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Other-Person-ness and the Person with Profound Disabilities The New Bioethics Pub Date : 2024-03-24 Anna Westin
Published in The New Bioethics: A Multidisciplinary Journal of Biotechnology and the Body (Ahead of Print, 2024)
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‘Sit down and thrash it out’: opportunities for expanding ethics consultation during conflict resolution in long-term care* The New Bioethics Pub Date : 2024-03-20 David N. Hoffman, Gianna R. Strand
Objective: To identify the frequency and nature of care conflict dilemmas that United States long-term care providers encounter, response strategies, and use of ethics resources to assist with disp...
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Women’s reproductive choice and (elective) egg freezing: is an extension of the storage limit missing a bigger issue? The New Bioethics Pub Date : 2024-03-20 Panagiota Nakou
Egg freezing can allow women to preserve their eggs to avoid age-related infertility. The UK's recent extension of elective egg freezing storage has been welcomed as a way of enhancing the reproduc...
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The Extent to Which the Wish to Donate One’s Organs After Death Contributes to Life-Extension Arguments in Favour of Voluntary Active Euthanasia in the Terminally Ill: An Ethical Analysis The New Bioethics Pub Date : 2024-02-05 Richard C. Armitage
In terminally ill individuals who would otherwise end their own lives, active voluntary euthanasia (AVE) can be seen as life-extending rather than life-shortening. Accordingly, AVE supports key pro...
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‘Assisted dying’ as a comforting heteronomy: the rejection of self-administration in the purported act of self-determination The New Bioethics Pub Date : 2024-01-30 David Albert Jones
‘Assisted dying’ (an umbrella term for euthanasia and/or assisted suicide) is frequently defended as an act of autonomous self-determination in death but, given a choice, between 93.3% and 100% of ...
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Animal rights, animal research, and the need to reimagine science The New Bioethics Pub Date : 2024-01-05 Christopher Bobier, Noah Reinhardt, Kate Pawlowski
What would it look like for researchers to take non-human animal rights seriously? Recent discussions foster the impression that scientific practice needs to be reformed to make animal research eth...
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Are Physicians Obligated to Recommend a Plant-Based Diet? A Response to Maximilian Storz The New Bioethics Pub Date : 2023-11-23 Thomas Milovac
Maximilian Storz argues that physicians have an ethical obligation to recommend a plant-based diet to patients because such a diet: relieves certain chronic conditions, outperforms the Western diet...
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The value of asking questions The New Bioethics Pub Date : 2023-11-23 Matt James
Published in The New Bioethics: A Multidisciplinary Journal of Biotechnology and the Body (Vol. 29, No. 4, 2023)
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When Does Catholic Social Teaching Imply a Duty to be Vaccinated for the Common Good? The New Bioethics Pub Date : 2023-11-23 Steven M. A. Bow
In 2017, Carson and Flood outlined a general duty to be vaccinated, arguing from Catholic social teaching on justice, love, solidarity and the common good. This necessarily relied on assumptions ab...
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Is It Possible to Allocate Life? Triage, Ageism, and Narrative Identity The New Bioethics Pub Date : 2023-11-23 Mahmut Alpertunga Kara
Triage protocols can exclude older patients for the sake of effectiveness and this may be defended as the older have already had their fair share of life, which can mean fair amounts or complete li...
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Responsibility Arguments in Defence of Abortion: When One is Morally Responsible for the Creation of a Fetus The New Bioethics Pub Date : 2023-11-23 Timothy Kirschenheiter
I argue against responsibility arguments that offer a defence of abortion even on the assumption that the fetus is a person. I focus on argumentation originally offered by Judith Jarvis Thomson and...
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Natural law and human rights: toward a recovery of practical reason The New Bioethics Pub Date : 2023-11-08 Michael Wee
Published in The New Bioethics: A Multidisciplinary Journal of Biotechnology and the Body (Ahead of Print, 2023)
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The Ethics of Global Acquisition: Moral Arguments about Transplantation The New Bioethics Pub Date : 2023-11-08 David Randall
Published in The New Bioethics: A Multidisciplinary Journal of Biotechnology and the Body (Ahead of Print, 2023)
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Time to Treat the Climate and Nature Crisis as One Indivisible Global Health Emergency The New Bioethics Pub Date : 2023-10-26 Kamran Abbasi, Parveen Ali, Virginia Barbour, Thomas Benfield, Kirsten Bibbins-Domingo, Gregory E. Erhabor, Stephen Hancocks, Richard Horton, Laurie Laybourn-Langton, Robert Mash, Peush Sahni, Wadeia Mohammad Sharief, Paul Yonga, Chris Zielinski
Published in The New Bioethics: A Multidisciplinary Journal of Biotechnology and the Body (Ahead of Print, 2023)
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An Ethico-Legal Analysis of Artificial Womb Technology and Extracorporeal Gestation Based on Islamic Legal Maxims The New Bioethics Pub Date : 2023-10-24 Sayyed Mohamed Muhsin, Alexis Heng Boon Chin, Aasim Ilyas Padela
Artificial womb technology for extracorporeal gestation of human offspring (ectogenesis or ectogestation) has profound ethical, sociological and religious implications for Muslim communities. In th...
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The Ethics of Killing: Life, Death and Human Nature The New Bioethics Pub Date : 2023-10-25 Toni Saad
Published in The New Bioethics: A Multidisciplinary Journal of Biotechnology and the Body (Ahead of Print, 2023)
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Creating human nature: the political challenges of genetic engineering The New Bioethics Pub Date : 2023-10-22 Adam Omelianchuk PhD
Published in The New Bioethics: A Multidisciplinary Journal of Biotechnology and the Body (Ahead of Print, 2023)
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Physician-assisted suicide and euthanasia before, during, and after the holocaust The New Bioethics Pub Date : 2023-10-22 David Albert Jones
Published in The New Bioethics: A Multidisciplinary Journal of Biotechnology and the Body (Ahead of Print, 2023)
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Motivational Enhancement: What Ancient Technologies of the Self and Recent Biotechnologies Have in Common The New Bioethics Pub Date : 2023-10-22 Cristian Iftode
Motivational enhancement of any kind can be conceived of either as a way to reduce the need for effort, or as a change in the subjective perception of effort. However, in both cases, effort is not ...
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Ethical basics for the caring professions The New Bioethics Pub Date : 2023-08-18 Toni Saad
Published in The New Bioethics: A Multidisciplinary Journal of Biotechnology and the Body (Vol. 29, No. 4, 2023)
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Assisted suicide and the European convention on human rights The New Bioethics Pub Date : 2023-08-18 James E. Hurford
Published in The New Bioethics: A Multidisciplinary Journal of Biotechnology and the Body (Vol. 29, No. 4, 2023)
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Prenatal Testing, Disability, and the Ethical Society The New Bioethics Pub Date : 2023-08-05 Heloise Robinson
Published in The New Bioethics: A Multidisciplinary Journal of Biotechnology and the Body (Vol. 29, No. 3, 2023)
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Why conscience matters: a defence of conscientious objection in healthcare The New Bioethics Pub Date : 2023-06-03 Toni Saad
Published in The New Bioethics: A Multidisciplinary Journal of Biotechnology and the Body (Vol. 29, No. 3, 2023)
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Life Is All About Choices The New Bioethics Pub Date : 2023-06-02 Matt James
Published in The New Bioethics: A Multidisciplinary Journal of Biotechnology and the Body (Vol. 29, No. 2, 2023)
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Care for the Environment as a Consideration in Bioethics Discourse and Education The New Bioethics Pub Date : 2023-06-01 Pacifico Eric Eusebio Calderon, Mark Kiak Min Tan
This article argues that environmental considerations fall within the scope of medical bioethics, and there are implications specific to medical education. It endorses the need to expand the scope ...
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Genomics is here: what can we do with it, and what ethical issues has it brought along for the ride? The New Bioethics Pub Date : 2023-03-05 Chris Willmott, John Bryant
Published in The New Bioethics: A Multidisciplinary Journal of Biotechnology and the Body (Vol. 29, No. 1, 2023)
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Public Health England and Co-Production with the Fetal Anomaly Screening Programme The New Bioethics Pub Date : 2023-01-21 Colette Lloyd, Elizabeth Corcoran, Lynn Murray
As the new Cell-free DNA (Cf-DNA) prenatal screening test for Down syndrome was being introduced into the UK’s fetal anomaly screening program, Down syndrome charities had an opportunity to participate. An experience of co-production where we were the minority voice then followed. This paper explores that process and our experience as a charity. Institutional and societal structures meant that it was
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How Then Should We Die? Two Opposing Responses to the Challenges of Suffering and Death The New Bioethics Pub Date : 2023-01-02 Xavier Symons
Published in The New Bioethics: A Multidisciplinary Journal of Biotechnology and the Body (Vol. 29, No. 2, 2023)
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Pre-natal testing, excessive parenting and care ethics The New Bioethics Pub Date : 2022-12-26 Jonathan Herring
This article explores the current parenting culture, particularly the promotion of competitive and excessive parenting, as an important background issue against which the debates around pre-natal testing take place. It offers an alternative vision of parenting, relying on care ethics, which sees parenting as a relationship, rather than a job. A relationship that should change a parent’s understanding
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‘Swear by Thy Gracious Self’: North American Medical Oath-Taking in 2014/2015 The New Bioethics Pub Date : 2022-12-22 Nathan Gamble, Benjamin Holler, Stephen Murata
Over the past century, six studies – the most recent data from 2000 – and one review have comprehensively examined the content of medical oaths and oath-taking practices, all focusing on North America, providing an insight into the ethical beliefs of each era. Our study sought to establish a new point of reference. In 2014/2015, oaths from 150 of all 153 US and Canadian medical schools were collected
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Understanding Conscientious Objection and the Acceptability of its Practice in Primary Care The New Bioethics Pub Date : 2022-12-14 Anne Williams
Ethically challenging or controversial medical procedures have prompted increasing requests for the exercise of conscientious objection, and caused concerns about how and when it should be practised. This paper clarifies definitions, especially with regard to discrimination, and explores the restrictions, duties, and practical limitations, in order to suggest criteria for its practice. It also argues
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Between Rocks and Hard Places: Good Governance in Ethically Divided Communities The New Bioethics Pub Date : 2022-11-25 Roger Brownsword
This article, prompted by Heidi Crowter’s campaign to eliminate the discriminatory aspects of current abortion law, outlines the challenges to good governance in a context of bioethical plurality. First, the nature of the plurality is sketched. Secondly, some reflections are presented on how those who have governance responsibilities might ease the tensions engendered by the plurality; and, at the
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The New Social Contract for Genomics The New Bioethics Pub Date : 2022-11-25 Edward Hockings
The belief that genomics requires rethinking the ‘social contract’ to realize its potential has received backing from leading figures within bioethics. The case for a new social contract is anchored in notions of solidarity, altruism or the common good. But national genome sequencing is playing out against a backdrop of greatly increased involvement, and investment, of governments in their life science
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Sunni Islamic perspectives on lab-grown sperm and eggs derived from stem cells – in vitro gametogenesis (IVG) The New Bioethics Pub Date : 2022-11-25 Gamal Serour, Mohammed Ghaly, Shaikh Mohd Saifuddeen, Ayaz Anwar, Noor Munirah Isa, Alexis Heng Boon Chin
An exciting development in the field of assisted reproductive technologies is In Vitro Gametogenesis (IVG) that enables production of functional gametes from stem cells in the laboratory. Currently, development of this technology is still at an early stage and has demonstrated to work only in rodents. Upon critically examining the ethical dimensions of various possible IVG applications in human fertility
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An end of year ethical smorgasbord The New Bioethics Pub Date : 2022-11-22 Trevor Stammers
Published in The New Bioethics: A Multidisciplinary Journal of Biotechnology and the Body (Vol. 28, No. 4, 2022)
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Prenatal testing, disability equality, and the limits of the law The New Bioethics Pub Date : 2022-11-19 Heloise Robinson
This article will review reasons why it is argued that the law on abortion on the grounds of disability is discriminatory, as well as recent unsuccessful attempts to address this discrimination in the law. These attempts include ones which would have moderately restricted access to abortion in certain limited cases, and another that might have opened to door to a number of different possibilities,
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Ethics for bioengineering scientists: treating data as clients The New Bioethics Pub Date : 2022-11-19 Michal Pruski
Published in The New Bioethics: A Multidisciplinary Journal of Biotechnology and the Body (Vol. 29, No. 2, 2023)
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What are We Asking Patients to Do? A Critical Ethical Review of the Limits of Patient Self-Advocacy in the Oncology Setting The New Bioethics Pub Date : 2022-11-14 Daniel A. Wilkenfeld, Teresa Hagan Thomas
Increasing emphasis on patient self-management, including having patients advocate for their needs and priorities, is generally a good thing, but it is not always wanted or attainable by patients. The aim of this critical ethical review is to deepen the current discourse in patient self-advocacy by exposing various situations in which patients struggle to self-advocate. Using examples from oncology
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Toward a Standard of Medical Care: Why Medical Professionals Can Refuse to Prescribe Puberty Blockers The New Bioethics Pub Date : 2022-10-31 Ryan Kulesa
That a standard of medical care must outline services that benefit the patient is relatively uncontroversial. However, one must determine how the practices outlined in a medical standard of care should benefit the patient. I will argue that practices outlined in a standard of medical care must not detract from the patient’s well-functioning and that clinicians can refuse to provide services that do
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GENOMICS: How genome sequencing will change our lives The New Bioethics Pub Date : 2022-10-24 John Bryant
Published in The New Bioethics: A Multidisciplinary Journal of Biotechnology and the Body (Vol. 29, No. 1, 2023)
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Coerced Abortion – The Neglected Face of Reproductive Coercion The New Bioethics Pub Date : 2022-10-19 Gregory K. Pike
Reproductive coercion encompasses a collection of pregnancy promoting and pregnancy avoiding behaviours. Coercion may vary in severity and be perpetrated by intimate partners or others. Research is complicated by the inclusion of behaviours that do not necessarily involve an intention to influence reproduction, such as contraceptive sabotage. These behaviours are the most common, but are not always
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Prospects for limiting access to prenatal genetic information about Down syndrome in light of the expansion of prenatal genomics The New Bioethics Pub Date : 2022-10-07 Chris Kaposy
Down syndrome (Trisomy 21) is a mild to moderate intellectual disability. Historically, this condition has been a primary target for prenatal testing. However, Down syndrome has not been targeted for prenatal testing because it is an especially severe illness. The condition was just one that could be easily identified prenatally using the techniques first available decades ago. We are moving into an
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Psychological and Ethical Challenges of Introducing Whole Genome Sequencing into Routine Newborn Screening: Lessons Learned from Existing Newborn Screening The New Bioethics Pub Date : 2022-10-01 Fiona Ulph, Rebecca Bennett
As a psychologist and an ethicist, we have explored empirically newborn screening consent and communication processes. In this paper we consider the impact on families if newborn screening uses whole genome sequencing. We frame this within the World Health Organization’s definition of health and contend that proposals to use whole genome sequencing in newborn screening take into account the ethical
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‘A Knife into My Heart’: Cries, Compassion and Ethical Life The New Bioethics Pub Date : 2022-09-27 Joshua Hordern
The subtitle to the conference upon which this journal issue is based invited us to ‘follow Crowter’. This paper does so primarily by following the person and only thereby attends to the legal judgment. In particular, it will attend to her comment that When mum told me about the discrimination against babies like me in the womb, I felt like a knife had been put into my heart. It made me feel less valued
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The Human Gene Editing Debate The New Bioethics Pub Date : 2022-09-19 Trevor Stammers
Published in The New Bioethics: A Multidisciplinary Journal of Biotechnology and the Body (Vol. 29, No. 1, 2023)
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Abortion, Rights, and Cabin Cases The New Bioethics Pub Date : 2022-09-19 William Simkulet
Many people believe the morality of abortion stands or falls on the moral status of the fetus, with abortion opponents arguing fetuses are persons with a right to life. Judith Jarvis Thomson bypasses this debate, arguing that even if we assume fetuses have a right to life, this is not a right to use other people’s bodies. Recently Perry Hendricks attempts to bypass discussion of rights, assuming that
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Liberty to Request Exemption as Right to Conscientious Objection The New Bioethics Pub Date : 2022-09-06 Johan Vorland Wibye
There is a regulatory option for conscientious objection in health care that has yet to be systematically examined by ethicists and policymakers: granting a liberty to request exemption from prescribed work tasks without a companion guarantee that the request is accommodated. For the right-holder, the liberty’s value lies in the ability to seek exemption without duty-violation and a tangible prospect
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Curing Mad Truths: Medieval Wisdom for the Modern Age The New Bioethics Pub Date : 2022-08-23 Toni Saad
Published in The New Bioethics: A Multidisciplinary Journal of Biotechnology and the Body (Vol. 28, No. 4, 2022)
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Ethical Challenges Associated with Pathogen and Host Genetics in Infectious Disease The New Bioethics Pub Date : 2022-08-16 Richard Milne, Christine Patch
The Covid-19 pandemic has demonstrated the potential of genomic technologies for the detection and surveillance of infectious diseases. Pathogen genomics is likely to play a major role in the future of research and clinical implementation of genomic technologies. However, unlike human genetics, the specific ethical and social challenges associated with the implementation of infectious disease genomics
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The Ethics of Generating Posthumans: Philosophical and Theological Reflections on Bringing New Persons into Existence The New Bioethics Pub Date : 2022-08-14 Michal Pruski
Published in The New Bioethics: A Multidisciplinary Journal of Biotechnology and the Body (Vol. 28, No. 4, 2022)
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Special issues and current controversies The New Bioethics Pub Date : 2022-08-01 Trevor Stammers
Published in The New Bioethics: A Multidisciplinary Journal of Biotechnology and the Body (Vol. 28, No. 3, 2022)
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Dignity and Equality in Women’s Health Issues to Inspire an Ethics of Care The New Bioethics Pub Date : 2022-08-01 Alberto García Gómez, Angela Colotti
Published in The New Bioethics: A Multidisciplinary Journal of Biotechnology and the Body (Vol. 28, No. 3, 2022)
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Unauthorized Pelvic Exams are Sexual Assault The New Bioethics Pub Date : 2022-07-25 Perry Hendricks, Samantha Seybold
The pelvic exam is used to assess the health of female reproductive organs and so involves digital penetration by a physician. However, it is common practice for medical students to acquire experience in administering pelvic exams by performing them on unconscious patients without prior authorization. In this article, we argue that such unauthorized pelvic exams (UPEs) are sexual assault. Our argument
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The human embryo in vitro The New Bioethics Pub Date : 2022-07-19 Caterina Milo
Published in The New Bioethics: A Multidisciplinary Journal of Biotechnology and the Body (Vol. 28, No. 4, 2022)
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Opt-in Vs. Opt-out of Organ Donation in Scotland: Bioethical analysis The New Bioethics Pub Date : 2022-07-08 Allister Lee, Joseph Tham
This paper looks at the ethics of opt-in vs. opt-out of organ donation as Scotland has transitioned its systems to promote greater organ availability. We first analyse studies that compare the donation rates in other regions due to such a system switch and find that organ increase is inconclusive and modest at best. This is due to a lack of explicit opt-out choices resulting in greater resistance and
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Analysing the Assisted Dying Bill [HL] debate 2021 The New Bioethics Pub Date : 2022-06-30 Christopher M. Wojtulewicz
This paper considers the number of speeches which treat central topics in the House of Lords second reading of the ‘Assisted Dying Bill’ (October 22, 2021). It summarizes some of the principal arguments for and against the Bill according to the main categories of discussion. These were compassion; palliative care; autonomy, choice and control; legal and social effects. In summarizing the arguments
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Puberty Blockers for Children: Can They Consent? The New Bioethics Pub Date : 2022-06-27 Antony Latham
Gender dysphoria is a persistent distress about one’s assigned gender. Referrals regarding gender dysphoria have recently greatly increased, often of a form that is rapid in onset. The sex ratio has changed, most now being natal females. Mental health issues pre-date the dysphoria in most. Puberty blockers are offered in clinics to help the child avoid puberty. Puberty blockers have known serious side
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Sharing Vulnerabilities in the Woman Patient/Doctor Encounter The New Bioethics Pub Date : 2022-06-09 Jonathan Herring
This article is an examination of the doctor–woman patient encounter through a vulnerability lens. This relationship has been traditionally been critiqued as a paternalistic encounter in which the remedy was to recognize the patient’s rights of autonomy. In this article, it is suggested that a more helpful approach is to recognize the vulnerability of both the patient and doctor. This encourages an
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The Feminine Body and the Culture of Care The New Bioethics Pub Date : 2022-05-27 Marta Rodriguez
Can we speak of a feminine approach to caring for the body? If there is such an approach, how does culture influence or even construct it? Do we need a new culture of care in the medical field? What can a woman’s contribution be to transform culture in this area? In this analysis, I take the human body and its way of being in the world as my starting point, so that we could speak, using Sartrean terminology
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The sentience shift in animal research The New Bioethics Pub Date : 2022-05-25 Heather Browning, Walter Veit
One of the primary concerns in animal research is ensuring the welfare of laboratory animals. Modern views on animal welfare emphasize the role of animal sentience, i.e. the capacity to experience subjective states such as pleasure or suffering, as a central component of welfare. The increasing official recognition of animal sentience has had large effects on laboratory animal research. The Cambridge