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Dissertations / Theses on the topic 'Medical ethics in fiction'

Author: Grafiati

Published: 4 June 2021

Last updated: 1 February 2022

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1

Lolley, Sarah. "Medical professionalism and the fictional TV medical drama House MD." Thesis, McGill University, 2008. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=112537.

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This thesis is an exploration and analysis of what audiences may be learning about medical professionalism from the fictional television (TV) medical drama House MD. Fictional TV medical dramas are an important form of medical narrative in that they are usually created by writers with no medical training. As such, they carry a higher risk of portraying the practice of medicine inaccurately. A review of the scholarly literature reveals that there is a precedent for fictional TV medical dramas to affect viewers' perception of the practice of medicine and health behaviours, and viewers' understanding of medical ethics issues. It also reveals strong empirical evidence that TV medical dramas can affect audience's perceptions of physicians' character. A thorough review of the first two seasons of House MD reveals 20 lessons on professionalism (i.e. lessons on interactions with colleagues and patients, medical ethics, and professional competence) that the title character, Gregory House, is imparting to viewers. All 20 lessons are in direct conflict with established charters on professionalism. Arguments are made for the programme's potential to negatively affect patient access to care, physician-patient relations, interactions between healthcare professionals, and applications to medical school.

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2

Lutzel, Justine Ann. "Madness as a Way of Life: Space, Politics, and the Uncanny in Fiction and Social Movements." Bowling Green State University / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1384337221.

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3

Mowat, Ryan Douglas Ronald. "Narrative ethics in postcolonial fiction." Thesis, University of Strathclyde, 2003. http://oleg.lib.strath.ac.uk:80/R/?func=dbin-jump-full&object_id=21205.

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When considering the ethico-political task of postcolonial criticism Gayatri Chakravorty Spivak claims that "ethics is the experience of the impossible, " and that "deconstruction cannot form a political program of any kind. " Both these ideas motivate the central question of this thesis: if ethics is an experience of the impossible and deconstruction cannot form a political program, can we produce an ethical critique that radically considers the narrative representation of violent oppression within different postcolonial cultures and histories? This question will be addressed via four modes of enquiry: 1) By considering the current role of deconstruction within postcolonial criticism and asking whether deconstruction is a concept of writing that can be incorporated into reading strategies which intend to identify an ethics within writing; 2) by examining recent critical investigations into the idea that literary-linguistic structures themselves have ethical characteristics, and asking whether it is possible to identify an ethics within the structure of certain postcolonial fictions; 3) by investigating the representation of violence and physical oppression intrinsic to these fictions, and asking how the inscription of that violence affects their narrative structures; and, 4) by arguing that the representation of the postcolonial body in pain not only affects the structures of the narratives considered, but also plays a vital role in the radical ethics of that fiction. This last concern is initiated by Elaine Scarry's claim that pain itself remains utterly resistant to language. These enquiries will be made alongside critical examinations of twelve international postcolonial novels and their narrative structures. In doing so this thesis will ask whether it is possible to identify a radical ethics of fiction that is common to various postcolonial cultures, rather than a discursively informed ethics that is culturally or historically specific.

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4

Hawley, Brad Kendall. "The architecture of ethics in postmodern fiction /." view abstract or download file of text, 2000. http://wwwlib.umi.com/cr/uoregon/fullcit?p9977904.

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Thesis (Ph. D.)--University of Oregon, 2000.
Typescript. Includes vita and abstract. Includes bibliographical references (leaves 308-319). Also available for download via the World Wide Web; free to University of Oregon users.

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5

Mitchell, Gemma Lynsey. "Autonomy in medical ethics." Thesis, University of Cambridge, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.611447.

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6

Jotterand, Fabrice 1967. "Does virtue ethics contribute to medical ethics? : an examination of Stanley Hauerwas' ethics of virtue and its relevance to medical ethics." Thesis, McGill University, 2000. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=33292.

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The aim of this thesis is to examine the concept of virtue ethics in Stanley Hauerwas's understanding of virtue and delineate how that contributes to his ethical reasoning and his comprehension of medical ethics. The first chapter focuses on the shift that occurred in moral theory under the stance of the Enlightenment that eroded the traditional idea of morality as the formation of the self, allowing space for new concepts that dismissed the importance of the agent in the ethical task of seeking the good. In the second chapter, the three main ideas (character, vision, and narrative) that make up Hauerwas' ethical theory are examined with a particular attention to the importance of agency in moral life. The third chapter describes how Hauerwas' medical ethics, informed by his moral theory based on character, vision, and narrative, is relevant to medical ethics. Hauerwas argues that because medicine is a form of human activity with internal goods and standards of excellence intrinsic to its practice, it requires taking into account the notion of agency in the healing relationship. Finally, in the last chapter the specific religious discourse of Hauerwas' ethics is discussed in relation to secular medical ethics. In other words, this thesis raises the question of whether the reduction of medical ethics to a set of principles, as it is mostly the case today, represents a suitable picture of the reality of moral life in medicine.

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7

Schwerdtfeger, Barbara. "Ethics in postmodern fiction Donald Barthelme and William Gass." Heidelberg Winter, 2002. http://deposit.ddb.de/cgi-bin/dokserv?id=2679709&prov=M&dok_var=1&dok_ext=htm.

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8

Schwerdtfeger, Barbara. "Ethics in postmodern fiction : Donald Barthelme and William Gass /." Heidelberg : Universitätsverlag Winter, 2004. http://catalogue.bnf.fr/ark:/12148/cb39279602x.

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9

Eysell, Joanne. "A medical companion to Dickens's fiction." Thesis, Open University, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.402694.

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10

Kaiser, Kevin Richard. "Variable kindness : Posthumanist ethics in the fiction of Georges Saunders." Doctoral thesis, Universitat Pompeu Fabra, 2018. http://hdl.handle.net/10803/663378.

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This thesis examines the fiction of contemporary American author George Saunders in terms of how it presents situations applicable to the chief notions of posthumanist ethics and how these conceptions of ethics concern nonhuman animals, which are prevalent in his writing. Posthumanist ethics can help us understand what is at play in Saunders’s fiction. Meanwhile, his fiction can help us understand what is at stake in posthumanist ethics. This interdisciplinary project may be beneficial both to conceiving new notions of ethics that are more inclusive and, more implicitly, to understanding the relevance of Saunders’s fiction to the current American sociocultural climate.
Aquesta tesi analitza la ficció de l'escriptor nord-americà contemporani George Saunders, tot centrat-se en com presenta situacions aplicables als principals conceptes de l’ètica posthumanista i en com aquests conceptes ètics afecten els animals no humans, que apareixen amb freqüència en els seus escrits. L'ètica posthumanista pot ajudar-nos a entendre el que està en joc en la ficció de Saunders. Mentrestant, la seva ficció pot ajudar-nos a comprendre el que està en joc en l'ètica posthumanista. Aquest projecte interdisciplinari pot esdevinir beneficiós tant per concebre noves nocions d'ètica més inclusives com, més implícitament, per comprendre la rellevància de la ficció de Saunders dins el context sociocultural nord-americà actual.

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11

Palladino, Mariangela. "Toni Morrison's late fiction : an investigation into ethics and aesthetics." Thesis, University of Strathclyde, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.510673.

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12

Christie, Edwina Louise. "Dissimulating romance : the ethics of deception in seventeenth-century prose romance." Thesis, University of Oxford, 2016. https://ora.ox.ac.uk/objects/uuid:292cf3cf-7ecf-4b1d-a4ca-d2f5c65ab0a0.

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This thesis argues that seventeenth-century English prose romances are motivated by anxieties over truth-telling and the ethical practice of deception. From the title of MacKenzie's 'Aretina: A Serious Romance' (1660), I take the collocation 'serious romance' to refer to the philosophically and politically engaged prose romances of the seventeenth century. Following Amelia Zurcher's work on the concept of 'interest' in 'serious romance', this thesis examines a separate but related aspect of the genre's moral philosophical engagement: its investigation of the ethics of dissimulation. By dissimulation, I mean the art of lying by concealment. Dissimulating techniques include controversial rhetorical tools such as equivocation and mental reservation, but dissimulation is also implicated in laudable virtues such as prudence and discretion. The thesis traces arguments about the ethical practice of dissimulation and other types of lie through English prose romances from Sidney's 'Arcadia' (1590) to Orrery's 'Parthenissa' (1651-69) to suggest that seventeenth-century romances increasingly espoused theories of 'honest dissimulation' and came to champion the theory of the 'right to lie'. The thesis examines a range of works which have hitherto received scant critical attention, notably Roger Boyle's 'Parthenissa' (1651-69), Percy Herbert's 'The Princess Cloria' (1652-61), the anonymous 'Theophania' (1655) and 'Eliana' (1661) and John Bulteel's 'Birinthea' (1664), alongside better studied romances such as Sidney's 'Arcadia' (1590), Wroth's 'Urania' (1621) and Barclay's 'Argenis' (1621). It situates readings of these original English romances within the context of the French romances of D'Urfé, Scudéry and La Calprenède, as well as within the context of contemporary moral philosophy.

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13

Baines, Paul Bruce. "Making medical decisions for children : ethics." Thesis, University of Birmingham, 2016. http://etheses.bham.ac.uk//id/eprint/6511/.

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Children are largely ignored in medical ethics, which concentrates on adults with capacities that children lack (including competence, or rationality). This thesis answers how medical decisions should be made for unquestionably incompetent children. The dominant approach to medical ethics in the West depends on respect for autonomy and this distorts medical ethics for children in two ways. Firstly, parental decisions for children may be taken to have the same authority as respect for autonomy. Secondly, theories of general well-being have focused on adult’s well-being with an endorsement of the components of that well-being by the adult themselves. This has hindered the development of an objective, impartial, conception of interests, arguably, the best fit for making decisions for very young children. I argue that although children are clearly demarcated from adults in medical ethics, there is not a clear explanation of why this is. For young children others must make decisions or be prepared to override the child’s decisions. More recently, the distinction between adults and children have become blurred, exemplified by the use of terms such as ‘young person’. Children’s rights at best draw attention to children and their interests, but do not help in resolving the medical treatment of incompetent children. The most promising approach depends on articulating an account of children’s interests. For several reasons the best interests standard is not defensible. I argue that a reasoned, or reasonable, agreement upon the child’s interests should determine medical treatment. Neither the child’s parents (nor the clinicians) can be taken to have an incorrigible grasp of the child’s interests, all should justify the reasons for their choices.

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14

Green, Alan James. "Moral particularism : implications in medical ethics." Thesis, Keele University, 2014. http://eprints.keele.ac.uk/622/.

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Particularism challenges the accepted idea of normative moral theory that morality can be reduced to a finite set of fundamental principles; it sees morality as quite capable of getting on without such principles. This thesis is concerned with asking what, if any, changes would be required in the practice of medical ethics if this is correct. It is proposed that current guidelines for professional clinicians and medical scientists constitute a “fleshed out” normative system which provides pro tanto rules for ethical practice. To investigate the implications of this in a particularist world, the idea of thin and thick moral concepts is extended to cover moral principles so that generalist professional guidance is seen as constituted of thick principles. This guidance aims to provide the required confidence for the doctor-patient relationship and in particular for the trust required between doctor and patient. Examples of the development of protocols for early phase clinical trials in cancer, and of resource allocation in a resource limited system are used to investigate the difference in decision making, and thus in the decisions themselves, between generalist and particularist professionals. In a generalist world trust is placed in the systems of trustworthiness (practice guidelines etc) and thus in the developers of such systems; in a particularist world moral decisions are made by the clinician and so trust is placed much more directly in that clinician. The implications of this analysis are that under particularism medical ethical training (initial and continuing) would focus more on the development of moral character of the various professionals and less of following guidelines. The complexity of modern medicine implies that such guidelines would still be required, but they would no longer represent pro tanto duties, but rather ceteris paribus advice.

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15

Sussman, Matthew Benjamin. "Stylistic Virtue in Nineteenth-Century Fiction." Thesis, Harvard University, 2013. http://dissertations.umi.com/gsas.harvard:11097.

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To many readers, the Victorian novel is synonymous with moral insight and Victorian criticism with moral philistinism. While the novel remains celebrated for its complex treatment of decision-making and sympathy, the evaluative judgments of Victorian critics have been dismissed as thematically reductive and imprecise. However, this study argues that the virtue terms that pervade Victorian discourse--words like "natural," "manly," "lucid," and "sincere"--invest sentence-level stylistic properties with ethical value because they embody aesthetic character. Rather than focus on the novel's action, characters, or themes, these "stylistic virtues" ascribe moral significance to "literariness" itself.

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16

Calder, S. R. "'More sure than shifting theory' : George Eliot's ethics of fiction making." Thesis, University of Cambridge, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.597221.

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Part I concerns the extent to which Eliot’s novels raise challenging questions about the epistemic function of experimental inquiry and provoke us to reflect on the nature of cognition. In Part II, I demonstrate how Eliot’s writings interrogate the nature of right action and engage in ethical inquiry. In Part III, I contend that Eliot’s writings invite us to distinguish between three distinct modes of teaching: a doctrinal mode, an exemplary mode and an aesthetic mode. I argue that Eliot utilises the third of these modes to impart knowledge and ethical guidance of a kind that more austere forms of writing cannot accomplish, because such knowledge and guidance are inseparable from the delight that readers experience in the act of reading fiction. I grapple with three critiques of Eliot’s authorial conduct. These are Bernard Paris’, that her experiments in life were ‘rigged’; Martha Nussbaum’s, that her writings falsify our human position; and Friedrich Nietzsche’s, that morality was not (yet) a problem for Eliot. By contesting these critiques, I strive to substantiate three positive claims of my own. First, for Eliot the aim to maintain a rich mode of being must precede and inform all endeavours to construct systems of knowledge or to determine moral laws. Secondly, for Eliot it is possible to perform non-scientific experiments in ethics by developing disciplined forms of reading and fiction-making. Thirdly, Eliot had to develop a specifically aesthetic mode of teaching because such ‘truths’ as she sought to convey could not be expressed through more conventional literary forms. I demonstrate how Feuerbach and Spinoza’s conceptions of human nature shaped the structure of Eliot’s fictions, even as her utilisation of the art of fiction-making facilitated the expression of different valuations and an alternate sense of life than we find expressed in these theorists’ writings.

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17

Harpin, A. R. "Theatre, medical identities, and ethics, 1983-2008." Thesis, University of Cambridge, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.603733.

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Arthur W. Frank’s notion of a ‘diagnostic identity’ provided the departure point for my study. The thesis examines contemporary British drama that stages the cultural movement towards post-diagnostic identity. Four groups form the focus of the discussion: the mentally ill, the sexually abused, older people, and those with learning disabilities. I contend that these groups are particularly stigmatised with both health and cultural milieus as untrustworthy speaking subjects. Their voices are invalidated on the basis of their health identities and consequently it is vital to examine theatre work that seeks to re-shape lay and cultural perspectives of those deemed, mad, damaged, old, or stupid. Chapter one charts the movement from madness as dramatic metaphor to the staging of mental ill health. This section explores how these dramatics disturb the material of theatre in order to articulate experience that is inherently resistant to language. Chapter two is concerned with the theatrical representation of child sexual abuse, and explores the translation of sexual violence into theatre aesthetics. By examining issues of pornography, torture, fetish, comedy, and gender politics, this chapter questions the representational possibilities of ‘unspeakable’ stories. The third chapter discusses ageing in contemporary drama. While the social narrative of ageing is one of inevitable decline, this section demonstrates how dramatists place ageing in a state of flux. Further, the relationship between acting, illness roles, and stereotype is explored in order to demonstrate the resistive practices of these dramatists. Chapter four draws together works that represent those with mental or learning impairment, and examines plural strategies of representation from positive imagery to normalisation to social realism to farce and finally to tragedy. This chapter anatomises the debate about equality activism and politically radical work that seeks to alter structures of feeling and models of engagement. The final chapter juxtaposes the recent work of Peter Brook with a Bristol-based mental health service user collective – Stepping Out Theatre Company.

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18

Dinh, Hoa Trung. "Theological medical ethics: A virtue based approach." Thesis, Boston College, 2013. http://hdl.handle.net/2345/bc-ir:104403.

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Thesis advisor: LISA S. CAHILL
The Nuremberg trials ushered in a new era in which the four principles approach has become progressively the norm in Euro-American biomedical ethics, while the concepts of virtue and character become marginalized. In recent decades, the AIDS pandemic has highlighted the social aspects of health and illness, and the individualistic nature of the four principles approach proves inadequate in addressing the social causes of illness and poor health. At the global level, the promotion of the four principles approach as the universal norm can lead to the displacement of local values and customs, and the alienation of people from their cultural heritage. In this dissertation, I argue that although principles are indispensable, the virtue-based approach is more adequate in addressing these needs. The dissertation demonstrates that a virtue-based medical ethics informed by the gospel vision of healing would support models of health care that take seriously the social determinants of illness, and advocate action on behalf of the poor and the marginalized. At the global level, virtue-based medical ethics also allows the coexistence of the universal values and the local norms, and encourages cross-cultural dialogue. This dissertation develops a virtue-based medical ethics grounded in the Aristotelian teleological structure, and integrating insights obtained from the historical critical study of the healing narratives in Luke-Acts. It also provides a correlative study of the love command in Luke and the virtue of humaneness in the medical ethics of eighteenth century Vietnamese physician Hai Thuong Lan Ong. The concluding chapter brings these elements together in a discussion of the work of the Vietnamese Catholic AIDS care network
Thesis (PhD) — Boston College, 2013
Submitted to: Boston College. Graduate School of Arts and Sciences
Discipline: Theology

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19

Morberg, Jämterud Sofia. "Human Dignity : A Study in Medical Ethics." Doctoral thesis, Uppsala universitet, Teologiska institutionen, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-300409.

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Human dignity is an enunciated ethical principle in many societies, and it has elicited a great deal of interest, not least because it is central in health care. However, it has also been the subject of criticism. Some have argued that it is sufficient to rely on a principle of autonomy, and that dignity is a redundant principle or concept in health care. Other discussions have focused on the precise meaning of dignity, and how a principle of dignity should be interpreted and applied. This dissertation discusses questions on the principle of dignity and the meaning of the concept. In addition to a theoretical analysis of these questions, a qualitative research study has been carried out, based on interviews with physicians in palliative and neonatal care, and hospital chaplains, looking at dignity at the beginning and end of life. This dissertation can be categorised as empirical ethics because of its methodological approach. Based on a narrative analysis of the interviews, the results from the study shed light on the theoretical discussion on dignity. Through the history of ideas, dignity has often been linked to human abilities such as autonomy and rationality. However, autonomy is only one of the aspects which emerged from the qualitative research in this dissertation. Other aspects introduced into the discussion on dignity include human vulnerability, interdependence and the responsibility to face vulnerability in others. Some theoretical perspectives on dignity are criticised in the light of the empirical results. Furthermore, the dissertation includes a theological perspective where a Christological view – connected to Bakhtin’s ethics of responsibility – forms a critique to both the Kantian deontological perspective and dignity acquired by virtue. The dissertation also considers how the results can be applied to medical practice.

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20

Faiella, Timothy Dermot. "Home." PDXScholar, 2014. https://pdxscholar.library.pdx.edu/open_access_etds/1833.

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Home follows the Kelly family as they negotiate the darker recesses of Marshfield, a once paradisiacal vacation town on the South Shore of Massachusetts that has developed an underbelly all its own. In their search for a sense of belonging, Lynn, and her children, Ghost and Alexis, are left to interrogate their deepest-rooted fears and secrets. Through this lens, we learn the history of both the Kelly family and the town of Marshfield.

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21

Williams, Terrol Roark. "Taking Mormons Seriously: Ethics of Representing Latter-day Saints in American Fiction." Diss., CLICK HERE for online access, 2007. http://contentdm.lib.byu.edu/ETD/image/etd1936.pdf.

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22

Wolfe, Maria Loukianenko. ""That's just the breaks" the ethics and representation in non-fiction writing /." [Ames, Iowa : Iowa State University], 2008.

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23

Animasaun, Emmanuel Dare. "Professional Medical Ethicist: A Weed or Desired Member in Medical Ethics Debates?" Thesis, Linköping University, Centre for Applied Ethics, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-6635.

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We now live in an era of experts on virtually everything, among which we have professional medical ethicists, who gained prominence in the late 60s due to dramatic advances in medical technology. Before then, medical ethics issues were not thought as separable from the warp and woof of the everyday life. Medical technology’s advancement cascades legions of moral problems in medicine and biomedical research. Series of innovative interventions in medicine raise throngs of ethical questions. In most cases that have to do with issues of life and death, there are perceived moral conflicts. Due to this swath of problematic issues that need solutions, some apologists favour medical ethics experts as fit for the job, while critics argue that no one has the knowledge or skill for dealing with moral quandaries because objective truth is not feasible in ethics and moral judgment is relative to cultures, beliefs and values. The necessity for medical ethicists to take active role in Medical Ethics Debates, either in Committees at the institutional level, or at any other decision-making mechanisms is justified in this thesis. In addition to this, the thesis also justifies medical ethicists’ role as expert consultants to clinicians and individuals alike This justification is based on complex moral problems accentuated by medical technology, which are far from being easily solved through mere appeal to individual reason, but rather by involving medical ethicists based on their specialized knowledge and high level understanding of research and practice. Although critics question the authority with which experts speak on these issues, nevertheless, the thesis unravels the roles, functions, significance and components of expert’s expertise that separate him/her from the crowd. Arguments are critically analysed and medical ethicists’ limits and professional flaws are addressed, with a view to establishing a virile foundation for the profession of medical ethics.

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24

Doerle, Samuel Michael. "Military Medical Ethics: Intersections of Virtue and Duty." NEOMED College of Graduate Studies / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=ne2gs1619696140569755.

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25

Habecker, Harold B. "Teaching clinical medical students and residents biblical foundations for decision-making in medical ethics." Theological Research Exchange Network (TREN), 2005. http://www.tren.com.

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26

Di, Teodoro Martina <1982&gt. "Il ruolo della Narrative in Medical Ethics, Medical Practice e Medical Education. Elementi di ricerca." Doctoral thesis, Alma Mater Studiorum - Università di Bologna, 2012. http://amsdottorato.unibo.it/5037/.

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La mia tesi di dottorato ha ad oggetto lo studio e l’analisi del ruolo della Narrative all’interno di tre ambiti, quali Medical Ethics, Clinical Practice e Medical Education. La tesi è strutturata in 4 capitoli: i primi tre vanno a comporre la parte teorica mentre nel quarto capitolo viene riportata una ricerca sul campo da me svolta negli Stati Uniti. Nel primo capitolo, analizzo il ruolo della narrative all’interno della Medical Ethics specificando che cosa si intenda con etica narrativa, quali sono le motivazione alla base del suo sviluppo e chi sono i suoi principali esponenti. In questo capitolo, inoltre, esamino i problemi che l’etica narrativa solleva suggerendo un nuovo modo in cui essa si integra alla riflessione bioetica. Il secondo capitolo è dedicato al contributo della narrative nella Medical Practice investigando sia le modalità attraverso le quali il paziente può avvalersi della narrazione per analizzare la sua esperienza di malattia sia la cosiddetta Medicina Narrativa. Il terzo capitolo è dedicato all'analisi delle Medical Humanities, ossia di quelle discipline che all’interno della Medical Education si stanno rivelando strumenti efficaci per una formazione più equilibrata e completa dei professionisti della salute. Il quarto capitolo, invece, è dedicato alla descrizione di una ricerca svolta presso l’University of California – Irvine . Durante questa esperienza ho frequentato i corsi del Program in Medical Humanities and Arts diretto dalla Prof.ssa J. Shapiro, (programma in vigore da 13 anni e implementato allo scopo di migliorare alcune competenze nei futuri medici quali: l'empatia, l’altruismo, la compassione e la predisposizione alla cura verso i pazienti, oltre che per affinare le comunicazione clinica e la capacità di osservazione) e intervistato gli studenti che hanno preso parte a queste lezioni.
The main goal of this Ph.D. thesis is to investigate the role of narrative within three fields of research: Medical Ethics, Medical Practice and Medical Education. The thesis is divided into four chapters: the first three are theoretical, while in the four chapter I present an empirical study which I conducted in the United States. In the first chapter, I analyze the role of narrative within the Medical Ethics: I explain what narrative ethics is, what the motivations behind its development are, and who are its main exponents. In this chapter, I also examine the problems that ethical narrative raises, suggesting a new way in which it is integrated into bioethics. The second chapter is devoted to explain how narrative contributes to Medical Practice: I investigate the ways in which the patient can use narrative to analyze both his/her experience of illness and the so-called Narrative Medicine. The third chapter is devoted to the analysis of Medical Humanities: the latter is a discipline which, within the medical education, can be considered an effective tool for a more balanced and comprehensive training of healthcare professionals. The fourth and the last chapter is devoted to describe my research at the University of California – Irvine: I have attended courses at the Program in Medical Humanities and Arts headed by Prof. J. Shapiro, (this Program was implemented to enhance aspects of professionalism, such as empathy, altruism, compassion, and caring towards patients, as well as to hone clinical communication and observational skills) and interviewed the students who took part in these courses.

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Burnett, Todd. "The role of psychologists on healthcare ethics committees." Theological Research Exchange Network (TREN) Access this title online, 2005. http://www.tren.com.

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Kruger, Mariana. "Ethics education in a problem-based medical curriculum." Thesis, Stellenbosch : Stellenbosch University, 2005. http://hdl.handle.net/10019.1/50339.

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Thesis (MPhil)--Stellenbosch University, 2005.
ENGLISH ABSTRACT: The complex ethical dilemmas created by advanced technological medicine and problematic doctor-patient relationships have lead to an increasing interest in medical ethics education since the 1980's. The Medical School of the University of Pretoria has embarked on a new undergraduate medical curriculum in 1997. Ethics is educated in a longitudinal fashion over the six years of the medical curriculum and has focussed largely on the principal-based approach as described by Beauchamp and Childress. The research participants were the first final year class of this new curriculum, while the facilitators were medical educators or philosophers. The major finding was that the students were not yet able to identify ethical dilemmas with ease, although they were successful in the application of the principal-based approach to the vignettes of the study. The students did not cope well with the uncertainty created by ethical dilemmas and sought to solve the situation by creating boundaries provided by medical law. Therecommendations of the study are that the theoretical component of the ethics curriculum should: 1) include more approaches to ethics, than only the principal-based approach; 2) address daily experienced ethical dilemmas during the study years in small group discussions; 3) and implement a portfolio assessment which can serve as a tool for students to track their own development in reflection on ethical dilemmas. In conclusion, the question remains whether we are currently ready to come ""face to face" with the "other" as Levinas argues or are we still divided into "only two classes of mankind in the world - doctors and patients" as remarked by Kipling in the 19th century.
AFRIKAANSE OPSOMMING: Die komplekse etiese dilemmas, veroorsaak deur hoogs gespesialiseerde tegnologiese medisyne en die problematiese dokter-pasiënt verhouding, het gelei tot 'n verhoogde belangstelling in mediese etiekonderrig sedert die 1980's. Die Mediese Skool van die Universiteit van Pretoria het in 1997 'n nuwe voorgraadse mediese kurrikulum geïmplimenteer. Etiek is op 'n longitudinale manier onderrig oor ses jaar in die mediese kurrikulum en het gefokus op die beginsel-benadering soos beskryf deur Beauchamp en Childress. Die navorsingsdeelnemers was die eerste finale-jaar klas van die nuwe kurrikulum, terwyl die fasiliteerders mediese dosente of filosowe was. Die hoofbevinding van die kurrikulum was dat die studente nie die etiese dilemmas met gemak kon identifiseer nie, alhowel hulle suksesvol die beginsel-benadering kon toepas op die gevallestudies. Die studente hanteer nie onsekerheid, veroorsaak deur die etiese dilemmas, met gemak nie en probeer om die saak op te los deur die skep van grense verskaf deur mediese reg. Die aanbevelings van die studie is dat die teoretiese komponent van die etiekkurrikulum die volgende moet bevat: 1) bekendstelling aan meerdere benaderings tot die etiek, bo en behalwe die beginsel-gebaseerde benadering; 2) aanspreek van die daaglikse etiese dilemmas gedurende die studiejare in kleingroepbesprekings; 3) en die implementering van 'n portfolio-evaluasie, wat kan dien as 'n instrument vir die studente om hul eie ontwikkeling aangaande nadenke oor etiese dilemmas na te gaan. Opsommend, die vraag is steeds of ons tans gereed is om "aangesig-tot-aangesig" te verkeer met die "ander" soos Levinas redeneer of is ons steeds verdeel in "slegs twee klasse van menswees in die wêreld - dokters en pasiënte" soos opgemerk deur Kipling in die 19deeeu.

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Gaie, J. B. R. "The ethics of medical involvement in capital punishment." Thesis, University of Essex, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.310086.

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Dickenson, Donna. "Moral luck in medical ethics and practical politics." Thesis, Open University, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.329198.

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Likens, Ann P. "The law and ethics of advance medical directives." Theological Research Exchange Network (TREN), 1998. http://www.tren.com.

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Thor, Danielle Claire. "Ethics in Emergency Medical Services: A Contextual Analysis." Master's thesis, Temple University Libraries, 2019. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/592304.

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Urban Bioethics
M.A.
The modern concept of Emergency Medical Services (EMS) has grown from its humble volunteerism origins to a multidisciplinary enterprise, outstretched into the realms of both healthcare and public service. As the American EMS community continues to assume greater responsibilities and further develop its professional standards, the moral foundations of this field open themselves to more thorough scrutiny. Upon examination, the major deficit in the ethical structuring of EMS becomes glaringly obvious: it exists as a piecemeal collection of its medical and militaristic counterparts unified by theoretical generalizations that avoid its inherently unique structure. If EMS wishes to matriculate into complete professionalism, or even continue its assumption of critical responsibilities surrounding the health and safety of others, then it must also develop and maintain its own individual ethical framework from which it operates. In doing so, an urban bioethical approach rooted in context-driven analysis and pragmatic solutions may provide the best guidance and protections for all those who interact with the EMS system while respecting the values of this distinctively prideful service.
Temple University--Theses

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Sher, Gavin. "The artistic path to virtue." Thesis, Rhodes University, 2007. http://hdl.handle.net/10962/d1004370.

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Most people share a strong intuition that there is much to be learned from great literature and other forms of narrative art. This intuition is, however, philosophically contentious. Plato was the first to argue against the possibility of learning anything from narrative art, but he founded a tradition that persists to the present day. I will engage in this debate in order to examine the role narratives might be able to play in acquiring virtue on Aristotle's ethical account, as it is presented in Nicomachean Ethics. I will claim that narratives have so long seemed a problematic source of learning because philosophers have traditionally approached the issue in the wrong way. They have typically tried to show how we might acquire propositional knowledge through our engagement with art, but this approach has failed because of insoluble problems involved in satisfying the justification criterion. Fictions may be rescued from their problematic status by realising that what we truly get from them is, instead, a type of knowledge-how. I will argue that Aristotelian virtue is itself a kind of knowledge-how and so the type of learning that takes place in engaging with narratives has a role to play in its acquisition and exercise. Virtue depends on types of reasoning that are themselves kinds of knowledge-how and which are employed and improved in engaging with narrative art. These types of reasoning will be described as conceptual, emotional and imaginative understanding. I will show how each is important in relation to virtue and how each is a kind of knowledge-how that may be improved through exposure to narrative art.

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Moxham, Jeffrey. "Interfering values : a study of nineteenth-century fiction and the ethics of criticism." Thesis, Lancaster University, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.302419.

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Masters, Benjamin Scott. "The ethics of excess : style and morality in British fiction since the 1960s." Thesis, University of Cambridge, 2014. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.648740.

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Titus, Phyllis May. "Medical schemes fraud : ethical investigation of medical practitioners as stakeholders." Thesis, Nelson Mandela Metropolitan University, 2013. http://hdl.handle.net/10948/d1020899.

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A mere 16 percent of the population enjoys the benefits of private healthcare; medical schemes however remain an important contributor to the South African economy with an annual contribution flow of close to R85 billion per annum. Similar to the international scenario, South African healthcare inflation surpassed consumer price inflation. In addition, the medical schemes industry remains riddled with fraud, this coupled with escalating private healthcare costs remain subsequent threats to the sustainability of the industry. It is reported that service provider fraud has surpassed fraud committed by scheme members. Most medical schemes appear to have policies in place to manage and combat fraud, however transparency in terms of information sharing remains elusive. Of greater concern have been the investigation and management ethicality and endgame of medical schemes in terms of fraud risk management amongst medical practitioners. The research problem states that there is currently no standard fraud investigation and management protocol available for the ethical investigation and management of medical schemes fraud committed by medical practitioners. The literature review demonstrated that there has been a paradigm shift regarding the expectations that society has of the modern corporation and emphasised the inclusive stakeholder model theory in favour of the traditional shareholder dictum: pursuit of profit maximisation at any cost. The research design was done by providing a survey questionnaire to private medical practitioners. The literature review and survey findings highlighted the need for medical schemes to pay greater heed to their ethicality and stakeholder issue management practices. Focus areas for the development of an industry standard fraud investigation and management protocol was recommended.

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Puttee, Colleen. "Business ethics fact or fiction a look at the application, acceptability and adaptability of ethical values in the business sector /." Access electronically, 2005. http://www.library.uow.edu.au/adt-NWU/public/adt-NWU20060719.113638/index.html.

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Bouhaimed, Manal Mansour. "Medical ethics : a study of moral developments in medical students at Kuwait University." Thesis, University of Glasgow, 1997. http://theses.gla.ac.uk/1976/.

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There are few in depth attempts to address the question: why teach ethics to medical students? This thesis argues that, identifying moral growth and development as the primary goal in teaching medical ethics is essential. Lawrence Kohlberg's moral development theory is the starting point for this research. This is important to understand the work of the researcher at the Medial School in Kuwait. The instrument used in assessing the moral reasoning of medical students at Kuwait University is the Defining Issues Test (DIT), which was devised at the University of Minnesota. The study hypothesis is that the rigid, authoritarian medical education in Kuwait University that lacks any emphasis on medical ethics will inhibit the expected growth in moral development of medical students. With a disappointing response rate of only 27.8%, it was found that normally expected growth did not occur in the first four years of medical education, suggesting that the educational experience somehow inhibited student's moral reasoning ability rather than facilitating it. The results of this study cannot be understood in isolation from the general understanding of the fabric of the researcher society, which was detailed in Chapter Five. The implication of this study is basically that medical education that ignores the moral nature of medicine will fail its own purpose, the needs of its students and the welfare of society.

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Linden, David Edmund Johannes. "Medicine and morality in the ancient world : an analysis of Galen's medical and philosophical writings." Thesis, University of Oxford, 1999. http://ora.ox.ac.uk/objects/uuid:986686c2-8397-43ae-9b61-44ffdf85770a.

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The great power of the medical profession over the lives of men entails a wealth of moral problems in medical practice and lends particular importance to questions of the responsibility of the physician. We investigate the solutions offered by Galen, the most prolific medical author of classical Antiquity, in his medical and philosophical writings. Issues of ethics and moral psychology are discussed in numerous passages of Galen's works, and he even devoted a number of treatises exclusively to ethics. The main results of our analysis of these treatises and passages can be summarized as follows. Starting with his interpretation of a prominent Hippocratic maxim, we discuss possible motivations for Galen's re-definition of the relationship between physician and patient. For Galen, it was the physician, not the patient, who led the fight against the disease. This prominent position of the Galenic physician entailed particular obligations and responsibilities. But Galen also took the view that certain responsibilities resided with the patient, particularly that of selecting the right physician and keeping the prescribed diets. Moreover Galen thought that everybody ought to pursue the systematic liberation of the soul from passions and errors, guided by his ethical methodology. Galen gave disciplined care for one's health and acquisition of medical knowledge the status of moral duties for every educated person. For physicians, he provided a wealth of additional principles and rules of conduct, covering areas as diverse as experimentation with drugs, surgical risks, promulgation of knowledge on poisons, remuneration and other social impacts of medicine, and medical education, all of them inspired by respect for the health of man, the animal who topped the teleological hierarchy of creation, and medicine, the art whose task it was to preserve and restore man's health. Galen held medicine in exceptionally high esteem, even by the standards of physicians. His view of medicine as the divine art kat 'exochen is considered in the context of his high valuation of human life and health. Health assumed a high rank in the hierarchy of goods, for it provided the basis for all the other goods and virtues. For Galen, preservation and restoration of health could be attained only on the basis of a sound scientific methodology. He was reluctant to apply criteria external to medicine proper to its practice, and mostly judged the morality of medical activities by the adherence to the principles of a well-founded therapy and avoidance of undue harm.

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Oh, Kirsten S. "The new ethics and its implications for the character and role of nursing." Theological Research Exchange Network (TREN), 1998. http://www.tren.com.

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Mason, Diane Elizabeth. "The secret vice : masturbation in Victorian fiction and medical culture." Thesis, Bath Spa University, 2003. http://researchspace.bathspa.ac.uk/1450/.

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This dissertation considers the representation of masturbation in medical and fictional texts between the mid-Nineteenth Century and the first decade of the Twentieth. Discussion of masturbation in this period has been dominated by the writings of medical historians such as Paula Bennett and Vernon A. Rosario II, and Jean Stengers and Anne van Neck, who make but passing reference to the wider cultural manifestations of the practice. This dissertation goes beyond the pioneering work of these writers in order to address how the symptomatologies and prognoses associated with the medicalised practice of masturbation are manifested in the fiction of the period. The dissertation addresses both clinical and popular medical writings on the subject, and makes reference to ephemeral as well as canonical fictions. Among the issues which are discussed during the six chapters of the dissertation are the distinctive issues of male and female masturbation, the association of masturbation with male homosexuality and lesbianism, the representation of masturbation in pornography and the symptomalogical congruence between masturbation and other pathological disorders. The latter has implications for the boundary between diagnosis and misdiagnosis, and the dissertation addresses this particular point through a reading of two fictional characters who have, effectively, been misdiagnosed by the assumptions of twentieth-century criticism. The Introduction reviews the critical issues raised by masturbation. Chapter One examines the symptoms and medical literature of male masturbation in the Victorian period, paying particular attention to the manner in which such writings play upon the anxieties of the male subject aspiring to a conventional, conjugal relationship, and to the symptoms associated with the habitual onanist. These symptoms, and their implications, are discussed with reference to Latimer, the debilitated narrator of George Eliot's The Lifted Veil (1859). Chapter Two complements the first chapter by way of an investigation of the largely overlooked discourse on female masturbation. Reference is made to a wide range of clinical and popular medical works, and the symptomatology of the female onanist is clarified with reference to Bram Stoker's Dracula (1897) and an anonymous pornographic novella, 'Lady Pockingham', first published in 1879. Chapter Three expands on one of the issues raised in its immediate predecessor, namely the congruence between the symptoms of masturbation and those of other disorders. Making particular reference to the fictional representation of consumption, the chapter considers the erotic implications of IS. Le Fanu's novella 'Carmilla' (1871), and notes also the connections between masturbation, consumption and female same-sex desire. Chapter Four continues the theme of homosexual desire by considering the manner in which the discourse on masturbation impacts upon the representation of sodomy and male sexual inversion. This chapter makes extensive use of the anonymous homosexual novella Teleny (1893), and notes in particular how the work is influenced by clinical medicine. Chapter Five explores the connection between masturbation and obsessive behaviour, making particular reference to Dickens' Our Mutual Friend (1865). The central character of the novel, Bradley Headstone, is further analysed in order to consider the representation of epilepsy, and the symptomalogical connection between this disorder and masturbation. The final chapter compares the pathology and symptoms of opium addiction and masturbation. Chapter Six examines the portrayal of Dorian Gray, alleged to be a masturbator by some modern critics, but whose condition may more accurately be seen to conform to that of the opium abuse he is also associated with in Wilde's 1890 novella. The chapter's revisionist response to this assumption is echoed by a subsequent analysis of John Jasper in Dickens' The Mystery of Edwin Drood (1870). Nominally an opium smoker, Jasper is a character who also displays the stigmata of the onanist. The Conclusion recalls the issues examined in the Dissertation, before considering the persistence of the discourse on masturbation in the later Twentieth Century, with particular reference to Philip Roth's Portnoy's Complaint (1969) and Willy Russell's The Wrong Boy (1999).

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Qualtere-Burcher, Paul. "The just distance : a new biomedical principle /." Connect to title online (Scholars' Bank), 2008. http://hdl.handle.net/1794/8687.

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43

Mendizabal, Adys. "RACIAL CONCORDANCE, AUTONOMY, AND JUSTICE: EVIDENCE FOR THE ETHICAL NEED OF DIVERSITY IN MEDICINE." Master's thesis, Temple University Libraries, 2016. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/376895.

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Urban Bioethics
M.A.
Racial and ethnic minorities in the United States experience health disparities and poor health outcomes at a disproportionate rate in comparison to other groups. One of the many social determinants of health that contributes to these poor health outcomes is mistrust in the medical community. Mistrust is a consequence of a too-long history of unethical experimentation in African American and Latino communities, and has resulted in decreased use of preventive services and screening tools, lack of adherence to medical treatments, and minimal participation in clinical trials. These patterns of minimal utilization of healthcare services have resulted in poor outcomes for numerous health conditions, poor understanding of different diseases and their impact on minority groups, as well as a lack of evidence-based treatments which will benefit these populations. The purpose of this thesis is first to address the historical origins and contemporary consequences of mistrust in medicine within the African American and Latino communities. Second, I address the ameliorating impact that patient-physician racial and language concordance has on both trust and clinical outcomes. Throughout, I reference the ethical principles which warrant the need for greater patient-physician race and language concordance, and I present pipeline programs as a tool to increase the diversity in the medical field, all with the ultimate goal of improving health outcomes in the African American and Latino community.
Temple University--Theses

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Vassor, Valerie Elizabeth. "MORE THAN A SOCIAL DETERMINANT OF HEALTH: INCARCERATION AS A NEGATIVE HEALTH OUTCOME." Master's thesis, Temple University Libraries, 2016. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/389420.

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Urban Bioethics
M.A.
The Healthy People 2020 initiative recognizes how the physical, emotional and mental toll of incarceration causes poorer health outcomes because of the health risks and exposures individuals face in the prison environment. However, incarceration in the urban setting is more than the social determinant of health. The social, political, and economic consequences of mass incarceration have disproportionately affected urban communities. By reviewing the research on the health and socio-economic status of incarcerated population prior, during and after imprisonment, I make the argument that prisoners have a predisposition to be incarcerated due the negative social determinants of health present in their natal neighborhoods. I illustrate how the evolution of mass incarceration is in part due to the United States (US) government imprisonment of many non-violent offenders by criminalizing drug abuse in part due to racial discrimination towards men of color, primarily African-American men. I examine how drug abuse as a mental illness has been disregarded by the US Criminal Justice System, and how racism has contributed to this factor. Furthermore, as the drugs policies have disproportionately affected these communities, additional consideration should be given to how the criminalization and demonization of drug abuse and addiction has impinged on the bioethical rights of the members of urban communities. I explain how mass incarceration in the urban setting violates each bioethical principle and how the racial disparities in mass incarceration is a reflection and is an extension of the problems of racism inherent to the US. Ultimately, I conclude that any new legislation passed to end mass incarceration should include policies that help to rehabilitate and to rebuild lives of those affected most by mass incarceration.
Temple University--Theses

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Frye, John William III. "Legalized Assisted Dying in America:Improving on the Oregon Mode with Lessons from Other Countries." Case Western Reserve University School of Graduate Studies / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=case1504297754801944.

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Gracyk, Tatiana Athena. "A Structured Principlist Framework for Decision Making in Healthcare." Bowling Green State University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1587048784866015.

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Krauss, Edward L. "A study of bioethics for Christian students at a secular university." Theological Research Exchange Network (TREN), 1995. http://www.tren.com.

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48

Taylor, Maggie S. "Too Close to the Knives| Children's Rights, Parental Authority, and Best Interests in the Context of Elective Pediatric Surgeries." Thesis, The George Washington University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1588855.

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This thesis paper defends a novel conception of the child's best interest in regard to elective pediatric surgeries (EPS). First, children's capacity for decision-making is examined, and the best decision-making model for EPS is identified as the Best Interest Standard. What follows is a discussion of the interests of children in EPS, the correlation of fundamental interests to rights, and guidelines for weighing children's competing interests. Next, the role of families is considered, especially the rights and duties of parents. Finally, a reinterpretation of the Best Interest Standard is proposed, identifying as paramount a child's ability to make elective medical decisions for herself when she reaches maturity.

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Mahawatte, Royce Bandara. "'Half-womanish, half-ghostly' : the Gothic and sensation narrative in the novels of George Eliot." Thesis, University of Oxford, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.365509.

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50

Halpin, Ross William. "A history of concern the ethical dilemma of using Nazi medical research data in contemporary medical and scientific research /." University of Sydney, 2008. http://hdl.handle.net/2123/4010.

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