Engaging bioethics: an introduction with case studies
Gespeichert in:
| Hauptverfasser: | , |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
New York ; London
Routledge, Taylor and Francis Group
2017
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis Klappentext |
| Beschreibung: | xix, 417 Seiten Diagramme, Illustrationen |
| ISBN: | 9780415837941 9780415837958 |
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Datensatz im Suchindex
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Contents
PARTI
CHAPTER 1
CHAPTER 2
PART II
CHAPTER 3
CHAPTER 4
CHAPTER 5
PARTIN
CHAPTER 6
CHAPTER 7
CHAPTER 8
About the Authors xvii
Preface xviii
Abbreviations xx
BIOETHICS AND MORAL THEORY 1
THEORETICAL AND METHODOLOGICAL
ISSUES IN BIOETHICS 51
CHAPTER 9
PART IV MORAL ISSUES AT THE BEGINNING OF LIFE 191
CHAPTER 10 Personhood in the Abortion Debate 192
CHAPTER 11 Abortion in the Typical Case 204
CHAPTER 12 Abortion in the Hard Cases 225
CHAPTER 13 Conflicts of Rights at Life’s Beginning 239
PARTV THE BIOTECHNOLOGICAL REVOLUTION 257
CHAPTER 14 New Reproductive Technologies 258
CHAPTER 15 Human Genetic Engineering 277
PART VI MEDICINE AND SOCIETY 299
CHAPTER 16 Biomedical Research on Animals 300
CHAPTER 17 Biomedical Research on Humans 319
CHAPTER 18 Justice in Health Care 345
Appendix A: The Tools of E 375
Appendix B-. Evolving Attitudes toward Ending or
Preventing Human Life 384
Glossary/lndex 389
Index of Cases 406
Additional References 408
Detailed Contents
About the Authors xvii
Preface xviii
Abbreviations xx
PART I BIOETHICS AND MORAL THEORY 1
CHAPTER 1 The Study of Morality 2
1.1 Rev. Jacobson’s Refusal of Vaccination 2
1.2 The Evolution of Bioethics from Professional Ethics 4
The Hippocratic Tradition 4
Medieval Developments 5
Later Developments 6
Contemporary Bioethics 8
1.3 Bioethics in the Context of Ethics 10
Descriptive and Normative Senses of ‘Morality’ 10
The Philosophical Study of Morality 12
Normative Ethics 13
1.4 Chapter Summary 15
1.5 Study Aids 16
Key Words 16
Questions and Cases for Further Consideration 16
Suggested Readings 17
CHAPTER 2 Philosophical Accounts of Morality 19
2.1 Baby Theresa and the Problem of Anencephalic Organ Sources 19
2.2 Authority Is the Source of Normativity 21
Culture as Moral Authority 21
God as Moral Authority 23
2.3 Authority Is Not the Source of Normativity 25
Natural Law Theory 25
Consequentialism 27
PART II
CHAPTER 3
CHAPTER 4
Kantian Ethics 32
Virtue Ethics 34
Care Ethics 38
Rossian Ethics 40
Particularism 43
2.4 Chapter Summary 44
2.5 Study Aids 45
Key Words 45
Questions and Cases for Further Consideration 46
Suggested Readings 47
THEORETICAL AND METHODOLOGICAL
ISSUES IN BIOETHICS 51
3.1 Dax’s Case 52
3.2 Principlism 53
Autonomy 54
Nonmaleficence 57
Beneficence and Paternalism 60
52
3.3 Casuistry 64
How Casuistry Works 65
The Top-Down/Bottom-Up Dichotomy 65
3.4 Chapter Summary 66
3.5 Study Aids 66
Key Words 66
Questions and Cases for Further Consideration 67
Suggested Readings 67
4.1 The Tarasoff Decision 69
4.2 Medical Confidentiality 71
Philosophical Grounds 72
Absolutism, Universalism, and Skepticism 75
4.3 Must Health Care Professionals Always Tell the Truth? 77
Disclosure and Deception Defined 77
Evolving Attitudes toward Disclosure 79
Moral Grounds for Disclosure 79
The Problem of Culture 80
4.4 Genetic Information 82
Genetic Knowledge 82
Genetic Pseudo-Knowledge 83
Nondirective Genetic Counseling 84
Is There a Right to Genetic Ignorance? 85
4.5 Chapter Summary 87
4.6 Study Aids 88
Key Words 88
Questions and Cases for Further Consideration 88
Suggested Readings 90
CHAPTER 5 Consent with Competence and Without 92
5.1 Natanson vKline-.The Limits of Paternalistic Beneficence 92
5.2 The Elements of Informed Consent 94
Consent 94
Information 95
Understanding and Voluntariness 97
Competence 97
5.3 Exceptions and Doubts 98
Exceptions to Informed Consent 98
Skepticism about Informed Consent 99
5.4 Consent in the Absence of Competence 100
Decisionmaking for Previously Competent Adults 100
Decisionmaking for Never Competent Adults 103
Decisionmaking for Children 105
Decisionmaking in Ashley X 107
5.5 Chapter Summary 110
5.6 Study Aids 110
Keywords 110
Questions and Cases for Further Consideration 111
Suggested Readings 112
PART III MORAL ISSUES AT THE END OF LIFE 115
CHAPTER 6 Death and Dying 116
6.1 Was Jahi McMath Dead? 116
6.2 Accounting for Human Death 117
Western Thought on Human Death 117
The Standard Account of Death 118
6.3 Cardiopulmonary Death 122
The Cardiopulmonary Criterion 122
Donation after Cardiac Death 123
6.4 Brain Death 123
Disorders of Consciousness versus Brain Death 124
Whole-Brain versus Brainstem Death 126
Higher-Brain Death 128
6.5 Chapter Summary 131
6.6 Study Aids 132
Key Words 132
Questions and Cases for Further Consideration 132
Suggested Readings 134
CHAPTER 7 When life Supports Are futile or Refused 136
7.1 Was Continued Life in Tony Bland’s Best Interests? 136
7.2 Forgoing Life Supports 138
Karen Quinlan 139
Nancy Cruzan 139
Nancy B 140
7.3 Medical Futility at the End of Life 141
What Is Medical Futility? 141
Types of Futility 142
The Moral Grounds of Medical Futility 144
Disagreements about Futility Judgments 145
7.4 Objections and Alternatives to Medical Futility 146
The Sanctity-of-Life Doctrine 146
Ordinary versus Extraordinary Means 147
7.5 Chapter Summary 149
7.6 Study Aids 150
Key Words 150
Questions and Cases for Further Consideration 151
Suggested Readings 152
CHAPTER 8 Medically Assisted Death 155
8.1 Dr. Cox’s Use of Euthanasia 155
8.2 Medical Euthanasia 156
Euthanasia and Other End-of-Life Measures 156
Types of Euthanasia 157
Passive versus Active Euthanasia 158
8.3 Physician-Assisted Suicide 161
Physician-Assisted Suicide and Voluntary Active Euthanasia 161
Oregon's Death with Dignity Act 163
Suicide Tourism 164
8.4 Physician-Assisted Dying: For and Against 165
Physician-Assisted Dying Is Morally Permissible 165
Physician-Assisted Dying Is Morally Forbidden 167
The Dutch Experience 168
8.5 Chapter Summary 169
8.6 Study Aids 170
Key Words 170
Questions and Cases for Further Consideration 171
Suggested Readings 172
CHAPTER 9 End-of-Life Measures for Severely Compromised
Newborns 174
9.1 Baby Jane Doe: Parental Choice and State Duties 174
9.2 Decisionmaking Standards for Compromised Newborns 176
The Baby Doe Regulations 176
From the Baby Doe Regulations to HCA v Miller 177
9.3 Prematurity and Low Birthweight 178
Prematurity 178
Low Birthweight 179
The Ethical Issues 180
9.4 Critical Care for Severely Compromised Newborns 180
For Providing Critical Care 181
Against Providing Critical Care 182
Neonatal Euthanasia 184
9.5 Chapter Summary 186
9.6 Study Aids 187
Keywords 187
Questions and Cases for Further Consideration 188
Suggested Readings 189
PART IV MORAL ISSUES AT THE BEGINNING OF LIFE 191
CHAPTER 10 Personhood in the Abortion Debate 192
10.1 Marlise Muñoz: Pregnant but Dead 192
10.2 Personhood 194
The Ambiguity of ‘Person’ 194
Criteria of Personhood 195
Over-lnclusiveness, Under-lnclusiveness, and Speciesism 197
CHAPTER 11
CHAPTER 12
10.3 The Abortion Debate 199
Does the Debate Matter? 199
How to Move Ahead 199
Person hood in the Abortion Debate 200
10.4 Chapter Summary 200
10.5 Study Aids 201
Keywords 201
Questions and Cases for Further Consideration 201
Suggested Readings 203
11.1 Roe v Wade: A Compromise on Abortion
11.2 Abortion: Some Facts 206
What Is Abortion? 206
The Practice of Abortion 207
204
11.3 Against the Moral Permissibility of Abortion 208
The Sanctity of Life 208
Developmental Continuity 209
Kind Essentialism 211
Potentiality 211
The Loss of a Valuable Future 212
11.4 For the Moral Permissibility of Abortion 214
Skepticism about Fetal Personhood 214
The Good Samaritan Argument 216
11.5 Intermediate Views 218
Early Brain Activity 218
Organized Cortical Activity 218
Fetal Interests 219
11.6 Chapter Summary 220
11.7 Study Aids 222
Keywords 222
Questions and Cases for Further Consideration 222
Suggested Readings 223
12.1 Sherri Finkbine’s Choices 225
12.2 Two Hard Cases for Abortion Critics 227
Abortion to Save the Mother's Life or Health 227
Abortion for Fetal Defects 229
12.3 Two Hard Cases for Abortion Defenders 233
Abortion for Sex Selection 233
Late-Term Abortion 234
12.4 Chapter Summary 235
12.5 Study Aids 235
Key Words 235
Questions and Cases for Further Consideration 236
Suggested Readings 237
CHAPTER 13 Conflicts of Rights at Life’s Beginning 239
13.1 Deborah Zimmerman: Alcohol Abuse During Pregnancy 239
13.2 Maternal-Fetal Conflicts 240
Some Facts about Fetal Harm 240
Maternal Obligations and Rights 242
A Dilemma for Public Policy 243
13.3 Maternal Rights and the State’s Obligations 244
Abortion Policy in the UK 245
Abortion Policy in the US 245
Banning ‘Partial-Birth Abortion’ 246
Restricting Public Funding for Abortion 247
13.4 Maternal Rights and Conscientious Objectors 249
Women/Health Care Providers Conflicts 249
The Duties of Conscientious Objectors 250
The Referral Problem 252
13.5 Chapter Summary 253
13.6 Study Aids 253
Key Words 253
Questions and Cases for Further Consideration 253
Suggested Readings 255
PART V THE BIOTECHNOLOGICAL REVOLUTION 257
CHAPTER 14 New Reproductive Technologies 258
14.1 Nadya Suleman’s Octuplets 258
14.2 The Simple Cases 260
The Simple Case of In-Vitro Fertilization 260
Fertility Therapy 261
The Problem of Multiples 262
14.3 The Complex Cases 265
Egg Donation, Gestational Surrogacy, and Postmenopausal
Motherhood 266
Some Facts about Egg Donors and Gestational Carriers 267
Moral Controversies 267
14.4 Chapter Summary 271
14.5 Study Aids 272
Key Words 272
Questions and Cases for Further Consideration 272
Suggested Readings 274
CHAPTER 15 Human Genetic Engineering 277
15.1 Designing Deaf Baby 111
15.2 Some Moral Controversies in Reprogenetics 280
Preimplantation Genetic Diagnosis 281
Human Reproductive Cloning 283
Early Eugenics 284
15.3 Human Genetic Enhancement 287
The Posthuman Scenario 287
Defining ‘Enhancement’ 287
Designer Babies 288
15.4 Chapter Summary 292
15.5 Study Aids 293
Keywords 293
Questions and Cases for Further Consideration 294
Suggested Readings 295
PART VI MEDICINE AND SOCIETY 299
CHAPTER 18 Biomedical Research on Animals 300
16.1 Dr. Gennarelii’s Head-Injury Study 300
16.2 The Animal Experimentation Debate 303
Abolitionism and Its Rivals 303
The Benefits Argument 303
Doubts about the Benefits of Animal Research 305
16.3 Animal Moral Standing 306
For the Moral Standing of Animals 306
Speciesism versus Humanism 309
Skepticism about Animals’ Moral Standing 310
Animal Law 313
CHAPTER 17
CHAPTER 18
16.4 Chapter Summary 313
16.5 Study Aids 314
Keywords 314
Questions and Cases for Further Consideration 315
Suggested Readings 316
Biomedical Research on Humans 319
17.1 The Tuskegee Untreated-Syphilis Study 319
17.2 Ethical Issues in Research on Human Subjects 321
Early Ethical Guidelines 321
What Researchers Owe to Subjects 325
17.3 Research Using Human Biological Material 329
The Case of Henrietta Lacks 329
Ms. Lacks's Descendants 329
17.4 Epidemiological and Clinical Research 331
Epidemiological Research 331
Randomized Clinical Trials 332
17.5 Gene Therapy 335
Therapy or Research? 336
The Jesse Gelsinger Case 336
17.6 Research in Developing Countries 337
The A2T Trials in Sub-Saharan Africa 338
Cultural Imperialism versus Relativism 339
Moral Lessons from the AZT Trials 340
17.7 Chapter Summary 340
17.8 Study Aids 341
Key Words 341
Questions and Cases for Further Consideration 342
Suggested Readings 343
Justice in Health Care 345
18.1 Shortland v Northland Health:Rationing Is Not Futility 345
18.2 Allocation of Health Care Resources 347
Distributive Justice 349
Priority Setting 353
Distributive Justice in Organ Transplants 358
18.3 Access to Health Care 360
Health Inequalities and Inequities 360
The Right to Health Care 361
Universal Coverage 363
18.4 Chapter Summary 368
18.5 Study Aids 369
Key Words 369
Questions and Cases for Further Consideration 370
Suggested Readings 372
Appendix A: The Tools of Ethical Inquiry 375
Mora! Judgment 375
Normative versus Descriptive Judgment 375
Moral Judgment Characterized 377
Moral Argument 378
Deductive and Inductive Reasoning 379
Concepts and Facts 380
Moral Principles, Commonsense Morality, and
Reflective Equilibrium 380
Missing Premises and Extended Arguments 381
Check Your Understanding 382
Appendix B: Evolving Attitudes toward Ending or Preventing
Human Life 384
Abortion, Infanticide, and Contraception 384
Euthanasia and Suicide 386
Glossary/lndex 389
Index of Cases 406
Additional References 408
Engaging Bioethics: An Introduction with Case Studies draws students into this rapidly changing field,
helping them to actively untangle the many issues at the intersection of medicine and moral concern.
Presuming readers start with no background in philosophy, it offers balanced, philosophically based,
and rigorous inquiry for undergraduates throughout the humanities and social sciences as well as for
health care professionals-in-training, including students in medical school, pre-medicine, nursing,
public health, and those studying to assist physicians in various capacities. Written by an author team
with more than three decades of combined experience teaching bioethics, this book offers
• Flexibility to the instructor, with chapters that can be read independently and in an order that
fits the course structure
• Up-to-date coverage of current controversies on topics such as vaccination, access to health
care, new reproductive technologies, genetics, biomedical research on human and animal
subjects, medically assisted death, abortion, medical confidentiality, and disclosure
• Attention to issues of gender, race, cultural diversity, and justice in health care
• Integration with case studies and primary sources
• Pedagogical features to help instructors and students, including
o Chapter learning objectives
o Text boxes and figures to explain important terms, concepts, and cases
o End-of-chapter summaries, key words, and annotated further readings
o Discussion cases and questions
o Appendices on moral reasoning and the history of ethical issues at the end and beginning
of life
o An index of cases discussed in the book and extensive glossary/index
• A companion website (www.routledge.com/cw/seay) with a virtual anthology linking to
key primary sources, a test bank, topics for papers, and PowerPoints for lectures and class
discussion. |
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| publisher | Routledge, Taylor and Francis Group |
| record_format | marc |
| spelling | Seay, Gary Verfasser (DE-588)1127243616 aut Engaging bioethics an introduction with case studies Gary Seay and Susana Nuccetelli New York ; London Routledge, Taylor and Francis Group 2017 xix, 417 Seiten Diagramme, Illustrationen txt rdacontent n rdamedia nc rdacarrier Medical ethics Medical ethics Case studies Bioethik (DE-588)4006791-9 gnd rswk-swf (DE-588)4151278-9 Einführung gnd-content (DE-588)4522595-3 Fallstudiensammlung gnd-content Bioethik (DE-588)4006791-9 s DE-604 Nuccetelli, Susana 1954- Verfasser (DE-588)102399528X aut Erscheint auch als Online-Ausgabe 978-0-203-78870-7 Digitalisierung UB Augsburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029427736&sequence=000003&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis Digitalisierung UB Augsburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029427736&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Klappentext |
| spellingShingle | Seay, Gary Nuccetelli, Susana 1954- Engaging bioethics an introduction with case studies Medical ethics Medical ethics Case studies Bioethik (DE-588)4006791-9 gnd |
| subject_GND | (DE-588)4006791-9 (DE-588)4151278-9 (DE-588)4522595-3 |
| title | Engaging bioethics an introduction with case studies |
| title_auth | Engaging bioethics an introduction with case studies |
| title_exact_search | Engaging bioethics an introduction with case studies |
| title_full | Engaging bioethics an introduction with case studies Gary Seay and Susana Nuccetelli |
| title_fullStr | Engaging bioethics an introduction with case studies Gary Seay and Susana Nuccetelli |
| title_full_unstemmed | Engaging bioethics an introduction with case studies Gary Seay and Susana Nuccetelli |
| title_short | Engaging bioethics |
| title_sort | engaging bioethics an introduction with case studies |
| title_sub | an introduction with case studies |
| topic | Medical ethics Medical ethics Case studies Bioethik (DE-588)4006791-9 gnd |
| topic_facet | Medical ethics Medical ethics Case studies Bioethik Einführung Fallstudiensammlung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029427736&sequence=000003&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029427736&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT seaygary engagingbioethicsanintroductionwithcasestudies AT nuccetellisusana engagingbioethicsanintroductionwithcasestudies |