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  • The Irrelevance of Harm for a Theory of Disease.
    J. Med. Philos. (IF 1.234) Pub Date : 2020-05-21
    Dane Muckler,James Stacey Taylor

    Normativism holds that there is a close conceptual link between disease and disvalue. We challenge normativism by advancing an argument against a popular normativist theory, Jerome Wakefield's harmful dysfunction account. Wakefield maintains that medical disorders are breakdowns (dysfunctions) in evolved mechanisms that cause significant harm to the organism. We argue that Wakefield's account is not

    更新日期:2020-05-21
  • Harm as a Necessary Component of the Concept of Medical Disorder: Reply to Muckler and Taylor.
    J. Med. Philos. (IF 1.234) Pub Date : 2020-05-21
    Jerome C Wakefield,Jordan A Conrad

    Wakefield's harmful dysfunction analysis asserts that the concept of medical disorder includes a naturalistic component of dysfunction (failure of biologically designed functioning) and a value (harm) component, both of which are required for disorder attributions. Muckler and Taylor, defending a purely naturalist, value-free understanding of disorder, argue that harm is not necessary for disorder

    更新日期:2020-05-21
  • Bioethics in the Ruins
    J. Med. Philos. (IF 1.234) Pub Date : 2020-05-21
    Allen Porter

    In The Foundations of Bioethics (1986, 1996), former senior editor of The Journal of Medicine and Philosophy H. Tristram Engelhardt, Jr. (1941–2018) radically reassessed the nature and scope of bioethics, as well as the possibilities for this still-young field that he helped found, in light of the prevailing sociohistorical context, which he argued had been inadequately considered by bioethicists.

    更新日期:2020-05-21
  • Bioethics and the Rule of Law: A Classical Liberal Theory.
    J. Med. Philos. (IF 1.234) Pub Date : 2020-05-21
    Michael Brodrick

    Heated debates over healthcare policy in the United States point to the need for a legal framework that can sustain both moral diversity and peaceful cooperation. It is argued that the classical liberal Rule of Law, with its foundation in the ethical principle of permission, is such a framework. The paper shows to what extent the current healthcare policy landscape in the United States diverges from

    更新日期:2020-05-21
  • Nine Months.
    J. Med. Philos. (IF 1.234) Pub Date : 2020-05-21
    Elselijn Kingma

    When did we begin to exist? Barry Smith and Berit Brogaard argue that a new human organism comes into existence neither earlier nor later than the moment of gastrulation: 16 days after conception. Several critics have responded that the onset of the organism must happen earlier; closer to conception. This article makes a radically different claim: if we accept Smith and Brogaard's ontological commitments

    更新日期:2020-05-21
  • The Ends of Medicine and the Experience of Patients
    J. Med. Philos. (IF 1.234) Pub Date : 2020-03-19
    MacDougall D.

    AbstractThe ends of medicine are sometimes construed simply as promotion of health, treatment and prevention of disease, and alleviation of pain. Practitioners might agree that this simple formulation captures much of what medical practice is about. But while the ends of medicine may seem simple or even obvious, the essays in this issue demonstrate the wide variety of philosophical questions and issues

    更新日期:2020-04-23
  • Narratively Shaped Emotions: The Case of Borderline Personality Disorder.
    J. Med. Philos. (IF 1.234) Pub Date : 2020-02-19
    Anna Bortolan

    In this article, I provide a phenomenological exploration of the role played by narrativity in shaping affective experience. I start by surveying and identifying different ways in which linguistic and narrative expression contribute to structure and regulate emotions, and I then expand on these insights by taking into consideration the phenomenology of borderline personality disorder. Disruptions of

    更新日期:2020-04-23
  • Transhumanism, Moral Perfection, and Those 76 Trombones.
    J. Med. Philos. (IF 1.234) Pub Date : null
    Tom Koch

    Transhumanism advances an ideology promising a positive human advance through the application of new and as yet unrealized technologies. Underlying the whole is a libertarian ethos married to a very Christian eschatology promising a miraculous transformation that will answer human needs and redress human failings. In this paper, the supposedly scientific basis on which transhumanist promises are built

    更新日期:2020-04-23
  • On the Epistemic Status of Prenatal Ultrasound: Are Ultrasound Scans Photographic Pictures?
    J. Med. Philos. (IF 1.234) Pub Date : 2020-01-14
    Maddalena Favaretto,Danya F Vears,Pascal Borry

    Medical imaging is predominantly a visual field. In this context, prenatal ultrasound images assume intense social, ethical, and psychological significance by virtue of the subject they represent: the fetus. This feature, along with the sophistication introduced by three-dimensional (3D) ultrasound imaging that allows improved visualization of the fetus, has contributed to the common impression that

    更新日期:2020-04-23
  • Health and Reference Classes.
    J. Med. Philos. (IF 1.234) Pub Date : 2020-01-10
    Sander Werkhoven

    In this article, I address two objections developed by Kingma against Boorse's (1977) bio-statistical theory of health, the objections that choice of reference classes renders the theory both circular and problematically value-laden. These objections not only apply to the bio-statistical theory of health but also to other naturalistic theories, like the dispositional theory of health. I present three

    更新日期:2020-04-23