolateral prefrontal cortex (dlPFC). For the remaining 23 participants, we performed a confirmatory, region-of-interest (ROI) correlation between the same variables, using an 8-mm3 volume situated in the left dlPFC. Again, the variables correlated negatively and significantly. This suggests, when making ethical, food-related decisions, the more consumers take ethical concern into consideration, the less they may rely on neurofunctional activity in the left dlPFC, possibly because making these decisions is more routine for them, and therefore a more perfunctory process requiring fewer cognitive resources. PMID:25830288

  4. Neurofunctional correlates of ethical, food-related decision-making.

    PubMed

    Cherry, J Bradley C; Bruce, Jared M; Lusk, Jayson L; Crespi, John M; Lim, Seung-Lark; Bruce, Amanda S

    2015-01-01

    For consumers today, the perceived ethicality of a food's production method can be as important a purchasing consideration as its price. Still, few studies have examined how, neurofunctionally, consumers are making ethical, food-related decisions. We examined how consumers' ethical concern about a food's production method may relate to how, neurofunctionally, they make decisions whether to purchase that food. Forty-six participants completed a measure of the extent to which they took ethical concern into consideration when making food-related decisions. They then underwent a series of functional magnetic resonance imaging (fMRI) scans while performing a food-related decision-making (FRDM) task. During this task, they made 56 decisions whether to purchase a food based on either its price (i.e., high or low, the "price condition") or production method (i.e., with or without the use of cages, the "production method condition"), but not both. For 23 randomly selected participants, we performed an exploratory, whole-brain correlation between ethical concern and differential neurofunctional activity in the price and production method conditions. Ethical concern correlated negatively and significantly with differential neurofunctional activity in the left dorsolateral prefrontal cortex (dlPFC). For the remaining 23 participants, we performed a confirmatory, region-of-interest (ROI) correlation between the same variables, using an 8-mm3 volume situated in the left dlPFC. Again, the variables correlated negatively and significantly. This suggests, when making ethical, food-related decisions, the more consumers take ethical concern into consideration, the less they may rely on neurofunctional activity in the left dlPFC, possibly because making these decisions is more routine for them, and therefore a more perfunctory process requiring fewer cognitive resources. PMID:25830288

  5. Analyzing Ethics in the Administration of Interscholastic Sports: Three Key Gender-Related Ethical Dilemmas Faced by Educational Leaders

    ERIC Educational Resources Information Center

    Whisenant, Warren A.; Pedersen, Paul M.; Clavio, Galen

    2010-01-01

    Athletic administrators and decision makers within interscholastic athletics are expected to embrace a code of ethics that serves as a set of rules to guide their professional behavior. Included within this code are areas of controversy that present gender-related ethical dilemmas for administrators. Three specific ethical dilemmas involve (1)…

  6. Publication ethics from the perspective of PhD students of health sciences: a limited experience.

    PubMed

    Arda, Berna

    2012-06-01

    Publication ethics, an important subtopic of science ethics, deals with determination of the misconducts of science in performing research or in the dissemination of ideas, data and products. Science, the main features of which are secure, reliable and ethically obtained data, plays a major role in shaping the society. As long as science maintains its quality by being based on reliable and ethically obtained data, it will be possible to maintain its role in shaping the society. This article is devoted to the presentation of opinions of PhD candidate students in health sciences in Ankara concerning publication ethics. The data obtained from 143 PhD students from the fields of medicine, dentistry, pharmacy and veterinary reveal limited but unique experiences. It also shows that plagiarism is one of the worst issues in the publication ethics from the perspective of these young academics. PMID:21318323

  7. An Epistemological and Ethical Categorization of Perspectives on Early Childhood Curriculum.

    ERIC Educational Resources Information Center

    Yang, Ok Seung

    2001-01-01

    Reviews the literature on contemporary early childhood education, categorizing perspectives on early childhood curriculum according to their core epistemological and ethical views about the mission of institutions of early childhood education. Identifies four perspectives guiding the curricula: idealism, empiricism, developmentalism, and…

  8. Organ Transplantation: Legal, Ethical and Islamic Perspective in Nigeria

    PubMed Central

    Bakari, Abubakar A; Abbo Jimeta, Umar S; Abubakar, Mohammed A; Alhassan, Sani U; Nwankwo, Emeka A

    2012-01-01

    Organ transplantation dates back to the ancient times and since then it has become one of the important developments in modern medicine; saving the lives, as well as improving the quality of life of many patients. As the demand for organ transplantation far exceeds the organ availability, the transplant program is often saddled with complex legal and ethical issues. This review article highlights the legal and ethical issues that might arise regarding organ transplantation and appraises the existing legal frame work governing organ transplantation in Nigeria. Information on legal, cultural, religious and medical ethical issues regarding organ transplantation in Nigeria was obtained by searching the PubMed and Google Scholar, conference proceedings, seminar paper presentations, law library and other related publications were collated and analyzed. In decision making for organ transplantation, the bioethical principles like autonomy, beneficence and justice must be employed. It was believed by Catholic theologians that to mutilate one living person to benefit another violates the principle of Totality. Among Muslim scholars and researchers, there are those who throw legal support as to its permissibility while the other group sees it as illegal. Organ/tissues transplantation is considered a medical intervention that touches on the fundamental rights of the donor or the recipient. Where there is an unlawful infringement of the right of such persons in any way may be regarded as against Section 34 of the 1999 Nigerian Constitution dealing with right to dignity of the human person. Worldwide, the researchers and government bodies have agreed on informed consent for organ/tissue donation and for recipient should be obtained without coercion before embarking on such medical treatment Worldwide organ transplantation has become the best medical treatment for patients with end stage organ failure. However, there is no law/legislation backing organ/tissues transplantation in

  9. Organ transplantation: legal, ethical and islamic perspective in Nigeria.

    PubMed

    Bakari, Abubakar A; Abbo Jimeta, Umar S; Abubakar, Mohammed A; Alhassan, Sani U; Nwankwo, Emeka A

    2012-07-01

    Organ transplantation dates back to the ancient times and since then it has become one of the important developments in modern medicine; saving the lives, as well as improving the quality of life of many patients. As the demand for organ transplantation far exceeds the organ availability, the transplant program is often saddled with complex legal and ethical issues. This review article highlights the legal and ethical issues that might arise regarding organ transplantation and appraises the existing legal frame work governing organ transplantation in Nigeria. Information on legal, cultural, religious and medical ethical issues regarding organ transplantation in Nigeria was obtained by searching the PubMed and Google Scholar, conference proceedings, seminar paper presentations, law library and other related publications were collated and analyzed. In decision making for organ transplantation, the bioethical principles like autonomy, beneficence and justice must be employed. It was believed by Catholic theologians that to mutilate one living person to benefit another violates the principle of Totality. Among Muslim scholars and researchers, there are those who throw legal support as to its permissibility while the other group sees it as illegal. Organ/tissues transplantation is considered a medical intervention that touches on the fundamental rights of the donor or the recipient. Where there is an unlawful infringement of the right of such persons in any way may be regarded as against Section 34 of the 1999 Nigerian Constitution dealing with right to dignity of the human person. Worldwide, the researchers and government bodies have agreed on informed consent for organ/tissue donation and for recipient should be obtained without coercion before embarking on such medical treatment Worldwide organ transplantation has become the best medical treatment for patients with end stage organ failure. However, there is no law/legislation backing organ/tissues transplantation in

  10. Best Practice Guidelines on Publication Ethics: a Publisher's Perspective

    PubMed Central

    Graf, Chris; Wager, Elizabeth; Bowman, Alyson; Fiack, Suzan; Scott-Lichter, Diane; Robinson, Andrew

    2007-01-01

    These Best Practice Guidelines on Publication Ethics describe Blackwell Publishing's position on the major ethical principles of academic publishing and review factors that may foster ethical behavior or create problems. The aims are to encourage discussion, to initiate changes where they are needed, and to provide practical guidance, in the form of Best Practice statements, to inform these changes. Blackwell Publishing recommends that editors adapt and adopt the suggestions outlined to best fit the needs of their own particular publishing environment. PMID:17229169

  11. Best Practice Guidelines on Publication Ethics: a publisher's perspective.

    PubMed

    Graf, Chris; Wager, Elizabeth; Bowman, Alyson; Fiack, Suzan; Scott-Lichter, Diane; Robinson, Andrew

    2007-01-01

    These Best Practice Guidelines on Publication Ethics describe Blackwell Publishing's position on the major ethical principles of academic publishing and review factors that may foster ethical behavior or create problems. The aims are to encourage discussion, to initiate changes where they are needed, and to provide practical guidance, in the form of Best Practice statements, to inform these changes. Blackwell Publishing recommends that editors adapt and adopt the suggestions outlined to best fit the needs of their own particular publishing environment. PMID:17206953

  12. Ethical issues in clinical neuroscience research: a patient's perspective.

    PubMed

    Cohen, Perry D; Herman, Linda; Jedlinski, Sheryl; Willocks, Peggy; Wittekind, Paula

    2007-07-01

    A patient-centered paradigm for clinical research and medical care is presented as a solution to the problem of declining innovation and increasing costs and development time in the pipeline for new therapies. Fundamental differences in values and motivations among scientists, clinicians, industry sponsor, and patients in neurotherapeutics provide a framework for analysis of ethical conflicts and the loss of public confidence in medical research. Parkinson advocates' views on clinical trial participation, perceived risks and benefits, placebo controls, and sham surgery are presented. These views reflect the sense of urgency and the unique perspective that comes from living with this progressive, debilitating condition full time. A patient-centered paradigm that includes authentic voices of patients as collaborators at every stage of development will help to resolve conflicts, build trust, recruit trial participants, and accelerate new therapies. Key elements are adaptive clinical trial methods and the development of information technology for the assessment of outcomes and surveillance of safety over the life cycle of a medical product. Supported by the Parkinson's Disease Foundation, the Parkinson Pipeline Project is a grassroots group of Parkinson's patients whose goal is to represent an authentic voice for patients in the treatment development process. This group promotes education and communication between members of the Parkinson's community and active stakeholders in medical research, industry, and regulatory agencies. Its members are an example of a new breed of knowledgeable consumers, armed with first-hand access to research findings and reinforced by on-line connections to like-minded peers throughout the world. PMID:17599719

  13. Public Relations Ethics and Communitarianism: A Preliminary Investigation.

    ERIC Educational Resources Information Center

    Leeper, Kathie A.

    1996-01-01

    Presents a preliminary examination of communitarianism and its emphasis on community and responsibility as an ethical base for public relations. Suggests that the emphasis business currently places on quality, social responsibility, and stewardship may fit within a communitarian approach. Argues that a communitarian base to public relations may…

  14. Examining Ethical and Moral Values of Public Relations People.

    ERIC Educational Resources Information Center

    Wright, Donald K.

    1989-01-01

    Examines the basic ethical and moral values of public relations practitioners, emphasizing the sender in the communication process. Finds that the structure of moral values in the North American public relations person includes the influences of socio-economics, religion, social responsibility, and finances. (MS)

  15. The Ethics of Writing Instruction: Issues in Theory and Practice. Perspectives on Writing: Theory, Research, Practice. Volume 4.

    ERIC Educational Resources Information Center

    Pemberton, Michael A., Ed.

    This collection of essays reveals a keen awareness of the degree to which ethics and ethical systems are located in particular instructional contexts. The essays consider the implications of these contexts from a variety of perspectives, both theoretical and pedagogical. In the collection's first part, Ethics and the Composition Classroom, are the…

  16. Ethical Perspectives on Qualitative Research in Applied Psychology

    ERIC Educational Resources Information Center

    Haverkamp, Beth E.

    2005-01-01

    The present article explores ethical issues that emerge in qualitative research conducted by applied psychologists. The utility and relevance of the Ethical Principles of Psychologists and Code of Conduct (American Psychological Association, 2002) for qualitative research are examined. The importance of psychology's fiduciary relationship with…

  17. Ethical Perspectives in Open and Distance Education System

    ERIC Educational Resources Information Center

    Anitha, C.; Harsha, T. S.

    2013-01-01

    Today, e-learning and various online education applications are used in many countries and educational institutions than ever before. Ethics deals with the principle governing ideal or good behavior, it focuses on what is right or what is wrong. Although in education, the ethical issues that they may be facing are not about of life and death…

  18. Teaching Ethics to Engineers--A Research-Based Perspective

    ERIC Educational Resources Information Center

    Bowden, Peter

    2010-01-01

    This paper describes research underpinning a course, developed in Australia, on ethics for engineers. The methodology used, that of identifying the principal ethical issues facing the discipline and designing the course around these issues, would be applicable to other disciplines and in other countries. The course was based on the assumption that…

  19. A Model of Ethical Decision Making from a Multicultural Perspective

    ERIC Educational Resources Information Center

    Frame, Marsha Wiggins; Williams, Carmen Braun

    2005-01-01

    Because shifts in the world's ethnic and racial demographics mean that the majority of the world's population is non-White (M. D'Andrea & P Arredondo, 1997), it is imperative that counselors develop a means for working ethically with a diverse clientele. In this article, the authors argue that the current Code of Ethics and Standards of Practice…

  20. [Ethics and laws related to human subject research].

    PubMed

    Chiu, Hui-Ju; Lee, Ya-Ling; Chang, Su-Fen

    2011-10-01

    Advances in medical technology rely on human subject research to test the effects on real patients of unproven new drugs, equipment and techniques. Illegal human subject research happens occasionally and has led to subject injury and medical disputes. Familiarity with the laws and established ethics related to human subject research can minimize both injury and disputes. History is a mirror that permits reflection today on past experience. Discussing the Nuremberg Code, the Declaration of Helsinki and Belmont Report, this article describes the laws, ethics, history and news related to human subject research as well as the current definition and characteristics of human subject research. Increasing numbers of nurses serve as research nurses and participate in human subject research. The authors hope this article can increase research nurse knowledge regarding laws and ethics in order to protect human research subjects adequately. PMID:22024809

  1. Analysis of medical confidentiality from the islamic ethics perspective.

    PubMed

    Tavaokkoli, Saeid Nazari; Nejadsarvari, Nasrin; Ebrahimi, Ali

    2015-04-01

    Confidentiality is one of the old rules of the medical profession. While emphasizing the necessity of confidentiality in religious teachings, disclosure of other's secrets to commit sin deserves punishment hereafter known. Today, progress in medical science and invention of new diagnostic and therapeutic procedures, as well as the extent of information and disclosure of the secrets of the patients, have provided more than ever. After explaining the concepts and principles of confidentiality in medical ethics, the Islamic-oriented Virtue Ethics, in a comparative review, share the differences in these two sets of ethical review and explain the issue of confidentiality. In professional medical ethics, only the behaviors of health staff are evaluated and moral evaluation of the features cannot be evaluated, but in Islamic ethics, the moral evaluation of the features that are sensual, confidentiality is more stable, without any external supervision will maintain its efficiency. PMID:24272333

  2. How the "Public Relations Journal" Responds to Criticism of Public Relations Ethics: A Qualitative Approach.

    ERIC Educational Resources Information Center

    Olasky, Marvin N.

    A quantitative analysis of 40 years of articles appearing in the "Public Relations Journal" was made to determine how the journal has responded to ethical criticism of public relations over the years. While 17% of the articles during one eight-year period discussed questions touching on ethics in some way, quantitative analytical tools did not…

  3. Medical ethics, bioethics and research ethics education perspectives in South East Europe in graduate medical education.

    PubMed

    Mijaljica, Goran

    2014-03-01

    Ethics has an established place within the medical curriculum. However notable differences exist in the programme characteristics of different schools of medicine. This paper addresses the main differences in the curricula of medical schools in South East Europe regarding education in medical ethics and bioethics, with a special emphasis on research ethics, and proposes a model curriculum which incorporates significant topics in all three fields. Teaching curricula of Medical Schools in Bulgaria, Bosnia and Herzegovina, Croatia, Serbia, Macedonia and Montenegro were acquired and a total of 14 were analyzed. Teaching hours for medical ethics and/or bioethics and year of study in which the course is taught were also analyzed. The average number of teaching hours in medical ethics and bioethics is 27.1 h per year. The highest national average number of teaching hours was in Croatia (47.5 h per year), and the lowest was in Serbia (14.8). In the countries of the European Union the mean number of hours given to ethics teaching throughout the complete curriculum was 44. In South East Europe, the maximum number of teaching hours is 60, while the minimum number is 10 teaching hours. Research ethics topics also show a considerable variance within the regional medical schools. Approaches to teaching research ethics vary, even within the same country. The proposed model for education in this area is based on the United Nations Educational, Scientific and Cultural Organization Bioethics Core Curriculum. The model curriculum consists of topics in medical ethics, bioethics and research ethics, as a single course, over 30 teaching hours. PMID:23436144

  4. Differentiating between rights-based and relational ethical approaches.

    PubMed

    Trobec, Irena; Herbst, Majda; Zvanut, Bostjan

    2009-05-01

    When forced treatment in mental health care is under consideration, two approaches guide clinicians in their actions: the dominant rights-based approach and the relational ethical approach. We hypothesized that nurses with bachelor's degrees differentiate better between the two approaches than nurses without a degree. To test this hypothesis a survey was performed in major Slovenian health institutions. We found that nurses emphasize the importance of ethics and personal values, but 55.4% of all the nurse participants confused the two approaches. The results confirmed our hypothesis and indicate the importance of nurses' formal education, especially when caring for patients with mental illness. PMID:19372123

  5. Ethics in Disciplines and Professions Related to Evaluation.

    ERIC Educational Resources Information Center

    Fitzpatrick, Jody L., Ed.; Morris, Michael, Ed.

    1999-01-01

    Examines ethical codes within evaluation and related disciplines and processions and discusses implications for content, dissemination, and compliance. An immediate issue is expanding the dialog that the American Evaluation Association document "Guiding Principles for Evaluators" was intended to create. (Author/SLD)

  6. [Ethical principles in research related to regenerative therapy].

    PubMed

    López Moratalla, Natalia

    2008-01-01

    Recently published data on the function and properties of stem cells are examined and analyzed. This knowledge enhances our understanding of human development: stem cells follow a precise hierarchical pattern both in time and space, and they are part of the symbiosis of fetus and mother. The data do not support the idea of the existence of an early stage of the embryo development lacking a personal character. It has been suggested that an early embryo lacks an entity of sufficient ontological autonomy, which would be acquired with organogenesis at later stages. It is an ethical commitment of the scientific community to provide serious and precise information about the advances, problems and solutions involved an regenerative therapy. The use of autologous or heterologous human cells in this field demands of rules which determine their use and commercial potential. The induced reprogramming of adult cells to an embryonic stage (iPS) opens up new important perspectives both in basic research and for clinical treatments. The ethical commitment of Yamanaka, developer of this technology, with regard to its use in clinical treatments, is an example of the researcher's responsibility of the researcher, and, at the same time, an illustration of how that science may render a service to mankind only through ethical principles. PMID:18611071

  7. Essentials of ethics in clinical practice: a communications perspective.

    PubMed

    Gartland, G

    1987-01-01

    A knowledge of ethics and communication skills is essential to professional practice, just as it is essential to treatment techniques in the clinical application of physical therapy. Ethics has personal, professional and legal implications which, if neglected, may result in adverse consequences for both the clinician and the patient. The purpose of this paper is to outline four practical ethical doctrines and their import on clinical practice. The emphasis is on communication. Improvement in technical, clinical and research expertise is a continuing objective in the development of Canadian physical therapy. The maintenance of a parallel focus on human needs and values, along with ethics and interpersonal communication skills, serves to enhance the image of physical therapy as an holistic and caring profession. PMID:10282425

  8. The Ethical Perspective of British and American Preservice Teachers.

    ERIC Educational Resources Information Center

    Deering, Thomas E.

    1998-01-01

    Comparison of responses from 38 U.S. and 27 British preservice teachers on the Ethics Position Questionnaire indicated that both groups had high idealism. U.S. teachers had lower relativism scores. (SK)

  9. Key Ethical Issues in Pediatric Research: Islamic Perspective, Iranian Experience

    PubMed Central

    Mobasher, Mina; Salari, Pooneh; Larijani, Bagher

    2012-01-01

    Objective The importance of pediatric research especially in the ethically proven trials resulted in considerable legislative attempts in association with compiling ethical guidelines. Because of children's vulnerability conducting pediatric research raises different ethical issues; the two most important of which are informed consent and risk-benefit assessment. Differences in religious and socio-cultural context limit implication of ethical standards. Methods At the aim of finding a solution we critically reviewed guidelines, and literatures as well as Islamic points in addition to comparing different viewpoints in application of ethical standards in pediatric research. Findings The literature review showed that pediatric research guidelines and authors’ viewpoints have the same basic ethical core, but there are some variations; depend on cultural, religious, and social differences. Furthermore, these standards have some limitations in defining informed consent according to child's age and capacity upon application. Conclusion In this regard Islamic approach and definition about growth development and puberty sheds light and clarifies a clearer and more rational address to the issue. PMID:23429172

  10. [Physicians' strikes and health services: an ethical perspective].

    PubMed

    Goić, A

    1996-07-01

    For the public opinion, medical strikes are a controversial issue; physician's ethical judgments are also different. The present article analyses the requisites to consider legitimate a strike and, based on these, the ethical duties of physicians; the features of medical unionism; the ethical duties of authority; the manipulation of ill people by the strike and the social factors that may cause these conflicts. In a medical strike, universal ethical values based on the Hyppocratic oath and promoted by the profession, are endangered. This article concludes that a medical strike may be explainable due to different reasons, but it is not ethically justifiable beyond any doubt. The health profession that is not prepared to give up strikes as gremial pressure tool, should not choose a profession that takes care of the ill. The best way to avoid medical strike is to prevent them: the society and the authority have the ethical obligation to create work conditions that elude conflicts. To settle disputes between physicians and health institutions, the creation of a permanent arbitral instance agreed by physicians and the authority, i.e. a high level committee integrated by respected individuals and physicians, could be necessary. This committee should send forth veredicts that would be obeyed by the contending parties. PMID:9138378

  11. Teaching ethics to engineers - a research-based perspective

    NASA Astrophysics Data System (ADS)

    Bowden, Peter

    2010-10-01

    This paper describes research underpinning a course, developed in Australia, on ethics for engineers. The methodology used, that of identifying the principal ethical issues facing the discipline and designing the course around these issues, would be applicable to other disciplines and in other countries. The course was based on the assumption that identifying the major ethical issues in the discipline, and subsequently presenting and analysing them in the classroom, would provide the future professional with knowledge of the ethical problems that they were likely to face on graduation. The student has then to be given the skills and knowledge to combat these concerns, should he/she wish to. These findings feed into several components of the course, such as the development of a code of ethics, the role of a professional society or industry association and the role of ethical theory The sources employed to identify the issues were surveys of the literature and about 30 case studies, in Australia and overseas. The issues thus identified were then put before a sample of engineering managers to assess the relevance to the profession.

  12. Mental disorders, health inequalities and ethics: A global perspective.

    PubMed

    Ngui, Emmanuel M; Khasakhala, Lincoln; Ndetei, David; Roberts, Laura Weiss

    2010-01-01

    The global burden of neuropsychiatry diseases and related mental health conditions is enormous, underappreciated and under resourced, particularly in the developing nations. The absence of adequate and quality mental health infrastructure and workforce is increasingly recognized. The ethical implications of inequalities in mental health for people and nations are profound and must be addressed in efforts to fulfil key bioethics principles of medicine and public health: respect for individuals, justice, beneficence, and non-malfeasance. Stigma and discrimination against people living with mental disorders affects their education, employment, access to care and hampers their capacity to contribute to society. Mental health well-being is closely associated to several Millennium Development Goals and economic development sectors including education, labour force participation, and productivity. Limited access to mental health care increases patient and family suffering. Unmet mental health needs have a negative effect on poverty reduction initiatives and economic development. Untreated mental conditions contribute to economic loss because they increase school and work absenteeism and dropout rates, healthcare expenditure, and unemployment. Addressing unmet mental health needs will require development of better mental health infrastructure and workforce and overall integration of mental and physical health services with primary care, especially in the developing nations. PMID:20528652

  13. International pharmaceutical social risk regulation: An ethical perspective.

    PubMed

    Gordon, Cameron

    2011-03-01

    Pharmaceutical production and distribution constitute big business. For the companies the rewards can be substantial. Rates of return on drug company investments tend to be higher than many other manufacturing enterprises. But reward is only one side of the story. There is also the issue of social risk, the focus of this article. Social risk for pharmaceutical production is especially pronounced. An ineffective or, worse, dangerous drug, can have dire consequences for the population at large. For this reason, there is elaborate government regulation and oversight of drug safety and risk. These systems, especially in the US and Europe, will be the main focus of this paper. The two systems will be described, and then compared and contrasted in terms of their framing of social risk and actions governments take to limit it. Systems elsewhere, especially in the developing world, are increasing in relative importance and these will be briefly discussed as well. Ethical issues that have arisen in these various systems will be surfaced and analysed. The paper will close with some conclusions and suggestions for further research. PMID:21406340

  14. Mental disorders, health inequalities and ethics: A global perspective

    PubMed Central

    NGUI, EMMANUEL M.; KHASAKHALA, LINCOLN; NDETEI, DAVID; ROBERTS, LAURA WEISS

    2010-01-01

    The global burden of neuropsychiatry diseases and related mental health conditions is enormous, underappreciated and under resourced, particularly in the developing nations. The absence of adequate and quality mental health infrastructure and workforce is increasingly recognized. The ethical implications of inequalities in mental health for people and nations are profound and must be addressed in efforts to fulfil key bioethics principles of medicine and public health: respect for individuals, justice, beneficence, and non-malfeasance. Stigma and discrimination against people living with mental disorders affects their education, employment, access to care and hampers their capacity to contribute to society. Mental health well-being is closely associated to several Millennium Development Goals and economic development sectors including education, labour force participation, and productivity. Limited access to mental health care increases patient and family suffering. Unmet mental health needs have a negative effect on poverty reduction initiatives and economic development. Untreated mental conditions contribute to economic loss because they increase school and work absenteeism and dropout rates, healthcare expenditure, and unemployment. Addressing unmet mental health needs will require development of better mental health infrastructure and workforce and overall integration of mental and physical health services with primary care, especially in the developing nations. PMID:20528652

  15. Discovering misattributed paternity in genetic counselling: different ethical perspectives in two countries.

    PubMed

    Tozzo, Pamela; Caenazzo, Luciana; Parker, Michael J

    2014-03-01

    Misattributed paternity or 'false' paternity is when a man is wrongly thought, by himself and possibly by others, to be the biological father of a child. Nowadays, because of the progression of genetics and genomics the possibility of finding misattributed paternity during familial genetic testing has increased. In contrast to other medical information, which pertains primarily to individuals, information obtained by genetic testing and/or pedigree analysis necessarily has implications for other biologically related members in the family. Disclosing or not a misattributed paternity has a number of different biological and social consequences for the people involved. Such an issue presents important ethical and deontological challenges. The debate centres on whether or not to inform the family and, particularly, whom in the family, about the possibility that misattributed paternity might be discovered incidentally, and whether or not it is the duty of the healthcare professional (HCP) to disclose the results and to whom. In this paper, we consider the different perspectives and reported problems, and analyse their cultural, ethical and legal dimensions. We compare the position of HCPs from an Italian and British point of view, particularly their role in genetic counselling. We discuss whether the Oviedo Convention of the Council of Europe (1997) can be seen as a basis for enriching the debate. PMID:23443210

  16. The Terri Schiavo case: legal, ethical, and medical perspectives.

    PubMed

    Perry, Joshua E; Churchill, Larry R; Kirshner, Howard S

    2005-11-15

    Although tragic, the plight of Terri Schiavo provides a valuable case study. The conflicts and misunderstandings surrounding her situation offer important lessons in medicine, law, and ethics. Despite media saturation and intense public interest, widespread confusion lingers regarding the diagnosis of persistent vegetative state, the judicial processes involved, and the appropriateness of the ethical framework used by those entrusted with Terri Schiavo's care. First, the authors review the current medical understanding of persistent vegetative state, including the requirements for patient examination, the differential diagnosis, and the practice guidelines of the American Academy of Neurology regarding artificial nutrition and hydration for patients with this diagnosis. Second, they examine the legal history, including the 2000 trial, the 2002 evidentiary hearing, and the subsequent appeals. The authors argue that the law did not fail Terri Schiavo, but produced the highest-quality evidence and provided the most judicial review of any end-of-life guardianship case in U.S. history. Third, they review alternative ethical frameworks for understanding the Terri Schiavo case and contend that the principle of respect for autonomy is paramount in this case and in similar cases. Far from being unusual, the manner in which Terri Schiavo's case was reviewed and the basis for the decision reflect a broad medical, legal, and ethical consensus. Greater clarity regarding the persistent vegetative state, less apprehension of the presumed mysteries of legal proceedings, and greater appreciation of the ethical principles at work are the chief benefits obtained from studying this provocative case. PMID:16287796

  17. Ethical Perspectives and Practice Behaviors Involving Computer-Based Test Interpretation.

    ERIC Educational Resources Information Center

    McMinn, Mark R.; Ellens, Brent M.; Soref, Erez

    1999-01-01

    Surveyed 364 members of the Society for Personality Assessment to determine how they use computer-based test interpretation software (CBTI) in their work, and their perspectives on the ethics of using CBTI. Psychologists commonly use CBTI for test scoring, but not to formulate a case or as an alternative to a written report. (SLD)

  18. Perspectives on Child Abuse and Labour: Global Ethical Ideals Versus African Cultural Realities

    ERIC Educational Resources Information Center

    Ajayi, A. O.; Torimiro, D. O.

    2004-01-01

    This article focuses on the global and African postures on the issues of child abuse and child labour. The global ethical ideals of the issues are characterized within their various theoretical perspectives while the African cultural realities are explored through the use of focus group discussion sessions, which were organized in six rural…

  19. Ethical dimensions of yousheng (healthy birth or eugenics): the perspective of a Chinese ethicist.

    PubMed

    Tang, Kailin

    2002-10-01

    Yousheng meaning eugenics or healthy-birth and youyu meaning good-upbringing are necessary requirements for the development of human beings and therefore of humankind generally. There are enormous ethical issues involved in eugenics. An important task or calling of contemporary bioethics and ethics of population is to discuss these issues in order for people, even people in different countries and cultures, to reach some basic consensus and have practical ethical guidance. Based on the practice of yousheng in contemporary China, this paper offers a Chinese perspective on ethical dimensions of eugenics. It will argue that individuals, as members of society, have a duty to provide society with healthy and normal children. Moreover, this paper examines the relationships between the aim and the means and conflicts between collective value and individual value, in yousheng. PMID:15587510

  20. [The complexity of obesity--some ethical perspectives].

    PubMed

    Porz, Rouven; Bally-Zenger, Christine

    2013-02-01

    The clinically oriented debate in the context of obesity is often blurred when in comes to morality, professional ethos and societal values. Surgeons, for example, might bring different normative approaches to the operation rooms than psychiatrists to their therapeutic sessions. These values often remain unspoken, but might change the medical conveyor belt of the patients affected. In this text, we want to focus on this so called "implicit normativity" of different stake holders. In addition, we question the concept of "illness" as obesity can be labelled as an illness and/or symptom - depending on the eyes of the observer. From a more societal perspective, any effort of prevention also comes with normative strings attached. Thus we plea for a stronger awareness of one's own values related to obesity, either in a clinical, personal or societal setting. PMID:23385195

  1. Ethical issues related to epilepsy care in the developing world.

    PubMed

    Tan, Chong-Tin; Avanzini, Giuliano

    2009-05-01

    There are three major issues of ethical concern related to epilepsy care in the developing world. First, is it ethical for a developing country to channel its limited resources from direct epilepsy care to research? The main considerations in addressing this question are the particular research questions to be addressed and whether such research will bring direct benefits to the local community. Second, in a country with limited resources, when does ignoring the high treatment gap become an ethical issue? This question is of particular concern when the community has enough resources to afford treatment for its poor, yet is not providing such care because of gross wastage and misallocation of the national resources. Third, do countries with plentiful resources have an ethical responsibility to help relieve the high epilepsy treatment gap of poor countries? Indeed, we believe that reasonable health care is a basic human right, and that human rights transcend national boundaries. Although health care is usually the responsibility of the nation-state, many modern states in the developing world are arbitrary creations of colonization. There is often a long process from the establishment of a political-legal state to a mature functional nation. During the long process of nation building, help from neighboring countries is often required. PMID:19170738

  2. Focus on Ethics and Public Relations Practice in a University Classroom

    ERIC Educational Resources Information Center

    Smudde, Peter M.

    2011-01-01

    Public relations action relies on sound decision making about how to inspire cooperation between an organization and its publics. Such thinking must uphold principles for ethical communication. Effectively combining ethics with public relations practice for students is key. A pedagogical approach to public relations ethics, hinging on selected…

  3. Ethics of Tax Law Compliance: An Interdisciplinary Perspective

    ERIC Educational Resources Information Center

    Cummings, Richard G.; Longo, Peter J.; Rioux, Jean W.

    2012-01-01

    The first semester Tax I student seems to be interested in the ethical issue of why citizens should report their income and only take legitimate tax deductions when it is unlikely that anyone will ever know. This paper addresses this issue from an interdisciplinary approach of accounting, philosophy, and political science. The accounting…

  4. Ethics Instruction in Community College Leadership Programs: Southern Perspectives

    ERIC Educational Resources Information Center

    Ware, Nikisha Green

    2011-01-01

    The purpose of this study was to discover which southern universities have graduate preparatory programs in community college leadership and how, if at all, ethics is addressed in their curricula and in instruction. Surveys were mailed to 38 southern universities located in the Southern Regional Education Board member states. Of the 21 responses…

  5. Ethics and Nuclear Arms: European and American Perspectives.

    ERIC Educational Resources Information Center

    English, Raymond, Ed.

    In these 10 essays, 5 European and 5 American political and religious leaders examine the ethics of possessing and using nuclear weapons. They appraise the policy of nuclear deterrence. Protestant and Catholic viewpoints are represented. There are disagreements on details and differences in emphasis on positions and policies. There is general…

  6. Perspectives on the Ethical Bases of Moral Agency in Teaching.

    ERIC Educational Resources Information Center

    Campbell, Elizabeth; Thiessen, Dennis

    This paper introduces a qualitative study, currently in progress, entitled "The Moral and Ethical Bases of Teachers' Interactions with Students." The main focus of the study is the teacher's role as moral agent and the orientations within the classroom toward issues of right and wrong as identified by teachers and the researchers. The primary…

  7. A Circular Evolution of Perspectives regarding Ethical Communication?

    ERIC Educational Resources Information Center

    Cox, E. Sam

    The contemporary view of ethical communication has come full circle, returning to the approach of Aristotle. Almost every public speaking textbook includes discussion of the basic concepts of what Aristotle called ethos, pathos, and logos. Of particular significance is Aristotle's conception of ethos, as elaborated in his work, "The Rhetoric."…

  8. Codes of Ethics in Australian Education: Towards a National Perspective

    ERIC Educational Resources Information Center

    Forster, Daniella J.

    2012-01-01

    Teachers have a dual moral responsibility as both values educators and moral agents representing the integrity of the profession. Codes of ethics and conduct in teaching articulate shared professional values and aim to provide some guidance for action around recognised issues special to the profession but are also instruments of regulation which…

  9. Ethics and nuclear arms: European and American perspectives

    SciTech Connect

    English, R.

    1985-01-01

    This book presents papers on the ethical and moral aspects of nuclear weapons. Topics considered include the development of a nuclear policy, war and peace in the nuclear age, the viewpoint of the German churches, the US Catholic bishops and nuclear arms, nuclear pacifism, NATO and ''first use,'' and Christian morality with regard to nuclear arms.

  10. Ethics and Morality in Software Development: A Developer's Perspective

    ERIC Educational Resources Information Center

    Stephenson, James H.

    2010-01-01

    Computers and other digital devices have become ubiquitous in our lives. Almost all aspects of our lives are in part or wholly impacted by computers and the software that runs on them. Unknowingly, we are placing our livelihoods and even our lives in the hands unknown software developers. Ethical and moral decisions made during software…

  11. Approaching Ethical Reasoning in Nursing Research through a Communitarian Perspective.

    ERIC Educational Resources Information Center

    Dresden, Elissa; McElmurry, Beverly J.; McCreary, Linda L.

    2003-01-01

    Case studies depict dilemmas in nursing research involving protection of community rights and community informed consent. Outlines research guidelines derived from communitarian ethical frameworks that consider beneficence, justice, and respect for autonomy in the context of community. (Contains 58 references.) (SK)

  12. Ethical Perspectives on the Current Controversy Regarding Openness in Adoption.

    ERIC Educational Resources Information Center

    Tavis, Timothy M.

    This paper outlines current changes in American adoption practice and the controversies surrounding these changes. It includes a discussion of the role that neo-Kantian and utilitarian perspectives have played in American adoption policy and practice, and offers an alternative, the communitarian perspective, described by Sandel (1984). Adoption…

  13. "Reality surgery"--a research ethics perspective on the live broadcast of surgical procedures.

    PubMed

    Williams, Judson B; Mathews, Robin; D'Amico, Thomas A

    2011-01-01

    In recent years, the live broadcasting of medical and surgical procedures has gained worldwide popularity. While the practice has appropriately been met with concerns for patient safety and privacy, many physicians tout the merits of real time viewing as a form of investigation, accelerating the process leading to adoption or abolition of newer techniques or technologies. This view introduces a new series of ethical considerations that need to be addressed. As such, this article considers, from a research ethics perspective, the use of live surgical procedure broadcast for investigative purposes. PMID:21292217

  14. Ethical perspectives on living donor organ transplantation in Asia.

    PubMed

    Concejero, Allan M; Chen, Chao-Long

    2009-12-01

    Live donors are a continuing source of organ grafts for solid organ transplantation in Asia. Ethical issues surrounding the development of living donor organ transplantation in Eastern countries are different from those in Western countries. Donor safety is still the paramount concern in any donor operation. Issues on organ trafficking remain societal concerns in low-income nations. Religion, cultural background, economic prerogatives, and timely legislation contribute to the social acceptance and maturation of organ donation. PMID:19938130

  15. Public Health Ethics Related Training for Public Health Workforce: An Emerging Need in the United States

    PubMed Central

    Kanekar, A; Bitto, A

    2012-01-01

    Background Ethics is a discipline, which primarily deals with what is moral and immoral behavior. Public Health Ethics is translation of ethical theories and concepts into practice to address complex multidimensional public health problems. The primary purpose of this paper was to conduct a narrative literature review-addressing role of ethics in developing curriculum in programs and schools of public health, ethics-related instruction in schools and programs of public health and the role of ethics in developing a competent public health workforce. Methods: An open search of various health databases including Google scholar and Ebscohost yielded 15 articles related to use of ethics in public health practice or public health training and the salient features were reported. Results: Results indicated a variable amount of ethics’ related training in schools and programs of public health along with public health practitioner training across the nation. Bioethics, medical ethics and public health ethics were found to be subspecialties’ needing separate ethical frameworks to guide decision making. Conclusions: Ethics based curricular and non-curricular training for emerging public health professionals from schools and programs of public health in the United States is extremely essential. In the current age of public health challenges faced in the United States and globally, to have an ethically untrained public health force is arguably, immoral and unethical and jeopardizes population health. There is an urgent need to develop innovative ethic based curriculums in academia as well as finding effective means to translate these curricular competencies into public health practice. PMID:23113159

  16. Knowledge and Performance about Nursing Ethic Codes from Nurses' and Patients' Perspective in Tabriz Teaching Hospitals, Iran

    PubMed Central

    Mohajjel-Aghdam, Alireza; Hassankhani, Hadi; Zamanzadeh, Vahid; Khameneh, Saied; Moghaddam, Sara

    2013-01-01

    Introduction: Nursing profession requires knowledge of ethics to guide performance. The nature of this profession necessitates ethical care more than routine care. Today, worldwide definition of professional ethic code has been done based on human and ethical issues in the communication between nurse and patient. To improve all dimensions of nursing, we need to respect ethic codes. The aim of this study is to assess knowledge and performance about nursing ethic codes from nurses' and patients' perspective. Methods: A descriptive study Conducted upon 345 nurses and 500 inpatients in six teaching hospitals of Tabriz, 2012. To investigate nurses' knowledge and performance, data were collected by using structured questionnaires. Statistical analysis was done using descriptive and analytic statistics, independent t-test and ANOVA and Pearson correlation coefficient, in SPSS13. Results: Most of the nurses were female, married, educated at BS degree and 86.4% of them were aware of Ethic codes also 91.9% of nurses and 41.8% of patients represented nurses respect ethic codes. Nurses' and patients' perspective about ethic codes differed significantly. Significant relationship was found between nurses' knowledge of ethic codes and job satisfaction and complaint of ethical performance. Conclusion: According to the results, consideration to teaching ethic codes in nursing curriculum for student and continuous education for staff is proposed, on the other hand recognizing failures of the health system, optimizing nursing care, attempt to inform patients about Nursing ethic codes, promote patient rights and achieve patient satisfaction can minimize the differences between the two perspectives. PMID:25276730

  17. Analyzing dignity: a perspective from the ethics of care.

    PubMed

    Leget, Carlo

    2013-11-01

    The concept of dignity is notoriously vague. In this paper it is argued that the reason for this is that there are three versions of dignity that are often confused. First we will take a short look at the history of the concept of dignity in order to demonstrate how already from Roman Antiquity two versions of dignity can be distinguished. Subsequently, the third version will be introduced and it will be argued that although the three versions of dignity hang together, they should also be clearly distinguished in order to avoid confusion. The reason for distinguishing the three versions is because all three of them are only partially effective. This will be demonstrated by taking the discussion about voluntary 'dying with dignity' as an example. Inspired by both Paul Ricoeur's concept of ethics and the ethics of care a proposition will be done as to how the three versions of dignity may sustain each other and help achieve what neither one of the versions can do on its own. PMID:22791296

  18. Reflections on social justice, race, ethnicity and identity from an ethical perspective

    NASA Astrophysics Data System (ADS)

    Atweh, Bill

    2011-03-01

    In these reflections, I identify complexities in few constructs that are often used in educational research, although not often critically, namely, social justice, race, ethnicity and identity. This paper suggests a non-ontological and non-epistemological approach to ethics as developed by Emmanuel Levinas as a normative means to deal with some of the complexities. In dealing with the construct of social justice, an ethical approach calls for productive research tools to not only understand exclusion but also to change situations of injustice to marginalised groups. Further, both constructs race and ethnicity can be used to identify groups of people based on their history, culture and/or lifestyles. As social constructions they have different historical origins and are open to alternative connotations, uses and abuses. An ethical perspective is useful to manage the dilemma of essentialism that group identification may lead into. Finally, the debate around the usefulness of the construct of identity raises some ethical questions about the role of research and the lived experience of its subjects. An ethical stance demands that constructs of analysis in social inquiry should not only demonstrate their utility for knowledge generation but also should demonstrate a responsibility for the construction and reconstruction of lifeworld in which academic endeavours are conducted.

  19. Engagement beyond Interruption: A Performative Perspective on Listening and Ethics

    ERIC Educational Resources Information Center

    McRae, Chris; Nainby, Keith

    2015-01-01

    This article presents an understanding of listening as a performative and pedagogical act. Moving beyond existing theories of listening in communication and education studies that frame listening as a selective and incremental act, this article considers listening in terms of a performance studies and critical education studies perspective. An…

  20. Commercial surrogacy and the commodification of children: an ethical perspective.

    PubMed

    van Niekerk, A; van Zyl, L

    1995-01-01

    The aim of this article is to establish whether there is anything intrinsically immoral about surrogacy arrangements from the perspective of the children born from such arrangements. We focus on the claim that surrogacy entails the wrongful commodification or transfer of children, thereby degrading them and disrespecting their inherent moral value as individual human beings. PMID:8523997

  1. When mindfulness is therapy: Ethical qualms, historical perspectives.

    PubMed

    Harrington, Anne; Dunne, John D

    2015-10-01

    In the past 20 years, mindfulness therapeutic programs have moved firmly into the mainstream of clinical practice and beyond. As they have, we have also seen the development of an increasingly vocal critique. At issue is often less whether or not these mindfulness practices "work," and more whether there is a danger in dissociating them from the ethical frameworks for which they were originally developed. Mindfulness, the argument goes, was never supposed to be about weight loss, better sex, helping children perform better in school, helping employees be more productive in the workplace, or even improving the functioning of anxious, depressed people. It was never supposed to be a merchandized commodity to be bought and sold. The larger clinical and religious community, however, has not always been troubled by the idea that (PsycINFO Database Record PMID:26436312

  2. Transplant Ethics: Let's Begin the Conversation Anew : A Critical Look at One Institute's Experience with Transplant Related Ethical Issues.

    PubMed

    Shafran, David; Smith, Martin L; Daly, Barbara J; Goldfarb, David

    2016-06-01

    Standardizing consultation processes is increasingly important as clinical ethics consultation (CEC) becomes more utilized in and vital to medical practice. Solid organ transplant represents a relatively nascent field replete with complex ethical issues that, while explored, have not been systematically classified. In this paper, we offer a proposed taxonomy that divides issues of resource allocation from viable solutions to the issue of organ shortage in transplant and then further distinguishes between policy and bedside level issues. We then identify all transplant related ethics consults performed at the Cleveland Clinic (CC) between 2008 and 2013 in order to identify how consultants conceptually framed their consultations by the domains they ascribe to the case. We code the CC domains to those in the Core Competencies for Healthcare Consultation Ethics in order to initiate a broader conversation regarding best practices in these highly complex cases. A discussion of the ethical issues underlying living donor and recipient related consults ensues. Finally, we suggest that the ethical domains prescribed in the Core Competencies provide a strong starting ground for a common intra-disciplinary language in the realm of formal CEC. PMID:26055878

  3. Ethical issues relating to reproduction control and women's health.

    PubMed

    Schenker, J G; Eisenberg, V H

    1997-07-01

    There are many ethical aspects which derive from the application of reproduction control in women's health. Women's health can be enhanced if women are given the opportunity to make their own reproduction choices about sex, contraception, abortion and application of reproductive technologies. The main issues that raise ethical dilemmas following the development of assisted reproduction techniques are: the right to procreate or reproduce; the process of in vitro fertilization itself-is it morally acceptable to interfere in the reproduction process?; the moral status of the embryo; the involvement of a third party in the reproductive process by genetic material donation; the practice of surrogacy, cryopreservation of pre-embryos; genetic manipulation; experiments on pre-embryos, etc. Induced abortion raises ethical issues related to the rights of the woman versus the rights of the fetus. For those who consider life to begin at conception abortion always equals murder and is therefore forbidden. Those who believe in the absolute autonomy of the woman over her body take the other extreme approach. The discussion surrounding abortion usually centers on whether it should be legal or illegal. Access to safe abortion is critical to the health of women and to their autonomy. The development of new effective contraceptive methods has a profound impact on women's lives. By the use of contraception it is possible to lessen maternal, infant and child mortality and to reduce the prevalence of sexually transmitted diseases. Research and development of new effective reversible contraceptives for women and men is needed. Dissemination of information about the safety and effectiveness of contraceptive methods is of great importance. Female genital mutilation is still practiced worldwide due to customs and tradition among various ethnic groups. The procedure is considered to be medically detrimental to the physical and mental health of women and girls, and is considered by many as

  4. Mode of Effective Connectivity within a Putative Neural Network Differentiates Moral Cognitions Related to Care and Justice Ethics

    PubMed Central

    Cáceda, Ricardo; James, G. Andrew; Ely, Timothy D.; Snarey, John; Kilts, Clinton D.

    2011-01-01

    Background Moral sensitivity refers to the interpretive awareness of moral conflict and can be justice or care oriented. Justice ethics is associated primarily with human rights and the application of moral rules, whereas care ethics is related to human needs and a situational approach involving social emotions. Among the core brain regions involved in moral issue processing are: medial prefrontal cortex, anterior (ACC) and posterior (PCC) cingulate cortex, posterior superior temporal sulcus (pSTS), insula and amygdala. This study sought to inform the long standing debate of whether care and justice moral ethics represent one or two different forms of cognition. Methodology/Principal Findings Model-free and model-based connectivity analysis were used to identify functional neural networks underlying care and justice ethics for a moral sensitivity task. In addition to modest differences in patterns of associated neural activity, distinct modes of functional and effective connectivity were observed for moral sensitivity for care and justice issues that were modulated by individual variation in moral ability. Conclusions/Significance These results support a neurobiological differentiation between care and justice ethics and suggest that human moral behavior reflects the outcome of integrating opposing rule-based, self-other perspectives, and emotional responses. PMID:21364916

  5. Ethical Considerations for Acupuncture and Chinese Herbal Medicine Clinical Trials: A Cross-cultural Perspective.

    PubMed

    Zaslawski, Christopher

    2010-09-01

    MANY ETHICAL CONCERNS REVOLVE AROUND THE FOUR BASIC PRINCIPLES OF RESEARCH: merit and integrity, respect for human beings, weighting of risk-benefit and justice. These principles form the basis for any discussion concerning human research ethics and are applicable to all areas of research including acupuncture and Chinese herbal medicine. World Health Organisation document, Guidelines for Clinical Research on Acupuncture, states that 'consideration should be given to the different value systems that are involved in human rights such as social, cultural and historical issues' and that 'further studies should be conducted in relation to ethical issues involved in clinical research on acupuncture'. In addition to outlining the four basic principles, this paper will also examine the effect of Asian culture on Western human research ethics and how this may impact upon issues such as informed consent and weighting of risk-benefit. PMID:18955359

  6. The systemic view of violence: an ethical perspective.

    PubMed

    McConaghy, J S; Cottone, R R

    1998-01-01

    Systems theory has been critiqued by a number of feminist writers who felt that it did not adequately address the issues of violence and male domination in families. This essay argues that systems theory describes the world from an "exogenic" perspective--the scientific world of nature, which is intrinsically amoral. In the exogenic world all causality is circular, as nature maintains a system that has survived for billions of years. Bateson found "mind" to be within the system of nature, implying that mind must also be amoral. However, most people view the world from an "endogenic" perspective, a personal construction of reality molded by the environment in which they live, and which inevitably incorporates morality. Humans believe that violence is wrong, not for intellectual reasons, but for moral reasons. Implications for therapy are presented. A postmodern or constructivist position is taken as a way to acknowledge the influence of relationships on problems and definitions of problems, while allowing for a moral or legal consensus to pervade the therapeutic enterprise. PMID:9589281

  7. Transgressive ethics: Professional work ethics as a perspective on ‘aggressive organ harvesting’

    PubMed Central

    Jensen, Anja MB

    2013-01-01

    Occasionally brain-dead organ donors go into cardiac arrest before reaching the operating theater. In such cases, the needed resuscitation of the potential donor stimulates a range of concerns among the responsible staff. If the intensive care unit staff are going to carry out the organ retrieval, they must rush in with demanding treatment measures such as defibrillation shock and cardiac massage that may break breast bones and make the donor vomit. Such treatment measures conflict with widespread ideals of tranquility in donor care and yet they are currently under consideration in Danish intensive care units. Why is this type of ‘aggressive organ harvesting’, as it is sometimes called, considered a likely development, even to the extent that the interviewed health professionals request a policy prescribing procurement measures they morally deplore? We suggest that to understand this change of treatment norms, we must move close to everyday work practices and appreciate the importance of material–technical treatment options as well as the interplay of professional ethics and identity. The cardiac treatment of brain-dead donors may thereby illuminate how treatment norms develop on the ground and thus can theoretically develop our understanding of the mechanisms associated with increasingly ‘aggressive organ harvesting’.

  8. Balancing truth-telling in the preservation of hope: a relational ethics approach.

    PubMed

    Pergert, Pernilla; Lützén, Kim

    2012-01-01

    Truth-telling in healthcare practice can be regarded as a universal communicative virtue; however, there are different views on what consequence it has for giving or diminishing hope. The aim of this article is to explore the relationship between the concepts of truth-telling and hope from a relational ethics approach in the context of healthcare practice. Healthcare staff protect themselves and others to preserve hope in the care of seriously sick patients and in end-of-life care. This is done by balancing truth-telling guided by different conditions such as the cultural norms of patients, family and staff. Our main conclusion is that the balancing of truth-telling needs to be decided in a mutual understanding in the caring relationship, but hope must always be inspired. Instead of focusing on autonomy as the only guiding principle, we would like to propose that relational ethics can serve as a meaningful perspective in balancing truth-telling. PMID:22140184

  9. Ethics.

    PubMed

    Pellegrino, E D

    1989-05-19

    This article is from the 1989 CONTEMPO issue of the Journal of the American Medical Association, the purpose of which is to keep physicians informed of recent developments in different areas of medicine through brief overviews by specialists in each field. In his article on ethics, Pellegrino focuses on the issues of euthanasia and fetal research. The practice of active, voluntary euthanasia raises questions about the difference between killing a terminally ill patient and withholding or withdrawing life-prolonging treatment, the limits of patient autonomy, the compatibility of active euthanasia with professional ethics, and the social consequences of legalizing euthanasia. The debate over the use of fetal tissue for research and treatment centers on the issue of induced abortion. PMID:2709576

  10. A Study of Reactions to Ethical Dilemmas in Public Relations.

    ERIC Educational Resources Information Center

    Stacks, Don W.; Wright, Donald K.

    In order to justify ethical instruction for media students, 109 university students in basic communication courses were asked to confront a moral-ethical problem, specifically, the request for information that a sponsoring company or organization wished suppressed. Respondents were randomly assigned to one of four conditions: working for a public…

  11. Ethical and Professional Issues with Computer-Related Technology

    ERIC Educational Resources Information Center

    Harvey, Virginia Smith; Carlson, Janet F.

    2003-01-01

    School psychologists have an ethical imperative to determine the ways computers can facilitate practice because of the potential to improve effectiveness and efficiency. At the same time, psychologists have a parallel imperative to consider carefully ethical and professional practice implications. The aspects of computers that render them most…

  12. Differentiating the Related Concepts of Ethics, Morality, Law, and Justice.

    ERIC Educational Resources Information Center

    Ray, Terry T.

    1996-01-01

    Four terms central to the dialog about ethics are defined and differentiated: ethics; morality; justice; and law. Several problems in understanding the terms are identified, including differences between the classical and current meanings, common but inappropriate usages, confusion of one term for another, and merging of terms in common usage.…

  13. Teacher-Student Sexual Relations: Key Risks and Ethical Issues

    ERIC Educational Resources Information Center

    Sikes, Pat

    2010-01-01

    Researching actual or purported sexual contact between teachers and students raises many difficult ethical issues, questions and dilemmas, which may help to explain why few have ventured into the field. This experientially based paper addresses key problem areas under the headings of: the ethics of researching a sensitive taboo topic; the ethics…

  14. Ethical Issues Currently Being Discussed in Relation to Reproductive Medicine and the Laws Governing Reproductive Medicine

    PubMed Central

    Schleissing, S.; Kersten, J.; Thaler, C. J.; von Schönfeldt, V.

    2014-01-01

    Reproductive medicine laws in Germany currently mean that the relationship status of prospective parents is taken into consideration in decisions on whether their application for assisted reproduction is approved or rejected. In the light of new forms of shared parenthood, we should ask ourselves whether the current regulations are still an appropriate way of guaranteeing the best for the child. Current medical practices and their legal basis will be illustrated using the examples of sperm, egg and embryo donation. From an ethical perspective, the question at stake is to what extent an “Ethics of Parenthood” can make it possible to act responsibly with regard to the changes occurring in forms of shared parenthood. Such an ethics is aimed at supporting parents in realising the reproductive autonomy guaranteed in the German Constitution through social and ethical aspects of the child–parent relationship. PMID:25089055

  15. An Ecological Perspective of Power in Transformational Learning: A Case Study of Ethical Vegans.

    ERIC Educational Resources Information Center

    McDonald, Barbara; Cervero, Ronald M.; Courtenay, Bradley C.

    1999-01-01

    In-depth interviews with 12 ethical vegans revealed the process of becoming vegetarian. Transformative learning proved to be a journey rather than a one-time decision. Mezirow's transformative theory does not adequately account for the power relations central to this process. Therefore, transformative learning should be viewed more holistically.…

  16. Ethical issues regarding related and nonrelated living organ donors.

    PubMed

    Testa, Giuliano

    2014-07-01

    The ethics of the clinical practice of transplanting human organs for end-stage organ disease is a fascinating topic. Who is the "owner" of the transplantable organs of a deceased, brain-dead patient? Who should have a right to receive these organs? Who set the boundaries between a living donor's autonomy and a "paternalistic" doctor? What constitutes a proper consent? These questions are only some of the ethical issues that have been discussed in the last 60 years. All of these ethical issues are intensified by the fact that supply of human organs does not match demand, and that, as a consequence, living-donor organ transplantation is widely utilized. The aim of this article is not to be exhaustive but to present the general ethical principles of beneficence, nonmaleficence, and justice as applied to organ transplantation. Moreover, the topic of reimbursement for organ donation is also discussed. PMID:24705806

  17. Exploring the relevance of social justice within a relational nursing ethic.

    PubMed

    Woods, Martin

    2012-01-01

    In the last few decades, a growing number of commentators have questioned the appropriateness of the 'justice view' of ethics as a suitable approach in health care ethics, and most certainly in nursing. Essentially, in their ethical deliberations, it is argued that nurses do not readily adopt the high degree of impartiality and objectivity that is associated with a justice view; instead their moral practices are more accurately reflected through the use of alternative approaches such as relational or care-based ethics. Yet, it has also been argued that this viewpoint does not necessarily 'do justice' to the broader moral responsibilities of nurses towards humanity in general, i.e. to the wider socio-cultural and socio-political issues in society, and to the concept of social justice in particular. This criticism has triggered a much closer examination of relational and care-based ethics in nursing at levels beyond individual responsiveness within relationships and brought into the spotlight the need for a more ethically refined nursing response to an increasingly complex set of socio-cultural inequalities. This article explores a relational ethic within nursing practices with contemporary ideas regarding social justice. In particular, it is argued that the synergy between the two actually produces an ethic that is capable of not only challenging the continuing predominance of justice-based ethics within health care, but of replacing it. Subsequently, in the discussion that follows, it is suggested that a combined social justice and relational care-based approach, as a social ethic, should guide the moral deliberations and actions of nurses. It is maintained that such an approach is not only possible, but crucial if nurses are to realize their full potential as ethical agents for individual and social good. PMID:22176548

  18. Pedagogical Ethics: A Review of the Literature for Public Relations and Advertising.

    ERIC Educational Resources Information Center

    Harrison, Stanley L.

    Ethics is of increasing concern to United States colleges and universities, according to a survey of 183 institutions on this issue focusing on two areas--public relations and advertising. A 75% return from 134 institutions disclosed that some 25% offer an ethics course but less than half require one. Overwhelmingly (93%), most respondents…

  19. Critique of the Classical Theory of Situational Ethics in U.S. Public Relations.

    ERIC Educational Resources Information Center

    Pratt, Cornelius B.

    1993-01-01

    Argues that ethics in public relations is a consequence of practitioners' perfunctory adherence to three motifs of situationism--"agapeic" love, human welfare, and happiness--rather than of their preference for situational ethics in its classical context. Suggests that practitioners' decisions be guided by these motifs while applying classical…

  20. Throwing Out the Relativity Bath Water without Losing the Diversity Baby: Teaching Diversity versus Relativity in a Communication Ethics Course.

    ERIC Educational Resources Information Center

    Martinson, Jay; Haughey, Paul

    This paper holds that despite, or perhaps because of, the development of recent ideas about diversity and cultural relativity, universities are obligated to teach communication ethics. Further, it holds that the implications of giving bachelor's degrees to students who do not have a solid grasp of universal ethical guidelines are potentially…

  1. [Performance-related health disorders in farm animals--the ethical dimension].

    PubMed

    Luy, Jörg

    2006-01-01

    The term "performance-related health disorders" has been defined by Bergmann (1992) as catabolic phenomena and pathological processes that are related to or caused by high productivity levels. In the past few years, a cause and effect relationship has been determined between numerous health disorders found in farm animals and their increased productivity. In contrast to the classic hereditary diseases, the performance-related health disorders are anthropogenic diseases. The severity of these disorders is, as a rule, determined by anthropogenic environmental factors. Breeding and keeping animals in such a way that they suffer from performance-related health disorders therefore is an ethical problem. Furthermore, it has also been a legal problem since the implementation of Section 11b of the German Protection of Animals Act (TierSchG) in 1986. However, this ban has not been enforced; the federal ministry responsible argues that this is because there is still a "very controversial discussion" on the question of when the "line that separates breeding from 'problem' or 'agony breeding' (Qualzucht)" has been reached or overstepped. The following article takes a close look at the almost 20-year-old debate on the lack of enforcement. There is a large amount of circumstantial evidence that indicates that the problems that arise in determining whether specific animals fall under Section 11b TierSchG do not arise from a veterinary dispute but rather from the difficulty of identifying responsibilities. The traditional ethical model used to appeal to the feelings of responsibility in a layperson is the so-called Golden Rule ("do unto others as you would have them do unto you") which so far has not been applied to the area of animal breeding. The following article presents a model on how to create an awareness for ethical malpractice. The model makes it possible to use the change of perspective demanded by the Golden Rule and apply it to the area of animal breeding. This

  2. Ethics Education: Using Inductive Reasoning to Develop Individual, Group, Organizational, and Global Perspectives

    ERIC Educational Resources Information Center

    Taft, Susan H.; White, Judith

    2007-01-01

    Ethics education that prepares students to address ethical challenges at work is a multifaceted and long-term endeavor. In this article, the authors propose an inductive ethics pedagogy that begins the process of ethics education by grounding students in their own individual ethical principles. The approach centers on developing students' ethical…

  3. Emotions, narratives, and ethical mindfulness.

    PubMed

    Guillemin, Marilys; Gillam, Lynn

    2015-06-01

    Clinical care is laden with emotions, from the perspectives of both clinicians and patients. It is important that emotions are addressed in health professions curricula to ensure that clinicians are humane healers as well as technical experts. Emotions have a valuable and generative role in health professional ethics education.The authors have previously described a narrative ethics pedagogy, the aim of which is to develop ethical mindfulness. Ethical mindfulness is a state of being that acknowledges everyday ethics and ethically important moments as significant in clinical care, with the aim of enabling ethical clinical practice. Using a sample narrative, the authors extend this concept to examine five features of ethical mindfulness as they relate to emotions: (1) being sensitized to emotions in everyday practice, (2) acknowledging and understanding the ways in which emotions are significant in practice, (3) being able to articulate the emotions at play during ethically important moments, (4) being reflexive and acknowledging both the generative aspects and the limitations of emotions, and (5) being courageous.The process of writing and engaging with narratives can lead to ethical mindfulness, including the capacity to understand and work with emotions. Strategies for productively incorporating emotions in narrative ethics teaching are described. This can be a challenging domain within medical education for both educators and health care students and thus needs to be addressed sensitively and responsibly. The potential benefit of educating health professionals in a way which addresses emotionality in an ethical framework makes the challenges worthwhile. PMID:25853684

  4. Ethical Perspective on Quality of Care: The Nature of Ethical Dilemmas Identified by New Graduate and Experienced Speech Pathologists

    ERIC Educational Resources Information Center

    Kenny, Belinda J.; Lincoln, Michelle; Blyth, Katrina; Balandin, Susan

    2009-01-01

    Background: Speech pathologists are confronted by ethical issues when they need to make decisions about client care, address team conflict, and fulfil the range of duties and responsibilities required of health professionals. However, there has been little research into the specific nature of ethical dilemmas experienced by speech pathologists and…

  5. Concepts of animal welfare in relation to positions in animal ethics.

    PubMed

    Schmidt, Kirsten

    2011-06-01

    When animal ethicists deal with welfare they seem to face a dilemma: On the one hand, they recognize the necessity of welfare concepts for their ethical approaches. On the other hand, many animal ethicists do not want to be considered reformist welfarists. Moreover, animal welfare scientists may feel pressed by moral demands for a fundamental change in our attitude towards animals. The analysis of this conflict from the perspective of animal ethics shows that animal welfare science and animal ethics highly depend on each other. Welfare concepts are indispensable in the whole field of animal ethics. Evidence for this can be found by analyzing the structure of theories of animal ethics and the different ways in which these theories employ welfare concepts. Furthermore, the background of values underneath every welfare theory is essential to pursue animal welfare science. Animal ethics can make important contributions to the clarification of underlying normative assumptions with regard to the value of the animal, with regard to ideas about what is valuable for the animal, and with regard to the actions that should follow from the results of animal welfare science. PMID:21312052

  6. Assistive Technologies and Issues Relating to Privacy, Ethics and Security

    NASA Astrophysics Data System (ADS)

    Martin, Suzanne; Bengtsson, Johan E.; Dröes, Rose-Marie

    Emerging technologies provide the opportunity to develop innovative sustainable service models, capable of supporting adults with dementia at home. Devices range from simple stand-alone components that can generate a responsive alarm call to complex interoperable systems that even can be remotely controlled. From these complex systems the paradigm of the ubiquitous or ambient smart home has emerged, integrating technology, environmental design and traditional care provision. The service context is often complex, involving a variety of stakeholders and a range of interested agencies. Against this backdrop, as anecdotal evidence and government policies spawn further innovation it is critical that due consideration is given to the potential ethical ramifications at an individual, organisational and societal level. Well-grounded ethical thinking and proactive ethical responses to this innovation are required. Explicit policy and practice should therefore emerge which engenders confidence in existing supported living option schemes for adults with dementia and informs further innovation.

  7. Hospital Malnutrition Related to Fasting and Underfeeding: Is It an Ethical Issue?

    PubMed

    Arenas Moya, Diego; Plascencia Gaitán, Alejandra; Ornelas Camacho, Denisse; Arenas Márquez, Humberto

    2016-06-01

    Hospital malnutrition is a relevant clinical issue present in about 50% of patients that is associated with increased morbidity, mortality, and cost of care. Because of the relation of malnutrition with chronic and acute inflammatory processes secondary to disease, nutrition therapy is considered an important medical treatment. However, there is little discussion about the impact of another critical issue related to hospital malnutrition, that is, lack of appropriate food or nutrition therapy given to the patients. Unnecessary fasting practices and the use of inappropriate nutrition prescriptions result in underfeeding that can be a related or direct cause of hospital malnutrition, independent of disease or inflammatory state. Suboptimal prescription of oral, enteral, and parenteral nutrition should be analyzed and discussed from an ethical perspective since this practice has the potential to harm patients. In addition, absence or inadequate provision of nutrition may present barriers for improved patient outcomes and could be prevented by simply recognizing lack of knowledge, skills, or experience in nutrition and entrusting nutrition prescription to interdisciplinary teams with clinicians well prepared in nutrition sciences. This article reviews potential barriers to the prevention or treatment of hospital malnutrition and proposes specific actions that can help clinicians to overcome and implement optimal nutrition not just as medical therapy but also as a basic comfort care that may help patients nutritionally, clinically, physically, and emotionally. PMID:27208012

  8. A survey of students` ethical attitudes using computer-related scenarios

    SciTech Connect

    Hanchey, C.M.; Kingsbury, J.

    1994-12-31

    Many studies exist that examine ethical beliefs and attitudes of university students ascending medium or large institutions. There are also many studies which examine ethical attitudes and beliefs of computer science and computer information systems majors. None, however, examines ethical attitudes of university students (regardless of undergraduate major) at a small, Christian, liberal arts institution regarding computer-related situations. This paper will present data accumulated by an on-going study in which students are presented seven scenarios--all of which involve some aspect of computing technology. These students were randomly selected from a small, Christian, liberal-arts university.

  9. Captain America, Tuskegee, Belmont, and Righteous Guinea Pigs: Considering Scientific Ethics through Official and Subaltern Perspectives

    ERIC Educational Resources Information Center

    Weinstein, Matthew

    2008-01-01

    With an eye towards a potential scientific ethics curriculum, this paper examines four contrasting discourses regarding the ethics of using human subjects in science. The first two represent official statements regarding ethics. These include the U.S.'s National Science Education Standards, that identify ethics with a professional code, and the…

  10. [Palliative care in pediatrics, ethics and relations with the patient].

    PubMed

    Friedel, Marie

    2014-01-01

    The extension of the Belgian law on euthanasia to minors during the course of 2014 raises questions with regard to the needs of children in the context of paediatric palliative care. These needs concern essentially the focus given to the interrelations between the child, their family and the caregiving team as well as to the relief of the physical, psychological and spiritual pain. Ethical guidelines help to fuel the discussions surrounding professional practices. PMID:25608370

  11. Controlling our destinies: Historical, philosophical, social and ethical perspectives on the Human Genome Project: Final report, July 1, 1995-June 30, 1996

    SciTech Connect

    Sloan, P.R.

    1996-09-25

    This report briefly describes the efforts by the organizing committee in preparation for the conference entitled Controlling Our Destinies: Historical, Philosophical, Social, and Ethical Perspectives on the Human Genome Project. The conference was held October 5-8, 1995.

  12. Religious morality (and secular humanism) in Western civilization as precursors to medical ethics: A historic perspective

    PubMed Central

    Faria, Miguel A.

    2015-01-01

    In discussing bioethics and the formulation of neuroethics, the question has arisen as to whether secular humanism should be the sole philosophical guiding light, to the exclusion of any discussion (or even mention) of religious morality, in professional medical ethics. In addition, the question has arisen as to whether freedom or censorship should be part of medical (and neuroscience) journalism. Should independent medical journals abstain from discussing certain issues, or should only the major medical journals — i.e., the New England Journal of Medicine (NEJM), the Journal of the American Medical Association (JAMA) or Lancet — be heard, speaking with one “consensual,” authoritative voice? This issue is particularly important in controversial topics impacting medical politics — e.g., public health policy, socio-economics, bioethics, and the so-called redistributive justice in health care. Should all sides be heard when those controversial topics are discussed or only a consensual (monolithic) side? This historical review article discusses those issues and opts for freedom in medical and surgical practice as well as freedom in medical journalism, particularly in opinion pieces such as editorials, commentaries, or letters to the editor, as long as they relate to medicine and, in our special case, to neuroscience and neurosurgery. After answering those questions, and in response to a critical letter to the editor, this review article then expounds comprehensively on the historical and philosophical origins of ethics and religious morality. Necessarily, we discuss the Graeco-Roman legacy and the Judeo-Christian inheritance in the development of ethics and religious morality in Western civilization and their impact on moral conduct in general and on medical and neuroscience ethics in particular. PMID:26110085

  13. Ways of relating during childbirth: an ethical responsibility and challenge for midwives.

    PubMed

    Hallgren, Anita; Kihlgren, Mona; Olsson, Pia

    2005-11-01

    The way in which midwives relate to expectant parents during the process of childbirth greatly influences the parents' childbirth experiences for a long time. We believe that examining and describing ways of relating in naturally occurring interactions during childbirth should be considered as an ethical responsibility. This has been highlighted in relation to parents' experiences and in the light of the relational ethics of Løgstrup. Four couples' and nine midwives' ways of relating were documented by 27 hours of observation, including 14.5 hours of video-recorded sessions. A qualitative content analysis was conducted. The midwives strongly influenced the different ways of relating and three aspects of professional competence were disclosed. The results can contribute to reflections about current praxis as an ethical demand for midwives. PMID:16312089

  14. Ethical issues evolving from patients’ perspectives on compulsory screening for syphilis and voluntary screening for cervical cancer in Kenya

    PubMed Central

    2014-01-01

    Background Public health aims to provide universal safety and progressive opportunities to populations to realise their highest level of health through prevention of disease, its progression or transmission. Screening asymptomatic individuals to detect early unapparent conditions is an important public health intervention strategy. It may be designed to be compulsory or voluntary depending on the epidemiological characteristics of the disease. Integrated screening, including for both syphilis and cancer of the cervix, is a core component of the national reproductive health program in Kenya. Screening for syphilis is compulsory while it is voluntary for cervical cancer. Participants’ perspectives of either form of screening approach provide the necessary contextual information that clarifies mundane community concerns. Methods Focus group discussions with female clients screened for syphilis and cancer of the cervix were conducted to elicit their perspectives of compulsory and voluntary screening. The discussions were audiotaped, transcribed and thematic content analysis performed manually to explore emerging ethics issues. Results The results indicate that real ethical challenges exist in either of the approaches. Also, participants were more concerned about the benefits of the procedure and whether their dignity is respected than the compulsoriness of screening per se. The implication is for the policy makers to clarify in the guidelines how to manage ethical challenges, while at the operational level, providers need to be judicious to minimize potential harms participants and families when screening for disease in women. Conclusions The context for mounting screening as a public health intervention and attendant ethical issues may be more complex than hitherto perceived. Interpreting emerging ethics issues in screening requires more nuanced considerations of individuals’ contextual experiences since these may be contradictory to the policy position. In

  15. The Body as a Site of Gender-Related Distress: Ethical Considerations for Gender Variant Youth in Clinical Settings.

    PubMed

    Roen, Katrina

    2016-03-01

    The present article maps out understandings about embodied distress among gender-nonconforming youth. Feminist bioethics and queer-inflected clinical perspectives are used to inform thinking about ethical, nonpathologizing health care in the case of gender-related distress. Specific attention is directed at self-harming among gender variant and trans youth. This is contextualized in relation to the role that self-harm plays for some LGBT youth, where it may be seen as a rite of passage or as reasonable and inevitable way of coping. The particular complexities of self-harm among trans youth seeking clinical intervention are examined. Queer bioethics is proposed as potentially facilitating productive uncertainty with regard to the diverse imagined futures of gender variant and trans youth. PMID:26644176

  16. Ethical Decision-Making by Educational Leaders: Its Foundations, Culture and More Recent Perspectives

    ERIC Educational Resources Information Center

    Robbins, Steven; Trabichet, Luc

    2009-01-01

    The belief that educational leaders need to be ethical decision-makers is recent. Thomas and Bainbridge suggest that an educational leader needs to develop technical competency in ethical leadership. Yet few leaders in schools have been trained in conflict resolution of an ethical nature and little importance has been given to this within existing…

  17. The Effect of Gender on the Importance of Business Ethics and Managerial Decisions: A Student Perspective

    ERIC Educational Resources Information Center

    Keith, Nancy K.; Perreault, Heidi R.; Chin, Mary; Keith, Megan

    2009-01-01

    Objective: The study examined male and female business college students' perceptions regarding the need for a match between personal and corporate ethics, whether success in business depends on ethical behavior, and the types of ethical misconduct that warrant the most severe managerial disciplinary actions. Background: The literature contains…

  18. Broadening Student Perspectives on Marketing Research Ethics: Development and Applications of a Teaching Module

    ERIC Educational Resources Information Center

    Handlin, Amy

    2012-01-01

    This paper describes an ethics module developed by the author to engage marketing research students during the fall semester, when they are bombarded by political polls. The module matches ethically questionable polling practices to similarly troubling practices in marketing research. The goals are to show that ethical principles are not topic- or…

  19. Diversity, Power and Influence: Multiple Perspectives on the Ethics of School Leadership

    ERIC Educational Resources Information Center

    Reitzug, Ulrich C.

    2008-01-01

    The intersection and clash between prevailing norms of schooling and increasing sensitivity to diversity raises a host of previously ignored ethical considerations for school administrators. These ethical issues remain largely invisible to many school leaders and thus are addressed only minimally or inadequately. This paper explores ethical issues…

  20. Ethical issues relating to renal transplantation from prediabetic living donor

    PubMed Central

    2014-01-01

    Background In Mexico, diabetes mellitus is the main cause of end − stage kidney disease, and some patients may be transplant candidates. Organ supply is limited because of cultural issues. And, there is a lack of standardized clinical guidelines regarding organ donation. These issues highlight the tension surrounding the fact that living donors are being selected despite being prediabetic. This article presents, examines and discusses using the principles of non-maleficience, autonomy, justice and the constitutionally guaranteed right to health, the ethical considerations that arise from considering a prediabetic person as a potential kidney donor. Discussion Diabetes is an absolute contraindication for donating a kidney. However, the transplant protocols most frequently used in Mexico do not consider prediabetes as exclusion criteria. In prediabetic persons there are well known metabolic alterations that may compromise the long − term outcomes of the transplant if such donors are accepted. Even so, many of them are finally included because there are not enough donor candidates. Both, families and hospitals face the need to rapidly accept prediabetic donors before the clinical conditions of the recipient and the evolution of the disease exclude him/her as a transplant candidate; however, when using a kidney potentially damaged by prediabetes, neither the donor’s nor the recipient’s long term health is usually considered. Considering the ethical implication as well as the clinical and epidemiological evidence, we conclude that prediabetic persons are not suitable candidates for kidney donation. This recommendation should be taken into consideration by Mexican health institutions who should rewrite their transplant protocols. Summary We argue that the decision to use a kidney from a living donor known to be pre-diabetic or from those persons with family history of T2DM, obesity, hypertension, or renal failure, should be considered unethical in Mexico

  1. A phenomenological-contextual, existential, and ethical perspective on emotional trauma.

    PubMed

    Stolorow, Robert D

    2015-02-01

    After a brief overview of the author's phenomenological-contextualist psychoanalytic perspective, the paper traces the evolution of the author's conception of emotional trauma over the course of three decades, as it developed in concert with his efforts to grasp his own traumatized states and his studies of existential philosophy. The author illuminates two of trauma's essential features: (1) its context-embeddedness-painful or frightening affect becomes traumatic when it cannot find a context of emotional understanding in which it can be held and integrated, and (2) its existential significance-emotional trauma shatters our illusions of safety and plunges us into an authentic Being-toward-death, wherein we must face up to our finitude and the finitude of all those we love. The paper also describes the impact of trauma on the phenomenology of time and the sense of alienation from others that accompanies traumatic temporality. The author contends that the proper therapeutic comportment toward trauma is a form of emotional dwelling. He concludes with a discussion of the implications of all these formulations for the development of an ethics of finitude. PMID:25688682

  2. Captain America, Tuskegee, Belmont, and Righteous Guinea Pigs: Considering Scientific Ethics through Official and Subaltern Perspectives

    NASA Astrophysics Data System (ADS)

    Weinstein, Matthew

    2008-09-01

    With an eye towards a potential scientific ethics curriculum, this paper examines four contrasting discourses regarding the ethics of using human subjects in science. The first two represent official statements regarding ethics. These include the U.S.’s National Science Education Standards, that identify ethics with a professional code, and the Belmont Report, that conceptualizes ethics in three principles to guide research oversight boards. Contrasting this view of ethics as decorum and practice in line with a priori principles is the conception of ethics from unofficial sources representing populations who have been human subjects. The first counter-discourse examined comes from Guinea Pig Zero, an underground magazine for professional human subjects. Here ethics emerges as a question of politics over principle. The good behavior of the doctors and researchers is an effect of the politics and agency of the communities that supply science with subjects. The second counter-discourse is a comic book called Truth, which tells the story of Black soldiers who were used as guinea pigs in World War II. Ethics is both more political and more uncertain in this narrative. Science is portrayed as complicit with the racism of NAZI Germany; at the same time, and in contrast to the professional guinea pigs, neither agency nor politics are presented as effective tools for forcing the ethical conduct of the scientific establishment. The conclusion examines the value of presenting all of these views of scientific ethics in science education.

  3. “It’s my blood”: ethical complexities in the use, storage and export of biological samples: perspectives from South African research participants

    PubMed Central

    2014-01-01

    Background The use of biological samples in research raises a number of ethical issues in relation to consent, storage, export, benefit sharing and re-use of samples. Participant perspectives have been explored in North America and Europe, with only a few studies reported in Africa. The amount of research being conducted in Africa is growing exponentially with volumes of biological samples being exported from the African continent. In order to investigate the perspectives of African research participants, we conducted a study at research sites in the Western Cape and Gauteng, South Africa. Methods Data were collected using a semi-structured questionnaire that captured both quantitative and qualitative information at 6 research sites in South Africa. Interviews were conducted in English and Afrikaans. Data were analysed both quantitatively and qualitatively. Results Our study indicates that while the majority of participants were supportive of providing samples for research, serious concerns were voiced about future use, benefit sharing and export of samples. While researchers view the provision of biosamples as a donation, participants believe that they still have ownership rights and are therefore in favour of benefit sharing. Almost half of the participants expressed a desire to be re-contacted for consent for future use of their samples. Interesting opinions were expressed with respect to export of samples. Conclusions Eliciting participant perspectives is an important part of community engagement in research involving biological sample collection, export, storage and future use. A tiered consent process appears to be more acceptable to participants in this study. Eliciting opinions of researchers and research ethics committee (REC) members would contribute multiple perspectives. Further research is required to interrogate the concept of ownership and the consent process in research involving biological samples. PMID:24447822

  4. Medical Ethics

    MedlinePlus

    ... have an ethical aspect. For example, there are ethical issues relating to End of life care: Should a patient receive nutrition? What about advance directives and resuscitation orders? Abortion: When does life begin? Is it ethical to terminate a pregnancy with a birth defect? ...

  5. Islamic medical ethics: a primer.

    PubMed

    Padela, Aasim I

    2007-03-01

    Modern medical practice is becoming increasingly pluralistic and diverse. Hence, cultural competency and awareness are given more focus in physician training seminars and within medical school curricula. A renewed interest in describing the varied ethical constructs of specific populations has taken place within medical literature. This paper aims to provide an overview of Islamic Medical Ethics. Beginning with a definition of Islamic Medical Ethics, the reader will be introduced to the scope of Islamic Medical Ethics literature, from that aimed at developing moral character to writings grounded in Islamic law. In the latter form, there is an attempt to derive an Islamic perspective on bioethical issues such as abortion, gender relations within the patient-doctor relationship, end-of-life care and euthanasia. It is hoped that the insights gained will aid both clinicians and ethicists to better understand the Islamic paradigm of medical ethics and thereby positively affect patient care. PMID:17845488

  6. Genetically modified animals from life-science, socio-economic and ethical perspectives: examining issues in an EU policy context.

    PubMed

    Frewer, L J; Kleter, G A; Brennan, M; Coles, D; Fischer, A R H; Houdebine, L M; Mora, C; Millar, K; Salter, B

    2013-06-25

    The interdisciplinary EC consortium (the PEGASUS project) aimed to examine the issues raised by the development, implementation and commercialisation of genetically modified (GM) animals, and derivative foods and pharmaceutical products. The results integrated existing social (including existing public perception) environmental and economic knowledge regarding GM animals to formulate policy recommendations relevant to new developments and applications. The use of GM in farmed animals (aquatic, terrestrial and pharmaceutical) was mapped and reviewed. A foresight exercise was conducted to identity future developments. Three case studies (aquatic, terrestrial and pharmaceutical) were applied to identify the issues raised, including the potential risks and benefits of GM animals from the perspectives of the production chain (economics and agri-food sector) and the life sciences (human and animal health, environmental impact, animal welfare and sustainable production). Ethical and policy concerns were examined through application of combined ethical matrix method and policy workshops. The case studies were also used to demonstrate the utility of public engagement in the policy process. The results suggest that public perceptions, ethical issues, the competitiveness of EU animal production and risk-benefit assessments that consider human and animal health, environmental impact and sustainable production need to be considered in EU policy development. Few issues were raised with application in the pharmaceutical sector, assuming ethical and economic issues were addressed in policy, but the introduction of agricultural GM animal applications should be considered on a case-by-case basis. PMID:23567982

  7. Ethical evaluation of risks related to living donor transplantation programs.

    PubMed

    Panocchia, N; Bossola, M; Silvestri, P; Midolo, E; Teleman, A A; Tazza, L; Sacchini, D; Minacori, R; Di Pietro, M L; Spagnolo, A G

    2013-09-01

    The shortage of available cadaveric organs for transplantation and the growing demand has incresed live donation. To increase the number of transplantations from living donors, programs have been implemented to coordinate donations in direct or indirect form (cross-over, paired, and domino chain). Living donors with complex medical conditions are accepted by several transplantation programs. In this way, the number of transplants from living has exceeded that from cadaver donors in several European countries. No mortality has been reported in the case of lung, pancreas, or intestinal Living donations, but the perioperative complications range from 15% to 30% for pancreas and lung donors. In living kidney donors, the perioperative mortality is 3 per 10,000. Their frequency of end-stage renal disease does not exceed the United States rate for the general population. However, long-term follow-up studies of living donors for kidney transplantations have several limitations. The frequency of complications in live donor liver transplantation is 40%, of these, 48% are possibly life-threatening according to the Clavien classification. Residual disability, liver failure, or death has occurred in 1% of cases. The changes in live donor acceptance criteria raise ethical issues, in particular, the physician's role in evaluating and accepting the risks taken by the living donor. Some workers argue to set aside medical paternalism on behalf of the principle of donor autonomy. In this way the medical rule "primum non nocere" is overcome. Transplantation centers should reason beyond the shortage of organs and think in terms of the care for both donor and recipient. PMID:24034000

  8. [Ethical issues of personal genome: a legal perspective--ethical and legal ramifications of personal genome research].

    PubMed

    Maruyama, Eiji

    2009-06-01

    Whole-genome research projects, especially those involving whole-genome sequencing, tend to raise intractable ethical and legal challenges. In this kind of research, genetic and genomic data obtained by typing or sequencing are usually put in open or limited access scientific databases on the Internet to promote studies by many researchers. Once data become available on the Internet, it will be virtually meaningless to withdraw the information, effectively nullifying participants' right to revoke consent. Although the author favors the governance system that will assure research subjects of the right to withdraw their participation, considering these characteristics of whole-genome research, he finds those recommendations offered in Caulfield T, et al: Research ethics recommendations for whole-genome research: Consensus statement. PLoS Biol 6(3): e73(2008), especially to the effect that the consent process should include information about data security and the governance structure and, in particular, the mechanism for considering future research protocols, well reasoned and acceptable. PMID:19507516

  9. Bio-ethical and legal issues in relation to HIV/AIDS: the Uganda experience.

    PubMed

    Yusuf, N K

    1998-01-01

    In Uganda, as in many other countries, there is a vacuum regarding an appropriate legal and ethical response to the HIV/AIDS pandemic. Whereas much has been done to address the HIV/AIDS pandemic in a multidisciplinary way, very little has been done regarding legal and ethical issues. Hence, cases of claimants to have cures for AIDS, spiritual healers and sale of fake drugs plus unauthorized vaccine and drug trials are on the increase. The rights and needs of people infected with HIV/AIDS are not adequately addressed. The property rights of those affected by the pandemic continue to be abused. Therefore there is need to mobilize doctors, lawyers and human rights activists who should advocate and address these issues. This paper therefore highlights the critical bio-ethical and legal issues in relation to HIV/AIDS. PMID:10396922

  10. Ethics in Community-Based Research with Vulnerable Children: Perspectives from Rwanda

    PubMed Central

    Stevenson, Anne; Kanyanganzi, Fredrick; Kirk, Catherine; Ng, Lauren; Mushashi, Christina; Bizimana, Justin I.; Beardslee, William; Raviola, Giuseppe; Smith, Stephanie; Kayiteshonga, Yvonne; Binagwaho, Agnes

    2016-01-01

    A “risk of harm” protocol to identify youth in need of immediate emergency assistance in a study on mental health and HIV in Rwanda among 680 youth ages 10–17 is described. Cases are presented that describe the experience in using this protocol to ensure safety of participants, with ethical and logistical challenges considered. Among the population of the study, 3.2% were deemed “risk of harm.” The most prevalent presenting problem was non-fatal suicidal behavior (91% of risk of harm cases), with 36% having a history of a reported previous attempt. Challenges included: acute food insecurity/significant poverty; lack of support/adequate supervision from family members; family violence; alcohol abuse; and HIV-related stigma. Development of a “risk of harm” protocol and collaboration between study staff, community leadership, health authorities, and health workers are critical to ensuring participants’ safety in research among vulnerable populations. PMID:27351337

  11. Ethics in Community-Based Research with Vulnerable Children: Perspectives from Rwanda.

    PubMed

    Betancourt, Theresa; Smith Fawzi, Mary C; Stevenson, Anne; Kanyanganzi, Fredrick; Kirk, Catherine; Ng, Lauren; Mushashi, Christina; Bizimana, Justin I; Beardslee, William; Raviola, Giuseppe; Smith, Stephanie; Kayiteshonga, Yvonne; Binagwaho, Agnes

    2016-01-01

    A "risk of harm" protocol to identify youth in need of immediate emergency assistance in a study on mental health and HIV in Rwanda among 680 youth ages 10-17 is described. Cases are presented that describe the experience in using this protocol to ensure safety of participants, with ethical and logistical challenges considered. Among the population of the study, 3.2% were deemed "risk of harm." The most prevalent presenting problem was non-fatal suicidal behavior (91% of risk of harm cases), with 36% having a history of a reported previous attempt. Challenges included: acute food insecurity/significant poverty; lack of support/adequate supervision from family members; family violence; alcohol abuse; and HIV-related stigma. Development of a "risk of harm" protocol and collaboration between study staff, community leadership, health authorities, and health workers are critical to ensuring participants' safety in research among vulnerable populations. PMID:27351337

  12. What is it to practise good medical ethics? A Muslim's perspective.

    PubMed

    Serour, G I

    2015-01-01

    Good medical ethics should aim at ensuring that all human beings enjoy the highest attainable standard of health. With the development of medical technology and health services, it became necessary to expand the four basic principles of medical ethics and link them to human rights. Despite the claim of the universality of those ethical principles, their perception and application in healthcare services are inevitably influenced by the religious background of the societies in which those services are provided. This paper highlights the methodology and principles employed by Muslim jurists in deriving rulings in the field of medical ethics, and it explains how ethical principles are interpreted through the lens of Islamic theory. The author explains how, as a Muslim obstetrician-gynaecologist with a special interest in medical ethics, including international consideration of reproductive ethics issues, he attempts to 'practise good medical ethics' by applying internationally accepted ethical principles in various healthcare contexts, in ways that are consistent with Islamic principles, and he identifies the evidence supporting his approach. He argues that healthcare providers have a right to respect for their conscientious convictions regarding both undertaking and not undertaking the delivery of lawful procedures. However, he also argues that withholding evidence-based medical services based on the conscientious objection of the healthcare provider is unethical as patients have the right to be referred to services providing such treatment. PMID:25516952

  13. [Exactly what is ethical nursing care? the perspective of the clinical humanities].

    PubMed

    Yu, An-Bang

    2014-10-01

    As Taiwan enters the post-modern era of professional medical care, a host of issues relating to nursing care are becoming increasingly pressing. On the one hand, the wide range of ailments of body and mind requiring treatment is placing a major financial burden on the national health care system. On the other hand, few hospitals are able to provide "comprehensive care of body and mind." In addition to primary prevention, the most effective way to reduce the overall cost of medical care is to effectively bring volunteer caregivers (those who have an "ethical connection" with the patient, i.e., family, friends, neighbors, volunteers, etc.) into all levels of the caregiving process. Moreover, as medical ethics becomes increasingly focused on the well-being of the patient, more attention is being given to the healing relationship itself. Due to its ability to swiftly relieve a wide variety of ailments, the Western medical model has become widely accepted in Asia. Yet, a patient may feel a greater sense of healing when treatment is based on the principles of ethical caregiving. For example, in the way it quickly relieves the prevailing symptoms, psychiatric medication is like a freeway. By contrast, volunteer caregiving is more like a local road, which may be slower, but eventually takes one all the way home. Thus, making nursing care more person-centered and indigenized gives the patient a sense of not only being cured, but also being "cared for." However, for a long time the theory and practice of nursing education in Taiwan has been based on the Western model of nursing. In this model nursing is treated as a branch of the biological sciences, an overall approach quite different from the traditional view of caregiving in Asian societies. Nonetheless, recent research and clinical practice indicates that an indigenized form of nursing care may be a more suitable approach to comprehensive care, and that such an approach has much potential for widespread application in

  14. Ethics Education Adherence by Teacher Trainees during Teaching Practice: A Botswana Perspective

    ERIC Educational Resources Information Center

    Moswela, Bernard; Gobagoba, Marina

    2014-01-01

    This paper presents the results of a survey conducted to find out the extent to which teacher trainees understand and observe professional ethics. It also sought the contribution of the Faculty of Education and secondary schools make in promoting teacher ethics among trainees on teaching practice. Data were gathered from randomly chosen 90…

  15. Training and Performance Improvement Professionals' Perspectives on Ethical Challenges during Evaluation

    ERIC Educational Resources Information Center

    Chyung, Seung Youn; Winiecki, Donald J.; Downing, Jessica L.

    2010-01-01

    Ethical concerns are rising in the business world. With this in mind, training and performance improvement practitioners, especially during evaluation projects, should be aware of principles and codes of ethics, and their behaviors and decisions should reflect the standards recognized by members of the professional society. A study was conducted…

  16. Can Ethics Be Taught? Perspectives, Challenges, and Approaches at Harvard Business School.

    ERIC Educational Resources Information Center

    Piper, Thomas R.; And Others

    This book describes in five chapters how the Harvard Business School has redeveloped its curriculum to place leadership, ethics, and corporate responsibility at the center of its mission. Chapter 1, "Rediscovery of Purpose: The Genesis of the Leadership, Ethics, and Corporate Responsibility Initiative," (Thomas R. Piper) describes the context for…

  17. Infusing Professional Ethics into Counselor Education Programs: A Multicultural/Social Justice Perspective

    ERIC Educational Resources Information Center

    Pack-Brown, Sherlon P.; Thomas, Tequilla L.; Seymour, Jennifer M.

    2008-01-01

    Multiculturalism and social justice counseling issues influence counselors' ethical thinking and behavior. Counselor educators are responsible for facilitating students' understanding of the relevance of multicultural/social justice counseling issues and ethical standards for professional practices. Added insights in these areas aid students to…

  18. Bringing Ethics into the Classroom: Making a Case for Frameworks, Multiple Perspectives and Narrative Sharing

    ERIC Educational Resources Information Center

    Mathur, Sarup R.; Corley, Kathleen M.

    2014-01-01

    This article argues for the need to discuss the topic of ethics in the classroom and presents five frameworks of ethics that have been applied to education. A case analysis used in workshops with educators in the field of Special Education is described, and the benefits of sharing narratives are discussed. The authors offer suggestions, grounded…

  19. Ethical Guidelines for Human Communication and Public Discussion: A Gandhian Intercultural Perspective.

    ERIC Educational Resources Information Center

    Bode, Robert A.

    Ethical communication scholars frequently find national popular rhetoric unethical. Some proposed ethical guidelines for the public presentation of ideas call for such elements as habits of search, justice, preference for public versus private motives, respect for dissent, airing of all relevant arguments, and persuasion without coercion or…

  20. Constructive Readings of Interactive Episodes: Examining Ethics in Physical Education from a Social Constructionist Perspective

    ERIC Educational Resources Information Center

    Barker, Dean M.; Barker-Ruchti, Natalie; Puhse, Uwe

    2013-01-01

    In this paper we illustrate how ways of thinking about ethics are tied up with sport and physical education practice and introduce an alternative approach that can help to develop ethical pedagogies. We begin by locating socio-moral education in physical education within historical and contemporary pedagogical scholarship. Our argument is that the…

  1. Speaking to the World: Four Protestant Perspectives. Ethics and Public Policy Essay 50.

    ERIC Educational Resources Information Center

    Neuhaus, Richard John

    This volume contains an address by Richard John Neuhaus entitled "Let the Church Be the Church" in which it is asserted that the crisis in Christian social ethics today is a crisis of faith which calls for spiritual, theological, and ethical renewal. The address is a retrospective look at the Vietnam-era debate between Neuhaus and Paul Ramsey,…

  2. Living the categorical imperative: autistic perspectives on lying and truth telling-between Kant and care ethics.

    PubMed

    Jaarsma, Pier; Gelhaus, Petra; Welin, Stellan

    2012-08-01

    Lying is a common phenomenon amongst human beings. It seems to play a role in making social interactions run more smoothly. Too much honesty can be regarded as impolite or downright rude. Remarkably, lying is not a common phenomenon amongst normally intelligent human beings who are on the autism spectrum. They appear to be 'attractively morally innocent' and seem to have an above average moral conscientious objection against deception. In this paper, the behavior of persons with autism with regard to deception and truthfulness will be discussed in the light of two different ethical theories, illustrated by fragments from autobiographies of persons with autism. A systemizing 'Kantian' and an empathizing 'ethics of care' perspective reveal insights on high-functioning autism, truthfulness and moral behavior. Both perspectives are problematic from the point of view of a moral agent with autism. High-functioning persons with autism are, generally speaking, strong systemizes and weak empathizers. Particularly, they lack 'cognitive empathy' which would allow them to understand the position of the other person. Instead, some tend to invent a set of rules that makes their behavior compatible with the expectations of others. From a Kantian point of view, the autistic tendency to always tell the truth appears praiseworthy and should not be changed, though it creates problems in the social life of persons with autism. From a care ethics perspective, on the other hand, a way should be found to allow the high-functioning persons with autism to respect the feelings and needs of other persons as sometimes overruling the duty of truthfulness. We suggest this may even entail 'morally educating' children and adolescents with autism to become socially skilled empathic 'liars'. PMID:22065242

  3. Sham surgery trial controls: perspectives of patients and their relatives.

    PubMed

    Swift, Teresa L

    2012-07-01

    This study reports on qualitative research conducted in the UK with people with Parkinson's Disease and their relatives on the subject of "sham surgery." It explores attitudes toward sham surgery and reasoning about hypothetical participation in a sham-controlled trial. Results showed that attitudes toward sham surgery may not necessarily predict trial participation behavior. A small majority of interviewees deemed sham surgery ethically acceptable with certain provisos, but hypothetical participation was driven primarily by disease severity and a lack of standard treatment options, with a preference for receiving the real surgery over sham. Ethical implications for patient equipoise and the autonomy of patients' research participation decisions are discussed. PMID:22850140

  4. Citizenship, human rights, and dementia: Towards a new embodied relational ethic of sexuality.

    PubMed

    Kontos, Pia; Grigorovich, Alisa; Kontos, Alexis P; Miller, Karen-Lee

    2016-05-01

    Sexual citizenship and sexual rights scholarship have made important contributions to broadening citizenship and more fully accommodating rights related to sexuality. However, this scholarship has concentrated primarily on the sexuality and intimacy-related needs of younger people and those who are not cognitively impaired. Consequently, it has inadvertently served to marginalize persons living with dementia who reside in long-term residential care settings. We argue that supporting sexual rights for persons with dementia requires a particular human rights ontology for citizenship-one that recognizes that corporeality is a fundamental source of self-expression, interdependence, and reciprocal engagement. This is an ontology that underpins our model of relational citizenship and that grounds our articulation of an ethic of embodied relational sexuality. In our view, this ethic offers important direction for the development of policy, legislation, and clinical guidelines to support sexual rights for persons with dementia in long-term residential care. PMID:27170584

  5. [A reconsideration of nursing ethics from the perspective of téchne].

    PubMed

    Wang, Wen-Sheng

    2014-10-01

    Our current age of technology sets high expectations for clarity and exactness in all professions, including nursing. This article introduces nursing ethics as a nebulous form of art (téchne) and then considers the new aspects that may be developed from nursing ethics. We first introduce the Aristotelian concept of téchne and then explain how téchne addresses experiential knowledge without claims to exactness. A discussion then follows about the relationship of téchne to rigorous and serious philosophy. While téchne is not an exact science, this concept addresses the difference between the exactness claimed by ancient Greek physical science (phúsis) and wisdom and the exactness claimed by Westerners today due to the changes in modern Western attitudes toward beings. In discussing nursing ethics as téchne, this article shows that the discussions of ethics within the medical and nursing professions nowadays are still influenced by age-of-technology claims to exactness. Finally, we propose the following: 1) nursing ethics should develop standards for ethics of care (or care ethics) wherein action is more important than theoretical argument and 2) some ideas and methods of rhetoric and narration should be integrated into the process of communication between nurses and patients. PMID:25271028

  6. Ethics of Clinical Decision-Making for Older Drivers: Reporting Health-Related Driving Risk.

    PubMed

    Mazer, Barbara; Laliberté, Maude; Hunt, Matthew; Lemoignan, Josée; Gélinas, Isabelle; Vrkljan, Brenda; Naglie, Gary; Marshall, Shawn

    2016-06-01

    The number of older drivers will continue to increase as the population ages. Health care professionals have the responsibility of providing care and maintaining confidentiality for their patients while ensuring public safety. This article discusses the ethics of clinical decision-making pertaining to reporting health-related driving risk of older drivers to licensing authorities. Ethical considerations inherent in reporting driving risk, including autonomy, confidentiality, therapeutic relationships, and the uncertainty about determining individual driving safety and risk, are discussed. We also address the moral agency of reporting health-related driving risk and raise the question of whose responsibility it is to report. Issues of uncertainty surrounding clinical reasoning and concepts related to risk assessment are also discussed. Finally, we present two case studies to illustrate some of the issues and challenges faced by health care professionals as they seek to balance their responsibilities for their patients while ensuring road safety for all citizens. PMID:27117942

  7. Ethics of the profession of public relations--does the public relations affects on journalism in Croatia?

    PubMed

    Tanta, Ivan; Lesinger, Gordana

    2013-09-01

    The UK's leading professional body for public relations "Chartered Institute of Public Relations" (CIPR) said that the public relations is about reputation--they are the result of what you do, what you say and what others say about you. Furthermore CIPR says that public relations are discipline whose objectives are safeguarding reputation, establishing understanding and pot pores, and the impact on the thinking and behavior of the public. Although the primary goal of public relations is to preserve and build a reputation, to tell the truth to a customer who has hired experts in this area, it seems that in its own way of development, public relations practitioners have stopped worrying about their reputation and the perception of the discipline within the public they address. All relevant professional bodies for public relations, including the Croatian Association for Public Relation (HUOJ), had set up codes of ethics and high standards according which the members and practitioners should be evaluated. Among other things stays that practitioner of public relations is required to check the reliability and accuracy of the data prior to their distribution and nurture honesty and accountability to the public interest. It seems that right this instruction of code of ethics has been often violated. In a public speech in Croatia, and therefore in the media, exist manipulation, propaganda, and all the techniques of spin, which practitioners of public relations are skillfully using in the daily transfer of information to the users and target groups. The aim of this paper is to determine what is the perception of the profession to the public. As in today's journalism increasingly present plume of public relations, we wish to comment on the part where journalism ends and begins PR and vice versa. In this paper, we analyze and compare codes of ethics ethics associations for public relations, as well as codes of ethics journalists' associations, in order to answer the question

  8. Choosing embryos: ethical complexity and relational autonomy in staff accounts of PGD

    PubMed Central

    Ehrich, Kathryn; Williams, Clare; Farsides, Bobbie; Sandall, Jane; Scott, Rosamund

    2007-01-01

    The technique of preimplantation genetic diagnosis (PGD) is commonly explained as a way of checking the genes of embryos produced by IVF for serious genetic diseases. However, complex accounts of this technique emerged during ethics discussion groups held for PGD staff. These form part of a study exploring the social processes, meanings and institutions that frame and produce ‘ethical problems’ for practitioners, scientists and others working in the specialty of PGD in the UK. Two ‘grey areas’ raised by staff are discussed in terms of how far staff are, or in the future may be, able to support autonomous choices of women/couples: accepting ‘carrier’ embryos within the goal of creating a ‘healthy’ child; and sex selection of embryos for social reasons. These grey areas challenged the staff's resolve to offer individual informed choice, in the face of their awareness of possible collective social effects that might ensue from individual choices. We therefore argue that these new forms of choice pose a challenge to conventional models of individual autonomy used in UK genetic and reproductive counselling, and that ‘relational autonomy’ may be a more suitable ethical model to describe the ethical principles being drawn on by staff working in this area. PMID:18092985

  9. Ethical issues in human reproduction: Protestant perspectives in the light of European Protestant and Reformed Churches.

    PubMed

    Birkhäuser, Martin

    2013-11-01

    Protestantism is not a centralized religion. It is composed by many independent Churches having different moral and ethical standards. This review concentrates on the ethical principles prevalent in most modern European Reformed Churches. It does not intend to discuss the ethical principles of many other Protestant Churches present mainly in the USA. The common foundations of Protestant theology are the "five sola ("Sola scriptura", Sola fide", "Sola gratia", Solus Christus or Solo Christo", "Soli deo gloria"). In opposition to the Catholic Church, no intermediary is needed between the Bible and the believer. As a consequence, Protestant Churches have no Magisterium, such as the Catholic Church. Therefore Protestant Churches cannot declare a certain position to be the "official position". Each Christian is personally responsible for all his acts, including his ethical behaviour. There is no complete unanimity among all Protestants on ethics or on any other issue. Human dignity, personal rights and self-determination have to be respected in each ethical consideration. The supersession of the Old Mosaic Covenant (including traditional Jewish law or Halakhah, maintained in Catholicism) by the New Covenant and by Christian Theology has an important impact on Protestant ethics in reproductive medicine. In the New Covenant, the Protestants Churches did not maintain the mandatory obligation from the old Mosaic Covenant to be fruitful and to multiply: there is no divine obligation by God to procreate. As a consequence, contraception is not a sin and not unethical. The status of the embryo is the key for the ethical consideration of all methods used in reproductive medicine. Most representatives of modern Protestant theology and bioethics defend the opinion that the embryo is not an independent human being as is the newborn child. For most Protestant bio-ethicists, as long as an embryo has no nervous system, no organs and no pain receptors, it cannot be seen as a human

  10. Can artificial parthenogenesis sidestep ethical pitfalls in human therapeutic cloning? An historical perspective.

    PubMed

    Fangerau, H

    2005-12-01

    The aim of regenerative medicine is to reconstruct tissue that has been lost or pathologically altered. Therapeutic cloning seems to offer a method of achieving this aim; however, the ethical debate surrounding human therapeutic cloning is highly controversial. Artificial parthenogenesis-obtaining embryos from unfertilised eggs-seems to offer a way to sidestep these ethical pitfalls. Jacques Loeb (1859-1924), the founding father of artificial parthenogenesis, faced negative public opinion when he published his research in 1899. His research, the public's response to his findings, and his ethical foundations serve as an historical argument both for the communication of science and compromise in biological research. PMID:16319240

  11. Can artificial parthenogenesis sidestep ethical pitfalls in human therapeutic cloning? An historical perspective

    PubMed Central

    Fangerau, H

    2005-01-01

    The aim of regenerative medicine is to reconstruct tissue that has been lost or pathologically altered. Therapeutic cloning seems to offer a method of achieving this aim; however, the ethical debate surrounding human therapeutic cloning is highly controversial. Artificial parthenogenesis—obtaining embryos from unfertilised eggs—seems to offer a way to sidestep these ethical pitfalls. Jacques Loeb (1859–1924), the founding father of artificial parthogenesis, faced negative public opinion when he published his research in 1899. His research, the public's response to his findings, and his ethical foundations serve as an historical argument both for the communication of science and compromise in biological research. PMID:16319240

  12. Linking the levels: network and relational perspectives for community psychology.

    PubMed

    Neal, Jennifer Watling; Christens, Brian D

    2014-06-01

    In this article, we assert that relationships and networks are of paramount importance for understanding and improving settings, neighborhoods, communities, and larger social systems. Despite previous acknowledgements of their relevance, relational and social network perspectives and analyses remain underrepresented in community psychological research and action. Here, we claim that network and relational perspectives can provide conceptual and empirical 'links' between levels of analysis, more fully reflecting a transactional view. We also describe some of the sophisticated methodologies that can be employed in empirical studies drawing on these perspectives. Additionally, we contend that core concepts in community psychology such as health promotion, empowerment, coalition building, and dissemination and implementation can be better understood when employing relational and network perspectives. As an introduction to this special issue of American Journal of Community Psychology, we draw out themes and key points from the articles in the issue, and offer recommendations for future advancement of these perspectives in the field. PMID:24752731

  13. Confidentiality of the medical records of HIV-positive patients in the United Kingdom – a medicolegal and ethical perspective

    PubMed Central

    Williams, Mike

    2011-01-01

    This article examines the legal and ethical issues that surround the confidentiality of medical records, particularly in relation to patients who are HIV positive. It records some historical background of the HIV epidemic, and considers the relative risks of transmission of HIV from individual to individual. It explains the law as it pertains to confidentiality, and reports the professional guidance in these matters. It then considers how these relate to HIV-positive individuals in particular. PMID:22312224

  14. Ethics and Community-Based Participatory Research: Perspectives From the Field

    PubMed Central

    Bastida, Elena M.; Tseng, Tung-Sung; McKeever, Corliss; Jack, Leonard

    2010-01-01

    Exploring the importance of ethical issues in the conduct of community-based participatory research (CBPR) continues to be an important topic for researchers and practitioners. This article uses the Beyond Sabor Project, a CBPR project implemented in the Lower Rio Grande Valley, as a case example to discuss ethical issues such as the importance of increasing community involvement in research, ensuring that communities benefit from the research, sharing leadership roles, and sensitive issues regarding data collection and sharing. Thereafter, this article concludes with a brief discussion of six principles that can inform the practice of ethical conduct when implementing CBPR studies. This article also lists additional reading resources on the importance of ethics in the conduct of CBPR. PMID:20038649

  15. Placebo Effects and the Ethics of Therapeutic Communication: A Pragmatic Perspective.

    PubMed

    Annoni, Marco; Miller, Franklin G

    2016-03-01

    In this article we explore the ethics of manipulating verbal information for the sake of influencing health outcomes through placebo and nocebo responses. Recent scientific research on placebo and nocebo effects has drawn attention to the ways in which communication by health professionals may modulate the symptoms of patients across an array of highly prevalent conditions such as pain, depression, anxiety, insomnia, irritable bowel syndrome, migraine, and Parkinson's disease. The positive and negative effects of clinicians' communication on patient outcomes pose important ethical issues, which we describe in this article under the label of "the ethics of therapeutic communication" (TC). We begin by reviewing available evidence supporting the claim that doctor-patient communication has therapeutic effects. We then identify in truthfulness, helpfulness, and pragmatism three morally relevant considerations that can guide clinicians in therapeutic communication with their patients. Finally, we examine the ethics of using TC to enhance the effectiveness of proven medical interventions and open-label placebos. PMID:27157112

  16. Assessing and addressing moral distress and ethical climate Part II: neonatal and pediatric perspectives.

    PubMed

    Sauerland, Jeanie; Marotta, Kathleen; Peinemann, Mary Anne; Berndt, Andrea; Robichaux, Catherine

    2015-01-01

    Moral distress remains a pervasive and, at times, contested concept in nursing and other health care disciplines. Ethical climate, the conditions and practices in which ethical situations are identified, discussed, and decided, has been shown to exacerbate or ameliorate perceptions of moral distress. The purpose of this mixed-methods study was to explore perceptions of moral distress, moral residue, and ethical climate among registered nurses working in an academic medical center. Two versions of the Moral Distress Scale in addition to the Hospital Ethical Climate Survey were used, and participants were invited to respond to 2 open-ended questions. Part I reported the findings among nurses working in adult acute and critical care units. Part II presents the results from nurses working in pediatric/neonatal units. Significant differences in findings between the 2 groups are discussed. Subsequent interventions developed are also presented. PMID:25470266

  17. Information, consent and treatment of patients with Morgellons disease: an ethical perspective.

    PubMed

    Söderfeldt, Ylva; Groß, Dominik

    2014-04-01

    Morgellons is a medically contested diagnosis with foremost dermatological symptoms. Patients experience fibers emerging from the skin, together with a range of other somatic, psychiatric, and neurological complaints. Within the medical community, it is generally held to be a variation of delusional parasitosis/delusional infestation, which is usually treated with antipsychotics. Little attention has been paid in the literature to the ethical aspects of treating patients with Morgellons disease. The communicative strategies suggested in the literature display significant ethical issues, primarily the use of therapeutic privilege, i.e. withholding information from the patient. Since this limits patient autonomy, that approach is ethically problematic. Instead, the physician has an ethical obligation to respect the patient's autonomy, provide full information, and seek consent before initiating a psychiatric referral. PMID:24671866

  18. Ethics in international health research: a perspective from the developing world.

    PubMed Central

    Bhutta, Zulfiqar Ahmed

    2002-01-01

    Health research plays a pivotal role in addressing inequities in health and human development, but to achieve these objectives the research must be based on sound scientific and ethical principles. Although it is accepted that ethics play a central role in health research in developing countries, much of the recent debate has focused on controversies surrounding internationally sponsored research and has taken place largely without adequate participation of the developing countries. The relationship between ethical guidelines and regulations, and indigenously sponsored and public health research has not been adequately explored. For example, while the fundamental principles of ethical health research, such as community participation, informed consent, and shared benefits and burdens, remain sacrosanct other issues, such as standards of care and prior agreements, merit greater public debate within developing countries. In particular, the relationship of existing ethical guidelines to epidemiological and public health research merits further exploration. In order to support health research in developing countries that is both relevant and meaningful, the focus must be on developing health research that promotes equity and on developing local capacity in bioethics. Only through such proactive measures can we address the emerging ethical dilemmas and challenges that globalization and the genomics revolution will bring in their wake. PMID:11953789

  19. Relations between Corporate Social Responsibility and Engineering Ethics

    NASA Astrophysics Data System (ADS)

    Yasui, Itaru

    Environmental responsibility of corporations has been changed drastically in the last 20 years. In 1980s, pollution prevention was the main mandate for corporations and in 1990s global scale environmental issues such as global warming must be also considered by at least industries. In the year of 2000, United Nations decided to make a challenge towards sustainability of human activities on the Earth, and since then, every corporation must take this concept into account when policy for its own business is described. Within this framework, some companies have succeeded to be evaluated as “environmental conscious companies” and enjoyed success also in their business. The reality of sustainability is very complex and any company must consider rather long future, say more than 30 years, in the strategy of its operation. All engineers should watch the direction and the norm carefully, which their own company is now aiming at, with enough knowledge regarding the trend of total human activities in relation to the limitation of the Earth.

  20. Iconoclastic ethics.

    PubMed

    Black, D

    1984-12-01

    Arguments are advanced, on a pragmatic basis, for preferring a 'situational' approach to medical ethical problems, rather than an approach based on any one of the dogmatic formulations on offer. The consequences of such a preference are exemplified in relation to confidentiality; and in relation to the ethical dilemmas which surround the beginning and the end of terrestrial human life. PMID:6520850

  1. Ethical Leadership and Decision Making in Education: Applying Theoretical Perspectives to Complex Dilemmas. Topics in Educational Leadership.

    ERIC Educational Resources Information Center

    Shapiro, Joan Poliner; Stefkovich, Jacqueline A.

    This book discusses how students and practitioners should take into account four ethics paradigms to help solve authentic dilemmas. These paradigms are the ethic of justice, ethic of care, ethic of critique, and ethic of the profession. The book's purposes include demonstrating the application of these different paradigms through the discussion…

  2. A clinician's understanding of ethics in palliative care: an American perspective.

    PubMed

    Cimino, James E

    2003-04-01

    I believe the standard for making ethical decisions should be the same for all patients: appropriate medical interventions, carefully weighing their benefits and burdens, and trying to honor the wishes of the patients. When cure is not possible, the balance between benefits and burdens should shift to greater consideration of the burden side of the equation. The ascendancy of autonomy over other medical ethical principles is the center for most of the ethical dilemmas encountered in palliative care. This paper discusses the issues of autonomy, informed consent, patient capacity, advance directives, futility, "do-not-resuscitate" orders, withholding or withdrawing interventions, euthanasia, and sedation therapy. After 41 years of my personally caring for over 4000 terminally ill patients, primarily at Calvary Hospital, the most practical approach has been to establish trust with patients and families, determining their goals, and diligently applying the principles of beneficence (benefits) and nonmaleficence (burdens) in everyday practice. PMID:12672515

  3. Research ethics committees: Need for harmonization at the national level, the global and Indian perspective

    PubMed Central

    Walanj, Aparna Sanjiv

    2014-01-01

    Ethics committee (EC) organization and standardization is an important aspect of clinical research. There is a healthy trend worldwide to register and/or accredit research ECs reviewing clinical research. This article tries to focus on the existing model of ECs worldwide, as against the Indian backdrop. The article reviews literature, journals, websites, and studies conducted in 10 different countries and outlines the working model of ECs in these countries. The challenges faced during the ethical review, especially in case of multicenter trials, have been identified. A solution has been suggested to overcome these challenges, and to ensure the overall smooth functioning of clinical trials. The article proposes the development of national and regional central ECs to counter the current drawbacks in the ethical review mechanisms in India. PMID:24741482

  4. Humankind Takes up Environmental Ethics

    ERIC Educational Resources Information Center

    Huiying, Xu

    2004-01-01

    Environmental ethics examines the relationship between human beings and nature from the moral perspective. It is also a kind of ethics arising from a concern with an earth which is on the verge of losing balance. Environmental ethics originated at the end of the 1940s. Since the 1970s, great progress has been made in environmental ethics. This…

  5. Best practice guidelines on publishing ethics: a publisher's perspective, 2nd edition.

    PubMed

    Graf, Chris; Deakin, Lisa; Docking, Martine; Jones, Jackie; Joshua, Sue; McKerahan, Tiffany; Ottmar, Martin; Stevens, Allen; Wates, Edward; Wyatt, Deborah

    2014-12-01

    Wiley has updated its publishing ethics guidelines, first published in 2006. The new guidelines provide guidance, resources, and practical advice on ethical concerns that arise in academic publishing for editors, authors, and researchers, among other audiences. New guidance is also included on whistle blowers, animal research, clinical research, and clinical trial registration, addressing cultural differences, human rights, and confidentiality. The guidelines are uniquely interdisciplinary and were reviewed by 24 editors and experts chosen from the wide range of communities that Wiley serves. The new guidelines are also published in Advanced Materials, Headache, International Journal of Clinical Practice, Social Science Quarterly, and on the website http://exchanges.wiley.com/ethicsguidelines. PMID:25329711

  6. Best practice guidelines on publishing ethics: a publisher's perspective, 2nd edition.

    PubMed

    Graf, C; Deakin, L; Docking, M; Jones, J; Joshua, S; McKerahan, T; Ottmar, M; Stevens, A; Wates, E; Wyatt, D

    2014-12-01

    Wiley has updated its publishing ethics guidelines, first published in 2006. The new guidelines provide guidance, resources and practical advice on ethical concerns that arise in academic publishing for editors, authors and researchers, among other audiences. New guidance is also included on whistle blowers, animal research, clinical research and clinical trial registration, addressing cultural differences, human rights and confidentiality. The guidelines are uniquely interdisciplinary, and were reviewed by 24 editors and experts chosen from the wide range of communities that Wiley serves. They are also published in Advanced Materials, Headache, Annals of the New York Academy of Sciences, Social Science Quarterly, and on the website http://exchanges.wiley.com/ethicsguidelines. PMID:25329600

  7. Ethics or Morals: Understanding Students' Values Related to Genetic Tests on Humans

    NASA Astrophysics Data System (ADS)

    Lindahl, Mats Gunnar

    2009-10-01

    To make meaning of scientific knowledge in such a way that concepts and values of the life-world are not threatened is difficult for students and laymen. Ethics and morals pertaining to the use of genetic tests for hereditary diseases have been investigated and discussed by educators, anthropologists, medical doctors and philosophers giving, at least in part, diverging results. This study investigates how students explain and understand their argumentation about dilemmas concerning gene testing for the purpose to reduce hereditary diseases. Thirteen students were interviewed about their views on this issue. Qualitative analysis was done primarily by relating students’ argumentation to their movements between ethics and morals as opposing poles. Students used either objective or subjective knowledge but had difficulties to integrate them. They tried to negotiate ethic arguments using utilitarian motives and medical knowledge with sympathy or irrational and personal arguments. They discussed the embryo’s moral status to decide if it was replaceable in a social group or not. The educational implications of the students’ use of knowledge in personal arguments are discussed.

  8. Ethics in the classroom: a reflection on integrating ethical discussions in an introductory course in computer programming.

    PubMed

    Smolarski, D C; Whitehead, T

    2000-04-01

    In this paper, we describe our recent approaches to introducing students in a beginning computer science class to the study of ethical issues related to computer science and technology. This consists of three components: lectures on ethics and technology, in-class discussion of ethical scenarios, and a reflective paper on a topic related to ethics or the impact of technology on society. We give both student reactions to these aspects, and instructor perspective on the difficulties and benefits in exposing students to these ideas. PMID:11273452

  9. Those Moral Aspects Unique to the Profession: Principals' Perspectives on Their Work and the Implications for a Professional Ethic for Educational Leadership

    ERIC Educational Resources Information Center

    Frick, William C.; Gutierrez, Kathrine J.

    2008-01-01

    This study examined aspects of work-related behavior considered morally and ethically unique to the profession of educational leadership as expressed by practitioners. The purpose was to empirically test and develop a practical, profession-specific ethic as articulated by Shapiro and Stefkovich (2001, 2005) and Stefkovich (2006). The study used…

  10. Value System Changes Resulting from a Media Ethics Course: A Postmodern Perspective.

    ERIC Educational Resources Information Center

    Leslie, Larry Z.

    This pre- and post-test study examined value system changes resulting from a media ethics course. Over three semesters, 74 students participated in the study. They were given M. Rokeach's lists of terminal and instrumental values on the first day and again on the last day of class and asked to rank each value on the lists in terms of its…

  11. How an Exchange of Perspectives Led to Tentative Ethical Guidelines for Visual Ethnography

    ERIC Educational Resources Information Center

    Pope, Clive C.; De Luca, Rosemary; Tolich, Martin

    2010-01-01

    Qualitative research, especially visual ethnography, is an iterative not a linear process, replete with good intentions, false starts, mistaken assumptions, miscommunication and a continually revised statement of the problem. That the camera freezes everything and everyone in the frame only complicates ethical considerations. This work, jointly…

  12. Ethical Leadership Development as Care of the Self: A Foucauldian Perspective

    ERIC Educational Resources Information Center

    Pignatelli, Frank

    2015-01-01

    This essay addresses the care of the self as an important aspect in the development of educational leaders. It draws upon Michel Foucault's analysis of power and its relationship to his understanding of ethics as a practice one cultivates and takes on in the interests of leadership development. Foucault's work in these areas is timely for graduate…

  13. Ethics and the Unintended Consequences of Social Research: A Perspective from the Sociology of Science

    ERIC Educational Resources Information Center

    Studer, Kenneth E.; Chubin, Daryl E.

    1977-01-01

    Argues that "successful" social science requires development of a social ethic or sense of research responsibility, and suggests that an individualistic orientation is ineffective in coping with the unintended consequences of social research. Available from: Elsevier Scientific Publishing Company, Box 211, Amsterdam, the Netherlands, single copies…

  14. Analysing the Professional Development of Teaching and Learning from a Political Ethics of Care Perspective

    ERIC Educational Resources Information Center

    Bozalek, Vivienne Grace; McMillan, Wendy; Marshall, Delia E.; November, Melvyn; Daniels, Andre; Sylvester, Toni

    2014-01-01

    This paper uses Tronto's political ethics of care as a normative framework to evaluate a model of teaching and learning professional development. This framework identifies five integrated moral elements of care -- attentiveness, responsibility, competence, responsiveness and trust. This paper explicates on each of these elements to evaluate…

  15. The Relationship between Ethical Positions and Methodological Approaches: A Scandinavian Perspective

    ERIC Educational Resources Information Center

    Beach, Dennis; Eriksson, Anita

    2010-01-01

    In this article, based on reading ethnographic theses, books and articles and conversations with nine key informants, we have tried to describe how research ethics are approached and written about in educational ethnography in Scandinavia. The article confirms findings from previous research that there are different methodological forms of…

  16. Relevance and Effectiveness of the WHO Global Code Practice on the International Recruitment of Health Personnel--Ethical and Systems Perspectives.

    PubMed

    Brugha, Ruairí; Crowe, Sophie

    2015-06-01

    The relevance and effectiveness of the World Health Organization's (WHO's) Global Code of Practice on the International Recruitment of Health Personnel is being reviewed in 2015. The Code, which is a set of ethical norms and principles adopted by the World Health Assembly (WHA) in 2010, urges members states to train and retain the health personnel they need, thereby limiting demand for international migration, especially from the under-staffed health systems in low- and middle-income countries. Most countries failed to submit a first report in 2012 on implementation of the Code, including those source countries whose health systems are most under threat from the recruitment of their doctors and nurses, often to work in 4 major destination countries: the United States, United Kingdom, Canada and Australia. Political commitment by source country Ministers of Health needs to have been achieved at the May 2015 WHA to ensure better reporting by these countries on Code implementation for it to be effective. This paper uses ethics and health systems perspectives to analyse some of the drivers of international recruitment. The balance of competing ethics principles, which are contained in the Code's articles, reflects a tension that was evident during the drafting of the Code between 2007 and 2010. In 2007-2008, the right of health personnel to migrate was seen as a preeminent principle by US representatives on the Global Council which co-drafted the Code. Consensus on how to balance competing ethical principles--giving due recognition on the one hand to the obligations of health workers to the countries that trained them and the need for distributive justice given the global inequities of health workforce distribution in relation to need, and the right to migrate on the other hand--was only possible after President Obama took office in January 2009. It is in the interests of all countries to implement the Global Code and not just those that are losing their health

  17. Relevance and Effectiveness of the WHO Global Code Practice on the International Recruitment of Health Personnel – Ethical and Systems Perspectives

    PubMed Central

    Brugha, Ruairí; Crowe, Sophie

    2015-01-01

    The relevance and effectiveness of the World Health Organization’s (WHO’s) Global Code of Practice on the International Recruitment of Health Personnel is being reviewed in 2015. The Code, which is a set of ethical norms and principles adopted by the World Health Assembly (WHA) in 2010, urges members states to train and retain the health personnel they need, thereby limiting demand for international migration, especially from the under-staffed health systems in low- and middle-income countries. Most countries failed to submit a first report in 2012 on implementation of the Code, including those source countries whose health systems are most under threat from the recruitment of their doctors and nurses, often to work in 4 major destination countries: the United States, United Kingdom, Canada and Australia. Political commitment by source country Ministers of Health needs to have been achieved at the May 2015 WHA to ensure better reporting by these countries on Code implementation for it to be effective. This paper uses ethics and health systems perspectives to analyse some of the drivers of international recruitment. The balance of competing ethics principles, which are contained in the Code’s articles, reflects a tension that was evident during the drafting of the Code between 2007 and 2010. In 2007-2008, the right of health personnel to migrate was seen as a preeminent principle by US representatives on the Global Council which co-drafted the Code. Consensus on how to balance competing ethical principles – giving due recognition on the one hand to the obligations of health workers to the countries that trained them and the need for distributive justice given the global inequities of health workforce distribution in relation to need, and the right to migrate on the other hand – was only possible after President Obama took office in January 2009. It is in the interests of all countries to implement the Global Code and not just those that are losing their

  18. Sham Surgery Trial Controls: Perspectives of Patients and Their Relatives

    PubMed Central

    Swift, Teresa L.

    2012-01-01

    THIS STUDY REPORTS ON QUALITATIVE research conducted in the UK with people with Parkinson’s Disease and their relatives on the subject of “sham surgery.” It explores attitudes toward sham surgery and reasoning about hypothetical participation in a sham-controlled trial. Results showed that attitudes toward sham surgery may not necessarily predict trial participation behavior. A small majority of interviewees deemed sham surgery ethically acceptable with certain provisos, but hypothetical participation was driven primarily by disease severity and a lack of standard treatment options, with a preference for receiving the real surgery over sham. Ethical implications for patient equipoise and the autonomy of patients’ research participation decisions are discussed. PMID:22850140

  19. [Ethics in medical journals.

    PubMed

    Lifshitz, Alberto

    2013-01-01

    The title of this reflection evokes several contents that may encompass from ethics in research; fraud in science; ethics in medical advertising and relations between sponsors and science; and, finally, papers related to ethic content. This paper is limited to the ethic responsibilities of the medical writers or "scriptwriters." PMID:24290007

  20. Ethical Perspectives, Reactions to Other's Moral Behavior, and Consequent Moral Action.

    ERIC Educational Resources Information Center

    Pope, William R.; Forsyth, Donelson R.

    In analyzing various moral and legal philosophies, two perspectives emerge, absolute moral rules/higher law, and situationally-specific moral rules/legal positivism. From these two perspectives, four types of individuals emerge in accordance with their degree of adherence to ideological tenets: (1) situationists (high on idealism and relativism);…

  1. Promoting social responsibility amongst health care users: medical tourists’ perspectives on an information sheet regarding ethical concerns in medical tourism

    PubMed Central

    2013-01-01

    Background Medical tourists, persons that travel across international borders with the intention to access non-emergency medical care, may not be adequately informed of safety and ethical concerns related to the practice of medical tourism. Researchers indicate that the sources of information frequently used by medical tourists during their decision-making process may be biased and/or lack comprehensive information regarding individual safety and treatment outcomes, as well as potential impacts of the medical tourism industry on third parties. This paper explores the feedback from former Canadian medical tourists regarding the use of an information sheet to address this knowledge gap and raise awareness of the safety and ethical concerns related to medical tourism. Results According to feedback provided in interviews with former Canadian medical tourists, the majority of participants responded positively to the information sheet and indicated that this document prompted them to engage in further consideration of these issues. Participants indicated some frustration after reading the information sheet regarding a lack of know-how in terms of learning more about the concerns discussed in the document and changing their decision-making. This frustration was due to participants’ desperation for medical care, a topic which participants frequently discussed regarding ethical concerns related to health care provision. Conclusions The overall perceptions of former medical tourists indicate that an information sheet may promote further consideration of ethical concerns of medical tourism. However, given that these interviews were performed with former medical tourists, it remains unknown whether such a document might impact upon the decision-making of prospective medical tourists. Furthermore, participants indicated a need for an additional tool such as a website for continued discussion about these concerns. As such, along with dissemination of the information sheet

  2. Ethical and human rights perspectives on providers' obligation to ensure adolescents' rights to privacy.

    PubMed

    Ringheim, Karin

    2007-12-01

    The rights of adolescents to privacy and confidentiality as stipulated in international human rights conventions are poorly protected in reproductive health-care settings. Fear that their private information will become known, particularly to a parent, has been shown to be a major factor in adolescents' failure to seek the services they need. The tension between parental interests in guiding the development of children and public interest in maintaining a healthy population is considered in light of the ethical principles that bear upon these decisions. In practice, health-care workers are the intermediaries who must ensure that the privacy rights of adolescent clients are protected. They are bound through obligations engendered in human rights conventions as well as by ethical principles, especially that of nonmaleficence, to provide the young with information and confidential services, skills that must be acquired through training. Enhancing the survival of adolescents promotes the greater social good. PMID:18284039

  3. One health: perspectives on ethical issues and evidence from animal experiments.

    PubMed

    Asokan, G V; Fedorowicz, Z; Tharyan, P; Vanitha, A

    2012-11-01

    Zoonoses constitute more than 60% of all known infectious diseases and 75% of emerging infectious diseases. Their impact is not monitored, prevented and treated in an integrated way. The efficacy of therapeutic interventions for zoonotic diseases is deemed to be comparable across species with scientifically valid results originating from a range of animal experiments. Ethical obligations limit the number of animals used in experiments as well as reduce repetition of studies. The evidence based on randomized controlled trails and systematic reviews for the effectiveness of health care interventions is often inconclusive. Subjecting human volunteers to risk in the absence of scientifically valid results from animal experiments is unethical. The One Health concept is a comparative, clinical approach directed towards zoonoses which present challenges to research workers and clinicians. Optimal health for all--One Health--should be underpinned by ethically conducted research in animals or humans and the results should be complementary to both. PMID:23301381

  4. Ethical considerations for conducting health disparities research in community health centers: a social-ecological perspective.

    PubMed

    Boutin-Foster, Carla; Scott, Ebony; Melendez, Jennifer; Rodriguez, Anna; Ramos, Rosio; Kanna, Balavenkatesh; Michelen, Walid

    2013-12-01

    Community health centers (CHCs) provide optimal research settings. They serve a high-risk, medically underserved population in the greatest need of intervention. Low socioeconomic status renders this population particularly vulnerable to research misconduct. Traditional principles of research ethics are often applied to participants only. The social-ecological model offers a comprehensive framework for applying these principles across multiple levels (participants, providers, organizations, communities, and policy). Our experience with the Trial Using Motivational Interviewing, Positive Affect and Self-Affirmation in African-Americans with Hypertension, a randomized trial conducted in CHCs, led us to propose a new platform for discussing research ethics; examine the social, community, and political factors surrounding research conducted in CHCs; and recommend how future research should be conducted in such settings. PMID:24134347

  5. Best practice guidelines on publishing ethics: a publisher's perspective, 2nd edition.

    PubMed

    Graf, Chris; Deakin, Lisa; Docking, Martine; Jones, Jackie; Joshua, Sue; McKerahan, Tiffany; Ottmar, Martin; Stevens, Allen; Wates, Edward; Wyatt, Deborah

    2014-01-01

    Wiley has updated its publishing ethics guidelines, first published in 2006. The new guidelines provide guidance, resources, and practical advice on ethical concerns that arise in academic publishing for editors, authors, and researchers, among other audiences. New guidance is also included on whistle blowers, animal research, clinical research, and clinical trial registration, addressing cultural differences, human rights, and confidentiality. The guidelines are uniquely interdisciplinary, and were reviewed by 24 editors and experts chosen from the wide range of communities that Wiley serves. They are also published in Advanced Materials, International Journal of Clinical Practice, Annals of the New York Academy of Sciences, Social Science Quarterly, and on the website http://exchanges.wiley.com/ethicsguidelines. PMID:25327898

  6. Best practice guidelines on publishing ethics: a publisher's perspective, 2nd edition.

    PubMed

    Graf, Chris; Deakin, Lisa; Docking, Martine; Jones, Jackie; Joshua, Sue; McKerahan, Tiffany; Ottmar, Martin; Stevens, Allen; Wates, Edward; Wyatt, Deborah

    2015-01-14

    Wiley has updated its publishing ethics guidelines, first published in 2006. These new guidelines provide guidance, resources, and practical advice on ethical concerns that arise in academic publishing for editors, authors, and researchers, among other audiences. New guidance is included about whistle blowers, animal research, clinical research, and clinical trial registration, addressing cultural differences, human rights, and confidentiality. The guidelines are uniquely interdisciplinary, and were reviewed by 24 editors and experts chosen from the wide range of communities that Wiley serves. These guidelines are also published in: Headache, International Journal of Clinical Practice, Annals of the New York Academy of Sciences, Social Science Quarterly, and on the website http://exchanges.wiley.com/ethicsguidelines. PMID:25330311

  7. Ethical Considerations for Conducting Health Disparities Research in Community Health Centers: A Social-Ecological Perspective

    PubMed Central

    Scott, Ebony; Melendez, Jennifer; Rodriguez, Anna; Ramos, Rosio; Kanna, Balavenkatesh; Michelen, Walid

    2013-01-01

    Community health centers (CHCs) provide optimal research settings. They serve a high-risk, medically underserved population in the greatest need of intervention. Low socioeconomic status renders this population particularly vulnerable to research misconduct. Traditional principles of research ethics are often applied to participants only. The social-ecological model offers a comprehensive framework for applying these principles across multiple levels (participants, providers, organizations, communities, and policy). Our experience with the Trial Using Motivational Interviewing, Positive Affect and Self-Affirmation in African-Americans with Hypertension, a randomized trial conducted in CHCs, led us to propose a new platform for discussing research ethics; examine the social, community, and political factors surrounding research conducted in CHCs; and recommend how future research should be conducted in such settings. PMID:24134347

  8. Neonatal and Pediatric Organ Donation: Ethical Perspectives and Implications for Policy

    PubMed Central

    Sarnaik, Ajit A.

    2015-01-01

    The lifesaving processes of organ donation and transplantation in neonatology and pediatrics carry important ethical considerations. The medical community must balance the principles of autonomy, non-maleficence, beneficence, and justice to ensure the best interest of the potential donor and to provide equitable benefit to society. Accordingly, the US Organ Procurement and Transplantation Network (OPTN) has established procedures for the ethical allocation of organs depending on several donor-specific and recipient-specific factors. To maximize the availability of transplantable organs and opportunities for dying patients and families to donate, the US government has mandated that hospitals refer potential donors in a timely manner. Expedient investigation and diagnosis of brain death where applicable are also crucial, especially in neonates. Empowering trained individuals from organ procurement organizations to discuss organ donation with families has also increased rates of consent. Other efforts to increase organ supply include recovery from donors who die by circulatory criteria (DCDD) in addition to donation after brain death (DBD), and from neonates born with immediately lethal conditions such as anencephaly. Ethical considerations in DCDD compared to DBD include a potential conflict of interest between the dying patient and others who may benefit from the organs, and the precision of the declaration of death of the donor. Most clinicians and ethicists believe in the appropriateness of the Dead Donor Rule, which states that vital organs should only be recovered from people who have died. The medical community can maximize the interests of organ donors and recipients by observing the Dead Donor Rule and acknowledging the ethical considerations in organ donation. PMID:26636051

  9. Neonatal and Pediatric Organ Donation: Ethical Perspectives and Implications for Policy.

    PubMed

    Sarnaik, Ajit A

    2015-01-01

    The lifesaving processes of organ donation and transplantation in neonatology and pediatrics carry important ethical considerations. The medical community must balance the principles of autonomy, non-maleficence, beneficence, and justice to ensure the best interest of the potential donor and to provide equitable benefit to society. Accordingly, the US Organ Procurement and Transplantation Network (OPTN) has established procedures for the ethical allocation of organs depending on several donor-specific and recipient-specific factors. To maximize the availability of transplantable organs and opportunities for dying patients and families to donate, the US government has mandated that hospitals refer potential donors in a timely manner. Expedient investigation and diagnosis of brain death where applicable are also crucial, especially in neonates. Empowering trained individuals from organ procurement organizations to discuss organ donation with families has also increased rates of consent. Other efforts to increase organ supply include recovery from donors who die by circulatory criteria (DCDD) in addition to donation after brain death (DBD), and from neonates born with immediately lethal conditions such as anencephaly. Ethical considerations in DCDD compared to DBD include a potential conflict of interest between the dying patient and others who may benefit from the organs, and the precision of the declaration of death of the donor. Most clinicians and ethicists believe in the appropriateness of the Dead Donor Rule, which states that vital organs should only be recovered from people who have died. The medical community can maximize the interests of organ donors and recipients by observing the Dead Donor Rule and acknowledging the ethical considerations in organ donation. PMID:26636051

  10. Is in-vitro fertilization for older women ethical? A personal perspective.

    PubMed

    Perla, L

    2001-03-01

    Fertility treatments raise a range of social and ethical issues regarding self-identity for family, sexual intimacy, and the interests and welfare of potential children. Eggs and sperm are combined to produce fertilized eggs. These eggs are then implanted as embryos and grow into viable fetuses, which are carried by the original mother or a surrogate mother. This artificial form of conception can challenge religious values and family structures. In-vitro fertilization (IVF) can be considered either as a medical miracle or playing with divinity. What obligation do medical professionals have to infertile women and to what extent? The bioethical dilemma of IVF use encompasses different moral issues for all involved in the process. Ethical issues address respect for personal autonomy, access and care, and the duty of the health care provider to be compassionate to persons whose actions and moral values may be different from their own. Health care providers need to impart empathy, understanding and sensitivity towards this unique type of patient population. The conflict for those treating patients who are trying to conceive by IVF includes respect for personal autonomy, nonmaleficence, justice, utility and the ethics of care. As a registered nurse in a postpartum hospital unit, I have seen antepartum and postpartum women involved with this new technology. I have worked with mothers and their partners as they experience different levels of anxiety and hope for the future. There is an underlying psychosocial connection with patients who undergo IVF treatments. The purpose of this article is to explore the ethical use of IVF on older women. Is this type of biotechnolgy being applied for the right reasons and for the best patient population? PMID:16010890

  11. Cancer and social justice: a demographic, economic, historic, sociocultural, and ethical perspective.

    PubMed

    Bal, Dileep G

    2005-12-15

    In the current presentation, as a first-generation Asian-American immigrant, the author discussed the dire inequities of the current cancer prevention and control systems in the U.S. and attempted to analyze the root causes of the problem. The universal concern is that the occurrence of cancer, cancer's behavioral antecedents, (diet, physical activity, and tobacco use), the early detection of cancer, and cancer survivorship all relate inversely to education, income, social class, and white race. In other words, not only are cancer rates higher among lesser educated, poorer, and socially deprived individuals, but the availability and benefits of primary, secondary, and tertiary cancer prevention also are rationed, consciously or sub-consciously, by current society within and outside the borders of the U.S. Asian Americans are one of the unrecognized populations among these deprived groups. The objective of this article was to provide a thoughtful perspective on this very real problem and why it persists. Because of the audience at the Asian American Network for Cancer Awareness, Research, and Training meeting, where the current report was presented, the author tried to avoid a treatise on Asian philosophy and values but could not resist the comment that, in archaic Chinese terms, the public health and health care systems in the U.S. today lack balance and harmony. PMID:16270311

  12. Faculty ethics: ideal principles with practical applications.

    PubMed

    Reybold, L Earle

    2009-01-01

    Ethics in higher education is the subject of intense public attention, with considerable focus on faculty roles and responsibilities. Media reports and scholarly research have documented egregious misconduct that includes plagiarism, falsification of data, illicit teacher-student relationships, and grading bias. These accounts of wrongdoing often portray faculty ethicality as only a legal issue of obeying rules and regulations, especially in the teaching and research roles. My discussion challenges this narrow perspective and argues that characterizations of faculty ethicality should take into account broader expectations for professionalism such as collegiality, respect, and freedom of inquiry. First, I review the general principles of faculty ethics developed by the American Association of University Professors, as well as professional codes of ethics in specific professional fields. Second, I juxtapose the experiences of women and minority faculty members in relation to these general codes of ethics. This section examines three issues that particularly affect women and minority faculty experiences of ethicality: "chilly and alienating" academic climates, "cultural taxation" of minority identity, and the snare of conventional reward systems. Third, I suggest practical strategies to reconcile faculty practice with codes of ethics. My challenge is to the faculty as a community of practice to engage professional ethics as social and political events, not just legal and moral failures. PMID:20054074

  13. Environmental ethics: an overview, assessing the place of bioscientists in society, supplemented with selected Australian perspectives.

    PubMed

    Buckeridge, John

    2014-01-01

    Ethics deals with moral behavior in a professional context; ideally, it leads to a set of governing principles through which the appropriateness of any activity may be determined or assessed. Environmental ethics specifically deals with how humans interact with the biosphere. It is clear, however, that, as a species, we are failing in our duty of environmental stewardship. The encroachment of human activity into the natural environment is inexorable, and almost always deleterious. Any response to mitigate loss of taxa or ecosystems will have economic implications, and these are often considerable. In finding effective solutions, a process soon becomes political. In light of this we must reflect upon the leadership role that biologists have, especially our impact on policy development that pertains to natural resource management. Although our track record is no worse than any other professional group, biologists by way of training usually have a greater understanding of natural processes and must be prepared to articulate these publically. We have an ethical mandate to question decisions, policies and legislation that impact negatively upon biological systems: a mandate guided through logic, grounded in empirical science, and hopefully coupled with a deep understanding of the true value of both the living world and the physical world which sustains it. This paper uses Australian examples to demonstrate the frequent clashes between economics and biology, in anticipation that we should strive to achieve the underlying principles of sustainability, environmental stewardship and resource management in both daily decision-making and in long-term planning. PMID:24447658

  14. Researchers’ perspectives on scientific and ethical issues with transcranial direct current stimulation: An international survey

    PubMed Central

    Riggall, Kate; Forlini, Cynthia; Carter, Adrian; Hall, Wayne; Weier, Megan; Partridge, Brad; Meinzer, Marcus

    2015-01-01

    In the last decade, an increasing number of studies have suggested that transcranial direct current stimulation (tDCS) may enhance brain function in healthy individuals, and ameliorate cognitive and other symptoms in patients suffering from various medical conditions. This, along with its presumed safety, simplicity, and affordability, has generated great enthusiasm amongst researchers, clinicians, patient populations, and the public (including a growing “do-it-yourself” community). However, discussion about the effectiveness and ethics of tDCS thus far has been confined to small groups of tDCS researchers and bioethicists. We conducted an international online survey targeting the opinions of researchers using tDCS who were asked to rate the technique’s efficacy in different contexts. We also surveyed opinions about ethical concerns, self-enhancement and public availability. 265 complete responses were received and analyzed statistically and thematically. Our results emphasize the potential uses of tDCS in clinical and research contexts, but also highlight a number of emerging methodological and safety concerns, ethical challenges and the need for improved communication between researchers and bioethicists with regard to regulation of the device. Neither the media reputation of tDCS as a “miracle device” nor concerns expressed in recent neuroethical publications were entirely borne out in expert opinion. PMID:26068889

  15. Researchers' perspectives on scientific and ethical issues with transcranial direct current stimulation: An international survey.

    PubMed

    Riggall, Kate; Forlini, Cynthia; Carter, Adrian; Hall, Wayne; Weier, Megan; Partridge, Brad; Meinzer, Marcus

    2015-01-01

    In the last decade, an increasing number of studies have suggested that transcranial direct current stimulation (tDCS) may enhance brain function in healthy individuals, and ameliorate cognitive and other symptoms in patients suffering from various medical conditions. This, along with its presumed safety, simplicity, and affordability, has generated great enthusiasm amongst researchers, clinicians, patient populations, and the public (including a growing "do-it-yourself" community). However, discussion about the effectiveness and ethics of tDCS thus far has been confined to small groups of tDCS researchers and bioethicists. We conducted an international online survey targeting the opinions of researchers using tDCS who were asked to rate the technique's efficacy in different contexts. We also surveyed opinions about ethical concerns, self-enhancement and public availability. 265 complete responses were received and analyzed statistically and thematically. Our results emphasize the potential uses of tDCS in clinical and research contexts, but also highlight a number of emerging methodological and safety concerns, ethical challenges and the need for improved communication between researchers and bioethicists with regard to regulation of the device. Neither the media reputation of tDCS as a "miracle device" nor concerns expressed in recent neuroethical publications were entirely borne out in expert opinion. PMID:26068889

  16. A critical perspective on second-order empathy in understanding psychopathology: phenomenology and ethics.

    PubMed

    Rashed, Mohammed Abouelleil

    2015-04-01

    The centenary of Karl Jaspers' General Psychopathology was recognised in 2013 with the publication of a volume of essays dedicated to his work (edited by Stanghellini and Fuchs). Leading phenomenological-psychopathologists and philosophers of psychiatry examined Jaspers notion of empathic understanding and his declaration that certain schizophrenic phenomena are 'un-understandable'. The consensus reached by the authors was that Jaspers operated with a narrow conception of phenomenology and empathy and that schizophrenic phenomena can be understood through what they variously called second-order and radical empathy. This article offers a critical examination of the second-order empathic stance along phenomenological and ethical lines. It asks: (1) Is second-order empathy (phenomenologically) possible? (2) Is the second-order empathic stance an ethically acceptable attitude towards persons diagnosed with schizophrenia? I argue that second-order empathy is an incoherent method that cannot be realised. Further, the attitude promoted by this method is ethically problematic insofar as the emphasis placed on radical otherness disinvests persons diagnosed with schizophrenia from a fair chance to participate in the public construction of their identity and, hence, to redress traditional symbolic injustices. PMID:25820144

  17. Ethical review of health research: a perspective from developing country researchers

    PubMed Central

    Hyder, A; Wali, S; Khan, A; Teoh, N; Kass, N; Dawson, L

    2004-01-01

    Background: Increasing collaboration between industrialised and developing countries in human research studies has led to concerns regarding the potential exploitation of resource deprived countries. This study, commissioned by the former National Bioethics Advisory Commission of the United States, surveyed developing country researchers about their concerns and opinions regarding ethical review processes and the performance of developing country and US international review boards (IRBs). Methods: Contact lists from four international organisations were used to identify and survey 670 health researchers in developing countries. A questionnaire with 169 questions explored issues of IRB review, informed consent, and recommendations. Results: The majority of the developing country researchers were middle aged males who were physicians and were employed by educational institutions, carrying out research on part time basis. Forty four percent of the respondents reported that their studies were not reviewed by a developing country IRB or Ministry of Health and one third of these studies were funded by the US. During the review process issues such as the need for local language consent forms and letters for approval, and confidentiality protection of participants were raised by US IRBs in significantly higher proportions than by host country IRBs. Conclusion: This survey indicates the need for the ethical review of collaborative research in both US and host countries. It also reflects a desire for focused capacity development in supporting ethical review of research. PMID:14872079

  18. Extubation versus tracheostomy in withdrawal of treatment-ethical, clinical, and legal perspectives.

    PubMed

    Chotirmall, Sanjay Haresh; Flynn, Maura G; Donegan, Ciaran F; Smith, David; O'Neill, Shane J; McElvaney, Noel Gerard

    2010-06-01

    The provision of life-sustaining ventilation, such as tracheostomy to critically ill patients, is commonly performed. However, the utilization of tracheostomy or extubation after a withdrawal of treatment decision is debated. There is a dearth of practical information available to aid clinical decision making because withdrawal of treatment is a challenging scenario for all concerned. This is further complicated by medicolegal and ethical considerations. Care of the "hopelessly ill" patient should be based on daily evaluation and comfort making it impossible to fit into general algorithms. Although respect for autonomy is important in healthcare, it is limited for patients in an unconscious state. Beneficence remains the basis for withdrawing treatment in futile cases and underpins the "doctrine of double effect." This article presents a relevant clinical case of hypoxic brain injury where a question of withdrawal of treatment arose and examines the ethical, clinical, and medicolegal considerations inherent in such cases, including beneficence, nonmaleficence, and the "sanctity of life doctrine." In addition, the considerations of prognosis for recovery, patient autonomy, patient quality of life, and patient family involvement, which are central to decision making, are addressed. The varying legal frameworks that exist internationally regarding treatment withdrawal are also described. Good ethics needs sound facts, and despite the lack of legal foundation in several countries, withdrawal of treatment remains practiced, and the principles described within this article aim to aid clinician decision making during such complex and multifaceted end-of-life decisions. PMID:19850443

  19. Ethical and legal framework and regulation for off-label use: European perspective

    PubMed Central

    Lenk, Christian; Duttge, Gunnar

    2014-01-01

    For more than 20 years the off-label use of drugs has been an essential part of the ethical and legal considerations regarding the international regulation of drug licensing. Despite a number of regulatory initiatives in the European Union, there seems to remain a largely unsatisfactory situation following a number of critical descriptions and statements from actors in the field. The present article gives an overview of the ethical and legal framework and developments in European countries and identifies existing problems and possible pathways for solutions in this important regulatory area. In addition to the presentation of the ethical and legal foundations, some attention is given to criticisms from medical practitioners to the current handling of off-label drug use. The review also focuses on the situation confronted by patients and physicians when off-label prescriptions are necessary. Through legal descriptions from a number of countries, possible solutions for future discussion of European health care policy are selected and explained. PMID:25050064

  20. Teaching ethics: telling stories.

    PubMed

    Bowman, A

    1995-02-01

    In order to develop moral literacy, nursing students should be exposed both to traditional rules and justice-based ethics, and to a feminist care perspective. Justice and truth are not objective and abstract, but are embedded in context and are relative in nature. Nurses may be given the tools with which to analyse and understand ethical dilemmas from a justice-based view and an opportunity to tell their stories in order to understand the roles, motives, relational considerations and contextual influences on decision outcomes. If we are serious about our desire to raise critical consciousness of students and nurses in practice, we must attend to and join feminists in their attempts to validate women's ways of knowing, to assist women to question their contexts, and to put aside preconceived positions and notions about moral reasoning among women. PMID:7708027

  1. A Pragmatic Approach to Applied Ethics in Sport and Related Physical Activity.

    ERIC Educational Resources Information Center

    Zeigler, Earle F.

    Arguing that there is still no single, noncontroversial foundation on which the world's present multi-structure of ethics can be built, this paper examines a scientific ethics approach. It is postulated that in North American culture, the approach to instruction in ethics for youth is haphazard at best. Society does not provide an adequate means…

  2. Toward a systemic ethics of public-private partnerships related to food and health.

    PubMed

    Marks, Jonathan H

    2014-09-01

    Public-private partnerships have become widespread in the pursuit of both health-related research and public health interventions--most notably, in recent measures intended to address obesity. Participants emphasize synergies between the missions or goals of the public and private partners. However, the missions usually diverge in significant ways. Consequently, these partnerships can have serious implications for the integrity of, as well as trust and confidence in, the public partners. In this article, I highlight systemic concerns presented by public-private partnerships related to food and health. These include research agenda distortion and framing effects--not least, the characterization of obesity primarily as a question of individual behavior, and the minimization or neglect of the role of food systems and other social and environmental factors on health. Prevailing analytical approaches to public-private partnerships tend to downplay or ignore these systemic effects and their ethical implications. In this article, I offer guidance intended to help actors in the public sector fulfill their mission while thinking more critically and systemically about the ethical implications of public-private partnerships. PMID:25423851

  3. Einstein and General Relativity: Historical Perspectives.

    ERIC Educational Resources Information Center

    Chandrasekhar, S.

    1979-01-01

    This paper presented in the 1978 Oppenheimer Memorial Lecture at Los Alamos Scientific Laboratories on August 17, 1978, discusses Einstein's contributions to physics, in particular, his discovery of the general theory of relativity. (HM)

  4. Psychiatry and political-institutional abuse from the historical perspective: the ethical lessons of the Nuremberg Trial on their 60th anniversary.

    PubMed

    López-Muñoz, Francisco; Alamo, Cecilio; Dudley, Michael; Rubio, Gabriel; García-García, Pilar; Molina, Juan D; Okasha, Ahmed

    2007-05-01

    Sixty years ago at the Nuremberg Trials, 23 Nazi leaders were tried as war criminals, in what was known as "The Doctors' Trial". This trial exposed a perverse system of the criminal use of medicine in the fields of public health and human research. These practices, in which racial hygiene constituted one of the fundamental principles and euthanasia programmes were the most obvious consequence, violated the majority of known bioethical principles. Psychiatry played a central role in these programmes, and the mentally ill were the principal victims. The aim of the present work is to review, from the historical perspective, the antecedents of the shameful euthanasia programmes for the mentally ill, the procedures involved in their implementation and the use of mentally ill people as research material. The Nuremberg Code, a direct consequence of the Doctors' Trial, is considered to be the first international code of ethics for research with human beings, and represented an attempt to prevent any repeat of the tragedy that occurred under Nazism. Nevertheless, the last 60 years have seen continued government-endorsed psychiatric abuse and illegitimate use of psychoactive drugs in countries such as the Soviet Union or China, and even in some with a long democratic tradition, such as the United States. Even today, the improper use of psychiatry on behalf of governments is seen to be occurring in numerous parts of the globe: religious repression in China, enforced hospitalization in Russia, administration of psychoactive drugs in immigrant detention centres in Australia, and the application of the death penalty by lethal injection and psychiatric participation in coercive interrogation at military prisons, in relation to the USA. The Declaration of Madrid in 1996 constituted the most recent attempt to eradicate, from the ethical point of view, these horrendous practices. Various strategies can be used to combat such abuses, though it is uncertain how effective they are in

  5. The Case of Pharmacological Neuroenhancement: Medical, Judicial and Ethical Aspects from a German Perspective.

    PubMed

    Franke, A G; Northoff, R; Hildt, E

    2015-11-01

    Pharmacological neuroenhancement (PN) describes the use of psychoactive drugs for the purpose of enhancing cognition (e. g., fatigue, concentration, memory etc.) by healthy subjects without medical need. Drugs used for this purpose can be divided into freely available, over-the-counter drugs (e. g., methylxanthines such as caffeine), prescription drugs (e. g., antidementia drugs, methylphenidate) and illicit drugs (e. g., illicit amphetamines). Clinical studies have shown that the aforementioned substances only have limited pro-cognitive effects and have considerable safety risks and side effects.The German judicial perspective shows legal differences between substances (drugs, food, food supplements, fortified food) that can be bought in a supermarket, drugs that can be bought in a pharmacy as over-the-counter- (OTC-) drugs, drugs with or without the need for a prescription and illicit drugs. Supermarket drugs and fortified food can be sold freely and follow the general rules of civil and penal law; regarding acquisition, parents are responsible for their children. OTC drugs require special information about therapy. Regarding prescription drugs, there are legal problems caused by an off-label use and the non-medical purposes of PN drugs. Furthermore, prescription stimulants for PN are governed by the specialized law for narcotics, and their use might be punished. Beyond the general lack of rules for regulation for PN drug use there are specific needs for prevention (e. g., control of the black market, etc.).Possible future policy will depend, among others, on the probability with which effective PN drugs with an acceptable risk-benefit ratio will be available, on individual and societal implications, and on public opinion towards PN. While 4 different general policy scenarios can be identified, it is important to advance a broad societal debate on PN to collect relevant empirical data and to address enhancement-related conceptual issues. PMID:26252723

  6. US perspective on gluten-related diseases

    PubMed Central

    Leonard, Maureen M; Vasagar, Brintha

    2014-01-01

    The incidence of allergy and autoimmune disease in the US and other industrialized nations is increasing, and gluten-related disorders are no exception. The US has documented a profound rise in celiac disease that cannot be fully explained by improved serological techniques or better recognition by physicians. Non-celiac gluten sensitivity, a condition only recently recognized by the medical community, has become a commonly diagnosed entity. Proteins, including gluten are increasingly being identified as a source of wheat allergy. Although the gluten free diet represents a safe and effective treatment for these conditions, there is still much to be learned about the development of gluten-related disorders and the apparent increase in incidence within the US. In this article, we present a review of current knowledge on the epidemiology of gluten-related disorders within a global context, with a focus on diagnostic trends and the evaluation of potential risk factors. PMID:24493932

  7. Experiencing everyday ethics in context: Frontline data collectors perspectives and practices of bioethics☆

    PubMed Central

    Kingori, Patricia

    2013-01-01

    Data collectors play a vital role in producing scientific knowledge. They are also an important component in understanding the practice of bioethics. Yet, very little attention has been given to their everyday experiences or the context in which they are expected to undertake these tasks. This paper argues that while there has been extensive philosophical attention given to ‘the what’ and ‘the why’ in bioethics – what action is taken place and why – these should be considered along ‘the who’ – who are the individuals tasked with bioethics and what can their insights bring to macro-level and abstract discussions of bioethics. This paper will draw on the philosophical theories of Paul Ricoeur which compliments a sociological examination of data collectors experiences and use of their agency coupled with a concern for contextual and institutional factors in which they worked. In emphasising everyday experiences and contexts, I will argue that data collectors' practice of bioethics was shaped by their position at the frontline of face-to-face interactions with medical research participants and community members, alongside their own personal ethical values and motivations. Institutional interpretations of bioethics also imposed certain parameters on their bioethical practice but these were generally peripheral to their sense of obligation and the expectations conferred in witnessing the needs and suffering of those they encountered during their quotidian research duties. This paper will demonstrate that although the principle of autonomy has dominated discussions of bioethics and gaining informed consent seen as a central facet of ethical research by many research institutions, for data collectors this principle was seldom the most important marker of their ethical practice. Instead, data collectors were concerned with remedying the dilemmas they encountered through enacting their own interpretations of justice and beneficence and imposing their own

  8. Six perspectives on the ethics of access to health care: introduction.

    PubMed

    Kleiman, Michael B

    1981-12-01

    A brief overview of six articles which address ethical considerations in the allocation of medical resources: N. Daniels on the obligation of physicians in the distribution of health care; D. Ozar on the right to health care; J. Humber on the involuntary commitment and treatment of the mentally ill; N. Bell on triage and the allocation of scarce medical resources; C. Kaufmann on health policy in the U.S., Great Britain, and the U.S.S.R.; and C. Perry on the right of public access to cadaver organs. PMID:11649357

  9. Discourse on medicine: meditative and calculative approaches to ethics from an international perspective.

    PubMed

    Malloy, David Cruise; Martin, Ronald; Hadjistavropoulos, Thomas; Liu, Peilai; McCarthy, Elizabeth Fahey; Park, Ilhyeok; Shalani, N; Murakami, Masaaki; Paholpak, Suchat

    2014-01-01

    Heidegger's two modes of thinking, calculative and meditative, were used as the thematic basis for this qualitative study of physicians from seven countries (Canada, China, India, Ireland, Japan, Korea, & Thailand). Focus groups were conducted in each country with 69 physicians who cared for the elderly. Results suggest that physicians perceived ethical issues primarily through the lens of calculative thinking (76%) with emphasis on economic concerns. Meditative responses represented 24% of the statements and were mostly generated by Canadian physicians whose patients typically were not faced with economic barriers to treatment due to Canada's universal health care system. PMID:25381149

  10. The ethics of personal integrity in leadership and mentorship: a nursing theoretical perspective.

    PubMed

    Milton, Constance L

    2004-04-01

    Mentorship has been rediscovered in the professional nursing literature. It is viewed as an integral relationship to be fostered between members of a discipline for the purpose of developing future nurse leaders. Inherent in the relationship are desired qualities or attributes that are to be taught and practiced by professional nurse leaders for the purpose of developing innovative institutional partnerships between healthcare agencies and schools of nursing. In this column, a unique definition of mentorship will be explicated from the human becoming school of thought. Ethical implications of the concept will be explored. PMID:15090084

  11. Discourse on medicine: meditative and calculative approaches to ethics from an international perspective

    PubMed Central

    2014-01-01

    Heidegger’s two modes of thinking, calculative and meditative, were used as the thematic basis for this qualitative study of physicians from seven countries (Canada, China, India, Ireland, Japan, Korea, & Thailand). Focus groups were conducted in each country with 69 physicians who cared for the elderly. Results suggest that physicians perceived ethical issues primarily through the lens of calculative thinking (76%) with emphasis on economic concerns. Meditative responses represented 24% of the statements and were mostly generated by Canadian physicians whose patients typically were not faced with economic barriers to treatment due to Canada’s universal health care system. PMID:25381149

  12. Tracing the textures of an ethical relation to the dead: trauma, witnessing, and the "Montreal massacre".

    PubMed

    Rosenberg, S

    1998-01-01

    This essay offers a consideration of English-language feminist memorial discourse as this has been sedimenting in Canada since the 1989 murder of 14 women at Ecole Polytechnique. The author suggests that remembrance now, almost a decade after the murders, exceeds the terms offered by a politic in which the living and the dead are connected through feminist alignment ["it could have been me"]. In its place, the author argues that there is a binding relation to the dead that is forged through understanding the murders as an event of historical trauma and rupture. She then contemplates and explores the implications of this rethinking of an ethics of relation through a situated analysis of annual memorial vigils. PMID:10538152

  13. Ethical leadership: meta-analytic evidence of criterion-related and incremental validity.

    PubMed

    Ng, Thomas W H; Feldman, Daniel C

    2015-05-01

    This study examines the criterion-related and incremental validity of ethical leadership (EL) with meta-analytic data. Across 101 samples published over the last 15 years (N = 29,620), we observed that EL demonstrated acceptable criterion-related validity with variables that tap followers' job attitudes, job performance, and evaluations of their leaders. Further, followers' trust in the leader mediated the relationships of EL with job attitudes and performance. In terms of incremental validity, we found that EL significantly, albeit weakly in some cases, predicted task performance, citizenship behavior, and counterproductive work behavior-even after controlling for the effects of such variables as transformational leadership, use of contingent rewards, management by exception, interactional fairness, and destructive leadership. The article concludes with a discussion of ways to strengthen the incremental validity of EL. (PsycINFO Database Record PMID:25420055

  14. The business of bodies: Ethical perspectives on for-profit body donation companies.

    PubMed

    Champney, Thomas H

    2016-01-01

    Human cadavers are a scarce resource that have educational, research and clinical value. While the tissues have great value, it is illegal in many countries to pay for them. In the United States, a number of for-profit body acquisition companies have been established over the past decade. These companies obtain bodies which were freely donated by the individuals or their families. The companies distribute the specimens to surgical training organizations, researchers and educational institutions. These businesses do not charge the receiving organizations for the bodies; they do, however, charge a fee that covers the transport, handling and other services which creates a profit for their companies. These types of businesses are described and analyzed as to whether they constitute an ethically appropriate mechanism to obtain and distribute bodies. The role of organizations and governments in establishing policies and regulations for the appropriate treatment of human remains is addressed. Recommendations are given for best practices in the ethical use and regulation of willed bodies. PMID:26474530

  15. A study of promotional advertisements of drugs in a medical journal: an ethics perspective.

    PubMed

    Nath, Sarmila; Bhowmick, Subhrojyoti; Dutta, Trayambak; Chowrasia, V R; Bhattacharya, Shipra; Chatterjee, R N; Sarkar, Manjula; Ram, A K; Mukherjee, P K

    2014-01-01

    The study assessed 54 advertisements of 145 different drugs, published over one year (from December 2011 to November 2012) in an Indian medical journal, circulated widely mainly among general practitioners (GPs). The ethical guidelines of the World Health Organization (WHO) and Organisation of Pharmaceutical Producers of India (OPPI) for medicinal drug promotion were applied. The brand name was mentioned in all advertisements (100% compliance both with the WHO and OPPI criteria) and the names of the active ingredients were also mentioned in 128 (90.14%) advertisements. However, major adverse drug reactions were mentioned in only two advertisements (1.37%); precautions, contraindications and warnings in only two (1.37%); and major interactions in only one (0.68%). Only three advertisements (2.06%) were well substantiated with references. To ensure the ethical promotionof drugs among GPs, journals must introduce compulsory review and appraisal of promotional advertisements by a dedicated review board, including at least one member trained in pharmacology and one representative from the medical division of a pharmaceutical company. PMID:25377037

  16. Ethics of Health Research in Communities: Perspectives From the Southwestern United States

    PubMed Central

    Williams, Robert L.; Willging, Cathleen E.; Quintero, Gilbert; Kalishman, Summers; Sussman, Andrew L.; Freeman, William L.

    2010-01-01

    PURPOSE The increasing attention paid to community-based research highlights the question of whether human research protections focused on the individual are adequate to safeguard communities. We conducted a study to explore how community members perceive low-risk health research, the adequacy of human research protection processes, and the ethical conduct of community-based research. METHODS Eighteen focus groups were conducted among rural and urban Hispanic and Native American communities in New Mexico using a semistructured guide. Group transcriptions were analyzed using iterative readings and coding, with review of the analytic summary by group members. RESULTS Although participants recognized the value of health research, many also identified several adverse effects of research in their communities, including social (community and individual labeling, stigmatization, and discrimination) and economic (community job losses, increased insurance rates, and loss of community income). A lack of community beneficence was emphasized by participants who spoke of researchers who fail to communicate results adequately or assist with follow-through. Many group members did not believe current human research and data privacy processes were adequate to protect or assist communities. CONCLUSIONS Ethical review of community-based health research should apply the Belmont principles to communities. Researchers should adopt additional approaches to community-based research by engaging communities as active partners throughout the research process, focusing on community priorities, and taking extra precautions to assure individual and community privacy. Plans for meaningful dissemination of results to communities should be part of the research design. PMID:20843885

  17. Disclosure of adverse events and errors in healthcare: an ethical perspective.

    PubMed

    Hébert, P C

    2001-01-01

    Adverse events and medical errors affecting patient care are recognised internationally as major problems in medicine. The failure of health care professionals and health institutes to address this problem has threatened to undermine public confidence in the health care system as a whole. Less focus has been directed at the ethical issues raised by negative outcomes of care, specifically the issue of disclosure. Efforts to prevent negative outcomes of care must be supplemented by policies of increased honesty and openness with patients and their families about adverse incidents. Disclosure should be made easier, not riskier, for healthcare practitioners so clinicians can learn from mistakes and improve patient care. Ethical guidelines for error disclosure must distinguish between disciplinary action and reporting of adverse incidents. Disclosure of negative outcomes requires tact and good communication skills. Healthcare institutions should provide training for the clinicians in this area, if necessary. As a general rule, patients should be informed of unexpected adverse incidents as soon as possible. Medical staff should be rewarded for adverse event reporting and protected from institutional retaliation on account of errors made in health care. PMID:11772143

  18. Assessing Perspective Taking in Schizophrenia Using Relational Frame Theory

    ERIC Educational Resources Information Center

    Villatte, Matthieu; Monestes, Jean-Louis; McHugh, Louise; Freixa i Baque, Esteve; Loas, Gwenole

    2010-01-01

    The current study assessed deictic relational responding in people with schizophrenia. A perspective-taking task and a mental states attribution task were employed with a sample of 15 patients diagnosed with schizophrenia and 15 age-matched controls. Results revealed poorer performance of participants with schizophrenia in responding in accordance…

  19. Breadth of Perspective--An Important Concept for Public Relations.

    ERIC Educational Resources Information Center

    Culbertson, Hugh M.

    "Breadth of perspective" is a significant concept for definition of public goals, especially in line with the two-way symmetric model of public relations practice. The concept involves four components: (1) awareness that more than one definition, stand, or conclusion is possible and is probably accepted as valid by significant persons or groups;…

  20. International Relations. International Perspectives on Higher Education Research. Volume 3

    ERIC Educational Resources Information Center

    Tight, Malcolm, Ed.

    2005-01-01

    This is the third volume of International Perspectives on Higher Education Research, a series which aims to feature something of the variety of research being undertaken into higher education systems and issues outside of North America. The theme of this volume is International Relations, or how students, academics, universities and higher…

  1. How Do We Communicate Environmental Ethics? Reflections on Environmental Education from a Kuwaiti Perspective

    ERIC Educational Resources Information Center

    al-Naki, Khadija

    2004-01-01

    This paper arises from a PhD research project originally designed to search for innovative ways to stimulate environmental education (EE) in Kuwaiti middle schools. The research has shown that Islam shares similar fundamental principles to those underpinning "ecocentric" perspectives emerging in the West and increasingly thought necessary for…

  2. General relativity from a thermodynamic perspective

    NASA Astrophysics Data System (ADS)

    Padmanabhan, T.

    2014-03-01

    I show that the gravitational dynamics in a bulk region of space can be connected to a thermodynamic description in the boundary of that region, thereby providing clear physical interpretations of several mathematical features of classical general relativity: (1) The Noether charge contained in a bulk region, associated with a specific time evolution vector field, has a direct thermodynamic interpretation as the gravitational heat content of the boundary surface. (2) This result, in turn, shows that all static spacetimes maintain holographic equipartition in the following sense: In these spacetimes, the number of degrees of freedom in the boundary is equal to the number of degrees of freedom in the bulk. (3) In a general, evolving spacetime, the rate of change of gravitational momentum is related to the difference between the number of bulk and boundary degrees of freedom. It is this departure from the holographic equipartition which drives the time evolution of the spacetime. (4) When the equations of motion hold, the (naturally defined) total energy of the gravity plus matter within a bulk region, will be equal to the boundary heat content. (5) After motivating the need for an alternate description of gravity (if we have to solve the cosmological constant problem), I describe a thermodynamic variational principle based on null surfaces to achieve this goal. The concept of gravitational heat density of the null surfaces arises naturally from the Noether charge associated with the null congruence. The variational principle, in fact, extremises the total heat content of the matter plus gravity system. Several variations on this theme and implications are described.

  3. Ways of thinking about and teaching ethical problem solving: microethics and macroethics in engineering.

    PubMed

    Herkert, Joseph R

    2005-07-01

    Engineering ethics entails three frames of reference: individual, professional, and social. "Microethics" considers individuals and internal relations of the engineering profession; "macroethics" applies to the collective social responsibility of the profession and to societal decisions about technology. Most research and teaching in engineering ethics, including online resources, has had a "micro" focus. Mechanisms for incorporating macroethical perspectives include: integrating engineering ethics and science, technology and society (STS); closer integration of engineering ethics and computer ethics; and consideration of the influence of professional engineering societies and corporate social responsibility programs on ethical engineering practice. Integrating macroethical issues and concerns in engineering ethics involves broadening the context of ethical problem solving. This in turn implies: developing courses emphasizing both micro and macro perspectives, providing faculty development that includes training in both STS and practical ethics; and revision of curriculum materials, including online resources. Multidisciplinary collaboration is recommended 1) to create online case studies emphasizing ethical decision making in individual, professional, and societal contexts; 2) to leverage existing online computer ethics resources with relevance to engineering education and practice; and 3) to create transparent linkages between public policy positions advocated by professional societies and codes of ethics. PMID:16190278

  4. Birth control policies in Iran: a public health and ethics perspective.

    PubMed

    Aloosh, Mehdi; Saghai, Yashar

    2016-06-01

    In less than one generation, a unique demographic transition has taken place in Iran. A population growth rate of 4.06% in 1984 fell to 1.15% in 1993 and a total fertility rate of 6.4 births per woman in 1984 declined to 1.9 in 2010. In 2012, Iranian policymakers shifted away from a birth control policy towards a pro-natalist policy. At first glance, this may seem reasonable since its goal is to avoid the consequences of an aging population. However, we argue that the policy package raises serious public health, socioeconomic, environmental and ethical concerns and is likely to fail on its own terms. PMID:26759127

  5. Gender differences in ethical perceptions of business practices: a social role theory perspective.

    PubMed

    Franke, G R; Crown, D F; Spake, D F

    1997-12-01

    This study presents a meta-analysis of research on gender differences in perceptions of ethical decision making. Data from more than 20,000 respondents in 66 samples show that women are more likely than men to perceive specific hypothetical business practices as unethical. As suggested by social role theory (A. H. Eagly, 1987), the gender difference observed in precareer (student) samples declines as the work experience of samples increases. Social role theory also accounts for greater gender differences in nonmonetary issues than in monetary issues. T. M. Jones's (1991) issue-contingent model of moral intensity helps explain why gender differences vary across types of behavior. Contrary to expectations, differences are not influenced by the sex of the actor or the target of the behavior and do not depend on whether the behavior involves personal relationships or action vs. inaction. PMID:9638088

  6. Ethical considerations in the integration of religion and psychotherapy: three perspectives.

    PubMed

    Lomax, James W; Karff, Rabbi Samuel; McKenny, Gerald P

    2002-09-01

    The authors maintain that the integration of religion in psychotherapy is, at best, problematic and requires a respect for boundaries, but that the integration of a nonreligious but spiritual psychotherapy consisting of the three elements identified above (attention to the person, not the disease, considering one's work as vocation, and the pursuit of empathic understanding) is a therapeutic necessity and an ethical duty. The authors speak with distinct voices in the three major sections of the article but come to remarkably similar conclusions: (1) the ability to inquire into the religious and spiritual life of patients is an important element of psychotherapeutic competency; (2) information about the religious and spiritual lives of patients often reveals extremely important information; (3) the inquiry process must communicate respect and curiosity for this dimension of the patient's life even (and perhaps especially) when the content is at variance from that of the therapist; and (4) there is significant potential for therapeutic abuse when the therapist communicates in a manner reflecting a personal agenda that abandons the principle of psychotherapeutic neutrality. One area of potential disagreement came as the authors considered the possibility of different combinations of faith disciplines and therapy in designated religious settings that all parties recognize as such. One author (G.P.M.) believes that such combinations in these settings may be ethically permissible. The other two authors are concerned about such combinations because of the powerful but covert factor of transference in healing relationships. The authors eventually decided that this question was beyond the scope of the article and limited themselves to discussions about psychotherapy in secular settings. They each advocate the systematic inclusion of spiritual assessment as a core competency for psychotherapy education. In a way similar to the exploration of any deeply personal dimension of

  7. Folie a trois in a multilevel security forensic treatment center: forensic and ethics-related implications.

    PubMed

    Melà, Mansfield

    2005-01-01

    Shared (Induced) Delusional Disorder commonly occurs in close relationships and involves a varying number of participants who may be nonconsanguineous. The disorder has been associated with forensic and fatal consequences. Its occurrence in three nonrelated, incarcerated individuals is described in this article. This case of folie à trois has forensic implications and raises several questions of ethics that relate to autonomy, confidentiality, safety, and risk estimation. The presentation, management, and outcome of the patients suggest that a high index of suspicion is needed to detect cases in similar settings. The report concludes that the rarity of the disorder in a forensic mental health population may be the result of underdetection, given that conditions are conducive to the development of the disorder. Telltale signs of its manifestation are hypothesized as being responsible for some events in incarcerated populations. Physical separation and antipsychotic medications remain the mainstay of treatment. PMID:16186193

  8. ASCA Ethical Standards and the Relevance of Eastern Ethical Theories

    ERIC Educational Resources Information Center

    Cook, Amy L.; Houser, Rick A.

    2009-01-01

    As schools become increasingly diverse through immigration and growth of minority groups, it is important that school counselors incorporate culturally sensitive ethical decision-making in their practice. The use of Western ethical theories in the application of professional codes of ethics provides a specific perspective in ethical…

  9. Exploring the views of people with mental health problems' on the concept of coercion: Towards a broader socio-ethical perspective.

    PubMed

    Norvoll, Reidun; Pedersen, Reidar

    2016-05-01

    In mental health care, coercion is a controversial issue that has led to much debate and research on its nature and use. Yet, few previous studies have explicitly explored the views on the concept of coercion among people with first-hand experiences of being coerced. This study includes semi-structured focus-groups and individual interviews with 24 participants who had various mental health problems and experiences with coercion. Data were collected in 2012-2013 in three regions of Norway and analysed by a thematic content analysis. Findings show that participants had wide-ranging accounts of coercion, including formal and informal coercion across health- and welfare services. They emphasised that using coercion reflects the mental health system's tendency to rely on coercion and the lack of voluntary services and treatment methods that are more helpful. Other core characteristics of coercion were deprivation of freedom, power relations, in terms of powerlessness and 'counter-power,' and coercion as existential and social life events. Participants' views are consistent with prevailing theories of coercion and research on perceived coercion. However, this study demonstrates a need for broader existential and socio-ethical perspectives on coercion that are intertwined with treatment and care systems in research and practice. Implications for mental health policy and services are discussed. PMID:27054304

  10. Professional Ethics: Caught and Taught.

    ERIC Educational Resources Information Center

    Nickols, Sharon Y.; Belliston, Lisa M.

    2001-01-01

    Compares codes of professional ethics of several professional associations in light of rapidly changing technology. Explores the relation between academic honesty and ethical practice and provides a summary of approaches to teaching ethics. (Contains 34 references.) (JOW)

  11. Ethics in Government.

    ERIC Educational Resources Information Center

    Update on Law-Related Education, 1990

    1990-01-01

    Presents a lesson developed by the Center for Civic Education giving secondary students the opportunity to explore ethical issues in government from the perspective of corrective justice. Outlines role plays and other class activities based on a fictitious ethics scandal involving bribery. Identifies specific questions to be asked on issues of…

  12. Teaching Ethics: Telling Stories.

    ERIC Educational Resources Information Center

    Bowman, Ann

    1995-01-01

    In order to develop moral literacy, nursing students should be exposed to both rules- and justice-based ethics and to a feminist care perspective. They can learn to analyze and understand ethical dilemmas and to tell their own stories in order to identify the influences on their decision making. (SK)

  13. Principles of Biomedical Ethics

    PubMed Central

    Athar, Shahid

    2012-01-01

    In this presentation, I will discuss the principles of biomedical and Islamic medical ethics and an interfaith perspective on end-of-life issues. I will also discuss three cases to exemplify some of the conflicts in ethical decision-making. PMID:23610498

  14. [Relationship health care professional-patient from personalistic perspective. To know how to communicate is like ethical imperative].

    PubMed

    Montaner Abasolo, M Carmen; Soler Company, Enrique

    2012-01-01

    The ability to communicate with patients is part of health care practice and contributes to the humanization of such care and to the objectives. With basic coaching tools and personalized attention, the life of the patient can be transformed from the first moments of intervention. Beyond words, patient, in all their multidimensionality, need to be comforted and fell that they are being taken care of. The health care professionals transmits information verbally and non-verbally. ″Positive″ consultations are described as warm, friendly, firm and reassuring, and there exists an emphatic response to the cognitive and emotional concerns of the patient. The opposite approach involves the assumption of roles and a lack of empathy (paternalism, servility, authoritarianism, laissez-faire, etc.). The ability to communicate is an ethical need in health care training. A personalized perspective, open to transcendence, is especially suitable in the health field, where communication must take into account the complex reality that the patient is living. PMID:23320637

  15. Ethical issues relating to the banking of umbilical cord blood in Mexico

    PubMed Central

    2009-01-01

    Background Umbilical cord banks are a central component, as umbilical cord tissue providers, in both medical treatment and scientific research with stem cells. But, whereas the creation of umbilical cord banks is seen as successful practice, it is perceived as a risky style of play by others. This article examines and discusses the ethical, medical and legal considerations that arise from the operation of umbilical cord banks in Mexico. Discussion A number of experts have stated that the use of umbilical cord goes beyond the mere utilization of human tissues for the purpose of treatment. This tissue is also used in research studies: genetic studies, studies to evaluate the effectiveness of new antibiotics, studies to identify new proteins, etc. Meanwhile, others claim that the law and other norms for the functioning of cord banks are not consistent and are poorly defined. Some of these critics point out that the confidentiality of donor information is handled differently in different places. The fact that private cord banks offer their services as "biological insurance" in order to obtain informed consent by promising the parents that the tissue that will be stored insures the health of their child in the future raises the issue of whether the consent is freely given or given under coercion. Another consideration that must be made in relation to privately owned cord banks has to do with the ownership of the stored umbilical cord. Summary Conflicts between moral principles and economic interests (non-moral principles) cause dilemmas in the clinical practice of umbilical cord blood storage and use especially in privately owned banks. This article presents a reflection and some of the guidelines that must be followed by umbilical cord banks in order to deal with these conflicts. This reflection is based on the fundamental notions of ethics and public health and seeks to be a contribution towards the improvement of umbilical cord banks' performance. PMID:19678958

  16. Messy Ethics: Conducting Moral Participatory Action Research in the Crucible of University-School Relations

    ERIC Educational Resources Information Center

    Kuriloff, Peter J.; Andrus, Shannon H.; Ravitch, Sharon M.

    2011-01-01

    In this article we argue that when university researchers engage in democratic participatory action research with schools the process requires a special type of attention to the ethical difficulties which can arise. We note how current professional standards of ethics are inadequate to fully address many of the dilemmas faced in collaborative…

  17. Professional Ethics in Vocational Education Research: An Annotated Bibliography of Related Literature.

    ERIC Educational Resources Information Center

    Samuelson, Judith, Comp.

    This 14-item annotated bibliography provides background information on the efforts of several professional groups to define codes of ethics for their members' guidance. It was prepared to aid the members of the American Vocational Education Research Association (AVERA) in their study of ethical principles and guidelines for professional behavior,…

  18. 47 CFR 19.735-105 - Availability of ethics and other conduct related regulations and statutes.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... for Employees of the Executive Branch (5 CFR part 2635); (ii) The Supplemental Standards of Ethical Conduct for Employees of the Federal Communications Commission (5 CFR part 3901); and (iii) The Commission... the Executive Branch (5 CFR part 2635); the Commission's Supplemental Standards of Ethical Conduct...

  19. 47 CFR 19.735-105 - Availability of ethics and other conduct related regulations and statutes.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... for Employees of the Executive Branch (5 CFR part 2635); (ii) The Supplemental Standards of Ethical Conduct for Employees of the Federal Communications Commission (5 CFR part 3901); and (iii) The Commission... the Executive Branch (5 CFR part 2635); the Commission's Supplemental Standards of Ethical Conduct...

  20. 47 CFR 19.735-105 - Availability of ethics and other conduct related regulations and statutes.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... for Employees of the Executive Branch (5 CFR part 2635); (ii) The Supplemental Standards of Ethical Conduct for Employees of the Federal Communications Commission (5 CFR part 3901); and (iii) The Commission... the Executive Branch (5 CFR part 2635); the Commission's Supplemental Standards of Ethical Conduct...

  1. 47 CFR 19.735-105 - Availability of ethics and other conduct related regulations and statutes.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... for Employees of the Executive Branch (5 CFR part 2635); (ii) The Supplemental Standards of Ethical Conduct for Employees of the Federal Communications Commission (5 CFR part 3901); and (iii) The Commission... the Executive Branch (5 CFR part 2635); the Commission's Supplemental Standards of Ethical Conduct...

  2. 47 CFR 19.735-105 - Availability of ethics and other conduct related regulations and statutes.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... for Employees of the Executive Branch (5 CFR part 2635); (ii) The Supplemental Standards of Ethical Conduct for Employees of the Federal Communications Commission (5 CFR part 3901); and (iii) The Commission... the Executive Branch (5 CFR part 2635); the Commission's Supplemental Standards of Ethical Conduct...

  3. The perceptions of danish physiotherapists on the ethical issues related to the physiotherapist-patient relationship during the first session: a phenomenological approach

    PubMed Central

    2011-01-01

    Background In the course of the last four decades, the profession of physiotherapy has progressively expanded its scope of responsibility and its focus on professional autonomy and evidence-based clinical practice. To preserve professional autonomy, it is crucial for the physiotherapy profession to meet society's expectations and demands of professional competence as well as ethical competence. Since it is becoming increasingly popular to choose a carrier in private practice in Denmark this context constitutes the frame of this study. Physiotherapy in private practice involves mainly a meeting between two partners: the physiotherapist and the patient. In the meeting, power asymmetry between the two partners is a condition that the physiotherapist has to handle. The aim of this study was to explore whether ethical issues rise during the first physiotherapy session discussed from the perspective of the physiotherapists in private practice. Methods A qualitative approach was chosen and semi-structured interviews with 21 physiotherapists were carried out twice and analysed by using a phenomenological framework. Results Four descriptive themes emerged: general reflections on ethics in physiotherapy; the importance of the first physiotherapy session; the influence of the clinical environment on the first session and; reflections and actions upon beneficence towards the patient within the first session. The results show that the first session and the clinical context in private practice are essential from an ethical perspective. Conclusions Ethical issues do occur within the first session, the consciousness about ethical issues differs in Danish physiotherapy private practice, and reflections and acts are to a lesser extent based on awareness of ethical theories, principles and ethical guidelines. Beneficence towards the patient is a fundamental aspect of the physiotherapists' understanding of the first session. However, if the physiotherapist lacks a deeper ethical

  4. A look at international, short-term service trips: challenges from a dental ethical perspective.

    PubMed

    Roucka, Toni M

    2014-01-01

    Although professionals helping those in need in other countries is a noble endeavor, it is not without its ethical challenges. Those in the medical field are just beginning to explore these issues. In this paper, the five-principle structure of the ADA Code is used to explore some of the not-so-obvious problems that may come in the wake of charity care in international contexts. Issues surrounding respect for autonomy include informed consent, adequate health history, and cultural sensitivity. Sometimes the difficulty of working conditions increases the possibility of causing harm, and follow-up care may be lacking or inadequate. The duty for beneficence may have different meanings in other cultures than it does in the United States. Standards for justice or fairness may not be the same in other countries, and bringing American benefits to a segment of a local population may disrupt indigenous standards. Issues can also arise around veracity due to communication problems and alternative ways of counting benefits and harms. PMID:25080666

  5. Ethical and practical issues regarding research in children: The European perspective

    SciTech Connect

    Sauer, P.J.J. . E-mail: p.j.j.sauer@bkk.umcg.nl

    2005-09-01

    Children, like all humans, are exposed to compounds in the environment and sometimes to drugs. The effect of this exposure cannot simply be deducted from studies in adults or animals. Effects might be different and even more dramatic than in adults due to the stage of growth and development of the infant. Around 80% of drugs used in young individuals are not licensed for use in this age group. Almost three new chemical compounds enter the environment each day. Toxicological studies in infants and children therefore are needed and ethically acceptable. However, appropriate safeguards must be taken into account. According to the Good Clinical Practice Directive of the European Parliament (2001/20) not only therapeutic, but also non-therapeutic research in infants and children is allowed, provided the study can only be conducted in children, and the results of the study in children will be of benefit to the group represented and no more than minimal harm and risk is inflicted to the children. Many more toxicological studies are needed in children and infants. Not conducting these studies is detrimental for this age group.

  6. Reuse Of Pacemakers In Ghana And Nigeria: Medical, Legal, Cultural And Ethical Perspectives.

    PubMed

    Ochasi, Aloysius; Clark, Peter

    2015-12-01

    According to the World Health Organization (WHO) cardiovascular disease (CVD) is the leading cause of death globally. Over 80% of CVD deaths take place in low- and middle-income countries (LMICs). It is estimated that 1 million to 2 million people worldwide die each year due to lack of access to an implantable cardiac defibrillator (ICD) or a pacemaker. Despite the medical, legal, cultural and ethical controversies surrounding the pacemaker reutilization, studies done so far on the reuse of postmortem pacemakers show it to be safe and effective with an infection rate of 1.97% and device malfunction rate of 0.68%. Pacemaker reutilization can be effectively and safely done and does not pose significant additional risk to the recipient. Heart patients with reused pacemakers have an improved quality of life compared to those without pacemakers. The thesis of this paper is that pacemaker reutilization is a life-saving initiative in LMICs of Nigeria and Ghana. It is cost effective; consistent with the principles of beneficence, nonmaleficence, and justice with a commitment to stewardship of resources and the Common Good. Used pacemakers with adequate battery life can be properly sterilized for use by patients in LMICs who cannot afford the cost of a new pacemaker. PMID:24720369

  7. From human ability to ethical principle: an intercultural perspective on autonomy.

    PubMed

    Hanssen, Ingrid

    2004-01-01

    Based on an empirical study regarding ethical challenges within intercultural health care, the focus of this article is upon autonomy and disclosure, discussed in light of philosophy and anthropology. What are the consequences for patients if the patients' right to be autonomous and to participate in treatment and care decisions by health care workers is interpreted as an obligation to participate? To force a person to make independent choices who is socio-culturally unprepared to do so, may violate his/her integrity. This may in turn jeopardise the respect, integrity and human worth the principle of autonomy was meant to ensure, and if so, may damage any relationship of trust that may exist between patient and health care worker. There is necessarily a link between autonomy and disclosure. Western disclosure practices may make the relationship between patients and health care workers difficult--even distrustful. To confront a patient with a very serious diagnosis may be seen not only as a tactless action, but also an unforgivable one. Hence, among many ethnic groups it is a family member's duty to shield patients from bad or disquieting news, e.g., a cancer diagnosis. If a family member is used to interpret in such situations, will the information given equal the information communicated by that interpreter? Even though respect for a person's autonomy is part of the respect for a person, one's respect for the person in question should not depend on his/her ability or aptitude to act autonomously. PMID:15679019

  8. Self-Neglect: Ethical Considerations.

    PubMed

    Day, Mary Rose; Leahy-Warren, Patricia; McCarthy, Geraldine

    2016-01-01

    Self-neglect is a significant international public health issue. Estimates suggest that there may be over one million cases per year in the United States. Aging populations will put more people at risk of self-neglect. This chapter presents background literature, self-neglect definitions and policy context, risk factors, and a brief overview of research on perspectives of self-neglect from both clients and community health and social care professionals. A case study is presented from the perspective of an individual and is used to explore ethical issues therein. A person-centered assessment within a multidisciplinary team approach is required for building a therapeutic relationship with clients. Capacity is a central issue in the management of responses to self-neglect. Ethical considerations of importance for community health and social care professionals include beneficence and nonmaleficence, autonomy and capacity, and respect for people's rights and dignity. A model of ethical justification is presented to explain dilemmas, challenges, and actions. Competence of professionals, multidisciplinary team working, informed consent, privacy, confidentiality, and best interest are also critical considerations. Effective decision making by an interdisciplinary team of professionals needs to be person-centered and give due consideration to the best interest of self-neglecting clients. The purpose of this chapter is to provide an in-depth discussion and examination of ethical issues and challenges relating to self-neglecting clients. PMID:26673378

  9. Six Perspectives in Search of an Ethical Solution: Utilising a Moral Imperative with a Multiple Ethics Paradigm to Guide Research-Based Theatre/Applied Theatre

    ERIC Educational Resources Information Center

    Bishop, Kathy

    2014-01-01

    Throughout the International Drama in Education Research Institute (IDIERI) 2012 conference, practitioners in keynotes, presentations and workshops mentioned ethical dilemmas that arose in their work; wondering at times if they did the "right" thing. By addressing a moral imperative, practitioners can start to identify common ethical…

  10. Bisphosphonate-Related Osteonecrosis of the Jaw: Historical, Ethical, and Legal Issues Associated With Prescribing

    PubMed Central

    Faiman, Beth; Pillai, Aiswarya Lekshmi Pillai Chandran; Benghiac, Ana Gabriela

    2013-01-01

    The long-term effects of many drugs are unknown. Established risks are communicated to patients who participate in clinical trials during the informed consent process. However, unknown and unanticipated side effects of medications may occur years after treatment. Patients with metastatic bone cancer experience an imbalance between tumor cells and the bone marrow microenvironment. Increased cytokine release, osteoclastic activity, and uncoupled osteoblastic activity lead to weakened bone structure and osteolytic lesions. The bisphosphonates are a class of drugs available in IV and oral formulations to treat and prevent bone loss and decrease the risk of skeletal-related events. Intravenous bisphosphonates such as zoledronic acid and pamidronate disodium are approved by the US Food and Drug Administration for the treatment of bone pain and hypercalcemia of malignancy and the prevention of painful bone fractures in patients with metastatic bone cancer. Oral bisphosphonates such as alendronate, risedronate, and etidronate are used to reduce the risk of skeletal fractures in patients with osteoporosis and in breast cancer. Bisphosphonate-related osteonecrosis of the jaw (BRONJ) is a rare but painful complication of treatment characterized by infection, exposed bone, and poor wound healing. In this article, we discuss BRONJ and identify past, present, and future ethical and legal issues surrounding bisphosphonate administration. PMID:25031978

  11. Human impact on the planet: an earth system science perspective and ethical considerations

    USGS Publications Warehouse

    Williams, Richard S., Jr.

    2002-01-01

    natural and human history to stop further degradation of Earth?s ecosystems and extinction of its biota? The fate of the biosphere, including humanity, depends on a reaffirmation by all humans of all cultures and religions of the global importance of a planet-wide conservation of the Earth?s biotic heritage. For the world?s religions it means elevation of stewardship of the Earth to a moral imperative and a goal of complete preservation of the Earth?s biotic inheritance, one which is based on a Do No Harm ethic.

  12. Genetic testing of stored tissue from a deceased person to define a relative's disease risk: Legal and ethical viewpoints.

    PubMed

    Skene, Loane; Savulescu, Julian; Delatycki, Martin B

    2015-06-01

    It is now possible to undertake gene sequencing on DNA obtained from stored tissue removed from a person now deceased or from stored tissue from a living person. The sequencing may assist close blood relatives who are at risk of having a mutation that predisposes them to cancer to find out their own genetic risk. If the test had been done previously Australian law would permit the test results to be provided to close blood relatives of the "originator" without consent, even if other relatives object, although good practice is to inform all family members about proposed genetic tests. However, it is less clear whether a pathology laboratory can lawfully, and should ethically provide stored tissue for genetic testing, without the originator's consent. This article argues that the law and ethics need to be clarified so pathology laboratories can confidently make stored tissue available for testing to assist blood relatives. PMID:26349383

  13. Bio-ethical dilemmas related to medical treatment in pre-modern Jewish society, as a portal for raising current ethical issues.

    PubMed

    Mack, Tamar Salmon; Shaham, Dorith; Marcus, Esther-Lee

    2013-09-01

    Real-life ethical issues that concern those engaged in medical practice existed and were discussed in earlier ages. It seems that many of the same dilemmas that we face today occupied our ancestors as well. An investigation of historical sources may be useful in showing earlier methods of coping with the dilemmas relating to health and illness. In this article we will present several such topics taken from the sources of Jewish society in pre-modern Europe. These sources served as the basis for a course given to medical students as part of the Medical Humanities track. The "raw materials" are historical, written Hebrew and Yiddish sources from Jewish society. Genres include Minute books, the huge corpus of Responsa, historical elegies written about epidemics, memoirs, and instruction books written by Jewish physicians. Profound bio-ethical issues can be found in historical sources. Main issues discussed are: physician's fees, obligations, and rights; personal characteristics expected of physicians; physician's obligations when his/her own life is endangered; medicalization of certain human conditions; and ideological questions regarding the relationship between traditional folk medicine and modern, academic medicine. The historical distance facilitates a freer discussion about distant people, while getting in touch with our own attitudes. PMID:24340482

  14. Differences in Moral Judgment on Animal and Human Ethics Issues between University Students in Animal-Related, Human Medical and Arts Programs

    PubMed Central

    Verrinder, Joy M.; Ostini, Remo; Phillips, Clive J. C.

    2016-01-01

    Moral judgment in relation to animal ethics issues has rarely been investigated. Among the research that has been conducted, studies of veterinary students have shown greater use of reasoning based on universal principles for animal than human ethics issues. This study aimed to identify if this was unique to students of veterinary and other animal-related professions. The moral reasoning of first year students of veterinary medicine, veterinary technology, and production animal science was compared with that of students in non-animal related disciplines of human medicine and arts. All students (n = 531) completed a moral reasoning test, the VetDIT, with animal and human scenarios. When compared with reasoning on human ethics issues, the combined group of students evaluating animal ethics issues showed higher levels of Universal Principles reasoning, lower levels of Personal Interest reasoning and similar levels of Maintaining Norms reasoning. Arts students showed more personal interest reasoning than students in most animal-related programs on both animal and human ethics issues, and less norms-based reasoning on animal ethics issues. Medical students showed more norms-based reasoning on animal ethics issues than all of the animal-related groups. There were no differences in principled reasoning on animal ethics issues between program groups. This has implications for animal-related professions and education programs showing that students’ preference for principled reasoning on animal ethics issues is not unique to animal-related disciplines, and highlighting the need to develop student (and professional) capacity to apply principled reasoning to address ethics issues in animal industries to reduce the risk of moral distress. PMID:26934582

  15. Differences in Moral Judgment on Animal and Human Ethics Issues between University Students in Animal-Related, Human Medical and Arts Programs.

    PubMed

    Verrinder, Joy M; Ostini, Remo; Phillips, Clive J C

    2016-01-01

    Moral judgment in relation to animal ethics issues has rarely been investigated. Among the research that has been conducted, studies of veterinary students have shown greater use of reasoning based on universal principles for animal than human ethics issues. This study aimed to identify if this was unique to students of veterinary and other animal-related professions. The moral reasoning of first year students of veterinary medicine, veterinary technology, and production animal science was compared with that of students in non-animal related disciplines of human medicine and arts. All students (n = 531) completed a moral reasoning test, the VetDIT, with animal and human scenarios. When compared with reasoning on human ethics issues, the combined group of students evaluating animal ethics issues showed higher levels of Universal Principles reasoning, lower levels of Personal Interest reasoning and similar levels of Maintaining Norms reasoning. Arts students showed more personal interest reasoning than students in most animal-related programs on both animal and human ethics issues, and less norms-based reasoning on animal ethics issues. Medical students showed more norms-based reasoning on animal ethics issues than all of the animal-related groups. There were no differences in principled reasoning on animal ethics issues between program groups. This has implications for animal-related professions and education programs showing that students' preference for principled reasoning on animal ethics issues is not unique to animal-related disciplines, and highlighting the need to develop student (and professional) capacity to apply principled reasoning to address ethics issues in animal industries to reduce the risk of moral distress. PMID:26934582

  16. Ethical and Animal Welfare Considerations in Relation to Species Selection for Animal Experimentation.

    PubMed

    Webster, John

    2014-01-01

    Ethical principles governing the conduct of experiments with animals are reviewed, especially those relating to the choice of species. Legislation requires that the potential harm to animals arising from any procedure should be assessed in advance and justified in terms of its possible benefit to society. Potential harms may arise both from the procedures and the quality of the animals' lifetime experience. The conventional approach to species selection is to use animals with the "lowest degree of neurophysiological sensitivity". However; this concept should be applied with extreme caution in the light of new knowledge. The capacity to experience pain may be similar in mammals, birds and fish. The capacity to suffer from fear is governed more by sentience than cognitive ability, so it cannot be assumed that rodents or farm animals suffer less than dogs or primates. I suggest that it is unethical to base the choice of species for animal experimentation simply on the basis that it will cause less distress within society. A set of responsibilities is outlined for each category of moral agent. These include regulators, operators directly concerned with the conduct of scientific experiments and toxicology trials, veterinarians and animal care staff; and society at large. PMID:26479009

  17. Visiting Holocaust-Related Sites with Medical Students as an Aid in Teaching Medical Ethics.

    PubMed

    González-López, Esteban; Ríos-Cortés, Rosa

    2016-05-01

    During the Nazi period numerous doctors and nurses played a nefarious role. In Germany they were responsible for the sterilization and killing of disabled persons. Furthermore, the Nazi doctors used concentration camp inmates as guinea pigs in medical experiments for military or racial purposes. A study of the collaboration of doctors with National Socialism exemplifies behavior that must be avoided. Combining medical teaching with lessons from the Holocaust could be a way to transmit Medical Ethics to doctors, nurses and students. The authors describe a study tour with medical students to Poland, to the largest Nazi extermination camp, Auschwitz, and to the city of Krakow. The tour is the final component of a formal course entitled: "The Holocaust, a Reflection from Medicine" at the Autónoma University of Madrid, Spain. Visiting sites related to the Holocaust, the killing centers and the sites where medical experiments were conducted has a singular meaning for medical students. Tolerance, non-discrimination, and the value of human life can be both learnt and taught at the very place where such values were utterly absent. PMID:27430079

  18. The American Work Ethic and the Changing Work Force: An Historical Perspective. Contributions in Labor Studies, Number 52.

    ERIC Educational Resources Information Center

    Applebaum, Herbert

    During the colonial period, the ideology of work--the American work ethic--took root. Americans valued work and considered it an obligation to society, to oneself, and to one's family. The key to the agrarian culture was an ethic that recognized the importance of hard, physical labor within a framework of yearly cycles of tasks. The world of the…

  19. Relational agency from a teacher as researcher perspective

    NASA Astrophysics Data System (ADS)

    Wright, Shequana

    2015-09-01

    This essay responds to a selection of ideas and theoretical frameworks Sharada Gade uses to conduct her study. The ideas raised by Sharada are placed in the context of the changes and experiences taking place in today's public school system. Her ideas also provide new insights into the construct of relational agency in accordance with expansive learning activity from a teacher as researcher perspective. The purpose of this response is to shed light on the collaboration that needs to exist between teachers and researchers as curriculum is designed and implemented.

  20. Ethics and Reference Services.

    ERIC Educational Resources Information Center

    Danielson, Elena S.

    1997-01-01

    While revised ethical codes provide helpful guidelines, reference archivists face many ethical questions raised by rapidly evolving technology, changing expectations, and inconsistent privacy laws that have no clear answers. Discusses issues related to reference searching, codification of ethics, cultural property and the responsibility of…

  1. Ethics across the Curriculum

    ERIC Educational Resources Information Center

    Matchett, Nancy J.

    2008-01-01

    All colleges teach ethics across their undergraduate curricula, yet relatively few institutions do so deliberately. That is, few colleges make explicit attempts to coordinate or integrate the various ethical lessons their students might be learning. This does not mean that most colleges are bad for students' ethical development; research shows…

  2. Legal and Ethical Aspects of Informed Consent: A Nursing Research Perspective.

    ERIC Educational Resources Information Center

    Cassidy, Virginia R.; Oddi, Lorys F.

    1986-01-01

    Issues related to the doctrine of informed consent for research on human subjects are discussed as they concern the conduct of nursing research. They include the subject's capacity to consent, disclosure of information, and freedom to decide. (MSE)

  3. The ethics of advertising, billing, and finances in psychotherapy.

    PubMed

    Knapp, Samuel; Vandecreek, Leon

    2008-05-01

    Psychotherapists must deal with practical business matters such as advertising, billing, collecting fees, and other practice management topics. We review the enforceable standards of the American Psychological Association's (2002) Ethics Code that deal with advertising, fees, billing, and related business matters in psychotherapy. Using a principle-based perspective, we link each of the standards to overarching ethical values and illustrate the concerns with case vignettes. We argue that understanding the moral foundations of ethical standards helps psychotherapists to implement with greater integrity the spirit and the letter of the standards with regard to advertising and business practices. PMID:18386792

  4. Ethics and Law

    NASA Astrophysics Data System (ADS)

    Vilacoba Ramos, Andrés

    2007-04-01

    Ethics are the set of moral rules that govern human conduct. Hegel, for his part, asserted that ethicity implied the full realization of freedom, as well as the suppression of it as arbitrariness. In this paper, we point out that, through the relation between Law and Ethics, we can discover how high are the Ethics of a society, as well as the adherence of its members to it.

  5. Human Resource Development (HRD) Evaluation and Principles Related to the Public Interest

    ERIC Educational Resources Information Center

    Russ-Eft, Darlene F.

    2009-01-01

    This paper examines the issues involved in the use of ethical standards related to social responsibility using the two ethical codes: the American Evaluation Association "Guiding Principles for Evaluators" and the Academy of Human Resource Development "Standards on Ethics and Integrity." This examination will take the perspective of an internal…

  6. Toward an horizon in design ethics.

    PubMed

    d'Anjou, Philippe

    2010-06-01

    This paper suggests that design ethics can be enriched by considering ethics beyond the traditional approaches of deontology, teleology, and virtue ethics. Design practice and design ethics literature tend to frame ethics in design according to these approaches. The paper argues that a fundamental and concrete ethical understanding of design ethics can also be found in Sartrean Existentialism, a philosophy centered on the individual and his/her absolute freedom. Through the analysis of four core concepts of Sartrean Existentialism that define a specific ethics, the paper illustrates why such philosophical approach is relevant to design ethics. The paper also shows how Sartrean Existentialism and its ethics apply to critical issues of professional practice in design such as professional engagement and design decision-making. The paper finally argues that Sartre's philosophy and ethics is a perspective that offers the designer in design practice a solid ground to engage his/her ethical dilemma. PMID:19644771

  7. A Scoping Review of Empirical Research Relating to Quality and Effectiveness of Research Ethics Review

    PubMed Central

    Nicholls, Stuart G.; Hayes, Tavis P.; Brehaut, Jamie C.; McDonald, Michael; Weijer, Charles; Saginur, Raphael; Fergusson, Dean

    2015-01-01

    Background To date there is no established consensus of assessment criteria for evaluating research ethics review. Methods We conducted a scoping review of empirical research assessing ethics review processes in order to identify common elements assessed, research foci, and research gaps to aid in the development of assessment criteria. Electronic searches of Ovid Medline, PsychInfo, and the Cochrane DSR, ACP Journal Club, DARE, CCTR, CMR, HTA, and NHSEED, were conducted. After de-duplication, 4234 titles and abstracts were reviewed. Altogether 4036 articles were excluded following screening of titles, abstracts and full text. A total of 198 articles included for final data extraction. Results Few studies originated from outside North America and Europe. No study reported using an underlying theory or framework of quality/effectiveness to guide study design or analyses. We did not identify any studies that had involved a controlled trial - randomised or otherwise – of ethics review procedures or processes. Studies varied substantially with respect to outcomes assessed, although tended to focus on structure and timeliness of ethics review. Discussion Our findings indicate a lack of consensus on appropriate assessment criteria, exemplified by the varied study outcomes identified, but also a fragmented body of research. To date research has been largely quantitative, with little attention given to stakeholder experiences, and is largely cross sectional. A lack of longitudinal research to date precludes analyses of change or assessment of quality improvement in ethics review. PMID:26225553

  8. The Ethical and Practical Implications of Systems Architecture on Identity in Networked Learning: A Constructionist Perspective

    ERIC Educational Resources Information Center

    Koole, Marguerite L.; Parchoma, Gale

    2012-01-01

    Through relational dialogue, learners shape their identities by sharing information about the world and how they see themselves in it. As learners interact, they receive feedback from both the environment and other learners which, in turn, helps them assess and adjust their self-presentations. Although learners retain choice and personal agency,…

  9. Noddings's caring ethics theory applied in a paediatric setting.

    PubMed

    Lundqvist, Anita; Nilstun, Tore

    2009-04-01

    Since the 1990s, numerous studies on the relationship between parents and their children have been reported on in the literature and implemented as a philosophy of care in most paediatric units. The purpose of this article is to understand the process of nurses' care for children in a paediatric setting by using Noddings's caring ethics theory. Noddings's theory is in part described from a theoretical perspective outlining the basic idea of the theory followed by a critique of her work. Important conceptions in her theory are natural caring (reception, relation, engrossment, motivational displacement, reciprocity) and ethical caring (physical self, ethical self, and ethical ideal). As a nurse one holds a duty of care to patients and, in exercising this duty, the nurse must be able to develop a relationship with the patient including giving the patient total authenticity in a 'feeling with' the patient. Noddings's theory is analysed and described in three examples from the paediatrics. In the first example, the nurse cared for the patient in natural caring while in the second situation, the nurse strived for the ethical caring of the patient. In the third example, the nurse rejected the impulse to care and deliberately turned her back to ethics and abandoned her ethical caring. According to the Noddings's theory, caring for the patient enables the nurse to obtain ethical insights from the specific type of nursing care which forms an important contribution to an overall increase of an ethical consciousness in the nurse. PMID:19291199

  10. Pragmatic neuroethics: the social aspects of ethics in disorders of consciousness.

    PubMed

    Racine, Eric

    2013-01-01

    In this chapter, evolution of ethics and bioethics is traced to show how an abstract and individualistic paradigm was at the core of mainstream ethics prior to the advent of bioethics and applied ethics. Bioethics has transformed this individualistic paradigm because of its inherent interdisciplinarity and real-world connection. This evolution has raised questions regarding how nonabstract (e.g., experiential) and nonindividualistic (e.g., social, relational) components of ethics could be married to normative theory and ethics reflection, the latter usually not amenable to empiric research. In the first part of this chapter, pragmatism is introduced as an approach offering perspectives on the integration of social, nonindividualistic aspects of ethics, supporting the use of social science methods within ethics and neuroethics. In the second part of this chapter, using the example of disorders of consciousness, a pragmatic perspective is explored to reframe questions and help foster nonreductionistic understandings of ethical questions and ethical dilemmas. This chapter aims to generate reflections on a set of specific clinical contexts that will also stimulate a discussion on the nature of ethical approaches. PMID:24182392

  11. Ethical Awareness and Ethical Orientation of Turkish Teachers

    ERIC Educational Resources Information Center

    Gökçe, Asiye Toker

    2013-01-01

    This study inquires ethical evaluation of teachers, investigating their moral reasoning to ethical decision making, in Turkey. Specifically three hypotheses were tested: Overall ethical awareness of teachers is high; Teachers will identify reasons for ethical evaluation related to philosophical values such as justice, deontology, utilitarianism,…

  12. Ethical and legal issues related to the donation and use of nonstandard organs for transplants.

    PubMed

    Cronin, Antonia J

    2013-12-01

    Transplantation of nonstandard or expanded criteria donor organs creates several potential ethical and legal problems in terms of consent and liability, and new challenges for research and service development; it highlights the need for a system of organ donation that responds to an evolving ethical landscape and incorporates scientific innovation to meet the needs of recipients, but which also safeguards the interests and autonomy of the donor. In this article, the use of deceased donor organs for transplants that fail to meet standard donor criteria and the legitimacy of interventions and research aimed at optimizing their successful donation are discussed. PMID:24287346

  13. Ethical and Animal Welfare Considerations in Relation to Species Selection for Animal Experimentation

    PubMed Central

    Webster, John

    2014-01-01

    Simple Summary When making a choice of species for animal experimentation we must balance its suitability as a model for human medicine against the potential harms to the animals both from the procedures and the quality of their lifetime experience. The capacity to experience pain may be similar in mammals, birds and fish. The capacity to suffer from fear is governed more by sentience than cognitive ability, so it cannot be assumed that rodents or farm animals suffer less than dogs or primates. I suggest that it is unethical to base the choice of species for animal experimentation simply on the basis that it will cause less distress within society. Abstract Ethical principles governing the conduct of experiments with animals are reviewed, especially those relating to the choice of species. Legislation requires that the potential harm to animals arising from any procedure should be assessed in advance and justified in terms of its possible benefit to society. Potential harms may arise both from the procedures and the quality of the animals’ lifetime experience. The conventional approach to species selection is to use animals with the “lowest degree of neurophysiological sensitivity”. However; this concept should be applied with extreme caution in the light of new knowledge. The capacity to experience pain may be similar in mammals, birds and fish. The capacity to suffer from fear is governed more by sentience than cognitive ability, so it cannot be assumed that rodents or farm animals suffer less than dogs or primates. I suggest that it is unethical to base the choice of species for animal experimentation simply on the basis that it will cause less distress within society. A set of responsibilities is outlined for each category of moral agent. These include regulators, operators directly concerned with the conduct of scientific experiments and toxicology trials, veterinarians and animal care staff; and society at large. PMID:26479009

  14. The politics of relative deprivation: A transdisciplinary social justice perspective.

    PubMed

    Fu, Mengzhu; Exeter, Daniel J; Anderson, Anneka

    2015-05-01

    Relative deprivation was defined by Townsend (1987, p. 125) as "a state of observable and demonstrable disadvantage, relative to the local community or the wider society or nation to which an individual, family or group belongs". This definition is widely used within social and health sciences to identify, measure, and explain forms of inequality in human societies based on material and social conditions. From a multi-disciplinary social science perspective, we conducted a systematic literature review of published material in English through online database searches and books since 1966. We review the concept and measurement of relative 'deprivation' focussing on area-based deprivation in relation to inequities in health and social outcomes. This paper presents a perspective based in Aotearoa/New Zealand where colonisation has shaped the contours of racialised health inequities and current applications and understandings of 'deprivation'. We provide a critique of Townsend's concept of deprivation and area-based deprivation through a critical, structural analysis and suggest alternatives to give social justice a better chance. Deprivation measures used without critical reflection can lead to deficit framing of populations and maintain current inequities in health and social outcomes. We contend therefore that the lack of consideration of (bio)power, privilege, epistemology and (bio)politics is a central concern in studies of deprivation. Our review highlights the need for the academy to balance the asymmetry between qualitative and quantitative studies of deprivation through trans-disciplinary approaches to understanding deprivation, and subsequently, social and health inequities. We recommend that deprivation research needs be critically applied through a decolonising lens to avoid deficit framing and suggest that there is space for a tool that focuses on measuring the unequal distribution of power and privilege in populations. PMID:25547207

  15. Casuistry, care, compassion, and ethics data analysis.

    PubMed

    Gaul, A L

    1995-03-01

    Traditional approaches to descriptive ethics data analysis do not explicate the nature of ethical dilemmas in critical care and emergency nursing. Using sensitizing concepts of causes of nurse compassion, 168 stories of ethical dilemmas were categorized. They were analyzed from the theoretical perspective of an ethic of care using casuistry. Paradigm cases for each sensitizing concept were constructed. The nature of ethical dilemmas is in the disparity between actual and ideal nursing practice. PMID:7778890

  16. Relevance of the rationalist-intuitionist debate for ethics and professionalism in medical education.

    PubMed

    Leffel, G Michael; Oakes Mueller, Ross A; Curlin, Farr A; Yoon, John D

    2015-12-01

    Despite widespread pedagogical efforts to modify discrete behaviors in developing physicians, the professionalism movement has generally shied away from essential questions such as what virtues characterize the good physician, and how are those virtues formed? Although there is widespread adoption of medical ethics curricula, there is still no consensus about the primary goals of ethics education. Two prevailing perspectives dominate the literature, constituting what is sometimes referred to as the "virtue/skill dichotomy". The first perspective argues that teaching ethics is a means of providing physicians with a skill set for analyzing and resolving ethical dilemmas. The second perspective suggests that teaching ethics is a means of creating virtuous physicians. The authors argue that this debate about medical ethics education mirrors the Rationalist-Intuitionist debate in contemporary moral psychology. In the following essay, the authors sketch the relevance of the Rationalist-Intuitionist debate to medical ethics and professionalism. They then outline a moral intuitionist model of virtuous caring that derives from but also extends the "social intuitionist model" of moral action and virtue. This moral intuitionist model suggests several practical implications specifically for medical character education but also for health science education in general. This approach proposes that character development is best accomplished by tuning-up (activating) moral intuitions, amplifying (intensifying) moral emotions related to intuitions, and strengthening (expanding) intuition-expressive, emotion-related moral virtues, more than by "learning" explicit ethical rules or principles. PMID:25319836

  17. Medicine, Ethics, and the Elderly.

    ERIC Educational Resources Information Center

    Gadow, Sally

    1980-01-01

    Medical ethical problems involving the elderly elucidate the relation between broader social views of aging and ethical principles basic to medicine. Three clinical situations are described and alternative principles of medical ethics are discussed as a basis for resolution of ethical problems in the health care of the elderly. (Author)

  18. Relational Interventions for Child Maltreatment: Past, Present, & Future Perspectives

    PubMed Central

    Toth, Sheree L.; Gravener-Davis, Julie A.; Guild, Danielle J.; Cicchetti, Dante

    2014-01-01

    It is well established that child maltreatment has significant deleterious effects for the individual as well as for society. We briefly review research regarding the impact of child maltreatment on the attachment relationship, highlighting the need for relational interventions for maltreated children and their families to effectively thwart negative developmental cascades that are so often observed in the context of child maltreatment. Next, historical and contemporaneous perspectives on relational interventions for individuals with histories of child maltreatment are discussed with attention to the empirical evidence for and the current evidence-based status of several relationally based interventions for child maltreatment. Differential sensitivity to the environment is then discussed as a theoretical framework with important implications for interventions for individuals who have been reared in maltreating environments. Current research on neurobiology and maltreatment is then reviewed, with an emphasis on the need for future investigations on genetic variants, epigenetics, and the efficacy of relational interventions for maltreated children. We conclude with a discussion of the tenets of developmental psychopathology, their implications for relational interventions for child maltreatment, and recommendations for advancing the development, provision, and evaluation of relational interventions for individuals with histories of child maltreatment. PMID:24342858

  19. Ethical Perspective: Five Unacceptable Trade-offs on the Path to Universal Health Coverage.

    PubMed

    Norheim, Ole Frithjof

    2015-01-01

    This article discusses what ethicists have called "unacceptable trade-offs" in health policy choices related to universal health coverage (UHC). Since the fiscal space is constrained, trade-offs need to be made. But some trade-offs are unacceptable on the path to universal coverage. Unacceptable choices include, among other examples from low-income countries, to expand coverage for services with lower priority such as coronary bypass surgery before securing universal coverage for high-priority services such as skilled birth attendance and services for easily preventable or treatable fatal childhood diseases. Services of the latter kind include oral rehydration therapy for children with diarrhea and antibiotics for children with pneumonia. The article explains why such trade-offs are unfair and unacceptable even if political considerations may push in the opposite direction. PMID:26673330

  20. 'He is now like a brother, I can even give him some blood'--relational ethics and material exchanges in a malaria vaccine 'trial community' in The Gambia.

    PubMed

    Geissler, P Wenzel; Kelly, Ann; Imoukhuede, Babatunde; Pool, Robert

    2008-09-01

    This paper explores social relations within the 'trial community' (staff and volunteers) of a Malaria Vaccine Trial (MVT), implemented by the Medical Research Council (MRC) in The Gambia between 2001 and 2004. It situates ethical concerns with medical research within the everyday life of scientific fieldwork. Based upon discussions with volunteers and staff, we explore processes of mediation between scientific project and study population, and between formal ethics, local ethical debates and everyday practice. We observe that material contact and substantial transactions, notably of blood and medicine, are central to the construction of the MVT. These transactions are guided by a concrete and relational form of ethics, which contrasts with the abstract and vertical formal ethical principles underwriting the scientific study protocol. The success of the MVT owed much to these kinship-like ethics. One possible conclusion from these observations is that research ethics should be understood, not just as a quasi-legal frame but also as an open, searching movement, much in the same way that kinship is not merely a juridical institution and a prescriptive frame of rules, but a network made through relational work. However, this conclusion raises new problems: by contrasting formal, abstract principles to intimate, immediate relations, and economic justice to personal morality, we accept that the order of medical research is moved further out of the public and political, and into the domains of either quasi-legal claims or of private morality. Irrespective of the undeniable importance of clear-cut rules and of good face-to-face relations, a third essential foundation of medical research ethics is the democratically constituted public sphere, including equitable health services, and transparent institutions to facilitate open debate and regulate particular interests. Ultimately, the ethics of global science can rely neither on principles nor trust but requires citizenship

  1. Positive bias in self-appraisals from friend's perspective: an event-related potential study.

    PubMed

    Li, Shifeng; Xu, Kepeng; Xu, Qiongying; Xia, Ruixue; Ren, Deyun; Zhou, Aibao

    2016-06-15

    The present study investigated how positive bias in self-appraisals is differentially modulated when taking a friend's versus a stranger's perspective. Reaction time and event-related potentials were recorded while the participants performed a self-descriptiveness task with positive and negative trait adjectives from one's own perspective, a friend's perspective, or a stranger's perspective. The results showed that faster reaction times and reduced N400 amplitudes were induced by positive relative to negative words both in the self-perspective and friend-perspective conditions, but not in the stranger-perspective condition. This suggests that the perceived closeness between oneself and the other may modulate the neural basis of positive bias in self-appraisals during perspective taking. PMID:27138953

  2. Ethnicity/race, ethics, and epidemiology.

    PubMed Central

    Whaley, Arthur L.

    2003-01-01

    Ethnicity/race is a much-studied variable in epidemiology. There has been little consensus about what self-reported ethnicity/race represents, but it is a measure of some combination of genetic, socioeconomic, and cultural factors. The present article will attempt to: 1.) Elucidate the limitations of contemporary discourse on ethnicity/race that emphasizes the genetic and socioeconomic dimensions as competing explanatory frameworks; 2.) Demonstrate how considerable attention to the cultural dimension facilitates understanding of race differences in health-related outcomes; and 3.) Discuss interpretations of disparities in health status of African Americans versus European Americans from an ethical perspective. A major challenge to the discourse on ethnicity/race and health being limited to socioeconomic and genetic considerations is the lack of attention to the third alternative of a cultural perspective. The combined cultural ideologies of individualism and racism undermine the utility of epidemiologic research in health promotion and disease prevention campaigns aimed at reducing the racial gaps in health status. An ethical analysis supplements the cultural perspective. Ethics converge with culture on the notion of values influencing the study of ethnicity/race in epidemiology. A cultural approach to the use of ethnicity/race in epidemiologic research addresses methodological limitations, public health traditions, and ethical imperatives. PMID:12934873

  3. [External Ethics Committees of biobanks: distinction of related entities and management of a disperse legislation].

    PubMed

    Guillem-Tatay, David

    2015-01-01

    The Laws which legislate the Ethical Committees in the Management of Biobank also rule other kind of Committees, sometimes with the same functions, and this situation (denomination, nature and functions) need to be understood. On the other hand, those Committees are legislated in different Laws, and this is another situation that must be put in order. PMID:26665352

  4. Problems Related to Computer Ethics: Origins of the Problems and Suggested Solutions

    ERIC Educational Resources Information Center

    Kuzu, Abdullah

    2009-01-01

    Increasing use of information and communication technologies (ICTs) help individuals to solve several everyday problems, which used to be harder, more complicated and time consuming. Even though ICTs provide individuals with many advantages, they might also serve as grounds for several societal and ethical problems which vary in accordance with…

  5. Medication-Related Practice Roles: An Ethical and Legal Primer for School Psychologists

    ERIC Educational Resources Information Center

    Shahidullah, Jeffrey D.

    2014-01-01

    Given the prevalence of school-age children and adolescents who are prescribed with and are taking psychotropic medications, a critical issue that school psychologists may likely encounter in contemporary practice is providing both quality and continuity of care to these students in the context of relevant legal and ethical parameters. With a…

  6. A Group Exercise to Explore Employee Ethics in Business-Related Psychology Courses.

    ERIC Educational Resources Information Center

    Carkenord, David M.

    1996-01-01

    Recounts an in-class group exercise where students individually rate 10 employee behaviors of a questionable ethical nature (use company car, call in sick). The students then calculate mean group ratings for each behavior and determine appropriate consequences for some of the actions. Includes statistical data and student responses. (MJP)

  7. Ethical Issues Relative to Autonomy and Personal Control in Independent and Cognitively Impaired Elders.

    ERIC Educational Resources Information Center

    Rice, Virginia Hill; And Others

    1997-01-01

    Discusses ethical issues surrounding health care for independent elders, those in long-term care, and those with cognitive impairments, as well as death, dying, euthanasia, and assisted suicide. Suggests that nurses should focus on older adults' choice, autonomy, and personal control. (SK)

  8. Ethical Issues Relating to Teaching via an Interactive Two-Way Television System (ITV).

    ERIC Educational Resources Information Center

    Thoms, Karen Jarrett

    The information age has introduced new methods of delivering educational materials to students. One method is two-way interactive television (ITV). As more schools utilize ITV, for distance education and other educational purposes, certain administrative, legal, and ethical issues need to be addressed. This paper focuses on human and ethical…

  9. Ethics or Morals: Understanding Students' Values Related to Genetic Tests on Humans

    ERIC Educational Resources Information Center

    Lindahl, Mats Gunnar

    2009-01-01

    To make meaning of scientific knowledge in such a way that concepts and values of the life-world are not threatened is difficult for students and laymen. Ethics and morals pertaining to the use of genetic tests for hereditary diseases have been investigated and discussed by educators, anthropologists, medical doctors and philosophers giving, at…

  10. Testimony and Narrative as a Political Relation: The Question of Ethical Judgment in Education

    ERIC Educational Resources Information Center

    Adami, Rebecca; Hållander, Marie

    2015-01-01

    In this article, we explore the role of film in educational settings and argue that testimony and narrative are dependent upon each other for developing ethical judgments. We use the film "12 Angry Men" to enhance our thesis that the emotional response that sometimes is intended in using film as testimonies in classrooms requires a…

  11. A Content Analysis of Codes of Ethics and Related Documents from 100 of America's Largest Community, Junior, and Technical Colleges.

    ERIC Educational Resources Information Center

    Edmonson, William F.

    In 1992, a study was conducted of the codes of ethics and relevant policy and procedural statements of the largest two-year colleges in each state. By analyzing these documents, the study sought to determine whether a common body of ethics is surfacing among the colleges surveyed; compare academic codes of ethics with business codes of ethics, and…

  12. Improving Female Participation in Professional Engineering Geology to Bring New Perspectives to Ethics in the Geosciences

    PubMed Central

    Pereira, Dolores

    2014-01-01

    Many papers have been published related to the retention and advancement of women in sciences. Engineering geology is one of the professional areas where women have not yet broken the gender barrier. The research issues of this paper are focused on why female students “leak out” at the end of engineering geology studies, and what can be done to encourage them to complete their degrees with an engineering career in mind. The author has studied students’ preferences of the final year project required to complete their degree at the University of Salamanca (Salamanca, Spain). It has been found that most female students are choosing a more theoretical final project instead of a practical one relevant to professional employment, contrary to their male peers. Focus group meetings with the students showed that at the end of five years of engineering geology training, many female students, unsatisfied with the content of their courses, feel that their expectations had not been met. They often have preferences for traditional geology rather than applied branches of the subject. Also, they do not feel comfortable with future job prospects in the profession. From the findings of this research it is clear that tutoring and mentoring would be valuable from the beginning of studies to allow all students to become aware of the content and the potential outcomes of engineering geology studies. In the case of female students, it is particularly important for them to know from the very start that they are about to join what is still a man’s world but that they are capable of achieving just as much as men can in the profession. Most importantly, the involvement of more female engineers in professional engineering, including teaching duties, should serve as example and role models in students’ education and future careers. PMID:25216254

  13. Improving female participation in professional engineering geology to bring new perspectives to ethics in the geosciences.

    PubMed

    Pereira, Dolores

    2014-09-01

    Many papers have been published related to the retention and advancement of women in sciences. Engineering geology is one of the professional areas where women have not yet broken the gender barrier. The research issues of this paper are focused on why female students "leak out" at the end of engineering geology studies, and what can be done to encourage them to complete their degrees with an engineering career in mind. The author has studied students' preferences of the final year project required to complete their degree at the University of Salamanca (Salamanca, Spain). It has been found that most female students are choosing a more theoretical final project instead of a practical one relevant to professional employment, contrary to their male peers. Focus group meetings with the students showed that at the end of five years of engineering geology training, many female students, unsatisfied with the content of their courses, feel that their expectations had not been met. They often have preferences for traditional geology rather than applied branches of the subject. Also, they do not feel comfortable with future job prospects in the profession. From the findings of this research it is clear that tutoring and mentoring would be valuable from the beginning of studies to allow all students to become aware of the content and the potential outcomes of engineering geology studies. In the case of female students, it is particularly important for them to know from the very start that they are about to join what is still a man's world but that they are capable of achieving just as much as men can in the profession. Most importantly, the involvement of more female engineers in professional engineering, including teaching duties, should serve as example and role models in students' education and future careers. PMID:25216254

  14. A clinical perspective on ethical arguments around prenatal diagnosis and preimplantation genetic diagnosis for later onset inherited cancer predispositions.

    PubMed

    Clancy, Tara

    2010-03-01

    Prenatal diagnosis (PND) and preimplantation genetic diagnosis (PGD) for later onset and/or reduced penetrance inherited cancer predispositions, e.g. familial adenomatous polyposis, hereditary non-polyposis colorectal cancer/Lynch syndrome and hereditary breast and ovarian cancer, raise a number of ethical issues. Some of these are the same as for conditions which present early in childhood, are fully penetrant and for which no/limited treatment options are possible; others relate to whether reduced penetrance and/or the availability of treatment mean that these are not serious (enough) conditions to warrant tests prior to/during pregnancy or to justify termination of pregnancy. However, attempts to reach a consensus on what counts as a serious (enough) condition in the context of PND and PGD have been unsuccessful. Such a definition may anyway be unhelpful if it cannot also take into account, for example, the woman's/couple's awareness and experience of the condition and the impact of the condition on affected individuals and their families. Individuals affected by, or at high risk of, later onset and/or reduced penetrance inherited cancer predispositions are generally supportive of access to PND and PGD for their own conditions, even if they would not consider using it themselves. Professionals working in clinical cancer genetics need to be prepared to discuss PND and PGD with this group of patients. PMID:19644768

  15. Legal and Ethical Issues Related to the Management of Cultural Heritage in Space

    NASA Astrophysics Data System (ADS)

    Walsh, Justin

    in space. The United Nations Outer Space Treaty of 1967 -the primary document governing how nations act in outer space -is now hopelessly out-of-date. There is no mention in the treaty of cultural heritage (the UNESCO convention that concerns international protection of cultural heritage on Earth was not completed until 1970), nor was there any recognition of the role private groups and individuals might play in space exploration. This paper will outline key legal and ethical issues related to cultural heritage management and protection. It will also suggest some ways in which culturally significant sites in space can be protected for future study and even touristic appreciation.

  16. Some Thoughts on John Dewey's Ethics and Education

    ERIC Educational Resources Information Center

    Karafillis, Gregorios

    2012-01-01

    The philosopher and educator, John Dewey, explores the emergence of the terms "ethics" and "education" from a pragmatist's perspective, i.e., within the linguistic and social components' framework, and society's existing cognitive and cultural level. In the current article, we examine the development, logical control and the relation between…

  17. Guidelines for ethical behavior relating to clinical practice issues in neuromuscular and electrodiagnostic medicine.

    PubMed

    Abel, Naomi A; De Sousa, Eduardo A; Govindarajan, Raghav; Mayer, Matthew P; Simpson, David A

    2015-12-01

    The American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM) developed guidelines to formalize the ethical standards that neuromuscular and electrodiagnostic (EDx) physicians should observe in their clinical and scientific activities. Neuromuscular and EDx medicine is a subspecialty of medicine that focuses on evaluation, diagnosis, and comprehensive medical management, including rehabilitation of individuals with neuromuscular disorders. Physicians working in this subspecialty focus on disorders of the motor unit, including muscle, neuromuscular junction, axon, plexus, nerve root, anterior horn cell, and the peripheral nerves (motor and sensory). The neuromuscular and EDx physician's goal is to diagnose and treat these conditions to mitigate their impact and improve the patient's quality of life. The guidelines are consistent with the Principles of Medical Ethics adopted by the American Medical Association and represent a revision of previous AANEM guidelines. PMID:26372720

  18. Engaging with research ethics in central Francophone Africa: reflections on a workshop about ancillary care

    PubMed Central

    2012-01-01

    Research ethics is predominantly taught and practiced in Anglophone countries, particularly those in North America and Western Europe. Initiatives to build research ethics capacity in developing countries must attempt to avoid imposing foreign frameworks and engage with ethical issues in research that are locally relevant. This article describes the process and outcomes of a capacity-building workshop that took place in Kinshasa, Democratic Republic of Congo in the summer of 2011. Although the workshop focused on a specific ethical theme – the responsibilities of researchers to provide health-related care to their research participants – we argue that the structure of the workshop offers a useful method for engaging with research ethics in general, and the theme of ancillary care encourages a broad perspective on research ethics that is highly pertinent in low-income countries. The workshop follows an interactive, locally driven model that could be fruitfully replicated in similar settings. PMID:22866822

  19. Demarcation of the ethics of care as a discipline: discussion article.

    PubMed

    Klaver, Klaartje; van Elst, Eric; Baart, Andries J

    2014-11-01

    This article aims to initiate a discussion on the demarcation of the ethics of care. This discussion is necessary because the ethics of care evolves by making use of insights from varying disciplines. As this involves the risk of contamination of the care ethical discipline, the challenge for care ethical scholars is to ensure to retain a distinct care ethical perspective. This may be supported by an open and critical debate on the criteria and boundaries of the ethics of care. As a contribution, this article proposes a tentative outline of the care ethical discipline. What is characteristic of this outline is the emphasis on relational programming, situation-specific and context-bound judgments, a political-ethical perspective, and empirical groundedness. It is argued that the ethics of care is best developed further by means of an intradisciplinary approach. Two intradisciplinary examples show how within the frame of one discipline, other disciplines are absorbed, both with their body of knowledge and their research methodology. PMID:24154572

  20. Intergroup Relations and Health Disparities: A Social Psychological Perspective

    PubMed Central

    Major, Brenda; Mendes, Wendy Berry; Dovidio, John F.

    2014-01-01

    Objective This article considers how the social psychology of intergroup processes helps to explain the presence and persistence of health disparities between members of socially advantaged and disadvantaged groups. Method Social psychological theory and research on intergroup relations, including prejudice, discrimination, stereotyping, stigma, prejudice concerns, social identity threat, and the dynamics of intergroup interactions, is reviewed and applied to understand group disparities in health and health care. Potential directions for future research are considered. Results Key features of group relations and dynamics, including social categorization, social hierarchy, and the structural positions of groups along dimensions of perceived warmth and competence, influence how members of high status groups perceive, feel about, and behave toward members of low status groups, how members of low status groups construe and cope with their situation, and how members of high and low status groups interact with each other. These intergroup processes, in turn, contribute to health disparities by leading to differential exposure to and experiences of chronic and acute stress, different health behaviors, and different quality of health care experienced by members of advantaged and disadvantaged groups. Within each of these pathways, social psychological theory and research identifies mediating mechanisms, moderating factors, and individual differences that can affect health. Conclusions A social psychological perspective illuminates the intergroup, interpersonal, and intrapersonal processes by which structural circumstances which differ between groups for historical, political, and economic reasons can lead to group differences in health. PMID:23646834

  1. Perspective on Electrospray Ionization and Its Relation to Electrochemistry

    NASA Astrophysics Data System (ADS)

    Pozniak, Boguslaw P.; Cole, Richard B.

    2015-03-01

    The phenomenon of electrospraying of liquids is presented from the perspective of the electrochemistry involved. Basics of current and liquid flow in the capillary and spray tip are discussed, followed by specifics of charging and discharging of the sprayed liquid surface. Fundamental theories and numerical modeling relating electrospray current to solution and spray parameters are described and then compared with our own experimentally obtained data. The method of mapping potentials and currents inside the electrospray capillary by using an inserted electrically-isolated small wire probe electrode is discussed in detail with illustrations from new and published data. Based on these experimentally obtained results, a new mathematical model is derived. The introduced "nonlinear resistor electrospray capillary model" divides the electrospray capillary into small sections, adds their contributions, and then, by transition to infinitely small section thickness, produces analytical formulas that relate current and potential maps to other properties of the electrospraying liquid: primarily conductivity and current density. The presentation of the model is undertaken from an elementary standpoint, and it offers the possibility to obtain quantitative information regarding operating parameters from typical analytical systems subjected to electrospray. The model stresses simplicity and ease of use; examples applying experimental data are shown and some predictions of the model are also presented. The developed nonlinear resistor electrospray capillary model is intended to provide a new quantitative basis for improving the understanding of electrochemical transformations occurring in the electrospray emitter. A supplemental material section gives full derivation of the model and discusses other consequences.

  2. Ethically sound technology? Guidelines for interactive ethical assessment of personal health monitoring.

    PubMed

    Palm, Elin; Nordgren, Anders; Verweij, Marcel; Collste, Göran

    2013-01-01

    Novel care-technologies possess a transformational potential. Future care and support may be provided via monitoring technologies such as smart devices, sensors, actors (robots) and Information and Communication Technologies. Such technologies enable care provision outside traditional care institutions, for instance in the homes of patients. Health monitoring may become "personalized" i.e. tailored to the needs of individual care recipients' but may also alter relations between care providers and care recipents, shape and form the care environment and influence values central to health-care. Starting out from a social constructivist theory of technology, an interactive ethical assessment-model is offered. The suggested model supplements a traditional analysis based on normative ethical theory (top-down approach) with interviews including relevant stakeholders (a bottom-up approach). This method has been piloted by small-scale interviews encircling stakeholder perspectives on three emerging technologies: (1) Careousel, a smart medicine-management device, (2) Robot Giraff, an interactive and mobile communication-device and (3) I-Care, a care-software that combines alarm and register system. By incorporating stakeholder perspectives into the analysis, the interactive ethical assessment model provides a richer understanding of the impact of PHM-technologies on ethical values than a traditional top-down model. If the assessment is conducted before the technology has reached the market - preferably in close interaction with developers and users - ethically sound technologies may be obtained. PMID:23920461

  3. Ethical Considerations in Technology Transfer.

    ERIC Educational Resources Information Center

    Froehlich, Thomas J.

    1991-01-01

    Examines ethical considerations involved in the transfer of appropriate information technology to less developed countries. Approaches to technology are considered; two philosophical frameworks for studying ethical considerations are discussed, i.e., the Kantian approach and the utilitarian perspective by John Stuart Mill; and integration of the…

  4. Why Teach Ethics to Nurses?

    ERIC Educational Resources Information Center

    Sellman, Derek

    1996-01-01

    There is no consensus on current approaches to teaching ethics to nurses. It might be best to introduce students to a range of theoretical perspectives that help them develop a moral framework within which to make their own ethical decisions. (SK)

  5. Teaching Ethics Informed by Neuroscience

    ERIC Educational Resources Information Center

    Sayre, Molly Malany

    2016-01-01

    New findings about the brain are explicating how we make moral and ethical decisions. The neuroscience of morality is relevant to ethical decision making in social work because of a shared biopsychosocial perspective and the field's explanatory power to understand possible origins of universally accepted morals and personal attitudes at play in…

  6. Keeping Kids Safe from a Design Perspective: Ethical and Legal Guidelines for Designing a Video-Based App for Children

    ERIC Educational Resources Information Center

    Zydney, Janet Mannheimer; Hooper, Simon

    2015-01-01

    Educators can use video to gain invaluable information about their students. A concern is that collecting videos online can create an increased security risk for children. The purpose of this article is to provide ethical and legal guidelines for designing video-based apps for mobile devices and the web. By reviewing the literature, law, and code…

  7. Research Ethics in Sign Language Communities

    ERIC Educational Resources Information Center

    Harris, Raychelle; Holmes, Heidi M.; Mertens, Donna M.

    2009-01-01

    Codes of ethics exist for most professional associations whose members do research on, for, or with sign language communities. However, these ethical codes are silent regarding the need to frame research ethics from a cultural standpoint, an issue of particular salience for sign language communities. Scholars who write from the perspective of…

  8. Science and Ethics: Some Issues for Education.

    ERIC Educational Resources Information Center

    Andrew, Jennifer; Robottom, Ian

    2001-01-01

    Ethical issues concerning pain and suffering of animals are necessarily a consideration in killing pest or feral species in Australia, but ethical issues are reduced to a secondary consideration and appear to be at odds with scientific agendas. Suggests that a greater understanding of various perspectives on the subject of environmental ethics may…

  9. Psychiatry's contribution to medical ethics education.

    PubMed

    Sider, R C; Clements, C

    1982-04-01

    Two recent trends in medical education, the growth of interest in biomedical ethics and the examination of psychiatry's status in medicine, have important implications for psychiatry. Educators are needed to bring a clinical perspective to bear on ethics instruction, yet psychiatrists risk missing this opportunity. Psychiatrists are uniquely suited to contribute because of their expertise in three areas: an understanding of the affective, nonrational components in ethical thought and behavior, a developmental perspective regarding personal morality, and an appreciation of the rootedness of ethics in the social ethos. Problems with contemporary ethical models of informed consent illustrate the value of psychiatry's contribution. PMID:7065297

  10. Ethical stockmanship.

    PubMed

    Hemsworth, P H

    2007-05-01

    The objective of this review is to consider the ethics of stockmanship, particularly from the perspective of the nature and extent of the duties of stockpeople to their farm animals. It will consider what science tells us about the impact of stockmanship on the animal, particularly the welfare of the farm animal. The effects of human-animal interactions on the stockperson will also be considered, since these interactions affect the work performance and job satisfaction of the stockperson and thus indirectly affect animal welfare. Animal ethics is broader than animal welfare and includes economic as well as philosophical, social, cultural and religious aspects. This paper is predicated on the view that farm animals can suffer, and that animal suffering is a key consideration in our moral obligations to animals. Housing and husbandry practices affect farm animal welfare and thus farmers and stockpeople have a responsibility to provide, at minimum, community-acceptable animal housing and husbandry standards for their animals. The farmer's or stockperson's attitudes and behaviour can directly affect the animal's welfare and thus they also have a responsibility to provide specific standards of stockmanship for these animals. However, research suggests that the behaviour of some stockpeople is not as correct as it might be. Such situations exemplify the inevitably unequal human - domestic animal relationship, and this inequality should be considered in analysing the boundary between right and wrong behaviour of humans. Thus ethical discussion, using science and other considerations and involving stockpeople, livestock industries, government and the general public, should be used to establish and assure acceptable stockperson competencies across the livestock industries. Training programs targeting the key attitudes and behaviour of stockpeople presently offer the livestock industries good opportunities to improve human-animal interactions. PMID:17470069

  11. [Achlak and professional ethics of the therapeutic professions].

    PubMed

    Masić, I

    1997-01-01

    Man's mind is improved only by learning unknown things from scientists and from books, and mankind is exalted through self-developing of its nature. This is essence of Risael achlak (learning about behaviour), that modern humanism consisting of rational science and ethical perspective of Qur'an and its directions (important in the respect of limitation of man's behaviour towards religion and religious ethics in general) is based on. Ethical dimension of Qur'an is a consisting part of Qur'an's metaphysical and anthropological dimension. Basically, in its purpose, ethics appears as practical theology. In Its announcing of the God, Qur'an does not make division of spiritual and ethical; mind and will. Ethics just implements The Message at the field of the world of human acts. Thus, the relations between society and a single human being, as well as the relations among all people, are determined. Through developing its attitudes, ethics has concretized elements, tenets and values of human's real life. Qur'anic ethics is a programme of ethical revolution of mankind and society (whose the most exalted goal is confirmation of personality). That personality has got a task to, according to Qur'an, people have to change the world through enhancing it. These general tenets and attitudes produce specific direction and attitudes in certain fields, including tenets and attitudes in the field of medical ethics. These tenets had been defined in pre-islamic period. Even today, the tenets from Hypocrate's Wote are quoted and implemented. But, Arabian physicians have implemented a modified version of the Wote, that has been based upon Qur'anic tenets. The text and tenets of that Wote was described in this paper. PMID:9324570

  12. Teaching Business Ethics through Literature.

    ERIC Educational Resources Information Center

    Shepard, Jon M.; Goldsby, Michael G.; Gerde, Virginia W.

    1997-01-01

    Business students need a vocabulary of ethics consistent with the ideology of capitalism. An approach using business-related classic literature (such as "Babbitt") is a way to develop vocabulary and explore ethical issues. (SK)

  13. An ethical criterion for geoscientists

    NASA Astrophysics Data System (ADS)

    Peppoloni, Silvia

    2013-04-01

    Anthropological researches have demonstrated that at some point in human history, man makes an evolutive jump in cultural sense: at first, he is able to perceive himself only as part of a community, later he becomes able to perceive himself as an individual. The analysis of the linguistic roots of the word "Ethics" discloses the traces of this evolutive transition and an original double meaning: on the one hand, "Ethics" contains a sense of belonging to the social fabric, on the other hand, it is related to the individual sphere. These two existential conditions (social and individual) unexpectedly co-exist in the word "Ethics". So, "Geo-Ethics" can be defined as the investigation and reflection on those values upon which to base appropriate behaviours and practices regarding the Geosphere (social dimension), but also as the analysis of the relationships between the geoscientist who acts and his own actions (individual dimension). Therefore, the meaning of the word "Geo-Ethics" calls upon geoscientists to face the responsibility of an ethical behaviour. What does this responsibility consist of and what motivations are necessary to push geoscientists to practice the Earth sciences in an ethical way? An ethical commitment exists if there is research of truth. In their activities, Geoscientists should be searchers and defenders of truth. If geoscientists give up this role, they completely empty of meaning their work. Ethical obligations arise from the possession of specific knowledge that has practical consequences. Geoscientists, as active and responsible part of society, have to serve society and the common good. The ethical criterion for a geoscientist should be rooted in his individual sphere, that is the source of any action even in the social sphere, and should have the intellectual honesty as main requirement. It includes: • respect for the truth that they look for and for other's ideas; • recognition of the value of others as valuable for themselves;

  14. Comments on Mohammed Abouelleil Rashed's "A critical perspective on second-order empathy in understanding psychopathology: phenomenology and ethics".

    PubMed

    Schlimme, Jann E; Wiggins, Osborne P; Schwartz, Michael A

    2015-04-01

    Understanding the mental life of persons with psychosis/schizophrenia has been the crucial challenge of psychiatry since its origins, both for scientific models as well as for every therapeutic encounter between persons with and without psychosis/schizophrenia. Nonetheless, a preliminary understanding is always the first step of phenomenological as well as other qualitative research methods addressing persons with psychotic experiences in their life-world. In contrast to Rashed's assertions, in order to achieve such understanding, phenomenological psychopathologists need not necessarily adopt the transcendental-phenomenological attitude, which, however, is often required if performing phenomenological philosophy. Additionally, in the course of these (non-philosophical) scientific endeavors, differences between persons with psychosis/schizophrenia and so-called normal people seem to have a methodological function and value driving the scientist in her enterprise. Yet, these differences do not extend to ethical dimensions, and therefore, do not by any means touch ethical equality. PMID:25820145

  15. Ethics in sports medicine.

    PubMed

    Bernstein, J; Perlis, C; Bartolozzi, A R

    2000-09-01

    Sports medicine physicians are not exempt from the ethical challenges of medical practice merely because their patients are robust and healthy. In fact, precisely because the patients with sports injuries are so healthy the moral issues remain subtle. Many ethical issues in sports medicine come about because the traditional relationship between doctor and patient is altered or absent. In the current review, several routine topics in biomedical ethics, including doctor and patient confidentiality, informed consent, the care of minors, medical advertising and use of innovative treatments, will be studied from the sports medicine perspective. Hypothetical case histories will be presented, along with an analysis of the underlying ethical issues. The goal of this analysis is not to offer answers to these moral questions, but to increase awareness and promote contemplation of the correct course of action. PMID:10986974

  16. Ethical dilemmas related to predictions and warnings of impending natural disaster.

    PubMed

    Phua, Kai-Lit; Hue, J W

    2013-01-01

    Scientists and policy makers issuing predictions and warnings of impending natural disaster are faced with two major challenges, that is, failure to warn and issuing a false alarm. The consequences of failure to warn can be serious for society overall, for example, significant economic losses, heavy infrastructure and environmental damage, large number of human casualties, and social disruption. Failure to warn can also have serious for specific individuals, for example, legal proceedings against disaster research scientists, as in the L'Aquila earthquake affair. The consequences of false alarms may be less serious. Nevertheless, false alarms may violate the principle of nonmaleficence (do no harm), affect individual autonomy (eg, mandatory evacuations), and may result in the "cry wolf" effect. Other ethical issues associated with natural disasters include the promotion of global justice through international predisaster technical assistance and postdisaster aid. Social justice within a particular country is promoted through greater postdisaster aid allocation to the less privileged. PMID:24481888

  17. The dramaturgical perspective in relation to self and culture.

    PubMed

    Sullivan, Daniel; Landau, Mark J; Young, Isaac F; Stewart, Sheridan A

    2014-11-01

    Social scientists have studied human behavior from the dramaturgical perspective (DP), through which society is viewed as an elaborate play or game in which individuals enact different roles. The DP is more than a theoretical construct; members of individualist, secular societies occasionally adopt the DP with relation to their own lives. The current research examined the consequences of adopting the DP for evaluations of the self and conceptions of reality at large. Study 1 examined the attitudinal correlates of DP endorsement to test our claim that the DP is situated in an ideological context of individualism and secular modernism. Supporting our claim that the DP invalidates external information about the self's value, in Studies 2A and 2B individuals endorsed the DP to a greater extent after a self-esteem threat, and Studies 2C and 3 showed that exposure to the DP (but not a direct system threat) buffered self-esteem threats. Examining moderators of the DP's influence on self-esteem, Study 4 showed that taking the DP with regard to the ultimate value (vs. concrete experience) of a social role decreased self-esteem and investment in that role. Studies 5A and 5B examined the DP's consequences for perceived moral objectivism. Adopting the DP decreased moral objectivism and moralization of various behaviors but not when the intrinsic self was dispositionally or situationally salient. The latter finding suggests that although contemporary individuals can and occasionally do adopt a reflective stance toward their place within social reality, they nevertheless continue to believe in a true, core self that transcends that precarious drama. PMID:25243413

  18. Professional Ethics.

    ERIC Educational Resources Information Center

    Prentice, Ann E.

    1984-01-01

    Discusses professional ethics in librarianship as system of values and rules that govern way in which librarians view and practice their profession. Background, definition of terms (ethics, professional), development of codes of ethics, history of American Library Association Code of Ethics and 1981 statement, and role of education are covered.…

  19. The Double Helix: Applying an Ethic of Care to the Duty to Warn Genetic Relatives of Genetic Information.

    PubMed

    Weaver, Meaghann

    2016-03-01

    Genetic testing reveals information about a patient's health status and predictions about the patient's future wellness, while also potentially disclosing health information relevant to other family members. With the increasing availability and affordability of genetic testing and the integration of genetics into mainstream medicine, the importance of clarifying the scope of confidentiality and the rules regarding disclosure of genetic findings to genetic relatives is prime. The United Nations International Declaration on Human Genetic Data urges an appreciation for principles of equality, justice, solidarity and responsibility in the context of genetic testing, including a commitment to honoring the privacy and security of the person tested. Considering this global mandate and recent professional statements in the context of a legal amendment to patient privacy policies in Australia, a fresh scrutiny of the legal history of a physician's duty to warn is warranted. This article inquiries whether there may be anything ethically or socially amiss with a potential future recommendation for health professionals or patients to universally disclose particular cancer predisposition genetic diagnosis to genetic family members. While much of the discussion remains applicable to all genetic diagnosis, the article focuses on the practice of disclosure within the context of BRCA1/2 diagnosis. An 'ethic of care' interpretation of legal tradition and current practice will serve to reconcile law and medical policy on the issue of physician disclosure of genetic results to family members without patient consent. PMID:26194147

  20. From seduction to sexism: Feminists challenge the ethics of therapist-client sexual relations in 1970s america.

    PubMed

    Kim, Susanna; Rutherford, Alexandra

    2015-08-01

    Before the 1970s, psychologists and other mental health professionals who had sex with their patients committed no ethical violations. Indeed, the line between seduction and sexual exploitation in the therapy hour was extremely blurry to patients and therapists alike. This article is about how that changed. We focus on feminist psychologists' efforts, through the American Psychological Association Task Force on Sex Bias and Sex Role Stereotyping in Psychotherapeutic Practice, to document and reduce sexism in psychotherapy, including that involving therapist-client sexual relations. We contextualize these efforts within the larger feminist critique of the psy-disciplines that began in the late 1960s, highlighting how psychologists used several feminist strategies to recast seduction as sexism and revise the profession's ethical standards to specifically state that sexual intimacies with clients are unethical. As an example of a feminist intervention into psychology's-and society's-extant gender ideologies, this process highlights the mutually reinforcing entanglements of psychology and feminism, both methodologically and politically. PMID:26375156

  1. Solo doctors and ethical isolation.

    PubMed

    Cooper, R J

    2009-11-01

    This paper uses the case of solo doctors to explore whether working in relative isolation from one's peers may be detrimental to ethical decision-making. Drawing upon the relevance of communication and interaction for ethical decision-making in the ethical theories of Habermas, Mead and Gadamer, it is argued that doctors benefit from ethical discussion with their peers and that solo practice may make this more difficult. The paper identifies a paucity of empirical research related to solo practice and ethics but draws upon more general medical ethics research and a study that identified ethical isolation among community pharmacists to support the theoretical claims made. The paper concludes by using the literary analogy of Soderberg's Doctor Glas to illustrate the issues raised and how ethical decision-making in relative isolation may be problematical. PMID:19880707

  2. Relations between Self Regulation, Future Time Perspective and the Delay of Gratification in University Students

    ERIC Educational Resources Information Center

    Avci, Suleyman

    2013-01-01

    The present study was conducted on 508 (331 female, 144 male) first grade university students in order to investigate the relations between self regulation, the future time perspectives, and the delay of gratification in the academic field. A future time perspective scale, an academic delay of gratification scale and a motivational strategies for…

  3. Doctoral students in the life sciences: Perceptions related to the impact of changing expectations and modes of support on research ethics and norms

    NASA Astrophysics Data System (ADS)

    Fajen, Ava Lee

    Scholars predict that the current institutional, state, and federal push for the commercialization of research, as well as increases in industry funding, will challenge, and perhaps even alter, the culture and ethical standards of academe. A focal point for these trends at many institutions is the current emphasis on life sciences research. This study builds on what is known about doctoral students and their ethical training in the life sciences by examining the individual experiences of doctoral students within the context of changing research expectations and funding patterns at one research university. The project was conducted using a case study approach within the naturalistic tradition. Twenty-four advanced doctoral student in the life sciences were interviewed. They were asked about their perceptions and experiences related to three broad topics: the normative and ethical aspects of academic research behavior; the impact of changing funding sources and changing expectations for research outcomes; and the aspects of their graduate education and training related to research norms and ethics. A systematic qualitative data analysis process allowed the richness and complexity of the students' views and concerns to be revealed. The results of this study highlight their individual and shared understandings and experiences, provide a conceptual framework for understanding their perceptions, and offer related recommendations for improving doctoral education within the current, ethically complex research context.

  4. The Relative Returns from Research and Teaching: A Market Perspective.

    ERIC Educational Resources Information Center

    Hum, Derek

    2000-01-01

    Employs a market perspective to explain why financial returns to college teaching and research are necessarily unequal. Research will receive greater rewards so long as its market reach is longer, research talent is in shorter supply, and the benefits of research can be partially appropriated by individual scholars. (Contains 13 references.) (MLH)

  5. Teacher Perspectives on Peer Relation Problems of Young Children.

    ERIC Educational Resources Information Center

    Moon, Mugyeong

    2001-01-01

    Qualitative study involving 3 teachers' perspectives of peer relationship problems of 24-year-old children in a university-affiliated preschool. Teachers used three criteria to judge peer relationships: Children's emotional well-being, motivation behind social behavior, and social skills. Finds children's efforts to control peers to be the most…

  6. Code of Ethics

    ERIC Educational Resources Information Center

    Division for Early Childhood, Council for Exceptional Children, 2009

    2009-01-01

    The Code of Ethics of the Division for Early Childhood (DEC) of the Council for Exceptional Children is a public statement of principles and practice guidelines supported by the mission of DEC. The foundation of this Code is based on sound ethical reasoning related to professional practice with young children with disabilities and their families…

  7. The Ethical Employee.

    ERIC Educational Resources Information Center

    2002

    A study examined the extent to which the issues of business ethics and corporate social responsibility are becoming pertinent among the United Kingdom workforce. A self-completion questionnaire sought views on a range of issues relating to employment and asked about perceptions of individual companies/organizations on work and ethical issues.…

  8. Exploring Ethics with Contemporary Communications

    ERIC Educational Resources Information Center

    Webb, Joyce G.

    2015-01-01

    This paper addresses the way in which we should go about introducing ethics into the study of our interpersonal relations in the hope of formulating a foundation upon which to base our theories and analyze our behavior. We should ask ourselves whether there should be different criteria for interpersonal ethics than for ethics in other areas of…

  9. Ethical Dilemmas in Interpretive Research.

    ERIC Educational Resources Information Center

    Maor, Dorit

    Ethical issues are fundamental in the planning and implementation of classroom research. This paper describes issues that arose as the researcher considered the ethical implications of a classroom research project studying teaching and learning issues in a grade 10 science classroom in Australia. Ethical issues were related to the relationships…

  10. Ethical dilemmas, work-related guilt, and posttraumatic stress reactions of news journalists covering the terror attack in Norway in 2011.

    PubMed

    Backholm, Klas; Idås, Trond

    2015-04-01

    News journalists working on crisis-related assignments may experience dilemmas with regard to how to conduct their work without causing additional harm to first-hand victims. In this study, we investigated how exposure to journalistic ethical dilemmas during the Oslo/Utøya terror attack in 2011 and subsequent work-related guilt were related to the development of posttraumatic stress (PTS) reactions. Norwegian journalists (N = 371) covering the terror attack participated in a web-based survey 8-9 months after the incident. We found that females reported more ethical dilemmas during the assignment than males (n = 356, d = 0.51). We also found that being on the scene was not related to more exposure to dilemmas (n = 311, d = 0.01). Moreover, we discovered that work-related guilt had a significant indirect effect on the relationship between exposure to ethical dilemmas and severity of PTS reactions (n = 344, completely standardized indirect effect size = .11, 95% CI [.04, .19]. The results showed that exposure to ethical dilemmas may affect the development of long-term psychological impairment. We concluded that media organizations can prevent postcrisis impairment by preparing employees for possible exposure to dilemmas during crisis-related assignments. PMID:25864505

  11. Animals, science, and ethics -- Section I. Ethical theory and the moral status of animals.

    PubMed

    Russow, Lilly-Marlene

    1990-01-01

    Section I discusses the moral status of animals as conceived from several theoretical and ethical perspectives. Though any one perspective might not be finally adequate, the juxtaposition of several ethical positions widens and deepens our understanding of the moral status of animals and of the responsibilities this complex status engenders. PMID:11650365

  12. Ethical Judgments and Behaviors: Applying a Multidimensional Ethics Scale to Measuring ICT Ethics of College Students

    ERIC Educational Resources Information Center

    Jung, Insung

    2009-01-01

    Assuming that ICT ethics are influenced by both moral and circumstantial factors, the study investigates Japanese college students' ethical judgments and behavioral intentions in three scenarios involving ICT-related ethical problems and explores why they make such decisions, relying on five moral philosophies: moral equity, relativism,…

  13. The commerce of professional psychology and the new ethics code.

    PubMed

    Koocher, G P

    1994-11-01

    The 1992 version of the American Psychological Association's Ethical Principles of Psychologists and Code of Conduct brings some changes in requirements and new specificity to the practice of psychology. The impact of the new code on therapeutic contracts, informed consent to psychological services, advertising, financial aspects of psychological practice, and other topics related to the commerce of professional psychology are discussed. The genesis of many new thrusts in the code is reviewed from the perspective of psychological service provider. Specific recommendations for improved attention to ethical matters in professional practice are made. PMID:12186088

  14. Syphilis and human experimentation from World War II to the present: a historical perspective and reflections on ethics.

    PubMed

    Cuerda-Galindo, E; Sierra-Valenti, X; González-López, E; López-Muñoz, F

    2014-11-01

    Even after the Nuremberg code was published, research on syphilis often continued to fall far short of ethical standards. We review post-World War II research on this disease, focusing on the work carried out in Guatemala and Tuskegee. Over a thousand adults were deliberately inoculated with infectious material for syphilis, chancroid, and gonorrhea between 1946 and 1948 in Guatemala, and thousands of serologies were performed in individuals belonging to indigenous populations or sheltered in orphanages. The Tuskegee syphilis study, conducted by the US Public Health Service, took place between 1932 and 1972 with the aim of following the natural history of the disease when left untreated. The subjects belonged to a rural black population and the study was not halted when effective treatment for syphilis became available in 1945. PMID:24461955

  15. The Caring Relation in Teaching

    ERIC Educational Resources Information Center

    Noddings, Nel

    2012-01-01

    According to John Macmurray, "teaching is one of the foremost of personal relations". This paper describes that relation in some detail from the perspective of care ethics. This involves a discussion of the central elements in establishing and maintaining relations of care and trust which include listening, dialogue, critical thinking, reflective…

  16. Contemporary Ethics in Relation to Academics and the Use of a Professor's Own Text or Fellow Faculty Member's Text as a Course Requirement.

    ERIC Educational Resources Information Center

    Fay, Jack R.; Stryker, Judson P.

    A study was done of higher education faculty members' views of ethics in relation to academics and the use of a professor's own text or a fellow faculty member's text as a course requirement. A questionnaire was sent to 210 accounting professors selected at random of whom 53 percent responded. The response rate alone indicated a widespread…

  17. Time Perspective and Emotion Regulation as Predictors of Age-Related Subjective Passage of Time

    PubMed Central

    Wittmann, Marc; Rudolph, Tina; Linares Gutierrez, Damisela; Winkler, Isabell

    2015-01-01

    Hardly any empirical work exists concerning the relationship between the intra-individually stable time perspective relating to the past, present, and future and the subjective speed of time passing in everyday life. Moreover, studies consistently show that the subjective passage of time over the period of the last ten years speeds up as we get older. Modulating variables influencing this phenomenon are still unknown. To investigate these two unresolved issues, we conducted an online survey with n = 423 participants ranging in age between 17 and 81 assessing trait time perspective of the past, present, and future, and relating these subscales with a battery of measures pertaining to the subjective passage of time. Moreover, the subjective passage of time as an age-dependent variable was probed in relationship to emotion awareness, appraisal and regulation. Results show how present hedonism is linked with having fewer routines in life and a faster passage of the last week; the past negative perspective is related to time pressure, time expansion and more routine; a pronounced future perspective is related to a general faster passage of time. Importantly, increased emotion regulation and a balanced time perspective are related to a slower passage of the last ten years. These novel findings are discussed within models of time perception and the time perspective. PMID:26694439

  18. Time Perspective and Emotion Regulation as Predictors of Age-Related Subjective Passage of Time.

    PubMed

    Wittmann, Marc; Rudolph, Tina; Linares Gutierrez, Damisela; Winkler, Isabell

    2015-12-01

    Hardly any empirical work exists concerning the relationship between the intra-individually stable time perspective relating to the past, present, and future and the subjective speed of time passing in everyday life. Moreover, studies consistently show that the subjective passage of time over the period of the last ten years speeds up as we get older. Modulating variables influencing this phenomenon are still unknown. To investigate these two unresolved issues, we conducted an online survey with n = 423 participants ranging in age between 17 and 81 assessing trait time perspective of the past, present, and future, and relating these subscales with a battery of measures pertaining to the subjective passage of time. Moreover, the subjective passage of time as an age-dependent variable was probed in relationship to emotion awareness, appraisal and regulation. Results show how present hedonism is linked with having fewer routines in life and a faster passage of the last week; the past negative perspective is related to time pressure, time expansion and more routine; a pronounced future perspective is related to a general faster passage of time. Importantly, increased emotion regulation and a balanced time perspective are related to a slower passage of the last ten years. These novel findings are discussed within models of time perception and the time perspective. PMID:26694439

  19. Accountability in nursing: reflecting on ethical codes and professional standards of nursing practice from a global perspective.

    PubMed

    Milton, Constance L

    2008-10-01

    The concept of accountability is a concept closely aligned with public trust and confidence with a healthcare discipline. It is of vital importance to the discipline of nursing to define and examine the obligations and duties of professional nurse. The term is referred to and often defined through international and national professional codes of nursing and in standards of nursing practice documents. This column will begin exploration of the concept with offering a definition from a humanbecoming perspective. PMID:18953006

  20. Ethics of the electrified mind: defining issues and perspectives on the principled use of brain stimulation in medical research and clinical care.

    PubMed

    Cabrera, Laura Y; Evans, Emily L; Hamilton, Roy H

    2014-01-01

    In recent years, non-pharmacologic approaches to modifying human neural activity have gained increasing attention. One of these approaches is brain stimulation, which involves either the direct application of electrical current to structures in the nervous system or the indirect application of current by means of electromagnetic induction. Interventions that manipulate the brain have generally been regarded as having both the potential to alleviate devastating brain-related conditions and the capacity to create unforeseen and unwanted consequences. Hence, although brain stimulation techniques offer considerable benefits to society, they also raise a number of ethical concerns. In this paper we will address various dilemmas related to brain stimulation in the context of clinical practice and biomedical research. We will survey current work involving deep brain stimulation, transcranial magnetic stimulation and transcranial direct current stimulation. We will reflect upon relevant similarities and differences between them, and consider some potentially problematic issues that may arise within the framework of established principles of medical ethics: nonmaleficence and beneficence, autonomy, and justice. PMID:23733209

  1. Ethics of the electrified mind: Defining issues and perspectives on the principled use of brain stimulation in medical research and clinical care

    PubMed Central

    Cabrera, Laura Y.; Evans, Emily L.; Hamilton, Roy H.

    2013-01-01

    In recent years, non-pharmacologic approaches to modifying human neural activity have gained increasing attention. One of these approaches is brain stimulation, which involves either the direct application of electrical current to structures in the nervous system or the indirect application of current by means of electromagnetic induction. Interventions that manipulate the brain have generally been regarded as having both the potential to alleviate devastating brain-related conditions and the capacity to create unforeseen and unwanted consequences. Hence, although brain stimulation techniques offer considerable benefits to society, they also raise a number of ethical concerns. In this paper we will address various dilemmas related to brain stimulation in the context of clinical practice and biomedical research. We will survey current work involving deep brain stimulation (DBS), transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS). We will reflect upon relevant similarities and differences between them, and consider some potentially problematic issues that may arise within the framework of established principles of medical ethics: nonmaleficence and beneficence, autonomy, and justice. PMID:23733209

  2. Ethical Impotence

    ERIC Educational Resources Information Center

    Sternberg, Robert J.

    2015-01-01

    Ethical impotence occurs when one wants to act ethically but feels powerless to do anything about the perceived unethical behavior. One may feel that one's actions will have no impact or that those actions actually will have harmful consequences to oneself and/or others. Ethical impotence can be understood in terms of an eight-step model of…

  3. Clinical ethics support services: an evolving model.

    PubMed

    Schlairet, Maura C; Kiser, Ken; Norris, Stephen

    2012-01-01

    Ethical issues arising in clinical practice are complex and clinicians must be able to manage the needs of ethically vulnerable patients and families. This paper describes a model for providing Clinical Ethics Support Services as a broad spectrum of care for management of conflict and ethically difficult situations in health care and describes how an ethics consultation process was transformed to a Holistic Care Continuum for managing the needs of ethically vulnerable patients. During a 4-year journey at a regional medical center, a Family Support Team played a central role in identification of ethically vulnerable patients/family, interdisciplinary connectivity, and iterative engagement in the clinical milieu. Concepts of professional advocacy and interdisciplinary perspectives resulted in a model for ethically sound patient care promoting communication among patients/family, staff, and professionals; clarification of interdisciplinary roles and responsibilities; establishment of mutually derived goals and shared solutions; and implementation of interventions maximizing institutional resources. PMID:22357314

  4. A Perspective for Developing Strategies for Utilizing New Communication Technologies in Public Relations Programs.

    ERIC Educational Resources Information Center

    Ledingham, John A.; Masel-Walters, Lynne

    Based on a definition of public relations that recognizes the field as a purposeful management function, this paper provides a perspective on public relations to help practitioners develop strategies for the use of new media forms in public relations programs. The paper begins with a historical review of mass media effects research and proceeds…

  5. Ethics of responsibility in a multicultural context.

    PubMed

    Turoldo, Fabrizio

    2010-01-01

    Caring for patients from different cultural or religious backgrounds may create difficult ethical dilemmas for physicians. The article reviews four case histories, involving patients from the Navajo culture or the Christian Science Church, that highlight some of these ethical problems. It then discusses an "ethics of responsibility," which is based on and encompasses a variety of meanings of responsibility, including responsibility as recognition, as taking charge, as the ability to assess the consequences of one's actions, and as making a commitment. An ethics of responsibility provides a novel perspective for resolving ethical problems in medicine. PMID:20495256

  6. Insights and perspectives in the clinical and operational management of cancer-related anemia.

    PubMed

    Hinkel, Jennifer M; Li, Edward C; Sherman, Stephen L

    2010-09-01

    Management of anemia in patients with cancer presents challenges from clinical, operational, and economic perspectives. Clinically, anemia in these patients may result from treatment (chemotherapy, radiation therapy, or surgical interventions) or from the malignancy itself. Anemia not only contributes to cancer-related fatigue and other quality of life issues, but also affects prognosis. From the operational perspective, a patient with cancer who is also anemic may consume more laboratory, pharmacy, and clinical resources than other patients with cancer. PMID:20947722

  7. Socio-ethical education in nanotechnology engineering programmes: a case study in Malaysia.

    PubMed

    Balakrishnan, Balamuralithara; Er, Pek Hoon; Visvanathan, Punita

    2013-09-01

    The unique properties of nanotechnology have made nanotechnology education and its related subjects increasingly important not only for students but for mankind at large. This particular technology brings educators to work together to prepare and produce competent engineers and scientists for this field. One of the key challenges in nanotechnology engineering is to produce graduate students who are not only competent in technical knowledge but possess the necessary attitude and awareness toward the social and ethical issues related to nanotechnology. In this paper, a research model has been developed to assess Malaysian nanotechnology engineering students' attitudes and whether their perspectives have attained the necessary objectives of ethical education throughout their programme of study. The findings from this investigation show that socio ethical education has a strong influence on the students' knowledge, skills and attitudes pertaining to socio ethical issues related to nanotechnology. PMID:23149672

  8. Demonstrating Patterns in the Views Of Stakeholders Regarding Ethically-Salient Issues in Clinical Research: A Novel Use of Graphical Models in Empirical Ethics Inquiry

    PubMed Central

    Kim, Jane Paik; Roberts, Laura Weiss

    2015-01-01

    Background Empirical ethics inquiry works from the notion that stakeholder perspectives are necessary for gauging the ethical acceptability of human studies and assuring that research aligns with societal expectations. Although common, studies involving different populations often entail comparisons of trends that problematize the interpretation of results. Using graphical model selection – a technique aimed at transcending limitations of conventional methods – this report presents data on the ethics of clinical research with two objectives: (1) to display the patterns of views held by ill and healthy individuals in clinical research as a test of the study’s original hypothesis and (2) to introduce graphical model selection as a key analytic tool for ethics research. Methods In this IRB-approved, NIH-funded project, data were collected from 60 mentally ill and 43 physically ill clinical research protocol volunteers, 47 healthy protocol-consented participants, and 29 healthy individuals without research protocol experience. Respondents were queried on the ethical acceptability of research involving people with mental and physical illness (i.e., cancer, HIV, depression, schizophrenia, and post-traumatic stress disorder) and non-illness related sources of vulnerability (e.g., age, class, gender, ethnicity). Using a statistical algorithm, we selected graphical models to display interrelationships among responses to questions. Results Both mentally and physically ill protocol volunteers revealed a high degree of connectivity among ethically-salient perspectives. Healthy participants, irrespective of research protocol experience, revealed patterns of views that were not highly connected. Conclusion Between ill and healthy protocol participants, the pattern of views is vastly different. Experience with illness was tied to dense connectivity, whereas healthy individuals expressed views with sparse connections. In offering a nuanced perspective on the interrelation of

  9. Biomedical Ethics Policy in Korea: Characteristics and Historical Development

    PubMed Central

    Hahm, Ki-Hyun

    2012-01-01

    Ethical consideration is an inseparable part of policy-making in modern society. Biomedical ethics is an interdisciplinary study of ethical issues that result from advances in medical practices and research. Because these issues often arise at the bedside, society must provide solutions or judgments that are effective and applicable. Thus, the development and progress of biomedical ethics has been made possible via the cooperation of experts from diverse backgrounds. The biomedical ethics discourse should not be seen as a conflict between values but as a collective activity for problem-solving. To support this perspective on ethics discourse, a historical perspective on biomedical ethics in Korea was given emphasis on the participants and their perspectives. Major cases and the changes resulting therefrom were discussed with the agenda proposed. The Korean situation with respect to ethics development shows the interactions between groups participating in policy development and its collaborative nature. PMID:22661876

  10. Saving lives in road traffic—ethical aspects

    PubMed Central

    2009-01-01

    Aim This article aims at giving an overview of five ethical problem areas relating to traffic safety, thereby providing a general framework for analysing traffic safety from an ethical perspective and encouraging further discussion concerning problems, policies and technology in this area. Subjects and methods The problems presented in the article are criminalisation, paternalism, privacy, justice and responsibility, and the reasons for choosing these are the following. First, they are all important areas in moral philosophy. Second, they are fairly general and it should be possible to categorise more specific problems under these headings. Ethical aspects of road traffic have not received the philosophical attention they deserve. Every year, more than 1 million people die globally in traffic accidents, and 20 to 50 million people are injured. Ninety per cent of the road traffic fatalities occur in low- and middle-income countries, where it is a growing problem. Politics, economics, culture and technology affect the number of fatalities and injuries, and the measures used to combat deaths in traffic as well as the role of road traffic should be ethically scrutinised. The topics are analysed and discussed from a moral-philosophical perspective, and the discussion includes both theory and applications. Results and conclusion The author concludes with some thoughts on how the ethical discussion can be included in the public debate on how to save lives in road traffic. People in industrialised societies are so used to road traffic that it is almost seen as part of nature. Consequently, we do not acknowledge that we can introduce change and that we can affect the role we have given road traffic and cars. By acknowledging the ethical aspects of road traffic and illuminating the way the choices society makes are ethically charged, it becomes clear that there are alternative ways to design the road traffic system. The most important general conclusion is that discussion

  11. Relational Control: Historical Perspective and Current Empirical Status.

    ERIC Educational Resources Information Center

    Lichtenberg, James W.; Wettersten, Kara B.

    The notion of relational control in therapy has evolved as a concept over the past 30 years. This paper reviews the evolution of the construct of relational control as it relates to counseling and therapy. It analyzes the various ways that relational control has been used in process research and explores the manner in which counselors and clients…

  12. A Disciplinary Perspective: The Internationalization of Australian Public Relations Education

    ERIC Educational Resources Information Center

    Fitch, Kate

    2013-01-01

    This article investigates the internationalization of public relations education, by examining public relations education in Australia, its relation with the public relations industry, and its growth in response to international student- and market-led demand. The discussion highlights the tensions within what is essentially an education project…

  13. The context of ethics in the health care industry.

    PubMed

    Wells, B; Spinks, N

    1996-01-01

    Examines ethics in the health care industry from the perspectives of investors, employees, patients, competitors and the environment. Ethical behaviour in the health care industry is essential and desirable; however, determining which behavioural actions are ethical and which are unethical is difficult. Although never will everyone agree on specific ethical standards, everyone should agree that setting ethical standards is vital. Therefore, administrators of health care institutions and health care providers should work together to establish codes of ethics which define boundaries for ethical behaviours in the health care industry. PMID:10157835

  14. Ethics of environment and development

    SciTech Connect

    Engel, J.R.; Engel, J.G.

    1990-01-01

    How can we make ethical decisions about our environment in the face of increasingly conflicting needs and opinions This collection of essays offers a wide range of viewpoints representing many of the world's cultural and religious traditions to help readers better make such determinations for themselves. In this paper, the authors seek to clarify the ethical principles surrounding the concept of sustainable development. They provide a synoptic overview of the contemporary moral challenge of sustainable development and the similarities and differences in its interpretation throughout the world. In bringing together contributions by authorities in environmental ethics and developmental ethics, and by those who are addressing these questions from the perspectives of religion and humanistic philosophy, the book develops the concept of sustainability as the ethical approach to reconciling the needs of environmental conservation with economic development.

  15. Guidance in social and ethical issues related to clinical, diagnostic care and novel therapies for hereditary neuromuscular rare diseases: "translating" the translational.

    PubMed

    McCormack, Pauline; Woods, Simon; Aartsma-Rus, Annemieke; Hagger, Lynn; Herczegfalvi, Agnes; Heslop, Emma; Irwin, Joseph; Kirschner, Janbernd; Moeschen, Patrick; Muntoni, Francesco; Ouillade, Marie-Christine; Rahbek, Jes; Rehmann-Sutter, Christoph; Rouault, Francoise; Sejersen, Thomas; Vroom, Elizabeth; Straub, Volker; Bushby, Kate; Ferlini, Alessandra

    2013-01-01

    Drug trials in children engage with many ethical issues, from drug-related safety concerns to communication with patients and parents, and recruitment and informed consent procedures. This paper addresses the field of neuromuscular disorders where the possibility of genetic, mutation-specific treatments, has added new complexity. Not only must trial design address issues of equity of access, but researchers must also think through the implications of adopting a personalised medicine approach, which requires a precise molecular diagnosis, in addition to other implications of developing orphan drugs. It is against this background of change and complexity that the Project Ethics Council (PEC) was established within the TREAT-NMD EU Network of Excellence. The PEC is a high level advisory group that draws upon the expertise of its interdisciplinary membership which includes clinicians, lawyers, scientists, parents, representatives of patient organisations, social scientists and ethicists. In this paper we describe the establishment and terms of reference of the PEC, give an indication of the range and depth of its work and provide some analysis of the kinds of complex questions encountered. The paper describes how the PEC has responded to substantive ethical issues raised within the TREAT-NMD consortium and how it has provided a wider resource for any concerned parent, patient, or clinician to ask a question of ethical concern. Issues raised range from science related ethical issues, issues related to hereditary neuromuscular diseases and the new therapeutic approaches and questions concerning patients rights in the context of patient registries and bio-banks. We conclude by recommending the PEC as a model for similar research contexts in rare diseases. PMID:23330068

  16. Guidance in Social and Ethical Issues Related to Clinical, Diagnostic Care and Novel Therapies for Hereditary Neuromuscular Rare Diseases: “Translating“ the Translational

    PubMed Central

    McCormack, Pauline; Woods, Simon; Aartsma-Rus, Annemieke; Hagger, Lynn; Herczegfalvi, Agnes; Heslop, Emma; Irwin, Joseph; Kirschner, Janbernd; Moeschen, Patrick; Muntoni, Francesco; Ouillade, Marie-Christine; Rahbek, Jes; Rehmann-Sutter, Christoph; Rouault, Francoise; Sejersen, Thomas; Vroom, Elizabeth; Straub, Volker; Bushby, Kate; Ferlini, Alessandra

    2013-01-01

    Drug trials in children engage with many ethical issues, from drug-related safety concerns to communication with patients and parents, and recruitment and informed consent procedures. This paper addresses the field of neuromuscular disorders where the possibility of genetic, mutation-specific treatments, has added new complexity. Not only must trial design address issues of equity of access, but researchers must also think through the implications of adopting a personalised medicine approach, which requires a precise molecular diagnosis, in addition to other implications of developing orphan drugs. It is against this background of change and complexity that the Project Ethics Council (PEC) was established within the TREAT-NMD EU Network of Excellence. The PEC is a high level advisory group that draws upon the expertise of its interdisciplinary membership which includes clinicians, lawyers, scientists, parents, representatives of patient organisations, social scientists and ethicists. In this paper we describe the establishment and terms of reference of the PEC, give an indication of the range and depth of its work and provide some analysis of the kinds of complex questions encountered. The paper describes how the PEC has responded to substantive ethical issues raised within the TREAT-NMD consortium and how it has provided a wider resource for any concerned parent, patient, or clinician to ask a question of ethical concern. Issues raised range from science related ethical issues, issues related to hereditary neuromuscular diseases and the new therapeutic approaches and questions concerning patients rights in the context of patient registries and bio-banks. We conclude by recommending the PEC as a model for similar research contexts in rare diseases. PMID:23330068

  17. Health and Wellness Policy Ethics

    PubMed Central

    Cavico, Frank J.; Mujtaba, Bahaudin G.

    2013-01-01

    This perspective is an ethical brief overview and examination of “wellness” policies in the modern workplace using practical examples and a general application of utilitarianism. Many employers are implementing policies that provide incentives to employees who lead a “healthy” lifestyle. The authors address how these policies could adversely affect “non-healthy” employees. There are a wide variety of ethical issues that impact wellness policies and practices in the workplace. The authors conclude that wellness programs can be ethical, while also providing a general reflective analysis of healthcare challenges in order to reflect on the externalities associated with such policies in the workplace. PMID:24596847

  18. Health and wellness policy ethics.

    PubMed

    Cavico, Frank J; Mujtaba, Bahaudin G

    2013-08-01

    This perspective is an ethical brief overview and examination of "wellness" policies in the modern workplace using practical examples and a general application of utilitarianism. Many employers are implementing policies that provide incentives to employees who lead a "healthy" lifestyle. The authors address how these policies could adversely affect "non-healthy" employees. There are a wide variety of ethical issues that impact wellness policies and practices in the workplace. The authors conclude that wellness programs can be ethical, while also providing a general reflective analysis of healthcare challenges in order to reflect on the externalities associated with such policies in the workplace. PMID:24596847

  19. Doing Close-Relative Research: Sticking Points, Method and Ethical Considerations

    ERIC Educational Resources Information Center

    Degabriele Pace, Geraldine

    2015-01-01

    Doing insider research can raise many problematic issues, particularly if the insiders are also close relatives. This paper deals with complexities arising from research which is participatory in nature. Thus, this paper seeks to describe the various sticking points that were encountered by the researcher when she decided to embark on insider…

  20. Revising the history of Cold War research ethics.

    PubMed

    Moreno, Jonathan D; Lederer, Susan E

    1996-09-01

    President Clinton's charge to the Advisory Committee on Human Radiation Experiments included the identification of ethical and legal standards for evaluating government-sponsored radiation experiments conducted during the Cold War. In this paper, we review the traditional account of the history of American research ethics, and then highlight and explain the significance of a number of the Committee's historical findings as they relate to this account. These findings include both the national defense establishment's struggles with legal and insurance issues concerning human experiments, and the medical profession's perspective on human experimentation in the years following the Nuremberg Medical Trials. We conclude that the Committee's work both enriches the traditional view of the history of research ethics and opens important new areas for study. PMID:11653394

  1. [Man and animal from the ethical view

    PubMed

    Teutsch, Gotthard M.

    1997-01-01

    This review over the books, articles in Journals and newspapers in 1996 and 1997 reports about the development in the field of man-animal- and man-nature-relations. The review considers the following themes: development, trends and perspectives, philosophy, theology, eco-ethics, legal questions, animal experimentation, freedom of research, teaching and conscience, farm animals, hunting and fishing, zoo and circus, bio-technology, violence, killing, vegetarism and dignity of creatures. The review includes a bibliography with about 300 quatoations. PMID:11178503

  2. Work-related suicide in Victoria, Australia: a broad perspective.

    PubMed

    Routley, Virginia Hazel; Ozanne-Smith, Joan E

    2012-01-01

    While unintentional work-related injury is increasingly recognised as important and preventable, population studies of the full range of work related suicides have received less attention. The objective of this study is to investigate the epidemiology of work-related suicide in Victoria, July 2000-December 2007. The study draws on a database of all work-related deaths reported to the Victorian Coroner, inclusive of broadly defined work-relatedness. Inclusion criteria for work-related suicide were at least one of: suicide means was work related, work stressors were identified in police reports to the Coroners or the Coroner's finding, the suicide method involved another person's work (e.g. rail suicide, heavy vehicle) or the suicide location was a workplace. Cases still open for investigation were excluded. Of 642 work-related suicides, 55% had an association with work stressors; 32% jumped or lay in front of a train or heavy vehicle; 7% involved a work location and 6% involved work agents. Work stressor cases identified included business difficulties, recent or previous work injury, unemployment/redundancy or conflict with supervisors/colleagues (including workplace bullying). Work-related suicide is a substantial problem, for which few detailed population wide studies are available. Further research is required to understand the contribution of work stressors and effective interventions. PMID:22132703

  3. Dharma and medical ethics.

    PubMed

    Seetharam, Sridevi

    2013-01-01

    Despite the numerous policies, regulations and laws aimed at promoting and ensuring ethical practice in healthcare, ethical misconduct remains rampant. Perhaps something more is needed to encourage a genuine and sustained moral attitude and behaviour. To a casual reader, the regulations on ethics read merely as a list of do's and don'ts and their philosophical foundation is not clear. In actuality, morality is often grounded in philosophy. Traditionally, religious and theistic philosophies drove moral behaviour. However, this is changing due to the current trend of secularism. Hindu philosophies are among the oldest philosophies that are still thriving, and this article explores these philosophies and compares and contrasts them with some of the contemporary ethical theories to assess if they can add value to the field of medical ethics. The main theme of the article is dharma or righteous conduct, the concepts related to it and how these can have a bearing on the development of an ethical attitude and the practice of medical ethics. PMID:24152344

  4. 29 CFR 2703.2 - Designated agency ethics official and alternate designated agency ethics official.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 9 2011-07-01 2011-07-01 false Designated agency ethics official and alternate designated agency ethics official. 2703.2 Section 2703.2 Labor Regulations Relating to Labor (Continued) FEDERAL... agency ethics official and alternate designated agency ethics official. The Chairman shall appoint...

  5. 29 CFR 2703.2 - Designated agency ethics official and alternate designated agency ethics official.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 9 2012-07-01 2012-07-01 false Designated agency ethics official and alternate designated agency ethics official. 2703.2 Section 2703.2 Labor Regulations Relating to Labor (Continued) FEDERAL... agency ethics official and alternate designated agency ethics official. The Chairman shall appoint...

  6. 29 CFR 2703.2 - Designated agency ethics official and alternate designated agency ethics official.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 9 2010-07-01 2010-07-01 false Designated agency ethics official and alternate designated agency ethics official. 2703.2 Section 2703.2 Labor Regulations Relating to Labor (Continued) FEDERAL... agency ethics official and alternate designated agency ethics official. The Chairman shall appoint...

  7. 29 CFR 2703.2 - Designated agency ethics official and alternate designated agency ethics official.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 9 2013-07-01 2013-07-01 false Designated agency ethics official and alternate designated agency ethics official. 2703.2 Section 2703.2 Labor Regulations Relating to Labor (Continued) FEDERAL... agency ethics official and alternate designated agency ethics official. The Chairman shall appoint...

  8. 29 CFR 2703.2 - Designated agency ethics official and alternate designated agency ethics official.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 9 2014-07-01 2014-07-01 false Designated agency ethics official and alternate designated agency ethics official. 2703.2 Section 2703.2 Labor Regulations Relating to Labor (Continued) FEDERAL... agency ethics official and alternate designated agency ethics official. The Chairman shall appoint...

  9. Is Judgement of Biotechnological Ethical Aspects Related to High School Students' Knowledge?

    NASA Astrophysics Data System (ADS)

    Črne-Hladnik, Helena; Hladnik, Aleš; Javornik, Branka; Košmelj, Katarina; Peklaj, Cirila

    2012-05-01

    Quantitative and qualitative studies of various aspects of the perception of biotechnology were conducted among 469 Slovenian high school students of average age 17 years. Our research aimed to explore relationships among students' pre-knowledge of molecular and human genetics, and their attitudes to four specific biotechnological applications. These applications-Bt corn, genetically modified (GM) salmon, somatic and germ line gene therapy (GT)-were investigated from the viewpoints of usefulness, moral acceptance and risk perception. In addition, patterns and quality of moral reasoning related to the biotechnological applications from the aspect of moral acceptability were examined. Clear gender differences were found regarding the relationship between our students' pre-knowledge of genetics and their attitudes to biotechnological applications. While females with a better genetics background expressed a higher risk perception in the case of GM salmon, their similarly well-educated male colleagues emphasized the risk associated with the use of germ line GT. With all four biotechnological applications, patterns of both rationalistic-deontological and teleological-and intuitive moral reasoning were identified. Students with poorer genetics pre-knowledge applied an intuitive pattern of moral reasoning more frequently than their peers with better pre-knowledge. A pattern of emotive reasoning was detected only in the case of GM salmon. A relatively low quality of students' moral reasoning, as demonstrated by their brief and small number of supporting justifications (explanations), show that there is a strong need for practising skills of argumentation about socio-scientific issues in Slovenian high schools on a much larger scale. The implications for future research and classroom applications are discussed.

  10. Debating Diversity: Ethics and Controversial Public Issues

    ERIC Educational Resources Information Center

    Darr, Christopher R.

    2016-01-01

    Courses: Ethics, Organizational Communication, Political Communication. Objectives: After completing this unit activity, students should be able to (1) apply multiple ethical perspectives to real-world diversity issues in a debate format, and (2) explain the role of informational and social category diversity in current controversies.

  11. The International Ethics Conference: An Eye Opener

    ERIC Educational Resources Information Center

    Phuma, Ellemes

    2010-01-01

    In this text, Ellemes Phuma, shares her experience and the benefits she derived from the International Ethics Conference held at the University of Botswana (UB). As a graduate student in nursing at that university, she provides her perspective on professional responsibility, compassionate healthcare, and the ethical role that healthcare…

  12. Some legal, social, and ethical issues related to the genetic testing revolution, as exemplified in the long QT syndrome.

    PubMed

    Liebman, J

    2001-01-01

    Molecular Biology is revolutionizing medicine. There are a number of conditions, particularly exemplified by the long QT syndrome, where there is no structural abnormality but where a subset of patients is prone to sudden death. The issues of appropriate care are very complex, because there is tremendous overlap between patients with prolongation of the QT who remain asymptomatic and those with prolongation who are very symptomatic. Furthermore, even those who are prone to have one of the abnormal genes, may be asymptomatic. A large literature has developed, from both legal and ethical aspects, related to the fact that in genetic disease per se, not only is the person at risk, but so are many members of his or her family. A large literature has also developed as to which should be prime, the patient's privacy or the responsibility to make sure the entire family is knowledgeable and perhaps tested. At the present moment our care is based upon the fact that the precise identification of the gene is not yet available on a routine basis. This of course, may soon change. But we will still have difficult decisions to make. Obviously, we have a responsibility as physicians to be as precise as our discipline allows, but we have a responsibility to be flexible. Relief of anxiety, as an example, has to be a prime issue. This is certainly the case now when any information related to infants with potential sudden death is still incomplete. We must not approach the care of the patient in such a way that protection of the physician may interfere with appropriate care. The discussion necessarily includes a variety of aspects. PMID:11781954

  13. “Someone should oversee it”: Patient perspectives on the ethical issues arising with the regulation of probiotics

    PubMed Central

    Harrison, Krista L.; Farrell, Ruth M.; Brinich, Margaret A.; Highland, Janelle; Mercer, MaryBeth; McCormick, Jennifer B.; Tilburt, Jon; Geller, Gail; Marshall, Patricia; Sharp, Richard R.

    2014-01-01

    Background Though many probiotic products are currently available in yogurt or pill form in the United States (US), there is uncertainty surrounding the structure of regulation of these products. As more therapeutic probiotics are developed changes to existing regulatory process in the US may be required to meet the needs of patients and users in the population. Objective This study examined how patients with chronic gastrointestinal (GI) diseases view the regulation of probiotics. Design We conducted a multi-site qualitative study consisting of focus groups of patients with chronic gastrointestinal diseases at three tertiary hospitals: at [institutions removed for blinded review]. Results We conducted 22 focus groups with 136 patients with major gastrointestinal (GI) diseases between March and August 2009. Participants were not familiar with of existing regulation of probiotic products but wanted assurances of accurate labeling of strain as well as safety. Participants raised concerns that regulation of probiotics might be accompanied by greater costs, reduced access, and increased involvement of pharmaceutical companies. Although participants voiced significant doubt of government regulators, they felt that products containing genetically modified probiotic strains should have oversight comparable to that of pharmaceutical drugs. Discussion and conclusion If GI patient perspectives are indicative of public perceptions of therapeutic probiotics in the US, consumers may expect more rigorous regulation in the future while simultaneously wanting low costs, easy access, and low involvement of pharmaceutical companies. Manufacturers, translational scientists, clinicians, and regulators should be sensitive to consumer attitudes when designing, testing, and regulating new therapeutic probiotics. PMID:23279082

  14. Antidepressant-related sexual dysfunction - perspectives from neuroimaging.

    PubMed

    Graf, Heiko; Walter, Martin; Metzger, Coraline D; Abler, Birgit

    2014-06-01

    Sexual dysfunction is not only a common symptom in major depression but also a frequent side-effect of antidepressant medication, mainly of the selective serotonin reuptake-inhibitors (SSRI) that are often prescribed as a first line treatment option. Despite of the increasing incidence and prescription rates, neuronal mechanisms underlying SSRI-related sexual dysfunction are poorly understood and investigations on this topic are scarce. Neuroimaging techniques, mainly functional magnetic resonance imaging (fMRI), provide a feasible approach to investigate these mechanisms since SSRI-related sexual dysfunction is most likely related to central nervous processes. This review summarizes the recent literature regarding the basic clinical findings and imaging correlates of antidepressant-related sexual dysfunction linking brain regions and networks potentially involved to phases and subcomponents of sexual processing and antidepressant action. In particular, fMRI studies on SSRI antidepressants including paroxetine and SNRIs including bupropion are highlighted. PMID:24333547

  15. Did I Tell You That? Ethical Issues Related to Using Computational Methods to Discover Non-Disclosed Patient Characteristics.

    PubMed

    Cato, Kenrick D; Bockting, Walter; Larson, Elaine

    2016-07-01

    Widespread availability of electronic health records coupled with sophisticated statistical methods offer great potential for a variety of applications for health and disease surveillance, developing predictive models and advancing decision support for clinicians. However, use of "big data" mining and discovery techniques has also raised ethical issues such as how to balance privacy and autonomy with the wider public benefits of data sharing. Furthermore, electronic data are being increasingly used to identify individual characteristics, which can be useful for clinical prediction and management, but were not previously disclosed to a clinician. This process in computer parlance is called electronic phenotyping, and has a number of ethical implications. Using the Belmont Report's principles of respect for persons, beneficence, and justice as a framework, we examined the ethical issues posed by electronic phenotyping. Ethical issues identified include the ability of the patient to consent for the use of their information, the ability to suppress pediatric information, ensuring that the potential benefits justify the risks of harm to patients, and acknowledging that the clinician's biases or stereotypes, conscious or unintended, may become a factor in the therapeutic interaction. We illustrate these issues with two vignettes, using the person characteristic of gender minority status (i.e., transgender identity) and health history characteristic of substance abuse. Data mining has the potential to uncover patient characteristics previously obscured, which can provide clinicians with beneficial clinical information. Hence, ethical guidelines must be updated to ensure that electronic phenotyping supports the principles of respect for persons, beneficence, and justice. PMID:27534587

  16. Transfusion-related acute lung injury; clinical perspectives

    PubMed Central

    Kim, Jeongmin

    2015-01-01

    Transfusion-related acute lung injury (TRALI) was introduced in 1983 to describe a clinical syndrome seen within 6 h of a plasma-containing blood products transfusion. TRALI is a rare transfusion complication; however, the FDA has suggested that TRALI is the leading cause of transfusion-related mortality. Understanding the pathogenesis of TRALI will facilitate adopting preventive strategies, such as deferring high plasma volume female product donors. This review outlines the clinical features, pathogenesis, treatment, and prevention of TRALI. PMID:25844126

  17. Centric relation definition: a historical and contemporary prosthodontic perspective.

    PubMed

    Palaskar, Jayant N; Murali, R; Bansal, Sanjay

    2013-09-01

    Centric relation (CR) is a core topic of dentistry in general and prosthodontics in particular. The term CR has become thoroughly confusing because of many conflicting definitions. Unfortunately definition of CR changed repeatedly over past ten decades. All the existing definitions in the dental literature, for the past 81 years, are segregated into definitions from 1929 to 1970, 1970-1980, and 1980-2010 and are critically analyzed. Both PubMed (key words: centric relation/centric jaw relation) and hand searches were employed, from citation in other publications, to identify relevant articles in English language peer reviewed PubMed journals from 1956 to 2010; although the review is from 1929. Numerous definitions for CR have been given, however, no consensus exists and the definition given by a current glossary of prosthodontic terms is confusing. It relates CR to many clinically invisible parts and cannot guide a dental surgeon to record the CR following its description. The purpose of this article is not only to review all the definitions critically but to propose a self explanatory definition to minimize the confusion in the minds of dental practitioners and students for better understanding of the concept of CR. Centric relation is clinically significant since it is the only clinically repeatable jaw relation and the logical position to fabricate prosthesis. PMID:24431728

  18. eHealth, Participatory Medicine, and Ethical Care: A Focus Group Study of Patients’ and Health Care Providers’ Use of Health-Related Internet Information

    PubMed Central

    Leese, Jenny; Adam, Paul; McDonald, Michael; Li, Linda C; Kerr, Sheila; Backman, Catherine L

    2015-01-01

    Background The rapid explosion in online digital health resources is seen as transformational, accelerating the shift from traditionally passive patients to patients as partners and altering the patient–health care professional (HCP) relationship. Patients with chronic conditions are increasingly engaged, enabled, and empowered to be partners in their care and encouraged to take responsibility for managing their conditions with HCP support. Objective In this paper, we focus on patients’ and HCPs’ use of health-related Internet information and how it influences the patient-HCP relationship. In particular, we examine the challenges emerging in medical encounters as roles and relationships shift and apply a conceptual framework of relational ethics to examine explicit and nuanced ethical dimensions emerging in patient-HCP interactions as both parties make increased use of health-related Internet information. Methods We purposively sampled patients and HCPs in British Columbia, Canada, to participate in focus groups. To be eligible, patients self-reported a diagnosis of arthritis and at least one other chronic health condition; HCPs reported a caseload with >25% of patients with arthritis and multimorbidity. We used a semistructured, but flexible, discussion guide. All discussions were audiotaped and transcribed verbatim. Elements of grounded theory guided our constant comparison thematic analytic approach. Analysis was iterative. A relational ethics conceptual lens was applied to the data. Results We recruited 32 participants (18 patients, 14 HCPs). They attended seven focus groups: four with patients and three with rehabilitation professionals and physicians. Predominant themes to emerge were how use of health-related Internet information fostered (1) changing roles, (2) patient-HCP partnerships, and (3) tensions and burdens for patients and HCPs. Conclusions Relational aspects such as mutual trust, uncertainty, and vulnerability are illuminated in patient

  19. Ethical considerations related to participation and partnership: an investigation of stakeholders’ perceptions of an action-research project on user fee removal for the poorest in Burkina Faso

    PubMed Central

    2014-01-01

    Background Healthcare user fees present an important barrier for accessing services for the poorest (indigents) in Burkina Faso and selective removal of fees has been incorporated in national healthcare planning. However, establishing fair, effective and sustainable mechanisms for the removal of user fees presents important challenges. A participatory action-research project was conducted in Ouargaye, Burkina Faso, to test mechanisms for identifying those who are indigents, and funding and implementing user fee removal. In this paper, we explore stakeholder perceptions of ethical considerations relating to participation and partnership arising in the action-research. Methods We conducted 39 in-depth interviews to examine ethical issues associated with the action-research. Respondents included 14 individuals identified as indigent through the community selection process, seven members of village selection committees, six local healthcare professionals, five members of the management committees of local health clinics, five members of the research team, and four regional or national policy-makers. Using constant comparative techniques, we carried out an inductive thematic analysis of the collected data. Results The Ouargaye project involved a participatory model, included both implementation and research components, and focused on a vulnerable group within small, rural communities. Stakeholder perceptions and experiences relating to the participatory approach and reliance on multiple partnerships in the project were associated with a range of ethical considerations related to 1) seeking common ground through communication and collaboration, 2) community participation and risk of stigmatization, 3) impacts of local funding of the user fee removal, 4) efforts to promote fairness in the selection of the indigents, and 5) power relations and the development of partnerships. Conclusions This investigation of the Ouargaye project serves to illuminate the distinctive

  20. Ethical Dilemmas as Perceived by Healthcare Students with Teaching Implications

    ERIC Educational Resources Information Center

    Buelow, Janet R.; Mahan, Pamela L.; Garrity, April W.

    2010-01-01

    Ethical dilemmas are experienced by all individuals, but are especially prevalent among healthcare professionals. Universities and colleges preparing students to work and provide care in this arena are currently addressing this challenge through traditional ethics courses and lectures. However, student perspectives of the major ethical dilemmas in…

  1. Ethical Issues of Scientific Inquiry in Health Science Education.

    ERIC Educational Resources Information Center

    Pigg, R. Morgan, Jr., Ed.

    1994-01-01

    This monograph contains 13 papers on the ethics of planning, conducting, and reporting research in health sciences education. It includes four background papers and nine perspective papers. The titles are: (1) "The Imperative for Ethical Conduct in Scientific Inquiry" (Steve M. Dorman); (2) "Fundamental Principles of Ethical Research in Health…

  2. Using Gaming To Help Nursing Students Understand Ethics.

    ERIC Educational Resources Information Center

    Metcalf, Barbara L.; Yankou, Dawn

    2003-01-01

    An ethics game involves nursing students in defending actions in ethics-based scenarios. Benefits include increased confidence, ability to see multiple perspectives, values clarification, and exposure to decision-making models, professional responsibilities, ethical principles, social expectations, and legal requirements. Difficulties include…

  3. The ethics of drug development and promotion: the need for a wider view.

    PubMed

    Brody, Howard

    2012-11-01

    Ethical issues at the interface between the medical profession and the pharmaceutical industry have generally been approached from the vantage point of medical professionalism, with a focus on conflict of interest as the key ethical concern. Although conflicts of interest remain important, other ethical issues may be obscured unless a wider perspective is adopted. Besides medical professionalism, the ethics of the clinical therapeutic relationship, ethics of public health, and business ethics all provide additional insights. PMID:23047778

  4. Relational correlates of interpersonal citizenship behavior: a social network perspective.

    PubMed

    Bowler, Wm Matthew; Brass, Daniel J

    2006-01-01

    This study examines the role of social network ties in the performance and receipt of interpersonal citizenship behavior (ICB), one form of organizational citizenship behavior (OCB). A field study involving 141 employees of a manufacturing firm provided evidence that social network ties are related to the performance and receipt of ICB. Results support hypothesized relationships, which are based on social exchange theory, suggesting strength of friendship is related to performance and receipt of ICB. Support was also found for impression management-based hypotheses suggesting that asymmetric influence and 3rd-party influence are related to the performance and receipt of ICB. These relationships were significant when controlling for job satisfaction, commitment, procedural justice, hierarchical level, demographic similarity, and job similarity. Implications and directions for future research are addressed. PMID:16435939

  5. Student Perspectives of the Graduation Coach's Ethic of Care on the Dropout Epidemic in a Middle Georgia Alternative High School of Choice

    ERIC Educational Resources Information Center

    Burger, Kimberly R.

    2009-01-01

    The purpose of this qualitative case study was to examine the influence of the graduation coach's ethic of care on potential dropouts (at risk high school seniors) in a Georgia alternative high school. Based on Maslow's hierarchy of needs, the objective of this research was to identify if the graduation coach's ethic of care had an influence on…

  6. Ethical issues related to professional exposure of pregnant women in the medical field: monitoring and limiting effective dose.

    PubMed

    Santos, J A M; Nunes, R

    2011-03-01

    The International Commission on Radiological Protection recommendations for occupational exposed pregnant women do not imply necessarily the complete avoidance of work with radiation or radioactive materials. Instead, a careful review of the exposure conditions, once the pregnancy is declared, as part of the exercise of the ICRP optimisation principle (based in a teleological ethics point of view) is suggested. The dose limitation (following a deontological ethics point of view) of the fetus/embryo is, however, not clearly well established as happens in the case of workers or members of the public. Also, the justification of practices (to continue to work or not with radiation or radioactive materials) is not clearly addressed in most national or international recommendations. An analysis of this justification (bearing in mind both teleological and deontological ethics) is examined in this work having in mind the best interest of the child-to-be as well as other existing social and economical factors. PMID:21068015

  7. A theoretical perspective on running-related injuries.

    PubMed

    Gallant, Jodi Lynn; Pierrynowski, Michael Raymond

    2014-03-01

    The etiology of running-related injuries remains unknown; however, an implicit theory underlies much of the conventional research and practice in the prevention of these injuries. This theory posits that the cause of running-related injuries lies in the high-impact forces experienced when the foot contacts the ground and the subsequent abnormal movement of the subtalar joint. The application of this theory is seen in the design of the modern running shoe, with cushioning, support, and motion control. However, a new theory is emerging that suggests that it is the use of these modern running shoes that has caused a maladaptive running style, which contributes to a high incidence of injury among runners. The suggested application of this theory is to cease use of the modern running shoe and transition to barefoot or minimalist running. This new running paradigm, which is at present inadequately defined, is proposed to avoid the adverse biomechanical effects of the modern running shoe. Future research should rigorously define and then test both theories regarding their ability to discover the etiology of running-related injury. Once discovered, the putative cause of running-related injury will then provide an evidence-based rationale for clinical prevention and treatment. PMID:24725045

  8. Ideosyncratic Variables Related to Curriculum Making in Historical Perspective.

    ERIC Educational Resources Information Center

    Stephens, W. Richard

    This paper utilizes a case study approach to identify the ideosyncratic variables related to the success or failure of educational change efforts. Some of the variables discussed include ethnic, economic, religious, and military factors; and national and local problems. Ways of testing generalizations developed in this manner are also proposed.…

  9. MULTIDISCIPLINARY PERSPECTIVES IN EVENT-RELATED BRAIN POTENTIAL RESEARCH

    EPA Science Inventory

    The volume is the Proceedings of the Fourth International Congress on Event-Related Potentials of the Brain (EPIC-IV) held in Hendersonville, North Carolina in April 1976. It contains 118 manuscripts including critical reviews and data reports in the following areas of ERP resear...

  10. Alcohol-Related Content of Animated Cartoons: A Historical Perspective

    PubMed Central

    Klein, Hugh; Shiffman, Kenneth S.

    2013-01-01

    This study, based on a stratified (by decade of production) random sample of 1,221 animated cartoons and 4,201 characters appearing in those cartoons, seeks to determine the prevalence of alcohol-related content; how, if at all, the prevalence changed between 1930 and 1996 (the years spanned by this research); and the types of messages that animated cartoons convey about beverage alcohol and drinking in terms of the characteristics that are associated with alcohol use, the contexts in which alcohol is used in cartoons, and the reasons why cartoon characters purportedly consume alcohol. Approximately 1 cartoon in 11 was found to contain alcohol-related content, indicating that the average child or adolescent viewer is exposed to approximately 24 alcohol-related messages each week just from the cartoons that he/she watches. Data indicated that the prevalence of alcohol-related content declined significantly over the years. Quite often, alcohol consumption was shown to result in no effects whatsoever for the drinker, and alcohol use often occurred when characters were alone. Overall, mixed, ambivalent messages were provided about drinking and the types of characters that did/not consume alcoholic beverages. PMID:24350176

  11. The "Other Voices" in Contemporary Ethical Dilemmas: The Value of the New Scholarship on Women in the Teaching of Ethics.

    ERIC Educational Resources Information Center

    Shapiro, Joan Poliner; Smith-Rosenberg, Carroll

    This paper indicates the need for women's studies ethics courses and the examination of student concepts of morality. It proposes the ethical study of social problems not usually considered in undergraduate classes and illustrates the importance of the study of historical perspectives and situational ethics in the teaching of complex contemporary…

  12. Teleological reasoning about nature: intentional design or relational perspectives?

    PubMed

    Ojalehto, Bethany; Waxman, Sandra R; Medin, Douglas L

    2013-04-01

    According to the theory of 'promiscuous teleology', humans are naturally biased to (mistakenly) construe natural kinds as if they (like artifacts) were intentionally designed 'for a purpose'. However, this theory introduces two paradoxes. First, if infants readily distinguish natural kinds from artifacts, as evidence suggests, why do school-aged children erroneously conflate this distinction? Second, if Western scientific education is required to overcome promiscuous teleological reasoning, how can one account for the ecological expertise of non-Western educated, indigenous people? Here, we develop an alternative 'relational-deictic' interpretation, proposing that the teleological stance may not index a deep-rooted belief that nature was designed for a purpose, but instead may reflect an appreciation of the perspectival relations among living things and their environments. PMID:23518159

  13. Ethical Challenges

    ERIC Educational Resources Information Center

    Morris, Michael

    2004-01-01

    All evaluators face the challenge of striving to adhere to the highest possible standards of ethical conduct. Translating the AEA's Guiding Principles and the Joint Committee's Program Evaluation Standards into everyday practice, however, can be a complex, uncertain, and frustrating endeavor. Moreover, acting in an ethical fashion can require…

  14. Malaria-related anaemia: a Latin American perspective

    PubMed Central

    Quintero, Juan Pablo; Siqueira, André Machado; Tobón, Alberto; Blair, Silvia; Moreno, Alberto; Arévalo-Herrera, Myriam; Lacerda, Marcus Vinícius Guimarães; Valencia, Sócrates Herrera

    2016-01-01

    Malaria is the most important parasitic disease worldwide, responsible for an estimated 225 million clinical cases each year. It mainly affects children, pregnant women and non-immune adults who frequently die victims of cerebral manifestations and anaemia. Although the contribution of the American continent to the global malaria burden is only around 1.2 million clinical cases annually, there are 170 million inhabitants living at risk of malaria transmission in this region. On the African continent, where Plasmodium falciparum is the most prevalent human malaria parasite, anaemia is responsible for about half of the malaria-related deaths. Conversely, in Latin America (LA), malaria-related anaemia appears to be uncommon, though there is a limited knowledge about its real prevalence. This may be partially explained by several factors, including that the overall malaria burden in LA is significantly lower than that of Africa, that Plasmodium vivax, the predominant Plasmodium species in the region, appears to display a different clinical spectrus and most likely because better health services in LA prevent the development of severe malaria cases. With the aim of contributing to the understanding of the real importance of malaria-related anaemia in LA, we discuss here a revision of the available literature on the subject and the usefulness of experimental animal models, including New World monkeys, particularly for the study of the mechanisms involved in the pathogenesis of malaria. PMID:21881762

  15. Management of sorafenib-related adverse events: a clinician's perspective.

    PubMed

    Brose, Marcia S; Frenette, Catherine T; Keefe, Stephen M; Stein, Stacey M

    2014-02-01

    Sorafenib, a tyrosine kinase inhibitor, is approved for the treatment of patients with unresectable hepatocellular carcinoma (HCC) and advanced renal cell carcinoma (RCC). It is being evaluated in phase II and III clinical trials, which include treatment as a single agent (locally advanced/metastatic radioactive iodine-refractory differentiated thyroid cancer [DTC]), as part of multimodality care (HCC), and in combination with chemotherapeutic agents (metastatic breast cancer). Sorafenib-related adverse events (AEs) that commonly occur across these tumor types include hand-foot skin reaction (HSFR), rash, upper and lower gastrointestinal (GI) distress (ie, diarrhea), fatigue, and hypertension. These commonly range from grade 1 to 3, per the Common Terminology Criteria for Adverse Events (CTCAE), and often occur early in treatment. The goal for the management of these AEs is to prevent, treat, and/or minimize their effects, thereby enabling patients to remain on treatment and improve their quality of life. Proactive management, along with ongoing patient education (before and during sorafenib treatment), can help to effectively manage symptoms, often without the need for sorafenib dose modification or drug holidays. Effective management techniques for common sorafenib-related AEs, as well other important disease sequelae not directly related to treatment, are presented. Recommendations and observations are based on physician/author experience and recommendations from published literature. PMID:24576654

  16. Preaching What We Practice: Teaching Ethical Decision-Making to Computer Security Professionals

    NASA Astrophysics Data System (ADS)

    Fleischmann, Kenneth R.

    The biggest challenge facing computer security researchers and professionals is not learning how to make ethical decisions; rather it is learning how to recognize ethical decisions. All too often, technology development suffers from what Langdon Winner terms technological somnambulism - we sleepwalk through our technology design, following past precedents without a second thought, and fail to consider the perspectives of other stakeholders [1]. Computer security research and practice involves a number of opportunities for ethical decisions. For example, decisions about whether or not to automatically provide security updates involve tradeoffs related to caring versus user autonomy. Decisions about online voting include tradeoffs between convenience and security. Finally, decisions about routinely screening e-mails for spam involve tradeoffs of efficiency and privacy. It is critical that these and other decisions facing computer security researchers and professionals are confronted head on as value-laden design decisions, and that computer security researchers and professionals consider the perspectives of various stakeholders in making these decisions.

  17. Emerging Dental Specialties and Ethics.

    PubMed

    Brown, Ronald S; Mashni, Michael

    2015-01-01

    This paper discusses ethical dimensions related to the formal recognition of emerging dental specialties. It explores several issues related to the potential emergence of several new dental specialty areas. There are good reasons that dentistry should open the door to these new specialties, and patients would benefit. The ethical considerations for and against formal acceptance are examined. PMID:26697653

  18. Screen-Related Sedentary Behaviours of School-Aged Children: Principals' and Teachers' Perspectives

    ERIC Educational Resources Information Center

    He, Meizi; Piche, Leonard; Beynon, Charlene; Kurtz, Joanne; Harris, Stewart

    2011-01-01

    Objective: To solicit school principals' and teachers' perspectives on children's screen-related sedentary behaviour and to identify possible solutions to reduce sedentary behaviours among school-aged children. Method: In-person interviews using a semi-structured interview guide were conducted with school principals and grades five and six…

  19. Relationships among Teachers' Perspectives, Self-Reported Practices, and Concerns Related to an Alternate Assessment System

    ERIC Educational Resources Information Center

    Kim, Young-Gyoung; Angell, Maureen E.; O'Brian, Mary; Strand, Kenneth B.; Fulk, Barbara M.; Watts, Emily H.

    2006-01-01

    A statewide survey was completed by 234 special education teachers with experience in developing assessment portfolios within the Illinois Alternate Assessment (IAA) system. Relationships between these teachers' demographics and their perspectives, concerns, and self-reported practices related to the IAA system was identified and described. These…

  20. Body fatness, related biomarkers and cancer risk: an epidemiological perspective.

    PubMed

    Nimptsch, Katharina; Pischon, Tobias

    2015-05-01

    Higher body fatness is not only associated with a higher risk of hypertension, type 2 diabetes, and coronary heart disease but also with certain types of cancer. The scope of this review is to summarize the epidemiological evidence for an association between body fatness and specific types of cancer and to outline the mediating role of obesity-related biomarkers in this context. Epidemiological studies have gathered convincing evidence that greater body fatness is associated with a higher risk of colorectal cancer, postmenopausal breast cancer, endometrial cancer, esophageal adenocarcinoma, renal cell carcinoma, and pancreatic cancer. Further, evidence for an association between higher body fatness and higher risk of ovarian cancer, advanced prostate cancer, and hepatocellular carcinoma is growing. Abdominal obesity is an independent risk factor for colorectal cancer beyond general obesity, whereas an independent role is less clear for other obesity-related cancer types. Epidemiological biomarker studies have shown that the positive association between body fatness and risk of cancer may be partly explained by hyperinsulinemia and altered concentrations in adipokines and sex-steroid hormones. In addition, obesity-associated low-grade inflammation plays a role in colorectal carcinogenesis. While epidemiology has contributed substantially to the understanding of the role of higher body fatness and related metabolic alterations in the development of cancer, further epidemiological biomarker studies are necessary to elucidate the complex interrelations between mediating pathways as well as to study novel pathways. Knowledge resulting from this research may help identify an obesity phenotype that is particularly strongly associated with cancer risk and thus pave the way for targeted prevention of cancer morbidity and mortality. PMID:25781710

  1. Historical perspectives and identification of Neisseria and related species.

    PubMed Central

    Knapp, J S

    1988-01-01

    The pathogenic Neisseria spp., N. gonorrhoeae and N. meningitidis, have been studied extensively and rapid identification procedures have been designed to distinguish these species from the commensal Neisseria and related species that are normal flora of the oro- and nasopharynx. The commensal Neisseria spp. have been largely ignored except for isolated studies. It is important that we know about these species, however, because not only may some be misidentified as pathogenic species if identified with inappropriate procedures, but also they may occasionally be isolated from unusual sites and must be correctly identified to the species level for clinical purposes. PMID:3069201

  2. \\How Can Clinical Ethics Committees Take on Organizational Ethics? Some Practical Suggestions.

    PubMed

    Sabin, James E

    2016-01-01

    Although leaders in the field of ethics have for many years pointed to the crucial role that organizations play in shaping healthcare ethics, organizational ethics remains a relatively undeveloped area of ethics activity. Clinical ethics committees are an important source of potential expertise, but new skills will be required. Clinical ethics committees seeking to extend their purview to organizational issues will have to respond to three challenges-how to gain sanction and support for addressing controversial and sensitive issues, how to develop an acceptable process, and how to make a difference on the ground. The article presents practical suggestions for how clinical ethics committees meet these challenges. PMID:27333061

  3. Client involvement in home care practice: a relational sociological perspective.

    PubMed

    Glasdam, Stinne; Henriksen, Nina; Kjær, Lone; Praestegaard, Jeanette

    2013-12-01

    'Client involvement' has been a mantra within health policies, education curricula and healthcare institutions over many years, yet very little is known about how 'client involvement' is practised in home-care services. The aim of this article is to analyse 'client involvement' in practise seen from the positions of healthcare professionals, an elderly person and his relative in a home-care setting. A sociologically inspired single case study was conducted, consisting of three weeks of observations and interviews. The study has a focus on the relational aspects of home care and the structural, political and administrative frames that rule home- care practice. Client involvement is shown within four constructed analytical categories: 'Structural conditions of providing and receiving home care'; 'Client involvement inside the home: performing a professional task and living an everyday life'; 'Client involvement outside the home: liberal business and mutual goal setting'; and 'Converting a home to a working place: refurnishing a life'. The meaning of involvement is depending on which position it is viewed from. On the basis of this analysis, we raise the question of the extent to which involvement of the client in public home-care practice remains limited. PMID:23217061

  4. Ethical Issues in Environmental Health Research Related to Public Health Emergencies: Reflections on the GuLF STUDY

    PubMed Central

    Miller, Aubrey K.; Kwok, Richard K.; Engel, Lawrence S.; Sandler, Dale P.

    2015-01-01

    Summary Health research in the context of an environmental disaster with implications for public health raises challenging ethical issues. This article explores ethical issues that arose in the Gulf Long-term Follow-up Study (GuLF STUDY) and provides guidance for future research. Ethical issues encountered by GuLF STUDY investigators included a) minimizing risks and promoting benefits to participants, b) obtaining valid informed consent, c) providing financial compensation to participants, d) working with vulnerable participants, e) protecting participant confidentiality, f) addressing conflicts of interest, g) dealing with legal implications of research, and h) obtaining expeditious review from the institutional review board (IRB), community groups, and other committees. To ensure that ethical issues are handled properly, it is important for investigators to work closely with IRBs during the development and implementation of research and to consult with groups representing the community. Researchers should consider developing protocols, consent forms, survey instruments, and other documents prior to the advent of a public health emergency to allow for adequate and timely review by constituents. When an emergency arises, these materials can be quickly modified to take into account unique circumstances and implementation details. PMID:26325057

  5. Sex Differences in Stress-Related Psychiatric Disorders: Neurobiological Perspectives

    PubMed Central

    Bangasser, Debra A.; Valentino, Rita J.

    2014-01-01

    Stress is associated with the onset and severity of several psychiatric disorders that occur more frequently in women than men, including posttraumatic stress disorder (PTSD) and depression. Patients with these disorders present with dysregulation of several stress response systems, including the neuroendocrine response to stress, corticolimbic responses to negatively valenced stimuli, and hyperarousal. Thus, sex differences within their underlying circuitry may explain sex biases in disease prevalence. This review describes clinical studies that identify sex differences within the activity of these circuits, as well as preclinical studies that demonstrate cellular and molecular sex differences in stress responses systems. These studies reveal sex differences from the molecular to the systems level that increase endocrine, emotional, and arousal responses to stress in females. Exploring these sex differences is critical because this research can reveal the neurobiological underpinnings of vulnerability to stress-related psychiatric disorders and guide the development of novel pharmacotherapies. PMID:24726661

  6. Sex differences in stress-related psychiatric disorders: neurobiological perspectives.

    PubMed

    Bangasser, Debra A; Valentino, Rita J

    2014-08-01

    Stress is associated with the onset and severity of several psychiatric disorders that occur more frequently in women than men, including posttraumatic stress disorder (PTSD) and depression. Patients with these disorders present with dysregulation of several stress response systems, including the neuroendocrine response to stress, corticolimbic responses to negatively valenced stimuli, and hyperarousal. Thus, sex differences within their underlying circuitry may explain sex biases in disease prevalence. This review describes clinical studies that identify sex differences within the activity of these circuits, as well as preclinical studies that demonstrate cellular and molecular sex differences in stress responses systems. These studies reveal sex differences from the molecular to the systems level that increase endocrine, emotional, and arousal responses to stress in females. Exploring these sex differences is critical because this research can reveal the neurobiological underpinnings of vulnerability to stress-related psychiatric disorders and guide the development of novel pharmacotherapies. PMID:24726661

  7. Characteristics of Ethical Business Cultures

    ERIC Educational Resources Information Center

    Ardichvili, Alexandre A.; Jondle, Douglas J.; Mitchell, James A.

    2008-01-01

    The purpose of this study was to identify general characteristics attributed to ethical business cultures by executives from a variety of industries. Our research identified five clusters of characteristics: (1) Mission- and Values-Driven; (2) Stakeholder Balance; (3) Leadership Effectiveness; (4) Process Integrity; and (5) Long-term Perspective.…

  8. The Ethics of Assisted Suicide.

    ERIC Educational Resources Information Center

    Callahan, Jay

    1994-01-01

    From social work perspective, considers ethics of assisted suicide. Discusses traditional social work value of client self-determination and identifies tensions in this ideal and conflicts with value of client well-being. Finds assisted suicide unethical, arguing that studies have shown judgment of most suicidal people to be impaired as result of…

  9. The Historical Basis of Engineering Ethics

    NASA Astrophysics Data System (ADS)

    Furuya, Keiichi

    There are different objects and motives between scientists and engineers. Science is to create new knowledge (episteme), while technology (techne) is to create new utility. Both types of social responsibility are required for engineer, because modern technology is tightly connected with science. The relationship between ethics for scientists and engineers is discussed as an evolution of ethical objects. A short history of engineering societies in U.S.A. and Japan are introduced with their ethical perspectives. As a conclusion, respect for fundamental rights for existence of those who stand in, with, and around engineers and their societies is needed for better engineering ethics.

  10. Feminism and public health ethics.

    PubMed

    Rogers, W A

    2006-06-01

    This paper sketches an account of public health ethics drawing upon established scholarship in feminist ethics. Health inequities are one of the central problems in public health ethics; a feminist approach leads us to examine not only the connections between gender, disadvantage, and health, but also the distribution of power in the processes of public health, from policy making through to programme delivery. The complexity of public health demands investigation using multiple perspectives and an attention to detail that is capable of identifying the health issues that are important to women, and investigating ways to address these issues. Finally, a feminist account of public health ethics embraces rather than avoids the inescapable political dimensions of public health. PMID:16731735

  11. Ethical issues in integrative oncology.

    PubMed

    Ben-Arye, Eran; Schiff, Elad; Golan, Ofra

    2008-08-01

    Integrative oncology relates to an emerging dialog between complementary and alternative medicine (CAM) scholars, oncologists, family practitioners, and other health care providers who envision an extended and holistic patient-centered approach to oncology care. The multiple commitments of integrative oncology to a medical humanistic approach and to a strong evidence-based foundation may impose considerable ethical concerns and dilemmas. The authors use narrative ethics to present a case study that exemplifies the ethical challenges confronting physicians and health care providers who wish to provide an integrative approach for their patients. An ethical analysis of the narrative is provided to help clarify the ethical issues and conflicts within it. Finally, a framework that may transform ethical constraints to a communication tool is proposed. PMID:18638699

  12. An overview of ethics in maternal-child nursing.

    PubMed

    Callister, Lynn Clark; Sudia-Robinson, Tanya

    2011-01-01

    Ethical issues across the childbearing year are multiple and complex. This article addresses ethical challenges facing maternal-child nurses and identifies strategies for making ethical decisions utilizing ethical principles and frameworks. Coping strategies for dealing with moral distress, how nurses demonstrate moral courage, and the attributes of an effective ethical decision maker are described. Ethical issues related to healthcare team relationships are discussed, with implications for nurses provided. PMID:21423060

  13. Ethical requirements for occupational health research--compliance arrangements for a single company in relation to a recent major nuclear industry study.

    PubMed

    Kalman, C J

    1999-05-01

    The media coverage given to occupational health studies in the field of ionizing radiation has, on occasion, been the cause of very real distress to radiation workers and their families. In response to this situation the Chief Medical Officers of the major UK nuclear companies developed an ethical policy for future involvement in research, based on the duty of care which researchers owe to a key customer of such studies: the worker. The policy consists of four principal elements: medical confidentiality; worker information; worker consent and the guarantee of the availability to the workers of pre-publication knowledge of the results. The policy issued in 1991/92 has achieved growing acceptance among researchers and medical journals, though the medical officers involved have been aware of some scepticism, particularly in relation to the practicalities of the dissemination of pre-publication information. The Record Linkage Study published in November 1997 marked a major piece of research work involving data from 120,000 radiation workers that had been carried out since the development of the policy. This paper reports on the successful compliance arrangements to meet the ethical requirements of that study within a single UK nuclear company, and is published to demonstrate that with commitment from researchers, the journal and occupational health staff such ethical requirements, and particularly the need for pre-publication information can be met in full. PMID:10474912

  14. Ethics in neurodevelopmental disability.

    PubMed

    Racine, Eric; Bell, Emily; Shevell, Michael

    2013-01-01

    Neurodevelopmental disabilities, like autism spectrum disorders and cerebral palsy are a common health problem in children. Given the impact of these conditions on children, families, and healthcare and social systems, the care of developmentally challenged children raises questions related to values and ethical principles. We review the common features of neurodevelopmental disorders that help understand the associated ethical questions. We focus on three major areas where ethical questions arise for clinicians and those involved in making decisions for or caring for these children: (1) the principles of decision-making and autonomy as they relate to developmental disability; (2) the issues related to quality of life that have long intersected with developmental disability; and (3) the use of unproven therapies and diagnostics that are particularly controversial given the extent that neurodevelopmental disabilities impact children and their families, yet active treatments options are limited. PMID:24182383

  15. Frameworks for Teaching and Learning Business Ethics within the Global Context: Background of Ethical Theories

    ERIC Educational Resources Information Center

    White, Judith; Taft, Susan

    2004-01-01

    In this article, we provide a summary of several major traditional and contemporary philosophical and psychological perspectives on ethical conduct for businesses, along with five different sets of internationally accepted ethical guidelines for corporations operating anywhere in the world. We include examples of corporate codes of conduct from…

  16. Predatory vs. Dialogic Ethics: Constructing an Illusion or Ethical Practice as the Core of Research Methods

    ERIC Educational Resources Information Center

    Cannella, Gaile S.; Lincoln, Yvonna S.

    2007-01-01

    The ethical conduct of research is addressed from two perspectives, as a regulatory enterprise that creates an illusion of ethical practice and as a philosophical concern for equity and the imposition of power within the conceptualization and practice of research itself. The authors discuss various contemporary positions that influence…

  17. A tale of two fields: public health ethics.

    PubMed

    Klugman, Craig

    2008-01-01

    Over the last decade, public health and bioethics have been courting each other, trying to figure out a way to inform and assist one another. Ethics in public health began in epidemiology and public health in ethics began in health law. Attempts have been made to create both an ethics of and in public health. Although many edited volumes and even model curriculums have been created for the teaching of public health ethics, most efforts are mired in medical ethics and do not take the unique population perspective of public health. Several challenges to the development and teaching of public health ethics remain, including the issue of ethics being a required public health competency and the questions: what should be in a public health ethics curriculum, where will instructors be trained and how will such faculty be paid? A true public health ethics will help professionals address issues of values, critical thinking and decision making. PMID:19205316

  18. [Ethics, medical ethics, and occupational medicine: is their dialogue possible?].

    PubMed

    Buzzi, Elisa

    2016-01-01

    Today's medicine faces some critical moral challenges, yet the medical class suffers from an increasingly evident malaise: a growing dissatisfaction with an ethical demand often perceived as a cumbersome burden of rules and prohibitions, which risk to erode the fiduciary relations with patients. Such a negative appraisal is partly due to a narrow interpretation of the meaning of ethics, a misconception whose roots are in the positivistic stance that permeates our culture, and in its almost exclusively technological bent. This radical orientation of our culture shows itself in the vanishing of the idea of an intrinsic ethical dimension of medicine and consequent eclipse of traditional medical ethics, currently all but assimilated by bioethics. Maintaining a clear distinction between medical ethics and bioethics is a fundamental condition for guaranteeing an original ethical reflection in medicine, thereby fostering a constructive dialogue between philosophical and medical ethics. In this sense, occupational medicine holds a very propitious position, at the cross-roads to some of the most important dimensions in human life and society: health, work, environment. In a milieu which is too often inclined to efface the living human being and the deepest needs of humanity, the moral commitment of medical profession to the care of the integral reality of the embodied human person is one of the most important ethical challenges facing occupational medicine and a most valuable contribution to the current ethical debate. PMID:26822241

  19. Small ethics.

    PubMed

    Chambers, David W

    2007-01-01

    Traditionally, ethics in the professions has focused on big problems that could be found on other peoples' back porches. Small, habitual, frequent, and personal lapses get little attention. In this essay, the literature on opportunism is applied to dentistry with a view toward bringing matters of "near ethics" within reach. Examples of small lapses are discussed under the headings of shirking, free riding, shrinkage, pressing, adverse selection, moral hazard, and risk shifting. The conditions that support opportunism include relationships with small numbers of transactions and uneven access to information. Practical limits on understanding all the consequences of agreements and the costs of supervising others and enforcing corrections of breaches are inescapable aspects of opportunism. Opportunism may not be accepted by all as the subject matter of ethical, but curbing it is a worthy goal and understanding the causes and management of opportunism casts some light on the ethical enterprise. Four suggestions are offered for addressing issue of opportunism. PMID:17691498

  20. A poststructural rethinking of the ethics of technology in relation to the provision of palliative home care by district nurses.

    PubMed

    Nagington, Maurice; Walshe, Catherine; Luker, Karen A

    2016-01-01

    Technology and its interfaces with nursing care, patients and carers, and the home are many and varied. To date, healthcare services research has generally focussed on pragmatic issues such access to and the optimization of technology, while philosophical inquiry has tended to focus on the ethics of how technology makes the home more hospital like. However, the ethical implications of the ways in which technology shapes the subjectivities of patients and carers have not been explored. In order to explore this, poststructural theory, in particular the work of Butler, Foucault, and Deleuze, is used to theorize the relationship between subjectivity and materiality as ethically mandated on producing rather than precluding the development of subjectivities in novel ways. This theoretical understanding is then utilized through a process of 'plugged in' as described by Jackson and Massie that aims to link empirical data, research, and philosophical inquiry. Through this process, it is suggested that power, which the empirical data demonstrate, is frequently exercised through medical discourses and restricts patients' and carers' ability to shape the material environment of the home as a place to live and be cared for in palliative stages of illness. Alternative discourses are suggested both from the empirical data as well as other research, which may offer patients and carers the possibility of reclaiming power over the home and their subjectivities. Finally, the dichotomy between the home and hospital, mediated via technology, is posited as being problematic. It is argued the dichotomy is false and should be moved away from in order to allow an ethical embrace of technology in palliative care. PMID:26333295

  1. Communication Curricula and Ethics.

    ERIC Educational Resources Information Center

    Harrison, S. L.

    A study examined the role of ethics in advertising and public relations courses. A questionnaire was sent to 183 colleges and universities that offer major fields of studies in advertising or public relations, and 134 institutions responded for a return rate of 73%. Results indicated that: (1) nearly all (97%) of the respondents affirm that the…

  2. MLA Statement of Professional Ethics.

    ERIC Educational Resources Information Center

    ADE Bulletin, 2002

    2002-01-01

    Intends for this statement to embody reasonable norms for ethical conduct in teaching, research, and related public service activities in the modern languages and literatures. Lists seven governing premises of the statement. Examines ethical conduct in academic relationships, discussing obligations to students, colleagues, staff members, the…

  3. Incorporating global components into ethics education.

    PubMed

    Wang, George; Thompson, Russell G

    2013-03-01

    Ethics is central to science and engineering. Young engineers need to be grounded in how corporate social responsibility principles can be applied to engineering organizations to better serve the broader community. This is crucial in times of climate change and ecological challenges where the vulnerable can be impacted by engineering activities. Taking a global perspective in ethics education will help ensure that scientists and engineers can make a more substantial contribution to development throughout the world. This paper presents the importance of incorporating the global and cross culture components in the ethic education. The authors bring up a question to educators on ethics education in science and engineering in the globalized world, and its importance, necessity, and impendency. The paper presents several methods for discussion that can be used to identify the differences in ethics standards and practices in different countries; enhance the student's knowledge of ethics in a global arena. PMID:21769592

  4. Ethical dilemmas faced by hospice social workers.

    PubMed

    Dennis, Mary Kate; Washington, Karla T; Koenig, Terry L

    2014-10-01

    Ethical decision making is critically important in hospice social work. Through in-depth interviews, researchers explored ethical dilemmas faced by 14 hospice social workers and the processes they used to move toward resolution. The dilemmas were integrated into a framework focused on the sources of ethical conflict: the client system, the agency, and the profession. Processes involved in resolving ethical dilemmas included consulting with other professionals, weighing the pros and cons of options, and bringing about desired outcomes. Findings suggest that hospice teams should be provided with opportunities to meaningfully discuss ethical decision making. Further, the involvement of social workers in administrative leadership is recommended to increase the likelihood that discipline-specific perspectives are incorporated into formal policies and procedures that shape practice in ethically complex situations. PMID:25397348

  5. Is adaptive co-management ethical?

    PubMed

    Fennell, David; Plummer, Ryan; Marschke, Melissa

    2008-07-01

    'Good' governance and adaptive co-management hold broad appeal due to their positive connotations and 'noble ethical claims'. This paper poses a fundamental question: is adaptive co-management ethical? In pursuing an answer to this question, the concept of adaptive co-management is succinctly summarized and three ethical perspectives (deontology, teleology and existentialism) are explored. The case of adaptive co-management in Cambodia is described and subsequently considered through the lens of ethical triangulation. The case illuminates important ethical considerations and directs attention towards the need for meditative thinking which increases the value of tradition, ecology, and culture. Giving ethics a central position makes clear the potential for adaptive co-management to be an agent for governance, which is good, right and authentic as well as an arena to embrace uncertainty. PMID:17391840

  6. Ethical Orientations for Understanding Business Ethics.

    ERIC Educational Resources Information Center

    Lewis, Phillip V.; Speck, Henry E., III

    1990-01-01

    Argues that history provides the necessary framework in which both to discuss and to seek answers to the three necessary and sequential questions about business ethics: (1) What is ethics and what does it mean to be ethical? (2) Why be ethical?; and (3) How can one be ethical? (SG)

  7. Perspectives.

    ERIC Educational Resources Information Center

    Robertson, Shari; Camerini, Michael

    2001-01-01

    Provides background information on the U.S. Immigration and Naturalization Service Asylum office. Uses the perspective of two movie producers as they filmed a documentary film, "Well-founded Fear", about asylum and refugee protection. Includes information on how to order a classroom aid and the film. (CMK)

  8. Perspectives

    ERIC Educational Resources Information Center

    Tarone, Elaine

    2013-01-01

    The topic of this "Perspectives" column is "Requiring a Proficiency Level as a Requirement for U.S. K-12 Teacher Licensure." In 1998, the American Council of Teachers of Foreign Languages (ACTFL) began to work with the National Council for Accreditation of Teacher Education (NCATE), which accredits teacher education programs…

  9. Research Collections: Content/Format/Service, a Vendor's Perspective.

    ERIC Educational Resources Information Center

    Kennedy, Kit

    2000-01-01

    Discusses issues related to managing electronic resources in academic libraries from a vendor's perspective. Topics include collection development policies; format and content; decisions to buy, borrow, or link to online resources; ethics and SPARC (Scholarly Publishing and Academic Resources Coalition); service, cost, and value; vendors'…

  10. Ethical Considerations in Prenatal Sex Selection

    ERIC Educational Resources Information Center

    Hollingsworth, Leslie Doty

    2005-01-01

    Developments in assisted reproductive technologies have made it possible for couples to select the sex of a child prenatally. This article used the NASW Code of Ethics and information from the Ethics Committee of the American Society of Reproductive Medicine to consider ethical dilemmas related to social justice (for example, reinforcement of…

  11. Ethical Issues in the Conduct of Supervision.

    ERIC Educational Resources Information Center

    Sherry, Patrick

    1991-01-01

    Uses American Psychological Association code of ethics to understand ethical issues present in the conduct of supervision. Discusses ethical issues of responsibility, client and supervisee welfare, confidentiality, competency, moral and legal standards, public statements, and professional relationships in relation to supervision. (Author/NB)

  12. Understanding the relations between different forms of racial prejudice: a cognitive consistency perspective.

    PubMed

    Gawronski, Bertram; Peters, Kurt R; Brochu, Paula M; Strack, Fritz

    2008-05-01

    Research on racial prejudice is currently characterized by the existence of diverse concepts (e.g., implicit prejudice, old-fashioned racism, modern racism, aversive racism) that are not well integrated from a general perspective. The present article proposes an integrative framework for these concepts employing a cognitive consistency perspective. Specifically, it is argued that the reliance on immediate affective reactions toward racial minority groups in evaluative judgments about these groups depends on the consistency of this evaluation with other relevant beliefs pertaining to central components of old-fashioned, modern, and aversive forms of prejudice. A central prediction of the proposed framework is that the relation between "implicit" and "explicit" prejudice should be moderated by the interaction of egalitarianism-related, nonprejudicial goals and perceptions of discrimination. This prediction was confirmed in a series of three studies. Implications for research on prejudice are discussed. PMID:18299634

  13. Global ethics and principlism.

    PubMed

    Gordon, John-Stewart

    2011-09-01

    This article examines the special relation between common morality and particular moralities in the four-principles approach and its use for global ethics. It is argued that the special dialectical relation between common morality and particular moralities is the key to bridging the gap between ethical universalism and relativism. The four-principles approach is a good model for a global bioethics by virtue of its ability to mediate successfully between universal demands and cultural diversity. The principle of autonomy (i.e., the idea of individual informed consent), however, does need to be revised so as to make it compatible with alternatives such as family- or community-informed consent. The upshot is that the contribution of the four-principles approach to global ethics lies in the so-called dialectical process and its power to deal with cross-cultural issues against the background of universal demands by joining them together. PMID:22073817

  14. [Authorized publicity? Amendment of the Code of Ethics by the National Council of the Order of Physicians on the publicity and three related notices].

    PubMed

    Noterman, J

    2003-12-01

    In the issue of december 2002 of the bulletin of the National Council of Medicine are detailed some amendments about the chapter "PUB and publicity" of the Code of Ethics and two closely related notices. Another notice about neon signs take place in the bulletin of june 2003. Globally, the National Council does not authorize PUB but adopt a more moderate position about publicity in a series of particular situations. This article discuss the new situation and what it is necessary to think about. PMID:14748181

  15. Assessing Relational Learning Deficits in Perspective-Taking in Children with High-Functioning Autism Spectrum Disorder

    ERIC Educational Resources Information Center

    Rehfeldt, Ruth Anne; Dillen, Jeffrey E.; Ziomek, Megan M.; Kowalchuk, Rhonda K.

    2007-01-01

    Perspective-taking, or the ability to demonstrate awareness of informational states in oneself and in others, has been of recent interest in behavioral psychology. This is, in part, a result of a modern behavioral approach to human language and cognition known as Relational Frame Theory, which views perspective-taking as generalized operant…

  16. Ethics in Distance Education: Developing Ethical Policies.

    ERIC Educational Resources Information Center

    Gearhart, Deb

    2001-01-01

    Examines the changing world of education through distance education and discusses the need for ethics in distance education. Explains how to ethically develop policy for distance education, including Internet ethics, good practices guidelines, and involving faculty. (LRW)

  17. Ethics Requirement Score: new tool for evaluating ethics in publications

    PubMed Central

    dos Santos, Lígia Gabrielle; Fonseca, Ana Carolina da Costa e; Bica, Claudia Giuliano

    2014-01-01

    Objective To analyze ethical standards considered by health-related scientific journals, and to prepare the Ethics Requirement Score, a bibliometric index to be applied to scientific healthcare journals in order to evaluate criteria for ethics in scientific publication. Methods Journals related to healthcare selected by the Journal of Citation Reports™ 2010 database were considered as experimental units. Parameters related to publication ethics were analyzed for each journal. These parameters were acquired by analyzing the author’s guidelines or instructions in each journal website. The parameters considered were approval by an Internal Review Board, Declaration of Helsinki or Resolution 196/96, recommendations on plagiarism, need for application of Informed Consent Forms with the volunteers, declaration of confidentiality of patients, record in the database for clinical trials (if applicable), conflict of interest disclosure, and funding sources statement. Each item was analyzed considering their presence or absence. Result The foreign journals had a significantly higher Impact Factor than the Brazilian journals, however, no significant results were observed in relation to the Ethics Requirement Score. There was no correlation between the Ethics Requirement Score and the Impact Factor. Conclusion Although the Impact Factor of foreigner journals was considerably higher than that of the Brazilian publications, the results showed that the Impact Factor has no correlation with the proposed score. This allows us to state that the ethical requirements for publication in biomedical journals are not related to the comprehensiveness or scope of the journal. PMID:25628189

  18. Moving from codes of ethics to ethical relationships for midwifery practice.

    PubMed

    Thompson, Faye E

    2002-09-01

    This discussion examines the emergence of professional codes of ethics, influences that shape contemporary midwifery ethics, and the adequacy of codes to actualize values embedded in the midwifery ethics discourse. It considers the traditions of professional practice, the impact of institutionalization on health care, the application of a code of practice as a recent addition to those traditions, and the strengths and weaknesses of codes of ethics as models for ethical responses. That is, it sets out to articulate and deconstruct existing frames of ethical response. The ethics of strangers (normative theory and abstract principles) are rejected as inadequate, and the ethics of intimates (feminist-relational ethics) are proposed as a more adequate guide for well-woman centred midwifery practice. PMID:12238748

  19. Ethics in biomaterials research.

    PubMed

    Kashi, Ajay; Saha, Subrata

    2009-01-01

    There have been rapid advances in biomaterials research in the past few decades, which have influenced almost all areas of medicine and dentistry. Many ethical concerns related to the use of biomaterials fabricated from artificial substances including metals, polymers, and ceramics have been raised in the past. Most of these include safety and potential harmful effects on the human body. The development of biomaterials that incorporate biological materials such as cells with more traditional, non-biological materials will likely mean that new ethical questions will arise. With significant advances in molecular and cell biology and nanotechnology, the need for safe and effective therapies will also create unique ethical situations in the future. The use of animals in biomedical research has generated opposition from animal rights groups, which has created new challenges to scientists and researchers that warrant further actions. Responsible research by biomaterial scientists in the future will necessitate the incorporation of many new rules and regulations to the existing code of ethics. These will be necessary if new-age materials from emerging areas of science and technology are going to be morally and ethically acceptable to the scientific community and to society. PMID:20402627

  20. “Nobody tosses a dwarf!” The relation between the empirical and normative reexamined

    PubMed Central

    Leget, C.; Borry, P.; De Vries, R.

    2009-01-01

    This article discusses the relation between empirical and normative approaches in bioethics. The issue of dwarf tossing, while admittedly unusual, is chosen as point of departure because it challenges the reader to look upon several central bioethical themes – including human dignity, autonomy, and the protection of vulnerable people – with fresh eyes. After an overview of current approaches to the integration of empirical and normative ethics, we consider five ways that the empirical and normative can be brought together to speak to the problem of dwarf tossing: prescriptive applied ethics, theorist ethics, critical applied ethics, particularist ethics and integrated empirical ethics. We defend a position of critical applied ethics that allows for a two-way relation between empirical and normative theories. The approach we endorse acknowledges that a social practice can and should be judged by both the gathering of empirical data and by the normative ethics. Critical applied ethics uses a five stage process that includes: (a) determination of the problem, (b) description of the problem, (c) empirical study of effects and alternatives, (d) normative weighing and (e) evaluation of the effects of a decision. In each stage, we explore the perspective from both the empirical (sociological) and the normative ethical poles that, in our view, should operate as two independent focuses of the ellipse that is called bioethics. We conclude by applying our five stage critical applied ethics to the example of dwarf tossing. PMID:19338523