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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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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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Diamantides, Marinos. "Ethical proximity as a condition of law." Thesis, Birkbeck (University of London), 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.322054.
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Kekana, R. M. "Teaching ethics, human rights and medical law to undergraduate diagnostic radiography students." Journal for New Generation Sciences, Vol 7, Issue 3: Central University of Technology, Free State, Bloemfontein, 2009. http://hdl.handle.net/11462/544.
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Published ArticleMembers of society are fast becoming aware of their rights and many practitioners are at risk of losing their licence to practise due to unethical practices. The growing human rights violations commonly seen in vulnerable groups also pose challenges to healthcare workers, such as diagnostic radiographers, who often find themselves in situations where they have to disobey the laws to uphold ethical standards. This paper is a presentation of how ethics, human rights and medical law has been integrated into the undergraduate diagnostic radiography curriculum, and can be applied to other healthcare professions. To alleviate resistance to human rights teachings, I recommend the use of real life examples that are less sensitive 'politically' but true in order to gain the attention and cooperation of the diverse culture of the students.
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Tamin, Jacques. "The doctor-patient relationship, confidentiality and consent in occupational medicine : ethics and ethical guidance." Thesis, University of Manchester, 2016. https://www.research.manchester.ac.uk/portal/en/theses/the-doctorpatient-relationship-confidentiality-and-consent-in-occupational-medicine-ethics-and-ethical-guidance(586107a4-ffe5-40be-ad19-acb9d329d732).html.
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This thesis seeks to examine the ethical basis for occupational medicine, as it is practised in the United Kingdom (UK). There is empirical evidence of occupational physicians being confused with regard to confidentiality and consent, and variations in their practice. It is argued that the ethical guidance from the General Medical Council and the Faculty of Occupational Medicine on these matters, contributes significantly to such confusion. The doctor-patient relationship, consent for disclosure of a medical report, and medical confidentiality, all in the context of occupational medicine practice, are explored. These issues are addressed in the core part of this thesis in the form of the three published papers. In the first paper, the doctor-patient relationship in occupational medical practice is reviewed, and it becomes apparent that in the UK, the occupational physician carries out different roles and functions, ranging from duties that mirror those of a therapeutic encounter, to those that require the occupational physician to be completely independent for the purposes of a particular type of assessment (for ill-health retirement). The former is compatible with the assumption of a fiduciary relationship between doctor and patient, whereas in the latter situation, it would be incongruous to expect the doctor to be independent and owe the patient a “duty of undivided loyalty” simultaneously. In the second paper, consent for disclosure of information, in particular a medical report, is distinguished from the “informed consent” for treatment or interventional research, and the phrase “permission to disclose” is proposed for the disclosure situations. Although this distinction may not have much significance in therapeutic practice, the output of virtually all occupational physician activities results in the writing of a report, so this difference between the two “consents” has greater relevance. The third paper reviews the ethical, and in particular, legal basis for medical confidentiality with reference to an independently commissioned report. In such a situation, UK courts have been consistent in stating that disclosure of such a report to the commissioning party does not breach confidentiality, and no further consent for such disclosure is required. This conflicts with ethical guidance to occupational physicians on this matter. Such conflict between the law and ethical guidance are a further, and important, source of ethical confusion for occupational physicians. Indeed, a common theme through the three papers is that ethical guidance to occupational physicians is in parts either incongruent, incoherent, or conceptually flawed. This may not be surprising, as current ethical guidance is predicated on a doctor-patient relationship that exists in the usual setting for most doctor-patient encounters, that is, the therapeutic setting. It seems unreasonable to expect that simply transposing such an ethical paradigm into a different setting, with dissimilar roles and obligations, could work in a seamless manner. The occupational physicians’ ethical confusion thus reflects the confusion in their ethical guidance.
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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. CAHILLThe 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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Ost, Suzanne. "An analysis of the euthanasia phenomenon : questions of law, morality and medical ethics within contemporary society." Thesis, Lancaster University, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.274276.
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Künig, Damian. "Les institutions de l'éthique discursive face au droit dans la régulation des nouvelles technologies médicales /." Thesis, McGill University, 1999. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=30309.
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Discourse ethics relates to an argumentative discussion about our moral norms and their foundations. The purpose of my research is to describe and evaluate the functioning of several institutions of discourse ethics as sources of normativity for the regulation of new medical technologies and to propose some possible interactions between law and these institutions.The institutions of discourse ethics I will look at are: national commissions of experts, national ethics committees, technology assessment committees and consensus conferences. Used in these institutions, argumentative discussion has the capacity to influence the meaning we give to our moral norms as well as the context and the conditions for their application. These discussions generate a special kind of normativity, which ought to be recognised by our legal system. Law itself would benefit from an interaction with such normativity.
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Phahladira, Martha Thapelo. "A critical Evaluation of the Locality Rule regarding the rural health care service in Public Sector." Diss., University of Pretoria, 2020. http://hdl.handle.net/2263/75388.
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The South African health sector encounters significant challenges of inequality in terms of access to health care services. A ‘quadruplet burden of disease’ does not make access to health any easier. Patient’s access to health care can be hindered by the patient’s residential area. Rural patients are faced with hospitals that do not have specialist care while urban areas are swamped with patient who need specialist care. Medical general practitioners’ scope of practice is limited and that creates challenges when patients need specialised care in a resource constrained environment. The time it takes for the patient in public health sector to access health services may be affected by their locality. The same challenges may be experienced by patient in private sector with medical Aids who are residing in the rural areas. The state’s impression is that demand is more than supply. On the other hand the court pursues justice for people who do not receive timeous access to healthcare. The study will be researching on locality issues that can jeopardise the standard of care. Although The Health Professions Council of South Africa is silent about the Locality Rule but it has unanimously adopted prerequisites and contraindications for using the Locality Rule as a defence. The Council has a duty in terms of Health Professional Act 56 of 1974 to uphold patient safety. The work seeks to understand the origin of the locality rule, its application in terms of the Constitution of the Republic Of South Africa, case law and relevant legislature. The work will also take into consideration the historical background of the South African health system and its responsibility in advancing socioeconomic rights for the citizens of South Africa. The prerequisite for using resource constrains and special circumstances will be discussed.Dissertation (MPhil)--University Of Pretoria, 2020.
Public Law
MPhil
Unrestricted
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Scott, Rosamund Deirdre. "Anglo-American perspectives on the maternal-fetal conflict in the medical treatment context." Thesis, King's College London (University of London), 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.313887.
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Hobson, Clark Ashley. "Interpretivism and the four principles approach to biomedical ethics : judicial decision making in cases with an inherently ethical content." Thesis, University of Birmingham, 2015. http://etheses.bham.ac.uk//id/eprint/5652/.
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Judges are often reluctant to interact with medical ethics when deciding cases with an inherently ethical content. They sometimes even transfer decision-making responsibilities to medical ethics groups. At times this unwillingness is based on the presumption that medical ethics will be able to perform an effective regulatory function. The problem is there is a wide range of ethical discourse, both official and unofficial; so much it can cancel itself out. Therefore, as a regulatory tool for the medical profession, medical ethics is insufficient for the job. Judges, on the other hand, could arbitrate between competing ethical conclusions. Indeed, there is a strong argument they \(should\). This thesis addresses this timely and complex issue. Judges need to be willing and able to rely on the soundness of their own moral convictions to recognise and deal appropriately with the inherent ethical content in certain cases. In order to do this, they need a decision-making framework that recognises the ethical nature of judicial decision-making, so as to provide judges with confidence in applying moral principles and medical ethics. This thesis will provide such an integrated framework.
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Kious, Brent Michael. "The evidentiary account of consent's moral significance." Diss., Restricted to subscribing institutions, 2009. http://proquest.umi.com/pqdweb?did=1930280011&sid=1&Fmt=2&clientId=1564&RQT=309&VName=PQD.
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Keyserlingk, Edward W. "Treating seriously disabled newborn children : the role of bioethics in formulating decision-making policies in interaction with law and medicine." Thesis, McGill University, 1985. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=72022.
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The goal of this work is to explore the role of theological bioethics in influencing the formulation of existing or proposed policies dealing with treatment decisions for seriously disabled newborns in our pluralist society. Part I of the paper attempts to determine as precisely as possible what bioethics is, particularly Judeo-Christian bioethics. After comparing the latter to the Hippocratic tradition and to secular bioethics, the distinctive characteristics and potential contribution of theological bioethics are identified. The policies then examined in Part II are: medical policies formulated by physicians, bioethical policies proposed by bioethicists and legal policies enunciated by court decisions and legal writers. In each case they are evaluated in the light of a number of specific ethical tests proposed as central to Judeo-Christian bioethics. The paper concludes that Judeo-Christian bioethics has not been particularly influential in our pluralist society. A final section proposes a model treatment policy.
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Anthony, John. "The justfiable limitations of patient autonomy in contemporary South African medical practice." Thesis, Stellenbosch : University of Stellenbosch, 2009. http://hdl.handle.net/10019.1/2859.
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Thesis (MPhil (Philosophy))--University of Stellenbosch, 2009.ABSTRACT: The European Enlightenment secured man’s freedom from doctrinal thought. Scientific progress and technological innovation flourished in the 18th Century, radically changing the lives of all. Man’s mastery and transformation of his environment was matched by revolutionary political reform, resulting in the dissolution of empire and the transfer of power into the hands of the people. Social transformation saw the city-states of pre-modern man supplanted by a globalized community whose existence grew from time and space distantiation facilitated by the new technologies and the development of symbolic forms. These sweeping social, political and ideological changes of the 18th Century fostered the belief that man’s transformative authority was indeed his to command. Man believed he had a right to self-governance and to autonomous decision-making. Kant described moral autonomy as the freedom men have to show rational accountability for their actions and he saw in men a dignity beyond all price because of this moral autonomy. Personal autonomy is seen as the expression of the free will of individuals and is justifiably constrained by the need to respect the interests and agency of others. The principle of autonomy, in the context of medical practice, was not clearly articulated until the early 20th century. Prior to this, the ethical practice of medicine relied upon the beneficent intentions of the practitioners. The limits to patient autonomy have been delineated largely by issues of social justice based upon the need to share scarce resources fairly among members of society. However, autonomy remains a dominant principle and is most clearly exemplified by the process of informed consent obtained prior to any medical intervention. This thesis provides a conceptual analysis of autonomy in the context of informed consent. Following this, several different clinical scenarios are examined for evidence of justifiable limitations to patient autonomy. Each scenario is examined in the light of different moral theories including deontology, utilitarianism, communitarianism and principlist ethical reasoning. Kantian ethical reasoning is found to be resilient in rejecting any limitation to the autonomy principle whereas each of the other theories allow greater scope for morally-justified curtailment of individual autonomy. The thesis concludes with reflection on post-modern society in which the radicalization of what began with the European Enlightenment sees the transformation of pre-modern society into a global community in which epistemological certainty is no longer available. In this environment, the emerging emphasis on global responsibility requires ethical accountability, not only when individuals secure transactions between one another but also between individuals and unknown communities of men and women of current and future generations. The thesis concludes that patient autonomy is justifiably limited in South African medical practice because of issues related to social justice but that the impact of the new genetic technologies and post-modernity itself may in future set new limits to individual patient autonomy.
OPSOMMING: Die Europese Verligting het die mensdom bevry van verstarde, dogmatiese denke. Wetenskaplike en tegnologiese ontwikkelinge het tydens the 18de Eeu die lewens van almal radikaal verander. Die mens se bemeestering en transformasie van sy omgewing het gepaard gegaan met revolusionêre politieke hervormings wat gelei het tot die ontbinding van tradisionele politieke ryke en die oordrag van mag aan die mens. Sosiale transformasie het veroorsaak dat die politieke ordeninge van voor-moderne mense deur ‘n globale gemeenskap vervang is wat ontstaan het as gevolg van onder meer die ontkoppeling van tyd en plek (Giddens), en wat deur nuwe tegnologiese ontwikkelings en die ontstaan van simboliese vorms moontlik gemaak is. Hierdie uitgebreide ontwikkelinge het die idee laat ontstaan dat niks vir die 18de Eeuse mens onmoontlik is nie. Die mens het geglo dat hy ‘n reg het op self-bestuur en outonome besluite. Kant het die morele outonomie van die mens beskou as sy vryheid om verantwoordlikheid te neem vir sy eie rasioneel-begronde handelinge en verder het hy ‘n besondere waardigheid in die mens geïdentifiseer vanweë sy morele outonomie. Omdat ‘n mens hierdie eienskap besit, beskik hy oor ‘n hoër waardigheid as alle alle ander lewensvorme. Persoonlike outonomie is die uitoefenimg van die vrye wil van die individu en word om geregverdigde redes beperk deur die regte van ander mense. Die beginsel van outonomie met verwysing na mediese etiek het nie voor die begin van die 20ste eeu prominent geword nie. Voor hierdie tyd het mediese etiek staatgemaak op die goeie voorneme van die praktisyn. Die grense van individuele outonomie word nou bepaal deur die noodsaak van sosiale geregtigheid. Al is dit die geval, bly die beginsel van outonomie die belangrikste beginsel in die etiese debat en word meestal gesien as ‘n deel van die proses van ingeligte toestemming. Hierdie tesis verskaf ‘n omvattende ontleding van outonomie met betrekking tot ingeligte toestemming. Daarna word verskillende kliniese gevalle beskryf en ontleed, en verskeie etiese teorieë gebruik om die wyse waarop pasiënt outonomie reverdigbaar ingekort behoort te word, te bespreek. Die teorie van Kant is in staat om enige inkorting van outonomie in alle gevalle the weerstaan. Elkeen van die ander teorieë verskaf redes waarom die outonomie van individuele pasiënte legitiem ingekort mag word. Hierdie werk sluit af met besinning oor die post-moderne gemeenskap wat ‘n globale samelewing moet aanvaar sowel as die ontoereikenheid van enige kenteoretiese sekerheid. Die ontwikkelende verantwoordelikheid vir die totale mensdom in hierdie wêreld veroorsaak dat individue nie meer slegs moet besluit oor die morele verhouding met sy medemens nie, maar ook oor sy verhouding met mense van gemeenskappe wat geskei is in tyd en ruimte, insluitend sy verhouding met die mense van toekomstige generasies. Hierdie werk sluit af met die gevolgtrekking dat pasiënt outonomie regverdigbaar beperk word in die Suid Afrikaanse mediese praktyk deur die noodsaaklikheid van sosiale geregtigheid. Die verwagte impak van nuwe genetiese tegnologieë en die ontwikkeling van ‘n post-moderne gemeenskap mag nuwe beperkings bring vir pasiënt outonomie.
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Gauthier, Isabelle. "Analyse de la norme sociale comme contrainte au consentement : l'exemple de la recherche biomédicale en situation d'urgence." Thesis, McGill University, 2000. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=31052.
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This thesis seeks to demonstrate, by way of a multidisciplinary study, that consent is, despite its legal definition which refers to the free and enlighted expression of individual will, in fact, at times limited if not eliminated, by social considerations, arising from the medical, economic and legal context. These considerations reflect what one might call the social norm. An appropriate understanding of consent serves, therefore, to express the social norm as a constraint, which, in turn, acts as a measure of what it means to belong in society. Thus, while consent is often presented as the fundamental principle to be respected in biomedical research, it is in reality, merely one principle to respect among others. These limitations connected to consent are exacerbated in emergency situations where consent is sometimes reduced to mere signature, and in some cases it has been recognized that research can be undertaken without the subject's prior consent.
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Hapeshi, Julie E. "Recruiting ethical expertise : the roles of lay and expert members in NHS Research Ethics Committees." Thesis, Cardiff University, 2014. http://orca.cf.ac.uk/70410/.
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Drawing on the classification of expertise developed by Collins and Evans, this study explores the expertises held by members of NHS Research Ethics Committees (RECs) and how they differ from the ones described by the regulations. The study used Q methodology followed by ten semi-structured interviews with Lay and Expert REC members. The results show that committee members see themselves as part of a team, with individual members making different contributions to a collective task. Viewing REC members in this way allows their different expertises to be formally recognised and leads to the creation of two new membership categories, specialist and generalist, based on these expertises. Specialists have expertises such as statistics and pharmacy that are required by the current legislation and which would be present on recruitment. Generalists possess the other expertises needed by the committee but which not required by statute. These include the clinical expertises possessed by healthcare professionals and the other professional expertises – legal, academic, IT and so on – that are typically found amongst those currently classed as Lay members. All REC members, be they specialist or generalist, would also be trained in the ethical and regulatory expertises required to deliver an ethical review. Emphasising how all REC members, whether specialist or generalise, have expertises that contribute to the ethical review enables recruitment activities to focus on the skills needed by the committee rather than current concerns with population demographics. This provides a solution to many of the recruitment issues identified by participants. In particular, it enables the replacement of skills on a ‘like for like’ basis using clearly defined person specifications. Not only would such a process comply with the Nolan principles it be more likely to maintain the integrity and function of the committee regardless of personnel changes.
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Rossouw, Theresa Marie. "Identity, personhood and power : a critical analysis of the principle of respect for autonomy and the idea of informed consent, and their implementation in an androgynous and multicultural society." Thesis, Stellenbosch : Stellenbosch University, 2012. http://hdl.handle.net/10019.1/19906.
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Thesis (PhD)--Stellenbosch University, 2012.ENGLISH ABSTRACT: Autonomy and informed consent are two interrelated concepts given much prominence in contemporary biomedical discourse. The word autonomy, from the Greek autos (self) and nomos (rule), originally referred to the self-governance of independent Hellenic states, but was extended to individuals during the time of the Enlightenment, most notably through the work of Immanuel Kant and John Stuart Mill. In healthcare, the autonomy model is grounded in the idea of the dignity of persons and the claim people have on each other to privacy, self-direction, the establishment of their own values and life plans based on information and reasoning, and the freedom to act on the results of their contemplation. Autonomy thus finds expression in the ethical and legal requirement of informed consent. Feminists and multiculturalists have however argued that since autonomy rests on the Enlightenment ideals of rationality, objectivity and independence, unconstrained by emotional and spiritual qualities, it serves to isolate the individual and thus fails to rectify the dehumanisation and depersonalisation of modern scientific medical practice. It only serves to exacerbate the problematic power-differential between doctor and patient. Medicine is a unique profession since it operates in a space where religion, morality, metaphysics, science and culture come together. It is a privileged space because health care providers assume responsibility for the care of their patients outside the usual moral space defined by equality and autonomy. Patients necessarily relinquish some of their autonomy and power to experts and autonomy thus cannot account for the moral calling that epitomizes and defines medicine. Recognition of the dependence of patients need not be viewed negatively as a lack of autonomy or incompetence, but could rather reinforce the understanding of our shared human vulnerability and that we are all ultimately patients. There is however no need to abandon the concept of autonomy altogether. A world without autonomy is unconceivable. When we recognise how the concept functions in the modern world as a social construct, we can harness its positive properties to create a new form of identity. We can utilise the possibility of self-stylization embedded in autonomy to fashion ourselves into responsible moral agents that are responsive not only to ourselves, but also to others, whether in our own species or in that of another. Responsible agency depends on mature deliberators that are mindful of the necessary diversity of the moral life and the complex nature of the moral subject. I thus argue that the development of modern individualism should not be rejected altogether, since we cannot return to some pre-modern sense of community, or transcend it altogether in some postmodern deconstruction of the self. We also do not need to search for a different word to supplant the concept of autonomy in moral life. What we rather need is a different attitude of being in the world; an attitude that strives for holism, not only of the self, but also of the moral community. We can only be whole if we acknowledge and embrace our interdependence as social and moral beings, as Homo moralis.
AFRIKAANSE OPSOMMING: Outonomie en ingeligte toestemming is twee nou verwante konsepte wat beide prominensie in moderne bioetiese diskoers verwerf het. Die woord outonomie, van die Grieks autos (self) en nomos (reël), het oorspronklik verwys na die selfbestuur van onafhanklike Griekse state, maar is in die tyd van die Verligting uitgebrei om ook na individue te verwys, grotendeels deur die werk van Immanuel Kant en John Stuart Mill. In medisyne is die outonomie model gegrond op die idee van die waardigheid van die persoon en die beroep wat mense op mekaar het tot privaatheid, selfbepaling, die daarstelling van hulle eie waardesisteem en lewensplan, gebasseer op inligting en redenasie, en die vryheid om op die uitkoms van sulke redenasie te reageer. Outonomie word dus vergestalt in die etiese en wetlike bepaling van ingeligte toestemming. Feministe en multikulturele denkers beweer egter dat, siende outonomie gebasseer is op die Verligting ideale van rasionaliteit, objektiwiteit en onafhanklikheid, sonder die nodige begrensing deur emosionele en spirituele kwaliteite, dit die individu noodsaaklik isoleer en dus nie die dehumanisering en depersonalisering van moderne wetenskaplike mediese praktyk teenwerk nie. As sulks, vererger dit dus die problematiese magsverskil tussen die dokter en pasiënt. Die beroep van medisyne is ‘n unieke professie aangesien dit werksaam is in die sfeer waar geloof, moraliteit, metafisika, wetenskap en kultuur bymekaar kom. Dit is ‘n bevoorregde spasie aangesien gesondheidswerkers verantwoordelikheid vir die sorg van hulle pasiënte aanvaar buite die gewone morele spasie wat deur gelykheid en outonomie gedefinieer word. Pasiënte moet noodgedwonge van hulle outonomie en mag aan deskundiges afstaan en outonomie kan dus nie genoegsaam die morele roeping wat medisyne saamvat en definieer, vasvang nie. Bewustheid van die afhanklikheid van pasiënte hoef egter nie in ‘n negatiewe lig, as gebrek aan outonomie of onbevoegtheid, beskou te word nie, maar moet eerder die begrip van ons gedeelde menslike kwesbaarheid en die wete dat ons almal uiteindelik pasiënte is, versterk. Dit is verder nie nodig om die konsep van outonomie heeltemal te verwerp nie. ‘n Wêreld sonder outonomie is ondenkbaar. Wanneer ons bewus word van hoe die konsep in die moderne wêreld as ‘n sosiale konstruk funksioneer, kan ons die positiewe aspekte daarvan inspan om ‘n nuwe identiteit te bewerkstellig. Ons kan die moontlikheid van self-stilering, ingesluit in outonomie, gebruik om onsself in verantwoordelike morele agente te omskep sodat ons nie slegs teenoor onsself verantwoordelik is nie, maar ook teenoor ander, hetsy in ons eie spesie of in ‘n ander. Verantwoordelike agentskap is afhanklik van volwasse denkers wat gedagtig is aan die noodsaaklike diversiteit van die morele lewe en die komplekse aard van die morele subjek. Ek voer dus aan dat die ontwikkeling van moderne individualisme nie volstrek verwerp moet word nie, siende dat ons nie na ‘n tipe premoderne vorm van gemeenskap kan terugkeer, of dit oortref deur ‘n postmoderne dekonstruksie van die self nie. Ons het verder ook nie ‘n nuwe woord nodig om die konsep van outonomie in die morele lewe mee te vervang nie. Ons het eerder ‘n ander instelling van ons menswees in die wêreld nodig; ‘n instelling wat streef na volkomendheid, nie net van onsself nie, maar ook van die morele gemeenskap. Ons kan slegs volkome wees wanneer ons ons interafhanklikheid as sosiale en morele entiteite, as Homo moralis, erken en aangryp.
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Anderson, Lynley Carol, and n/a. "Stress fractures : ethics and the provision of sports medicine at the elite level in New Zealand." University of Otago. Dunedin School of Medicine, 2005. http://adt.otago.ac.nz./public/adt-NZDU20060911.150036.
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The provision of medical care to top-level athletes in New Zealand comes with a number of challenging ethical issues. Some of these arise out of the commercial interest present in sport that links sporting success with funding, sponsorship deals and media interest. The requirement that athletes stay at peak physical function in order to be successful can, at times, be at odds with concepts of well-being and good health. The employment structure under which doctors are engaged by teams and the employment contracts which define these relationships can be the source of divided loyalty for doctors. For example, sharing health information beyond the doctor-athlete relationship may be in line with contractual obligations, but at odds with what the athlete requests. Divided loyalties also exist when athletes wish to participate in sport despite high risk of harm. Here there is a difference between what the doctor understands as the athlete�s best interest, and the athlete�s consideration of best interest.
This thesis adopts two strategies for examining the area of sports medicine in elite athletes in New Zealand. The first section utilizes qualitative research. Sixteen sports doctors were interviewed and the data analysed. The next section involves normative reflection. Here two issues (where a range of behaviours were exhibited by participants) selected from the data are considered and discussion is presented on how doctors should respond to these issues. An examination of the level of guidance offered to sports doctors from the Australasian College of Sports Physician�s Code of Ethics follows. The level of guidance offered is considered inadequate and the thesis ends with a call to attend to these concerns.
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Oscarsson, Victoria. "The Relationship between Paternalism and Autonomy in Medicine from an Ethical and Legal Viewpoint." Thesis, Örebro universitet, Institutionen för medicinska vetenskaper, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-87104.
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Introduction: The terms autonomy and paternalism can be conceptualized and analyzed from different perspectives. The most relevant for physicians in this study are the ethical and legal viewpoints. In order to conceptualize anything a definition to depart from is needed, in this case from Oxford’s dictionaries. The importance to reflect on ethical and legal matters as a physician is due to the power over the patient one has, and it must be respected and grounded in a motivated ethical principle, since all our actions arise from ethics, consciously and subconsciously. Aim: The aim is to analyze and discuss the relationship between paternalism and autonomy from a medical ethical perspective, in relevant Swedish laws and with regards to the ethical principles. Methods: This is a qualitative study on hermeneutic ground that used two different databases and libraries and sorted material according to relevance. Inevitably this leads to a bias due to the author’s previous knowledge and selected sources. Results, Discussion and Conclusion: Physicians tend to prioritize ethical arguments depending on the situation. Autonomy is one of the four ethical principles, and this is not always the most prioritized, but beneficence may be seen as a stronger argument for action. Also, there are more regulations to secure the patient’s autonomy than the physician’s paternalism, leading to only indirect regulations towards paternalism. The conceptualization of paternalism and autonomy can be seen in many different ways, and are not always opposites as it can initially seem, but in some scenarios aline.
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Maillard, Sylvie. "L'éthique appréhendée par le droit médical." Thesis, Rennes 1, 2016. http://www.theses.fr/2016REN1G018.
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L’objet de cette étude a consisté à analyser comment le droit a pu appréhender la notion très complexe de l’éthique, particulièrement dans la norme médicale. De prime abord, le droit appréhende l’éthique comme une réflexion collective organisée, encadrée, institutionnalisée, un questionnement sur la finalité des sciences médicales et la recherche d’un choix de société. L’éthique constitue un appui pour la construction de la norme juridique et crée des liens entre la société, la médecine et le législateur. Elle serait une éthique « sociale ». La loi organise cette activité extra-juridique qui remplit une fonction ressource, dont le droit ne peut tirer que des bénéfices. L’appréhension est plutôt procédurale, la loi se préoccupant essentiellement d’en décrire les composantes et la mise en œuvre. L’éthique est distanciée, en marge de la loi.En second lieu, il sera aussi exposé que l’éthique n’est pas seulement une notion envisagée de l’extérieur. Le droit a appréhendé l’éthique en l’inscrivant au cœur de la norme juridique, confronté à la nécessité d’encadrer et de réguler l’exercice de la médecine, de la biomédecine et de la recherche sur la personne humaine. Ici, l’appréhension est plutôt prescriptive, traitant des principes devant guider les pratiques, proche de la moralité. Cet autre versant témoigne du rôle subsidiaire pris par le droit pour réguler les pratiques. Elle est une éthique de la recherche ou une éthique médicale ramenant à une obligation de conscience. Le maniement de cette notion au cœur du droit paraît plus difficile à appréhender, les frontières entre les deux disciplines pouvant parfois manquer de lisibilitéThis study aims at understanding how the French law system has gradually incorporated the very complex notion of ethics, with a focus on French medical standards and regulations. At first sight, the law views ethics as an organized, supervised, and institutionalized collective reflection, a questioning on the purpose of medical sciences leading to a search for guiding rules prevailing the orientation of our society. Ethics becomes a support for the construction of the legal rule and creates links between the French society, medicine and the legislator. This approach generates what can be called “social” ethics. The judiciary organizes this extra-legal activity, which serves to provide new and fresh ideas, from which the law pulls profits. The rendition of ethics by the law is descriptive, the legislation concerning itself mostly with describing the components of the official institutions concerned with ethics and their implementation. Ethics is distanced, outside the law. Looking further in the texts and court decisions, ethics cannot be restricted to a notion simply external to the law. The law views ethics as the standards to be taken into account at the heart of the legal rule, which must build, order and regulate medical practices, biomedicine and medical research on human beings. Here, the system apprehends ethics in a prescriptive and censorial manner, stating principles that must guide the practice closer to morality. This other aspect demonstrates the supplementary role taken by the law system to regulate medical practices. This entails an ethics of medical research or a “medical” ethics deeply inspired by human consciousness. At this stage in the evolution of the French law system, this understanding of ethics, at the heart of the law, is more subject to variations, if not contradictions
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Le, Roux-Kemp Andra. "A legal perspective on the power imbalances in the doctor-patient relationship." Thesis, Stellenbosch : University of Stellenbosch, 2010. http://hdl.handle.net/10019.1/1330.
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Thesis (LLD (Public Law))--University of Stellenbosch, 2010.ENGLISH ABSTRACT: The unique and intimate relationship that exists between a medical practitioner and his/her client is possibly one of the most important relationships that can come into being between any two people. This relationship is characterised and influenced by the qualities and attributes specific to the nature and historical development of medical care, as well as medical science in general. The doctor-patient relationship is also influenced by the social dynamics of a particular community, environmental factors, technological advances and the general social and commercial evolution of the human race. With regard to medical care and health service delivery, the doctor-patient relationship is furthermore vital to the quality of the care provided, as well as to the outcomes and relative success of the specific medical intervention or treatment. One of the distinct characteristics of the doctor-patient relationship is the power imbalance inherent in this relationship. The medical practitioner has expert knowledge and skill, while the patient finds himself or herself in an unusually dependent and vulnerable position. It is because of this important role that the doctor-patient relationship still plays in health service delivery today; the susceptibility of the relationship to a variety of influences, and the characteristic power imbalances inherent in this relationship, that a study of the doctor-patient relationship in South African medical- and health law is necessary. The characteristic power imbalances will be considered from a legal perspective in this dissertation. This study provides a comprehensive source of the doctor-patient relationship from a legal perspective. Where relevant, references are made to theories and principles from other disciplines, including sociology, economy and medical ethnomethodology. The prevalence and consequences of power imbalances in the doctor-patient relationship are identified and discussed with the aim of bringing these to the attention of both the legal fraternity, and medical practitioners. Specific problem areas are identified and solutions are offered, including the following: • The adverse consequences of power imbalances inherent in the doctor-patient relationship on the medical decision-making process are considered from various perspectives. With regard to these adverse consequences, the doctrine of informed consent is analysed and evaluated in great detail. • The influence of paternalistic notions in health service delivery; the business model of health service delivery and the effects of managed care and consumer-directed health care on the doctor-patient relationship and health service delivery in general are also analysed from a legal perspective, and specifically with regard to the power imbalances inherent in this relationship. • The role of autonomy, self-determination and dignity, as well as the principles of beneficence in medical practice, are reconsidered in an attempt to provide a solution for redressing the power imbalances inherent in the doctor-patient relationship. • The fiduciary nature of the doctor-patient relationship and the special role of trust in the relationship are emphasised throughout the dissertation as the focal point of departure in the doctor-patient relationship and the main constituent in any legal endeavor to redress the power imbalances inherent in it.
AFRIKAANS OPSOMMING: Die unieke en intieme verhouding wat bestaan tussen ‘n mediese praktisyn en ‘n pasiënt is wêreldwyd waarskynlik een van die belangrikste verhoudings wat tussen twee persone tot stand kan kom. Hierdie verhouding word gekenmerk en beïnvloed deur kwaliteite en eienskappe eie aan die besonderse aard en historiese ontwikkeling van gesondheidsorg, sowel as die mediese wetenskap in die algemeen. Die dokter-pasiënt verhouding word verder beïnvloed deur die sosiale dinamika van ‘n bepaalde gemeenskap, omgewingsfaktore, tegnologiese vooruitgang en die algemene sosiale en kommersiële ontwikkeling van die mensdom. Op die terrein van gesondheidsorg en mediese dienslewering is die dokter-pasiënt verhouding voorts ook sentraal tot die kwaliteit van die mediese sorg wat verskaf word, sowel as die uitkomste en relatiewe sukses van die spesifieke mediese behandeling. Een van die kenmerkende eienskappe van die dokter-pasiënt verhouding is die magswanbalans wat daar tussen dokter en pasiënt bestaan. Die mediese praktisyn beskik oor deskundige kennis en vaardighede, terwyl die pasiënt hom- of haarself in ‘n ongewone, afhanklike en kwesbare posisie bevind. Dit is dan veral weens die besondere rol wat hierdie verhouding steeds in hedendaagse gesondheidsorg speel, die beïnvloedbaarheid van hierdie verhouding deur ‘n verskeidenheid faktore, sowel as die kenmerkende magswanbalans inherent in die verhouding, dat ‘n ondersoek na die dokter-pasiënt verhouding in die Suid-Afrikaanse mediese reg noodsaaklik is. Hierdie kenmerkende magswanbalans sal vanuit ‘n regsperspektief verder in hierdie proefskrif ondersoek word. Hierdie studie bied ‘n omvattende bron van die dokter-pasiënt verhouding benader vanuit ‘n regsperspektief, terwyl verwysings na teorieë en beginsels van ander dissiplines soos die sosiologie, ekonomie en mediese etnometodologie ook waar nodig ingesluit word. Die voorkoms en gevolge van ‘n magswanbalans in die dokter-pasiënt verhouding word verder geïdentifiseer en bespreek ten einde dit onder die aandag te bring van beide regslui en medici. Spesifieke probleemareas wat geïdentifiseer is en die oplossings wat daarvoor aan die hand gedoen is sluit die volgende in: • Die nadelige gevolge van die bestaan van ‘n magswanbalans in die dokter-pasiënt verhouding op die mediese-besluitnemingsproses word bespreek vanuit verskillende persepktiewe. Met betrekking tot hierdie nadelige gevolge, word die leerstuk van ingeligte toestemming in besonder geanaliseer en geëvalueer. • Die invloed van ‘n paternalistiese benadering tot gesondheidsorg, die besigheids-model van gesondheidsorg, en die effek van bestuurde- en verbruikersgedrewe gesondheidsorg inisiatiewe op die dokter-pasiënt verhouding en die verskaffing van gesondheidsdienste in die algemeen word ook vanuit ‘n regsperspektief ge-analiseer. Spesifieke aandag word in dié verband gegee aan die invloede van hierdie benaderings en perspektiewe op die magswanbalans inherent aan die dokter-pasiënt verhouding. • Die besondere rol van autonomie, selfbeskikking en menswaardigheid, asook die beginsels van weldadigheid in gesondheidsorg, word heroorweeg in ‘n poging om ‘n meer gelyke distribusie van mag in die dokter-pasiënt verhouding te verseker. • Die fidusiêre aard van die dokter-pasiënt verhouding en die besondere rol wat vertroue in hierdie verhouding speel, word in hierdie proefskrif beklemtoon en word voorts as die basis van die dokter-pasiënt verhouding beskou. Vertroue, as ‘n kenmerk van die dokter-pasiënt verhouding, behoort ook die fokuspunt te wees van enige poging om die magswanbalans in die dokter-pasiënt verhouding aan te spreek.
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Carmack, Heather J. "How to Say I'm Sorry: A Study of the Veterans Administration Hospital Association's Apology and Disclosure Program." Ohio : Ohio University, 2008. http://www.ohiolink.edu/etd/view.cgi?ohiou1209039528.
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Keevy, Daniel Matthew John. "A critical analysis of the doctor-patient relationship in context of the right to adequate health care." Diss., University of Pretoria, 2012. http://hdl.handle.net/2263/25086.
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The purpose of this thesis is to prove the existence of the right to adequate healthcare through a critical analysis of the law of obligations, constitutional law and international law framed in the wider focal point of South African medical law. The Constitution only makes provision for the right to access to health care. Conclusively this thesis will have to establish a link between a minimum standard in health care and the Constitution. It is submitted that the most efficacious method of establishing this link is with the duty of care, which is intrinsically linked to the doctor-patient relationship. If a critical analysis of the doctor-patient relationship can establish a clear link between the duty of care and state liability then such a link can successfully be applied to the Constitution. If this link is transposed onto the Constitution, a critical evaluation of the rights in the Bill of Rights will then reveal the most applicable right that can house the right to an adequate standard of health care. Such an analysis is only part of the solution however. In order to make this right effective, the international body of medical laws must be critically analysed and juxtaposed against this adequate standard. This carries the dual purpose of adding normative content as well as determining the current state of South Africa’s obligations under international human rights law, and to what extent those obligations have been discharged. Finally, and most significantly, the right to adequate healthcare, as it was forged in the international legal analysis, will be transposed onto the current South African jurisprudence of socio-economic rights. This practical application will then be reflected onto the new National Health Care Insurance to show conclusively that the current governmental approach of effecting health care is wholly inoperable and will ultimately result in significant harm and extensive human rights violations. This is based on the government only considering access to health care sufficient to discharge its duties and being totally incapable of effectively managing its resources. The core outcome for this thesis is to prove the existence of the right to adequate healthcare. Secondary outcomes are tracing the history of medicine to illustrate the creation and evolution of the doctor-patient relationship, a critical analysis of the application of medical ethics to South African law of obligations, a critical analysis of the Constitution and its fundamentals, an exhaustive evaluation of South Africa’s duties and accomplishments under its international obligations and effectively applying the right to adequate healthcare which is diametrically opposed to the current course South Africa is taking to provide health care.Dissertation (LLM)--University of Pretoria, 2012.
Public Law
unrestricted
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Biwer, Meagan. "The Case for Expanded Access to Investigational New Drugs." Scholarship @ Claremont, 2012. http://scholarship.claremont.edu/cmc_theses/414.
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Pharmaceuticals have benefitted countless lives. New therapies are being developed every day—many prove effective, but many do not. In order to ensure only safe and effective drugs enter the market, the United States' Food and Drug Administration (FDA) approves each treatment based on data garnered from clinical trials. Clinical trials take time, however, and investigational new drugs (INDs) can demonstrate signs of efficacy long before approval. These cases introduce a fundamental question: should the government limit patient access to a drug that has yet to be proven safe and effective? Or do patients have the right to freedom from governmental intervention in their medical decision-making?
In this paper, the history of IND regulation will be explored, followed by an examination of the freedom to access from constitutional, ethical, and infrastructural perspectives. Changes to the current system will then be proposed.
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Saiz, Navarro Diana Cristina. "Les comités d'éthique en droit comparé : un regard à travers l'Amérique latine." Thesis, Paris 2, 2013. http://www.theses.fr/2013PA020014/document.
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Commissions, comités, conseils, les instances spécialisées dans les questions d’éthique des sciences de la vie prennent de nombreuses dénominations et forment une nébuleuse extrêmement diverse. Riche est la littérature qui s’est donné pour objectif de différencier ces organes. Les diverses tentatives de typologie semblent s’accorder sur l’existence de deux comités d’éthique-types : les comités d’éthique clinique ou hospitaliers et les comités d’éthique de la recherche biomédicale. C’est à partir de ces catégories que seront créés de nombreux comités exerçant des compétences variées et agissant au niveau local, national, régional et international. S’agissant de leurs caractères principaux, la doctrine dégage trois éléments fondamentaux : l’indépendance, la pluridisciplinarité et le pluralisme. En dépit d’une évolution plus tardive dans le domaine des technologies, du progrès médical et plus généralement des sciences de la vie, l’Amérique Latine a pleinement pris part au phénomène dit d’institutionnalisation de la bioéthique ; non sans quelques spécificités. L’établissement des instances d’éthique dans cette région est caractérisé par la priorité accordée aux principes de justice et d’accès aux services de santé en raison de la prééminence des problèmes socio-économiquesThe organizations and authoritative entities specialized in evaluating the ethical issues raised by recent developments in the life sciences take on extremely diverse denominations and forms such as commissions, committees, and boards that all form acomplex nebulous. Research focusing on differentiating these bodies is very rich. Various attempts at categorizing these organizations agree on the existence of two main types ofethics committees, hospital ethics committees, and biomedical research ethics committees. On the basis of these categories numerous sub-committees are then created and exercise a variety of skills at the local, national, regional and international levels. As for their main characteristics, consensual research identifies three basic elements: independence,interdisciplinarity and pluralism. Despite a relatively late development in the general field of the life sciences and more particularly in the realm of technology and medical progress, Latin America has fully participated in the phenomenon now known as the institutionalization of bioethics, and has done so with specific characteristics to its region. Indeed, the establishment of ethical review boards in this region is above all preoccupied by the priority given to the principles of justice and access to health services due to the predominance of socio-economic issues
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Zabala, Blanco Jaime. "Autonomía e instrucciones previas: un análisis comparativo de las legislaciones autonómicas del Estado Español." Doctoral thesis, Universidad de Cantabria, 2007. http://hdl.handle.net/10803/10650.
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Análisis comparativo de las legislaciones autonómicas del Estado Español. Analizando las diferencias y sus posibles consecuencias, para formular una reflexión general a la vista de experiencias previas en otros países. Se proponen estrategias para llevar a cabo procesos de planificación anticipada y no únicamente documentos de Instrucciones previas con escasa utilidad práctica y con una finalidad básica de "autonomía defensiva".Comparative analysis of autonomics laws Spanish's state. Analyzing the differences and their possible consequences to formulate a general reflection around previous experiences in others countries. It proposes strategies to carry out processes of advance care planning and not only advance directives documents with little practical utility and with the basic purpose of "defensive autonomy".
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Carroll, Mark J. "Physical Therapists' Perception of Risk of Violating Laws and Rules Governing the Practice of Physical Therapy and/or Their Personal Moral and Ethical Values When Failing to Provide Treatment for an Uninsured or Underinsured Patient." Bowling Green, Ohio : Bowling Green State University, 2007. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=bgsu1193091796.
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Pease-Carter, Cheyenne. "Preferences among student counselors regarding informed consent practices within counselor education." Thesis, University of North Texas, 2008. https://digital.library.unt.edu/ark:/67531/metadc6066/.
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The purpose of this study was to investigate student preferences for content, timing, and method of informed consent within counselor education programs. Participants included 115 students enrolled in counseling internship courses at six counseling programs accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP). Participants completed the Informed Consent Preferences Questionnaire (ICPQ), an instrument designed specifically for this study through systematic instrumentation development. Descriptive statistics highlighted participants' moderate to high ratings of perceived importance for an array of suggested content pieces for student informed consent. Participants varied among themselves and between items in relation to preferred timing of informed consent, and they consistently reported a desire for student informed consent to be facilitated through a combination of both oral and written methods. Results of exploratory factor analysis revealed a simple eight-factor structure within the ICPQ and suggested strong internal reliability. Correlations for participant scale scores for the eight factors revealed a variety of small to medium correlations. Results from t-test and one-way analysis of variances (ANOVA) indicated that participant preferences did not vary according to demographic variables. Finally, participants' qualitative responses revealed high levels of support for student informed consent. Findings of this study may aid counselor educators in evaluating current program informed consent practices. As a result of evaluation, counselor educators can affirm existing, and/or design new informed consent practices that accurately reflect the needs and desires of counseling students. Future researchers may also utilize the results to guide additional studies related to the practice of student informed consent.
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Kruszewski, Zita. "The use of patient-derived tissue in biomedical research." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0006/MQ43899.pdf.
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De, Villiers Suzanne. "The principle of respect for autonomy and the sterilization of people with intellectual disabilities." Thesis, Stellenbosch : Stellenbosch University, 2002. http://hdl.handle.net/10019.1/53148.
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Thesis (MPhil)--University of Stellenbosch, 2002.ENGLISH ABSTRACT: The implementation of eugenic policies reached its peak during the zo" century when thousands of people with intellectual disabilities and other "undesirable qualities" were involuntary sterilized. Although most of the eugenic policies have been removed, countries such as South Africa, still make legally provision for the involuntary sterilization of people with intellectual disabilities. Torbjërn Tannsjë (1998) used the "argument from autonomy" to argue that involuntary sterilization practices are wrong because it involves compulsion. According to him, society should never interfere with people's reproductive choices and people should never be required to qualify for the right to have children. The aim of this assignment was to systematically assess the "argument from autonomy" as far as the policy of involuntary sterilization of people with intellectual disabilities is concerned. To this end, the concept of autonomy and the principle of respect for autonomy are discussed and applied to the intellectually disabled. It is argued that autonomy and respect for autonomy are useful concepts to apply to some people with intellectual disabilities. These individuals should not be automatically assumed to be incompetent, but their competence needs to be determined on an individual level, with reference to the complexity of the decision to be made. Special effort is needed from health care professionals to obtain (where possible) informed consent from people with intellectual disabilities. The application of the principle of respect for autonomy to matters of reproduction leads to the conclusion that people with severe to profound levels of disability, are unable to provide informed consent for sexual intercourse. Therefore some form of paternalistic protection is needed for these individuals. People with mild to moderate intellectual disabilities who are however competent to consent to sexual intercourse should never be prohibited from procreation by means of involuntary sterilization. State interference in matters of reproduction should be limited to interventions where (i) children are seriously harmed by parents and (ii) to protect those who are incompetent to consent to sexual interactions with others. Apart from these exceptions, the intellectually disabled is entitled to the same procreative rights as all other citizens.
AFRIKAANSE OPSOMMING: Die implementering van eugenetiese beleid het gedurende die 20 ste eeu 'n hoogtepunt bereik met die onwillekeurige sterilisering van duisende persone met intellektuele gestremdhede en ander "ongewensde kwaliteite". Alhoewel meeste van die eugenetiese wetgewing verwyder is, maak lande soos Suid-Afrika steeds wetlik voorsiening vir die onwillekeurige sterilisasie van persone met intellektuele gestremdhede. Torbjërn Tannsjo (1998) maak gebruik van die "outonomie argument" om te argumenteer dat onwillekeurige sterilisasie praktyke onaanvaarbaar is omdat dit dwang bevat. Hy voer aan dat die samelewing nooit in die reproduktiewe keuses van mense behoort in te meng nie en dat dit nooit vir mense nodig moet wees om vir ouerskap te kwalifiseer nie. Die doel van hierdie werkstuk was om sistematies die "outonomie argument" te analiseer ten opsigte van die beleid van die onwillekeurige sterilisasie van persone met intellektuele gestremdhede. Met hierdie doel voor oë word die konsep outonomie en die beginsel van respek vir outonomie bespreek en toegepas op die intellektueel gestremde persoon. Daar word aangevoer dat outonomie en respek vir outonomie nuttige beginsels is om in ag te neem in kwessies rakende intellektueel gestremdes. Hierdie individue moet nie outomaties as onbevoeg beskou word nie, maar hul bevoegdheid moet eerder op 'n individuele basis beoordeel word, inaggeneem die kompleksiteit van die besluit wat geneem moet word. Voorts word daar van gesondheidsorgpersoneel verwag om moeite te doen met die verkryging van oorwoê toestemming (waar moontlik) by persone met intellektuele gestremdhede. Die toepassing van die beginsel van respek vir outonomie op aspekte rakende reproduksie, lei tot die gevolgtrekking dat persone met ernstige intellektuele gestremdhede nie in staat is om toestemming tot seksuele omgang te verleen nie. Dus, is 'n vorm van paternalistiese beskerming in hierdie gevalle aangedui. Persone met intellektuele gestremdhede wat egter wel bevoeg is om toestemming tot seksuele omgang te verleen, moet nooit weerhou word van voortplanting deur middel van onwillekeurige sterilisering nie. Inmenging deur die staat in kwessies rakende reproduksie moet beperk word tot intervensies waar (i) kinders ernstige skade berokken word en (ii) die beskerming van persone wat onbevoeg is om toestemming tot seksuele interaksies met ander te verleen, benodig word. Afgesien hiervan, is die intellektuele gestremde persoon geregtig op dieselfde reproduktiewe regte as alle ander landsburgers.
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Loff, Beatrice. "Health and human rights : case studies in the potential contribution of a human rights framework to the analysis of health questions." Monash University, Dept. of Epidemiology and Preventive Medicine, 2004. http://arrow.monash.edu.au/hdl/1959.1/5291.
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Pulice, Elisabetta. "Il ruolo della deontologia medica nel sistema delle fonti del diritto : un'analisi comparata." Thesis, Paris 10, 2014. http://www.theses.fr/2014PA100101/document.
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L'objet de la thèse, préparée dans le cadre de la convention de co-tutelle entre l’Université de Trento en Italie et l’Université Paris Ouest Nanterre la Défense en France, consiste dans une analyse comparée du rôle de la déontologie médicale dans les sources du droit en Italie, France et Allemagne. Le spectre d’analyse adopté est double. On cherche d’abord à rendre compte des aspects architecturaux des rapports entre droit et déontologie médicale ; ce faisant, on concentre l’analyse sur les modalités de la codification de l’éthique professionnelle en France, en Allemagne et en Italie, sur le pouvoir normatif des ordres professionnels, et sur la valeur juridique des codes de déontologie médicale et leur intégration dans le système des sources du droit. En second lieu, on cherche, dans une perspective plus substantielle, à comprendre les relations entre droit et déontologie, et notamment le rôle de la déontologie médicale dans le domaine du biodroit. Ce spectre d’analyse est en outre élargi à la procédure disciplinaire et à la perspective européenne. La première partie de la thèse est dédiée à certaines remarques préliminaires et notamment à un effort de définition de la déontologie médicale, à certaines « questions ouvertes » de son rapport avec le droit et à la relation, en perspective comparée, entre langue et droit dans la signification du mot « déontologie ». La seconde partie est dédiée à la codification de l’éthique professionnelle, alors que le rôle de la déontologie médicale dans le biodroit est l’objet de la troisième partie. La quatrième partie concerne la procédure disciplinaire et, finalement, la cinquième partie est dédiée à la reconstruction et l’analyse critique des résultats de la comparaison, à la perspective européenne et à la proposition d’un nouveau modèle italien des rapports entre le droit et la déontologie médicaleThe thesis aims at analysing, from a comparative perspective, the role of medical ethics in Italy, France and Germany. The survey focuses on both the formal and substantive aspects of the relationships between law and medical ethics. As to the first issue, the thesis analyses the codification of medical ethics, the normative function of the medical councils, the binding value of the codes of medical ethics and their position in the hierarchy of norms. With regard to the second aspect, the role of medical ethics is studied from a more substantial perspective, analysing the concrete interrelations between law and medical ethics in the field of biolaw. The survey is then extended to the disciplinary procedure and to the European level. In the first part, the relationships between law and medical ethics are analysed from a linguistic perspective, aiming at underlining some specific features of the concepts referred to as “déontologie”, “deontologia” or “Standesrecht” and “Berufsordnung” in France, Italy and Germany. This part also deals with some “open questions” characterising the relationships between medical ethics and the law. The second part concerns the codification of medical ethics, while its role in the field of biolaw is analysed in the third part. The fourth part deals with deontological liability and disciplinary procedures. Lastly, the fifth part aims at elaborating a theoretical reconstruction of the results of the comparative analysis, at highlighting the main roles of medical ethics at the European level and at suggesting a different model for the relationships between law and medical ethics in the Italian system
L’obiettivo della tesi è un’analisi comparata del ruolo della deontologia medica nel sistema delle fonti del diritto in Italia, Francia e Germania. Per tenere conto della complessità del rapporto tra diritto e deontologia, sono stati analizzati sia gli aspetti formali di tale rapporto, sia i profili sostanziali del ruolo della deontologia medica nel biodiritto. Nella prima parte alcune considerazioni preliminari e l’analisi linguistica hanno permesso di definire l’ambito di indagine e i profili di maggiore complessità del rapporto tra dimensione deontologica e dimensione giuridica sui quali nelle parti successive si è concentrata l’indagine. La seconda parte, dedicata alla codificazione dell’etica medica, ha messo in luce la varietà di soluzioni e di modalità di ingresso della norma deontologica nell’ordinamento giuridico. Nella terza parte sono stati analizzati il ruolo della deontologia medica nell’ambito del biodiritto e l’influenza di alcuni fattori particolarmente rilevanti sull’evoluzione dei contenuti concreti dei codici deontologici e sulla loro portata pratica. La quarta parte è dedicata alla violazione della deontologia e ai procedimenti disciplinari. Infine la parte conclusiva contiene una ricostruzione teorica dei risultati emersi dall’analisi comparata, lo studio di alcuni profili legati alla dimensione europea della deontologia e la proposta di alcune ipotesi di riforma per un modello italiano più coerente, flessibile ed efficace dei rapporti tra diritto e deontologia
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Gorayb, Leandro. "Análise jurisprudencial do Superior Tribunal de Justiça sobre a responsabilização do erro do profissional médico." Botucatu, 2019. http://hdl.handle.net/11449/183110.
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Orientador: Alessandro Lia MondelliResumo: A relação do médico com o paciente é uma relação de consumo. E com base na proteção consumerista, todas às obrigações do fornecedor de serviço devem ser obedecidas sob pena de responsabilização. Apesar da discussão quanto às naturezas das obrigações conforme responsabilidade de meio e fim, ou de natureza objetiva e subjetiva; todas as atuações profissionais conforme a legislação - independente de curativa ou estética – incidem regras do direito do consumidor. A crescente judicialização e processos iniciados contra médicos demonstra o desconhecimento da legislação aplicável. Em confronto aparente de normas ente o Código de Defesa do Consumidor vigente, que se apresenta como incidente, e o Código de Ética Médica, afirmando categoricamente não se tratar de relação de consumo prevalece, para o direito, indiscutivelmente aquele. E os Tribunais Estaduais e o Superior Tribunal de Justiça pacificamente entendem desta forma. Juntamente com a relação de consumo, várias obrigações comumente não entendidas pelos profissionais da medicina como sendo obrigatórios, passam, portanto, trazer consequências. Elas têm sido alvo de declarações de indenização. Neste aspecto particular surgem situações para o fornecedor, profissional médico, como prestação de contas, prestação de orçamento, obrigação da informação completa e possibilidade de inversão do ônus da prova no processo. Ademais, não tem validade na prática, cláusulas como, não indenizar, consentimento genérico, escolha do foro para questõ... (Resumo completo, clicar acesso eletrônico abaixo)
Abstract: The doctor's relationship with the patient is a relationship of consumption. And based on consumer protection, all obligations of the service provider must be obeyed under penalty of liability. In spite of the discussion about the nature of the obligations as responsibility of means and ends, or of objective and subjective nature; according to the legislation, all medical professional performances - regardless of curative or aesthetic - affect consumer rights rules. The increasing judicialization and proceedings against physicians demonstrates the lack of knowledge of the applicable legislation. In an apparent conflict of norms between the current Consumer Defense Code, which is presented as an incident, and the Code of Medical Ethics, categorically stating that it is not a relation of consumption, it indisputably prevails. And the State Courts and the Superior Court of Justice peacefully understand this way. Along with the relationship of consumption, several obligations commonly not understood by medical professionals as being mandatory, therefore, have consequences. They have been the subject of compensation claims. In this particular aspect, there have been situations for the supplier, for the medical professional, such as accountability, provision of budget, full information obligation and possibility of reversing the burden of proof in the process. In addition, clauses such as, no indemnification, generic consent, choice of forum for legal issues, transfer of liability ... (Complete abstract click electronic access below)
Mestre
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Hurlimann, Thierry. "The duty to treat very defective neonates as "persons" : from the legal and moral personhood of very defective neonates to their best interests in medical treatment." Thesis, McGill University, 2003. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=80929.
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The dramatic improvement of neonatal intensive care has produced vexing ethical and legal questions. One of the most striking issues is to determine whether the most defective neonates should be provided with intensive care and to what extent they should be treated. This thesis demonstrates that an attempt to answer this question and an analysis of the demands and limitations of a duty to treat defective neonates cannot properly occur without first considering the legal concerns and ethical issues surrounding the notion of "person". The author examines germane ethical theories and North-American jurisprudence to see what approaches and standards commentators and courts have adopted in this respect. This thesis demonstrates that in the context of the cessation or non-initiation of intensive care, the legal and moral status of very defective neonates remain ambiguous. In particular, the author suggests that a legal best interests analysis that includes quality of life considerations may actually involve the use of criteria similar to those supported by the authors of the controversial moral theories that negate the personhood of seriously handicapped newborns. The author ultimately concludes that a clear divide between the legal definition of the "person" and the moral and social perceptions of that term is misleading.
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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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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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Swanepoel, Magdaleen. "Embryonic stem cell research and cloning a proposed legislative framework in context of legal status and personhood /." Diss., Pretoria : [s.n.], 2006. http://upetd.up.ac.za/thesis/available/etd-07312007-150150/.
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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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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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Busquets, Surribas Montserrat. "Autonomía e información en el proceso de atención sanitaria a mujeres con cáncer de mama y hombres con enfermedad coronaria." Doctoral thesis, Universitat de Barcelona, 2017. http://hdl.handle.net/10803/404279.
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Esta tesis profundiza en la relación entre la información sanitaria y la autonomía de la persona enferma. La autonomía implica reconocer el derecho de la persona a tomar las decisiones relativas a su salud y, por ello, el derecho al acceso a la información clínica de forma veraz y adaptada. En el marco teórico la tesis analiza la aportación de la bioética al respeto por la autonomía de la persona y, desde la discusión de diferentes formas de comprender la autonomía y la atención sanitaria, plantea diferentes formas y contenidos de la información que proporcionan los profesionales. Sin embargo el debate sobre la información al enfermo, su utilidad, los momentos adecuados para realizarla, la participación de las familias, el significado de la veracidad, etc., no es solo una cuestión teórica, ni está zanjado. Por ello es necesario contar con la experiencia de personas enfermas al respecto.
Con el objetivo investigar la experiencia de personas respecto a la información recibida durante todo su proceso de atención sanitaria la tesis plantea tres preguntas: ¿cuál es el significado y la utilidad que tiene la información para las personas atendidas, que dan los profesionales de la salud?, ¿cuáles son las ayudas o dificultades para la obtención y comprensión de la información?, ¿cuál la experiencia respecto a información que se recibe de asociaciones de pacientes y grupos de autoayuda?. Para su respuesta se realizaron 20 entrevistas en profundidad y 2 grupos focales, a mujeres con cáncer de mama y hombres con enfermedad coronaria. Ambas enfermedades conllevan malas noticias, precisan cantidad de información, plantean difíciles decisiones y implican cambios de vida. Los resultados se agruparon en torno a 3 dimensiones: el proceso de información, las ayudas y barreras y el papel de los grupos de autoayuda, que se desmenuzan en 9 categorías y 27 subcategorías.
La información fue señalada como un aspecto clave para comprender y dar sentido a la experiencia de vida que implica la enfermedad y como esencial para tomar decisiones y afrontar la vida cotidiana con seguridad. Los informantes quisieron recibir información y participar activamente en su proceso de tratamiento y cuidado, expresaron el beneficio de la participación de la familia pero rechazaron ser substituidos por ellos en la información y decisiones. Expresaron que en general la información que obtuvieron fue estandarizada, centrada en la enfermedad y focalizada en el consentimiento informado. Las enfermeras tuvieron un papel ambiguo, muy condicionado al tipo de organización sanitaria. Como actitudes profesionales que favorecían la comprensión señalaron la disponibilidad y escucha, la simpatía y la demostración de interés, como actitudes negativas definieron las manifestaciones de poder y el uso de tecnicismos, la no escucha, no dar importancia a las emociones y la necesidad de tener que preguntar para obtener información. Los informantes señalaron la influencia de gestión en la relación clínica, sobre todo en la escasez de profesionales y su movilidad.
El trabajo plantea 7 conclusiones:
1. La necesidad de avanzar en la comprensión de la autonomía relacional.
2. La relevancia de la veracidad como norma en la información.
3. La escasa validez ética actual del consentimiento informado que plantea dudas sobre su obtención y sobre la utilidad de los documentos de consentimiento.
4. La necesidad de comprender mejor papel de la familia en tanto que acompañante pero no substituta de las decisiones.
5. La centralidad de la conducta profesional como vehículo de los valores y principios éticos.
6. La responsabilidad ética de las instituciones en compaginar la eficiencia del sistema con la necesidad de ayuda de las personas.
7. La fiabilidad de la información que dan las asociaciones y grupos de autoayuda.This thesis analyses the contribution of bioethics in respect to patient autonomy and patient rights to the health care information received. The influence of different ways of understanding autonomy and health care in the forms and contents of information and clinical relationship is discussed. With the objective of researching the experience of the patients, the thesis proposes three questions: what is the meaning and the usefulness of information given by health care professionals? what are the aids or benefits and the difficulties in obtaining and understand this information? what is the information received from patients associations?. 20 extensive interviews and 2 focus groups were performed in which participants were women with breast cancer and men with coronary disease. Both diseases carry bad news, the patients need a big amount of information, they bring up difficult decisions and they imply daily life changes. The results were classified in 3 groups, 9 categories and 27 sub categories. The participants pointed out the utility of the information to understand and give sense to their experience, and underlined its importance to face daily life and the possibility for them to be able to take safe decisions. The participants wanted to receive the information and they participated actively and refused to be replaced by family members. However in general, the information obtained was standardized, focused on the disease and on obtaining informed consent. As positive professional attitudes, patients pointed out aspects such as the availability of the professionals, being listened to, the friendliness and the demonstrated interest. As negative professional attitudes they pointed out manifestations of power, the use of technical language, the professionals not listening to the patient, and not giving information. The participants pointed out the influence of the management on the clinic relation, specifically in the short number of professionals and there mobility. The work raises 7 conclusions: 1. The need to advance in the understanding of relational autonomy. 2. The relevance of veracity as a rule in information. 3. The current low ethical validity of informed consent raises doubts about the obtaining and utility or such consent documents. 4. The need to better understands the role of the patient's family whit an accompaniment role, and not letting them take the decisions for the patient. 5. The importance of professional conduct that demonstrate ethical values and principles. 6. The ethic responsibility of the institutions combining the efficiency of the system with the need of people's help. 7. The reliability of information provided by associations and self-help groups.
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Crispin, K. J., and n/a. "Ethics and the advocate." University of Canberra. Law, 1995. http://erl.canberra.edu.au./public/adt-AUC20060630.172938.
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This thesis examines the ethical implications of legal professional advocacy in an
adversary system of justice. It identifies a standard conception of the advocate's duty
which is encapsulated in the various professional codes and its fundamental principles of
partisanship and zealous advocacy. It acknowledges that the standard conception
involves a duty to pursue the interests of clients without regard for the interests of others
and explores the inevitable moral ambivalence which such an absolute loyalty entails. The
concept of role morality upon which this conception is based is explored. This involves
an examination of the adversary system of justice and the extent to which it serves the
public interest. It is concluded that the adversary system is of considerable utility in
maintaining individual rights, eliciting the truth, providing an important element of ritual
and sublimating conflict. Consequently, its value provides ethical justification for lawyers
to fulfil the adversarial roles upon which it depends. However, it is contended that it
neither requires nor justifies the absolutism inherent in the standard conception of the
advocate's duty. A number of alternative paradigms are considered but rejected as
inadequate. It is argued that the existing norms of partisanship and zealous advocacy
should be retained but relegated to prima facie duties which may have to be balanced
against competing ethical demands such as the need to avoid causing undue harm to
others.
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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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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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Gearey, Adam David. "In the wake of the law : law and ethics in Finnegan's Wake." Thesis, Birkbeck (University of London), 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.286731.
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Lavin, Michael. "Understanding limits: Morality, ethics, and law in psychology." Diss., The University of Arizona, 1999. http://hdl.handle.net/10150/284605.
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Work by Sales and Lavin has suggested that it is possible to improve the moral and ethical thinking of psychologists. In particular, moral and ethical thinking by psychologists could be improved if psychologists learned to use defensible moral metrics. The usefulness of formal training in ethics and morality, with the implicit condemnation of the moral metrics that might be taught in such training, has been challenged by writers such as Justice Holmes. He has alleged that professionals learn how to behave in their professional roles by practicing them. A variety of problems are noted with Holmes' view. Further, psychologists cannot rely on expert advice from Institutional Review Boards or Ethics Committees, even if they wished to do so. Institutional Review Boards, and by implication Ethics Committees, have serious deficiencies. However, psychologists can make considerable progress in their moral and ethical thinking, if they distinguish ethics from morality and also notice the similarities between moral thinking and scientific thinking and theorizing. A controversy over the recovered-memory therapy is employed to illustrate some of these distinctions and similarities. The argument continues by developing two moral metrics. The first begins with ethics and culminates in moral appraisal. The second makes moral appraisal an earlier step than ethical appraisal. With these metrics described, it is then noted that a popular metric in psychology, that of Koocher and Keith-Spiegel, is inadequate. It is then shown that the two moral metrics earlier described are reasonably believed to be adequate. The adequacy of one of them is directly illustrated with an example involving the question of whether persons with serious mental illnesses should be allowed to enter into contracts that would relax the criteria for their involuntary hospitalization and treatment. It is concluded that teachable, intellectually defensible moral metrics are possible, and that their use would improve the moral and ethical thinking of psychologists.
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Kirtley, Jane E. "Law & Ethics: A Blurring of the Lines." School of Journalism, University of Arizona (Tucson, AZ), 1994. http://hdl.handle.net/10150/583031.
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Byrd, Rebekah J., Rebecca Milner, and Emily Donald. "Protecting LGBTQQIA Clients: When Law and Ethics Collide." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/2605.
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Counselors are legally and ethically beholden to provide affirming services to LGBTQQIA individuals. Recent laws place importance on counselor values over those of the client, impact safety of clients, and are in direct conflict with counseling ethical codes. This presentation will discuss recent laws, reactions, information, and resources
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Berry, Matthew. "Law, Justice, and Equity in Aristotle's Nicomachean Ethics." Thesis, Boston College, 2016. http://hdl.handle.net/2345/bc-ir:107190.
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Thesis advisor: Robert C. BartlettAt the beginning of the fifth book of the Nicomachean Ethics, Aristotle tells us that, according to common opinion, justice is lawful and fair. He concludes his examination of justice with a discussion of equity, which proves to be neither strictly lawful nor strictly fair—and yet Aristotle tells us that equity is, in a certain sense, the highest form of justice. This dissertation explains how Aristotle reaches this startling conclusion. I begin with an exploration of the careful taxonomy of justice that Aristotle lays out in the first half of book five. But Aristotle abruptly abandons this taxonomy midway through the book when he turns from the simply just to the politically just. For this reason and others, I argue that the second half of the book is not, as some have asserted, the application of the universal principles of justice to a political situation, but a new beginning and a fresh attempt to articulate the virtue of justice, free from the flaws we discover through a careful study of the first half of the book. Aristotle’s political justice takes its bearings from the health of a republican government, that is, a government of free and equal citizens. And yet political justice, like political courage, remains on the level of politics. Aristotle’s discussion of equity at the end of the book presents the virtuous form of justice, which corrects the flaws of justice as lawfulness and justice as fairness and permits justice to take its place in the economy of a noble human life
Thesis (PhD) — Boston College, 2016
Submitted to: Boston College. Graduate School of Arts and Sciences
Discipline: Political Science
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Gerstner, Christian. "Online sociological research : methods, ethics and the law." Thesis, Keele University, 2013. http://eprints.keele.ac.uk/3823/.
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This thesis offers a comprehensive examination of the dilemmas posed by cyberspace for contemporary social research and in how far current ethical frameworks can manage the risks that may emerge in this new research environment. The study is situated in the period of 1998 to 2010, during which the social uses of rapidly converging technological tools led to the extension of the social world into a new social sphere of social interaction called cyberspace. Social scientists have been quick to explore this sphere; however, as the dominant discourses are based on ideas of newness and difference there is uncertainty over what kind of space it is, whether we can transfer existing methods and ethics and what rules apply in the conduct of research. The thesis first investigates the extent to which the technological tools and ethical dilemmas encountered in cyberspace are in fact new or different. This then necessitates a detailed engagement with the conceptualisation of cyberspace. Thereafter it closes a gap in dominant conceptualisations of cyberspace by offering insights into its legal and regulatory foundations. Next, the thesis reflects on legislation and regulations to identify emerging risks that emerge in everyday social research practice in the online environment. These risks are then used as vignettes to test current ethical guidance’s ability to manage them. The thesis argues that disciplines within the social sciences need to be continually reflexive about their encounters with new spaces, and concludes that cyberspace demands significant engagement with the difficulties posed by the rapid pace of change of technological development and regulatory and legislator foundations in order to manage risk in online social research. Thus while online research is the focus, the potential of this thesis is to offer a historical insight into the reflexivity of the discipline in particular in how successfully it encounters new spaces of/for research.
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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.
Full textAbstract:
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.