The misuse or misappropriation of seismic data, and what you could do to prevent it
Issues of ethics, integrity, honesty and confidentiality regarding seismic data information, and the need to educate the geophysical industry regarding the appropriate use of licensed data are addressed. The obligations of brokers and the rules of conduct of the 1989 Code of Ethics, established pursuant to section 18(1)(h) of the Engineering, Geological and Geophysical Professions Act are also reviewed. Issues regarding guidelines for seismic data brokering, and some other topics such as the ethics of seismic data transfer among owners and users, and among private parties are also highlighted. Schedule A provides the text of the Code of Ethics, and a selection of of articles relating to ethical questions affecting geophysicists.
Ethics in Nanotechnology: Starting from Scratch?
Research in nanotechnology has advanced rapidly in recent years. Several researchers, however, warn that there is a paucity of research on the ethical, legal, and social implications of nanotechnology, and they caution that ethical reflections on nanotechnology lag behind this fast developing science. In this article, the authors question this conclusion, pointing out that the predicted concrete ethical issues related to the area of nanotechnology are rather similar to those related to the area of biotechnology and biology that have been considered by ethicists since the 1970s. Hence, a knowledge base has already been acquired from ethical reflections on biotechnology and biology, which may be a good starting point and foundation for a discussion of ethical reflections on nanotechnology. The authors argue that a promising approach is the use of basic ethical principles as a method to analyze ethical issues of nanotechnology. (Contains 2 tables, 1 figure and 5 notes.)
Thinking ethically about professional practice in adapted physical activity.
There has been little critical exploration of the ethical issues that arise in professional practice common to adapted physical activity. We cannot avoid moral issues as we inevitably will act in ways that will negatively affect the well-being of others. We will make choices, which in our efforts to support others, may hurt by violating dignity or infringing on rights. The aim of this paper is to open a dialogue on what constitutes ethical practice in adapted physical activity. Ethical theories including principlism, virtue ethics, ethics of care, and relational ethics provide a platform for addressing questions of right and good and wrong and bad in the field of adapted physical activity. Unpacking of stories of professional practice (including sacred, secret, and cover stories) against the lived experiences of persons experiencing disability will create a knowledge landscape in adapted physical activity that is sensitive to ethical reflection. PMID:23027144
Background: An important aspect of physiotherapy professional autonomy is the ethical code of the profession, both collectively and for the individual member of the profession. The aim of this study is to explore and add additional insight into the nature and scope of ethical issues as they are understood and experienced by Danish physiotherapists in outpatient, private practice. Methods: A qualitative approach was chosen and semi-structured interviews with 21 physiotherapists were carried out twice and analyzed, using a phenomenological hermeneutic framework. Results: One main theme emerged: The ideal of being beneficent toward the patient. Here, the ethical issues uncovered in the interviews were embedded in three code-groups: 1) ethical issues related to equality; 2) feeling obligated to do one's best; and 3) transgression of boundaries. Conclusions: In an ethical perspective, physiotherapy in private practice is on a trajectory toward increased professionalism. Physiotherapists in private practice have many reflections on ethics and these reflections are primarily based on individual common sense arguments and on deontological understandings. As physiotherapy by condition is characterized by asymmetrical power encounters where the parties are in close physical and emotional contact, practiced physiotherapy has many ethical issues embedded. Some physiotherapists meet these issues in a professional manner, but others meet them in unconscious or unprofessional ways. An explicit ethical consciousness among Danish physiotherapists in private practice seems to be needed. A debate of how to understand and respect the individual physiotherapist's moral versus the ethics of the profession needs to be addressed. PMID:22765019
An interview-based survey was carried out with British and American university teachers. In both countries there was widespread (but in the UK, not unanimous) support for the proposition that ethics should be taught to Bioscience students. Reasons included a need to help students engage with the ethical issues associated with their subject and the view that ethics courses would enhance graduates' transferable skills and make them better citizens. Nearly all respondents suggested that ethical theory/moral philosophy should be included in ethics/bioethics courses for Bioscience students but there differences between the USA and the UK in views about who should teach it. In the USA the majority view was that ethics teaching should be left to those with a training or qualification in ethics or related areas while in the UK there was more confidence that biologists could teach this material. Finally, despite the positive attitude in the USA to teaching ethics to Bioscience students, such courses were not a specific requirement in any of the universities represented in the survey; however, American respondents noted that ethics or bioethics courses may be available as options while some courses within Biology dealt with the ethical issues that arose in those courses. Even in the UK, where pressure to teach ethics/bioethics to Bioscience students arises from the QAA benchmark statements, provision of such teaching is still not universal and based on responses given in this survey, is not likely to become so. (Contains 3 tables.)
CONTEMPORARY MEDICAL ETHICS: AN OVERVIEW FROM IRAN
ABSTRACT The growing potential of biomedical technologies has increasingly been associated with discussions surrounding the ethical aspects of the new technologies in different societies. Advances in genetics, stem cell research and organ transplantation are some of the medical issues that have raised important ethical and social issues. Special attention has been paid towards moral ethics in Islam and medical and religious professions in Iran have voiced the requirement for an emphasis on ethics. In the last decade, great strides have been made in biomedical ethics, especially in the field of education, research and legislation. In this article, contemporary medical ethics in Iran, and the related moral philosophy, have been reviewed in brief and we have discussed some of the activities i...
To ensure ethical employee behavior, companies often utilize several forms of mostly one-way communication such as codes of conduct. The extent to which these efforts, in addition to informing about the company stance on ethics, are able to positively influence behavior is disputed. In contrast, research on business ethics communication and behavior indicates a relatively clear, positive link between open workplace dialogue about ethical issues and ethical conduct. In this paper, I therefore address the question: What influences employee attitudes to talking openly about ethical issues? Answers are proposed on the basis of focus group interviews with staff at the Denmark and Brazil affiliates of the global healthcare company Novo Nordisk. It was found that interest in discussing ethical issues was influenced by two main factors: employee conceptualizations of business ethics, and the level of inter-collegial trust, credibility, and confidence. In this paper, by examining these phenomena, I am at providinginsight that can both inform scholars in these fields as well as help managers in their attempts to promote open workplace dialogue about ethical issues.
Managing cats with cancer: An examination of ethical perspectives.
ETHICAL ISSUES: Caring for cancer patients presents many ethical issues for veterinarians and other veterinary health workers. The issues that most veterinarians think of relate to management of the patient when the owners' preferences for treatment do not appear to be in the animal's best interest, as well as concerns about toxicities and about costs of veterinary services (advanced imaging, surgery, radiation therapy and chemotherapy). While not limited to the veterinary profession, we are more often faced with dilemmas about the appropriateness of palliative care and decisions about euthanasia than our medical colleagues. Equally important are the ethics of not treating patients, and the integration of unproven and alternative strategies into conventional care. A separate ethical issue arises from investigational therapies and research. Less often considered, but nonetheless relevant, are the ethics of suboptimal evaluation (staging) of patients prior to treatment, or of not informing owners about all the options available. CLIENT COMMUNICATION: Ethical veterinary care is intertwined with good client communication. Without good communication, it is impossible, for example, to gain informed consent; and without informed consent, the ethics of cancer treatment are uncertain. GOAL: This article, which draws in part on published research, where stated, and otherwise on the author's personal experiences/opinions and those of veterinary colleagues, is intended to provoke further thought and discussion on the ethics of caring for our cancer patients. PMID:21872793
Ethical research on the implementation of DRGs in Switzerlan--a challenging project.
Diagnosis Related Groups (DRGs) are currently being introduced on a national scale as a prospective reimbursement scheme in Swiss in-patient hospital care, replacing any remaining retrospective day-rate arrangements. DRGs are expected to promote transparency and efficiency while helping to contain health care costs. The governmental decision to introduce DRGs has caused considerable controversy among different stakeholders, due to diverging appraisals of what will happen when DRGs are introduced as an economic management tool in Switzerland. The controversial discourse on DRGs is particularly interesting from an ethical point of view, since all arguments inevitably contain ethical considerations. In this paper we summarise the results of our exploratory ethical studies that have led to a larger research project funded by the Swiss National Science Foundation: "Impact of Diagnosis-Related Groups (DRGs) on patient care and professional practice" (IDoC). In section 1: 'Developing an understanding of the ethical issues at stake' we briefly explain how DRGs work, what the intended effects are, what the public is concerned about and what the scientific research tells us so far. In section 2: 'Developing an ethical framework for research on DRGs in Switzerland' we summarise the ethical issues and explain the ethical framework we will use in order to perform research on the complex issue of DRGs in Switzerland. Only once a profound understanding of the challenges exists can research on the ethical implications of DRGs be successful. PMID:22879074
Ethical issues: Caring for cancer patients presents many ethical issues for veterinarians and other veterinary health workers. The issues that most veterinarians think of relate to management of the patient when the owners' preferences for treatment do not appear to be in the animal's best interest, as well as concerns about toxicities and about costs of veterinary services (advanced imaging, surgery, radiation therapy and chemotherapy). While not limited to the veterinary profession, we are more often faced with dilemmas about the appropriateness of palliative care and decisions about euthanasia than our medical colleagues. Equally important are the ethics of not treating patients, and the integration of unproven and alternative strategies into conventional care. A separate ethical issue ...
Understanding dental ethics as a field separate from its much better known counterpart, medical ethics, is a relatively new, but necessary approach in bioethics. This need is particularly felt in dental education and establishing a curriculum specifically for dental ethics is a challenging task. Although certain topics such as informed consent and patient rights can be considered to be of equal importance in both fields, a number of ethical issues in dental practice are only remotely-if at all-relevant for medical practice. Therefore, any sound approach to education in dental ethics has to recognise the unique aspects of dental practice in order to meet the needs of dental students and prepare them for the ethical challenges they may face during their professional practice. With this goal in mind, this paper examines the approach of the authors to dental ethics education and proposes a system to organise the topics of biomedical ethics for dental education. While the authors' perspective is based on their experience in Turkey, the proposed system of classification is not a rigid one; it is open to interpretation in other contexts with different social, cultural and professional expectations. Therefore, the paper also aims to inspire discussion on the development of an ideal dental ethics curriculum at an international level. PMID:21890860
Ethics and taxation: A cross-national comparison of UK and Turkish firms
This paper investigates responses to tax related ethical issues facing firms, an area where there has been little prior research. As perceptions may be determined by response to different legal systems and regulations, we examine responses to a series of ethical questions posed to two groups of tax practitioners, one group employed in UK firms and another group employed in Turkish firms. This facilitates both an examination of responses from within each country and a cross-national comparison of ethics and taxation. Although there is a similarity of perception of the importance of a number of taxation related ethical issues between UK practitioners and Turkish practitioners, there are also several statistically significant differences between the two groups. The paper makes a significant c...
Ethical Issues of Obesity Surgery?a Health Technology Assessment
New surgical technologies may challenge societal values, and their adoption may lead to ethical challenges. Despite proven cost-effectiveness, obesity (bariatric) surgery and its public funding have been questioned on ethical arguments relating to, for example, the self-inflicted or non-disease nature of obesity. Our aim was to analyze the ethical issues relevant to bariatric surgery. A comprehensive health technology assessment was conducted on bariatric surgery for morbid obesity using the EUnetHTA method, including a fully integrated ethical analysis. The ethical arguments suggesting that obesity should not be surgically treated because it is self-inflicted were rejected. Medicalization of obesity may have both positive and negative effects that impact the various stakeholders different...
Economists, value judgments, and climate change. A view from feminist economics
A number of recent discussions about ethical issues in climate change, as engaged in by economists, have focused on the value of the parameter representing the rate of time preference within models of optimal growth. This essay examines many economists' antipathy to serious discussion of ethical matters, and suggests that the avoidance of questions of intergenerational equity is related to another set of value judgments concerning the quality and objectivity of economic practice. Using insights from feminist philosophy of science and research on high reliability organizations, this essay argues that a more ethically transparent, real-world-oriented, and flexible economic practice would lead to more reliable and useful knowledge. (author)
Diabetes and end of life: ethical and methodological issues in gathering evidence to guide care.
Scand J Caring Sci; 2012; Diabetes and end of life: ethical and methodological issues in gathering evidence to guide care Introduction:? Providing palliative care for people with diabetes at the end of life is part of the chronic disease care trajectory, but end of life care is complex and the presence of diabetes further complicates management. Aim:? The aim of the paper is to discuss the ethical and methodological issues encountered when undertaking research to develop guidelines for managing diabetes at the end of life and the strategies used to address the issues. Method:? The issues emerged as we developed guidelines for managing diabetes at the end of life, which included conducting individual interviews with 14 people with diabetes requiring palliative care and 10 family members. A reflexive researcher journal was maintained throughout the guideline development process. The interview transcripts and researcher's journal were analysed to determine key methodological, ethical and researcher-related issues. Findings:? Key themes were vulnerability of the sampling population, methodological issues included recruiting participants and ensuring rigor, ethical issues concerned benefit and risk, justice, autonomy, privacy, professional boundaries and informed consent. Researcher-related issues were identified such as managing participant distress and their own emotional distress. People were willing to discuss end of life diabetes management preferences. Conclusions:? Undertaking research with people at the end of life is complex because of their vulnerability and the ethical issues involved. However, the ethical principles of autonomy and justice apply and people should be given the relevant information and opportunity to decide whether to participate or not. PMID:22616998
Ethical questions at the company level, is a relatively new field of study and is very sensitive in nature, since we are dealing with issues such as corruption, environmental impacts, human rights, etc. The real or perceived increase in power attributed to science, technology and global companies has spurred an increase in concern among the general public with regard to ethics. Several intergovernmental organizations have begun integrating this concept into their policies, such as the Organisation for Economic Development (OECD), the World Bank, the United Nations, etc. In this document, the author reviews the initiative of the Conseil Francais de l'Energie (French Energy Council) for the implementation of an ethical component at the World Energy Council (WEC). A report on case studies was performed by energy companies. In total, 18 cases were reviewed, where 18 countries had a role to play and involving 28 companies or organizations. Some of the issues raised by the author touches topics as varied as: (1) what are the reasons for ethics? (2) is a company justified in interfering with health policies, food policies, and in some cases by replacing them? (3) are the benefits of these ethical policies measurable and sustainable? The author concludes by stating that ethical issues are an major component of sustainable development and represent a plus value in this field. 2 figs.
Intergenerational ethics and justice related to global climate change are discussed. Uncertainty issues of physical and historical aspects related to climate change are examined. Physical uncertainties of climatic models are very briefly described. Historical uncertainties involve translating estimates of climate change into estimates of effects on society.
School Counseling Programs as Spiritual and Religious Safe Zones
The authors present a model for creating spiritual and religious safe zones in school counseling programs that implements the Association for Spiritual, Ethical and Religious Values in Counseling's (ASERVIC; 2009) "Competencies for Addressing Spiritual and Religious Issues in Counseling" in a school setting. The authors frame the model within the context of issues related to the First Amendment of the U.S. Constitution and posit that students' ability to discuss and explore spiritual and religious issues promotes their personal and social-emotional development.
Background The ethical issues associated with HIV and AIDS are challenging and complex because of beliefs about HIV and AIDS, stigma surrounding the epidemic, lack of knowledge, and fear. Both South Africa and the United States have a nursing code of ethics which endorses a nurses responsibility to maintain a patients right to confidentiality, involvement in decision-making, autonomy, and informed consent. However, nursing students may inappropriately handle ethical challenges in practice related to HIV and AIDS. Objectives The objective of this study was to determine the ethical beliefs held by nursing students regarding testing, confidentiality, serostatus disclosure, and the environment of care related to HIV and AIDS in South Africa and the United States. Design/setting This study util...
Abstract in english The scope of clinical bioethics must be broadened to a social bioethics that tackles institutional and public health ethical problems and those related to the health system reform. The superficial application of the four bioethical principies is not enough to face these problems and assure a complete respect of individual rights. Using a qualitative research in bioethics, we will be able to deal with those problems that rise from health care in Chile and propose solutions (more) to avoid inequities, to promote a humane care of patients, develop an institutional ethics and provide an efficient protection to people 's rights. We propose to incorpórate these social issues to the academic bioethical discussion and to develop a bioethics with complementary principies that can be used to solve cases and in decisión making. We should use the means incorporated in our legislation such as Assistance Ethics Committees, Research Ethics Committees and the National Bioethics Commission, to pursue our objectives.
Researcher Tales and Research Ethics: The Spaces in Which We Find Ourselves
The tales we tell here focus on the ethical issues arising from our research practice with vulnerable young participants and those for whom research has been inextricably linked with European imperialism and colonialism. The importance of relational obligations, temporality and potential for a continuing narrative approach to ethical research cannot be underestimated, and accordingly we recount our experiences in order to highlight these obligations as well as ethical tensions that we encountered. Importantly, our tales and the underpinning theorization suggest that Human Research Ethics Committees (HRECs) "perform" their duties and make decisions to a pre-ordained set of prescriptive standards that do not necessarily take into account the agency of vulnerable young people or Indigenous women.
Is supervised community treatment ethically justifiable?
Ethical viewpoints for and against the use of supervised community treatment (SCT), also known as outpatient commitment and community treatment orders, are examined. The perspectives of writers on civil liberties are considered. This paper argues that while civil liberties are an important concern SCT is ethically justifiable in the circumscribed population of 'revolving door' patients it applies to. This is on the grounds that it enables individuals to actualise their positive liberty. The issue of insight into mental illness is also considered and it is concluded that a further argument in favour of SCT comes from evidence that insight relates to neurobiological deficits. Limits to the ethical justifiability of SCT are considered with reference to individuals with substance dependency. The paper concludes that SCT is ethically permissible only in those with severe mental illness who have a history of losing capacity to consent to treatment and/or admission. PMID:20448004
Older people should have a life with a sense of value and should feel confident. These ethical values, which are expressed in normative ethics, are expected to prevail in empirical ethics. Central components of nursing are the ethical issues of autonomy, beneficence, non-maleficence and the principl...
Ethics and Christology - rediscovering Jesus in evolutionary history
The rather perplexing issue of whether and how Christology should relate to Ethics can, for me at least, only be resolved by first asking how exactly, in the case of Jesus, God's revelation is located not just in history, but specifically in evolutionary history itself. The evolutionary history of o...
Informed consent in human experimentation before the Nuremberg code.
The issue of ethics with respect to medical experimentation in Germany during the 1930s and 1940s was crucial at the Nuremberg trials and related trials of doctors and public health officials. Those involved in horrible crimes attempted to excuse themselves by arguing that there were no explicit rul...
Workshop on a proposed safety goal held at Harpers Ferry, West Virginia on July 23-24, 1981
The objective of the Workshop was to consider the reference safety goal statement, and address some of the concerns related to qualitative and quantitative elements, and economic, ethical, social, and political issues that had been raised. It was hoped that the discussions would provide a basis for improving the soundness and usefulness of the draft safety goal statement.
Ethics in the bank internet encounter : an explorative study
Purpose – The purpose of this paper is to discuss some ethical issues in the internet encounter between customer and bank. Empirical data related to the difficulties that customers have when they deal with the bank through internet technology and electronic banking. The authors discuss the difficulties that customers expressed from an ethical standpoint. Design/methodology/approach – The key problem of the paper is “how does research handle the user's lack of competence in a web-based commercial environment?” The authors illustrate this ethical dilemma with data from a Danish Bank collected in 2002. The data have been structured by an advanced text analytic method, Pertex (by generation of intentionality of verbal actors from text). Findings – The authors can conclude that the experience of lack of competency in internet banking implies a severe damage on the experience of the ethics of the good life and of the respect for the basic ethical principles of customer autonomy, dignity, integrity and vulnerability. However, increased experience of competency may imply experience of increased feeling of ethical superiority and of the good life among customers. Research limitations/implications – The important implication for managerial research of this study would be for banks to focus on customer competency with an ethical concern instead of only being concerned with technical solutions for effective internet operations. Practical implications – Since more and more businesses are digitally based, the authors can foresee a potential generic problem of lack of competence for certain age groups and also of people from different social groups. Originality/value – The paper provides an analysis of the ethics of on-line banking on the basis of Pertex methodology and with the use of basic ethical principles of autonomy, dignity, integrity and vulnerability.
Ethical issues in brain-computer interface research, development, and dissemination.
The steadily growing field of brain-computer interfacing (BCI) may develop useful technologies, with a potential impact not only on individuals, but also on society as a whole. At the same time, the development of BCI presents significant ethical and legal challenges. In a workshop during the 4th International BCI meeting (Asilomar, California, 2010), six panel members from various BCI laboratories and companies set out to identify and disentangle ethical issues related to BCI use in four case scenarios, which were inspired by current experiences in BCI laboratories. Results of the discussion are reported in this article, touching on topics such as the representation of persons with communication impairments, dealing with technological complexity and moral responsibility in multidisciplinary teams, and managing expectations, ranging from an individual user to the general public. Furthermore, we illustrate that where treatment and research interests conflict, ethical concerns arise. On the basis of the four case scenarios, we discuss salient, practical ethical issues that may confront any member of a typical multidisciplinary BCI team. We encourage the BCI and rehabilitation communities to engage in a dialogue, and to further identify and address pressing ethical issues as they occur in the practice of BCI research and its commercial applications. PMID:22592066
Faculty Response to Ethical Issues at an American University in the Middle-East
Purpose: The objective of this study is to get feedback on faculty perception of ethical issues related to teaching, scholarship and service at a relatively new American-style university in the Middle-East. Design/methodology/approach: A questionnaire involving 21 scenarios with multiple choice answers was developed and distributed to all faculty at the institution to get their opinion on the issues. The effects of faculty background, gender, rank, and administrative responsibilities on the obtained responses at the institution were considered. Findings: The findings include: about one-third of the faculty participants were unaware of the university's code of ethics; several of the faculty surveyed stated that they would ignore violations of an ethical code of conduct committed by colleagues; and there was no definite trend observed between the responses of faculty based on their discipline. Research limitations/implications: The study is based on a questionnaire; this implies that the faculty responses are mainly related to the questions posed in the questionnaire. Practical implications: The results of the study can be used by the higher administration at similar universities in the region in order to understand and assess faculty members' reaction to situations involving ethical behaviour. Originality/value: This work is believed to be the first on faculty perception of ethical behaviour at an institution of higher education in the Middle-East. (Contains 8 tables and 3 figures.)
This article addresses the changes in the Commission on Rehabilitation Counselor Certification's 2010 "Code of Professional Ethics for Rehabilitation Counselors" as they relate to Section C: Advocacy and Accessibility. Ethical issues are identified and discussed in relation to advocacy skills and to advocacy with, and on behalf of, the client; to attitudinal barriers as well as barriers to access; and to referral accessibility. Other areas of discussion include knowledge of benefit systems, physical and service accessibility in counseling practice, and confidentiality in regard to advocacy counseling.
Books reviewed in this issue International Relations theory Thinking the twentieth century. By Tony Judt with Timothy Snyder. International Relations theory and the consequences of unipolarity. Edited by G. John Ikenberry, Michael Mastanduno and William C. Wohlforth. International organization, law and ethics Moral movements and foreign policy. By Joshua W. Busby. Ethics for enemies: terror, torture, and war. By F. M. Kamm. The politics of narcotic drugs: a survey. Edited by Julia Buxton. Conflict, security and defence A perpetual menace: nuclear weapons and international order. By William Walker. Modern warfare, intelligence and deterrence: the technologies that are transforming them. Edited by Benjamin Sutherland. Nuclear proliferation and international order: challenges to the non-proli...
Current and Emerging Ethical Issues in Counseling: A Delphi Study of Expert Opinions
A Delphi study was conducted to ascertain the opinions of panel experts regarding the most important current and emerging ethical issues facing the counseling profession. Expert opinions on ethical issues in counselor preparation also were sought. Eighteen panelists responded to 3 rounds of data collection interspersed with feedback. Themes that emerged as important ethical issues were ensuring that counselors practice ethically and abide by the American Counseling Association (2005) "ACA Code of Ethics", dealing with social justice and diversity issues, strengthening the professional identity of counselors, and ensuring competence in providing services within a climate of change. (Contains 3 tables.)
In the UK and internationally, there is widespread recognition that decision-making processes over long-term radioactive waste management are subject to a broad array of inherent technical, political, social, psychological and ethical issues. This paper seeks to specifically address the ethical aspects of long-term radioactive waste management and siting by proposing a framework for evaluating and integrating stakeholders' ethical values into a political decision-making process. Evaluation and integration of the ethical issues and related values takes place within the context of a comprehensive program of stakeholder engagement; a process necessary in fostering support amongst stakeholder groups and potentially affected communities - allowing legitimate and defensible political decisions to be made. In pluralistic democracies such as the UK, there is a recognition that a broad array of ethical values are held by the affected stakeholder groups, and the tools used to integrate ethical values into a stakeholder engagement process must be designed to reflect this pattern of moral diversity. This paper outlines the implications of this diversity for participatory decision making and addresses it by outlining a 'tool' or procedure for stakeholder deliberation as part of a broader 'toolbox' of deliberative methods: a tool that allows not only the elicitation of stakeholders' moral values, but also a critical re-evaluation of those values in light of ethical principles agreed upon by the participants themselves. Drawing upon the theoretical framework of ethical pragmatism, the goal is to turn what philosopher John Rawls has termed an ethical 'reflective equilibrium' into a practical procedure for stakeholder deliberation. The paper describes how the model of reflective equilibrium can be used as a basis for designing this deliberative procedure, in a way that is multi-staged and iterative in nature; with a goal to providing the means for stakeholder participants to critically, coherently and transparently balance their affective moral judgements, intuitions, theoretical considerations and moral principles and then integrate this critical assessment of the ethical issues into the decision-making process.
Handbook on Ethical Issues in Anthropology
The American Anthropological Association has recently added number 23 to its series of special online publications. Edited by Joan Cassell and Sue-Ellen Jacobs, this collection of six essays is presented to "stimulate discussion and reflection on ethical issues" among anthropologists. Offerings include a background essay and annotated bibliography, two essays containing fictional ethical dilemmas and proposed solutions, an essay on introducing issues of ethical responsibility into the classroom, and guidelines on holding a workshop on ethical problems in fieldwork.
Books reviewed in this issue. International Relations theory Globalising the regional, regionalising the global. Edited by Rick Fawn. Hans Morgenthau: realism and beyond. By William E. Scheuerman. Human rights and ethics The ethics of global governance. Edited by Antonio Franceschet. International law and organization Rectifying international injustice: principles of compensation and restitution between nations. By Daniel Butt. The law of command responsibility. By Guenael Mettraux. Protecting civilians: the obligations of peacekeepers. By Siobhan Wills. Foreign policy Clinton's foreign policy: between the Bushes, 1992-2000. By John Dumbrell. America and Europe after 9/11 and Iraq: the great divide. By Sarwar A. Kashmeri. Conflict, security and armed forces Responsibility to protect: the g...
Psychiatry Residents' Attitudes on Ethics and Professionalism: Multisite Survey Results
Recent studies show that psychiatry residents express a relatively greater need for ethics curricula than their colleagues in other specialties. Such studies have been limited in their generalizability because they were conducted at one site. This study of 151 psychiatry residents at seven U.S. psychiatry programs aims to address that limitation. Residents were surveyed on issues pertaining to ethics and professionalism education. Participants were found to support such curricula during training and to value its relevance to the practice of psychiatry. Gender differences and the influence of the “hidden curriculum” on such results merit further study.
Motivation, Design, and Ubiquity: A Discussion of Research Ethics and Computer Science
Modern society is permeated with computers, and the software that controls them can have latent, long-term, and immediate effects that reach far beyond the actual users of these systems. This places researchers in Computer Science and Software Engineering in a critical position of influence and responsibility, more than any other field because computer systems are vital research tools for other disciplines. This essay presents several key ethical concerns and responsibilities relating to research in computing. The goal is to promote awareness and discussion of ethical issues among computer science researchers. A hypothetical case study is provided, along with questions for reflection and discussion.
From 'Implications' to 'Dimensions': Science, Medicine and Ethics in Society.
Much bioethical scholarship is concerned with the social, legal and philosophical implications of new and emerging science and medicine, as well as with the processes of research that under-gird these innovations. Science and technology studies (STS), and the related and interpenetrating disciplines of anthropology and sociology, have also explored what novel technoscience might imply for society, and how the social is constitutive of scientific knowledge and technological artefacts. More recently, social scientists have interrogated the emergence of ethical issues: they have documented how particular matters come to be regarded as in some way to do with 'ethics', and how this in turn enjoins particular types of social action. In this paper, I will discuss some of this and other STS (and STS-inflected) literature and reflect on how it might complement more 'traditional' modes of bioethical enquiry. I argue that STS might (1) cast new light on current bioethical issues, (2) direct the gaze of bioethicists towards matters that may previously have escaped their attention, and (3) indicate the import not only of the ethical implications of biomedical innovation, but also how these innovative and other processes feature ethics as a dimension of everyday laboratory and clinical work. In sum, engagements between STS and bioethics are increasingly important in order to understand and manage the complex dynamics between science, medicine and ethics in society. PMID:22948440
Weather, climate, and flood predictions are incorporated into human decisions in a wide variety of situations, including decisions related to hazardous hydrometeorological events. This article examines ethical aspects of such predictions and decisions, focusing on the case of the 1997 Red River flood in Grand Forks, North Dakota and East Grand Forks, Minnesota (US). The analysis employs a formal ethical framework and analytical method derived from medical and business ethics. The results of the analysis highlight issues related to forecast generation, communication of forecast meaning and uncertainty, responsibility for the use of forecasts in decision making, and trade-offs between the desire for forecast certainty and the risk of missed events. Implications of the analysis for the broade...
Grand challenges for the future of ecological engineering
Ecological engineering is an idea and field whose time has already come, but what will it be in the future? It can be a leader in environmental sustainability, but this will not be easy to achieve. Three grand challenges need to be met and integrated into practice to accomplish this ambitious goal; they are the ethical, the relational, and the intellectual. The ethical challenge requires clearly articulating what is meant by the statement that ecological engineering integrates human society with its natural environment for the benefit of both, and what this then implies for codes of practice. The statement is open to ethical interpretation and invokes the key issue of balance amidst inevitable tradeoffs. The relational challenge is strategic. If ecological engineering seeks wide adoption i...
Male pragmatism in negotiators' ethical reasoning
Across four studies, we explored why a gender gap emerges in negotiator ethics, such that men set lower ethical standards than women. The male pragmatism hypothesis suggests men, more than women, are motivationally biased in setting ethical standards. Experiment 1 demonstrated how negotiations' masculinity implications underlie this gender gap in ethics. Experiment 2 demonstrated that, by viewing ethics from a self-interested perspective, men were more egocentric in their ethical reasoning than women. Experiment 3 demonstrated that, by granting themselves more leniency in ethics than others, men exhibited more moral hypocrisy than women. Experiment 4 examined how implicit negotiation beliefs affect the relation between gender and ethical standards. As hypothesized, fixed beliefs predicted ...
Scand J Caring Sci; 2012 Human love - the inner essence of nursing ethics according to Estrid Rodhe. A study using the approach of history of ideas The aim of this study is to describe the idea pattern of nursing ethics in the textbook written by the Swedish nurse Estrid Rodhe (1911). The purpose is to increase understanding of the ideas in early written history of nursing ethics by using the method of history of ideas. A theoretical premise, but also a fascinating factor in this study, is that the ethics of one profession is always contextual in relation to current period. The historical context of Rodhe's time was a time of difficult societal circumstances in Europe. Nurses' work was demanding, but a distinctive feature was enthusiasm to develop nursing. Discussion of the moral issues of nursing was intense, and the characteristics of a good nurse consisted of being as altruistic and unselfish woman. Based on our analysis, the inner essence of Rodhe's idea pattern consists of human love. It is reflected in her ideas of calling-based altruism, virtuous woman as a personal reason for being a nurse and nurses' ethical duty to implementation and subservience. Rodhe's thinking reflects the conventions of her time. The role of personal moral characteristics of nurses was highlighted and not viewed as separable from the professional. Her textbook represented nursing knowledge of ethics written by a nurse and making her a pioneer of the early written history of nursing in general. Understanding the past helps us comprehend current issues in nursing and makes visible cultural values that form the basis for today and tomorrow. It also provides a possibility to observe the same fundamental features in spite of temporal distance. Here, the history of ideas is a beneficial and fruitful method to increase our understanding of nursing ethics. PMID:22612420
Do new Ethical Issues Arise at Each Stage of Nanotechnological Development?
The literature concerning ethical issues associated with nanotechnologies has become prolific. However, it has been claimed that ethical problems are only at stake with rather sophisticated nanotechnologies such as active nanostructures, integrated nanosystems and heterogeneous molecular nanosystems, whereas more basic nanotechnologies such as passive nanostructures mainly pose technical difficulties. In this paper I argue that fundamental ethical issues are already at stake with this more basic kind of nanotechnologies and that ethics impacts every kind of nanotechnologies, already from the simplest kind of engineered nanoproducts. These ethical issues are mainly associated with the social desirability of nanotechnologies, with the difficulties to define nanotechnologies properly, with th...
Going public : good scientific conduct
The paper addresses issues of scientific conduct regarding relations between science and the media, relations between scientists and journalists, and attitudes towards the public at large. In the large and increasing body of literature on scientific conduct and misconduct, these issues seem underexposed as ethical challenges. Consequently, individual scientists here tend to be left alone with problems and dilemmas, with no guidance for good conduct. Ideas are presented about how to make up for this omission. Using a practical, ethical approach, the paper attempts to identify ways scientists might deal with ethical public relations issues, guided by a norm or maxim of openness. Drawing on and rethinking the CUDOS codification of the scientific ethos, as it was worked out by Robert K. Merton in 1942, we propose that this, which is echoed in current codifications of norms for good scientific conduct, contains a tacit maxim of openness which may naturally be extended to cover the public relations of science. Discussing openness as access, accountability, transparency and receptiveness, the argumentation concentrates on the possible prevention of misconduct with respect to, on the one hand, sins of omission—withholding important information from the public—and, on the other hand, abuses of the authority of science in order to gain publicity. Statements from interviews with scientists are used to illustrate how scientists might view the relevance of the issues raised.
Mobile Witnessing: Ethics and the Camera Phone in the 'War on Terror'
Some of the first images rapidly circulated globally in news media of the London Bombings on 7 July 2005 were taken by non-journalists using mobile camera phones. This paper explores some of the ethical issues raised by mobile phone witnessing in the 'war on terror'. The article uses a performative approach to witnessing in which mobile testimony is seen in terms of performances and speech acts between different parties, including mute witnesses, the survivor witness and the witness(es) to the survivor (s). The approach enables us to see the significance of global mobilities and mobilizations in relation to ethics and mobile witnessing, rather than focusing only the ethics associated with the discrete mobile witness image itself. The article examines some of the global virtual traces and d...
The aim of this study is to describe the idea pattern of nursing ethics in the textbook written by the Swedish nurse Estrid Rodhe (1911). The purpose is to increase understanding of the ideas in early written history of nursing ethics by using the method of history of ideas. A theoretical premise, but also a fascinating factor in this study, is that the ethics of one profession is always contextual in relation to current period. The historical context of Rodhe-s time was a time of difficult societal circumstances in Europe. Nurses- work was demanding, but a distinctive feature was enthusiasm to develop nursing. Discussion of the moral issues of nursing was intense, and the characteristics of a good nurse consisted of being as altruistic and unselfish woman. Based on our analysis, the inner...
An Ethic of Connectedness: Enacting Moral School Leadership through People and Programs
As educators, we grapple with a myriad of dilemmas and often have difficulty resolving issues that relate to curriculum and instruction, funding, facilities and supervision, to name a few. Depending on the leader(s), a variety of ethics come in to play when making decisions. The ethic of connectedness refers to community building and welfare as central to moral thought and practice (Bradley, 2007). Responsibility to community building and welfare begins in the schools and must be an acculturated practice within the schools so future generations possess the knowledge, skills and dispositions that ensure a connectedness to their society (Marzano et al., 2005; Barth 2006; Collinson et al., 2006). This article will explore the importance of an ethic of connectedness to effective school leadership and the experience of a Pennsylvania school district in nurturing and building a connectedness within the school community.
Objective The Internet is a frequently used platform for research in pediatric and health psychology. However, there is little pragmatic guidance as to ethical best practice of this research. The absence of guidance is particularly prominent for online research with children. Our objective is to outline ethical issues in e-health research with children and adolescents using two exemplar studies in pediatric pain research. Methods The first study is an asynchronous message board discussion amongst teenagers with pain who are frequent internet users.The second study is a web-based behavioral intervention for the management of adolescent pain. Results Each exemplar study is discussed in the context of specific ethical considerations related to recruitment, informed consent and debriefing, pri...
Care as a matter of courage: vulnerability, suffering and ethical formation in nursing care
Scand J Caring Sci; 2011 Care as a matter of courage: vulnerability, suffering and ethical formation in nursing care The aim of the study was to explore nurses' experience of how their own vulnerability and suffering influence their ethical formation and their capacity to provide professional care when they are confronted with the patient's vulnerability and suffering. Care is shaped in the meeting between human beings. Professional care is informed by the patient's appeal for help as it is expressed in the meeting. Ethical formation is understood as a personal ethical and existential process, resulting in the capacity to provide professional care. A nurse must have the sense of being a complete human being with own personal attributes and sensitivity in order to be able to relate to other people. The study is based on qualitative interviews with 23 experienced nurses from Sweden, Finland and Denmark. The analyses and interpretation were carried out in line with Steinar Kvale's three levels of interpretation.The study clarifies that ethical formation is a union of the nurse's personal attributes and professional qualifications and that ethical formation is developed over time. Moreover, it also demonstrates that the nurse's personal and professional life experiences of vulnerability and suffering influence ethical formation. Vulnerability and suffering have proven to be sensitive issues for nurses, like a sore point that either serve as an eye-opener or cause the development of blind spots. Furthermore, vulnerability, suffering and the sore points are seen to shape the nurse's courage in relation to care. Courage appears to be a significant unifying phenomenon that manifests itself as the courage to help patients face their own vulnerability and suffering, to bear witness to patients' vulnerability and suffering and to have faith in oneself in arguing for and providing professional care. Courage thus seems to play a significant role in nurses' ability to engage in care. Nurses' own vulnerability, suffering and sore points seem to shape their courage.
Ethics and the Welfare of the Physics Profession
The American Physical Society (APS) Task Force on Ethics was charged with looking at the state of Ethics education in Physics. Through surveys of and discussions with the physics community, a number of concerns regarding Ethics came to light. I will focus on issues in the practice of physics which were raised particularly by junior members of the APS.
This essay surveys recent studies concerning the social, cultural, ethical and religious dimensions of computers. The argument is that computers have certain cultural influences which call for ethical analysis. Further suggestions are that American culture is itself reflected in new ways in the high-technology computer milieu, and that ethical issues entail religious ones which are being largely ignored. 28 references.
Ethics Curriculum for Emergency Medicine Graduate Medical Education
BackgroundEthics education is an essential component of graduate medical education in emergency medicine. A sound understanding of principles of bioethics and a rational approach to ethical decision-making are imperative. ObjectiveThis article addresses ethics curriculum content, educational approaches, educational resources, and resident feedback and evaluation. DiscussionEthics curriculum content should include elements suggested by the Liaison Committee on Medical Education, Accreditation Council for Graduate Medical Education, and the Model of the Clinical Practice of Emergency Medicine. Essential ethics content includes ethical principles, the physician-patient relationship, patient autonomy, clinical issues, end-of-life decisions, justice, education in emergency medicine, research et...
Frontiers, Intersections and Engagements of Ethics and HRM
This essay, and the special issue it introduces, sets out to reignite ethical interrogations of the theory and practice of Human Resource Management (HRM). To cultivate greater levels of boundary-spanning debate about the ethics of HRM, we develop a framework of four tenors for scholarly work: the ethical-declarative, the ethical-subjunctive, the ethical-ethnographic, the ethical-systemic. Each of these tenors denotes particular grounds for ethical critique and encourages scholars to consider the subjects and objects of their enquiry, the disciplinary scope of their work and the limits to subsequent claims about ethics and HRM. We provisionally locate each of the papers comprising the special issue with regard to one, or more, of these tenors.
Objective: The authors examined psychiatric residents' perceived needs for education in informed consent, principles of ethics and professionalism, and treating vulnerable populations. Method: A written survey was distributed to psychiatric residents (N = 249) at seven U.S. residency programs in 2005. The survey contained 149 questions in 10 content domains, 6 questions regarding personal ethics experiences during training, and 5 demographic questions. Here, the authors report responses to items regarding informed consent, professional principles, and care of vulnerable populations. Results: A total of 151 psychiatric residents responded to the survey (61% overall response rate). On a scale of 1: Much Less, to 5: Same, to 9: Much More Education Desired, psychiatric residents indicated that 9 topics relating to informed consent, 10 issues surrounding professional principles, and 25 topics relating to care of vulnerable populations should receive more educational attention than currently provided. No topics were rated as needing less education. Higher ratings of the need for additional educational attention were associated with more reported ethical conflicts encountered during training. Conclusion: Psychiatric residents at seven diverse U.S. training programs expressed the need for greater educational attention to issues around informed consent, ethical and professional principles, and treating vulnerable populations. These findings reflect the ongoing need for educators to devote curricular attention to these areas so that trainees can incorporate such knowledge effectively into their daily clinical practice in an always-complex,h ighly fragmented medical care environment.
Teaching a Course in Natural Disasters: Geoethics and the Layman
One graduation requirement of the University of Hawaii at Manoa is that students must take an “Ethics Focus” class at the Junior/Senior level. It is to the advantage of departments to offer such classes to majors. I designed and taught a class entitled “Natural Disasters: Geoethics and the Layman” in the Spring of ‘09. The prerequisite was an introductory Geology class. The objectives were: (1) To define ethics, from philosophical points of view and as a personal framework for making decisions about issues related to natural disasters. The Chair of the Philosophy Department assisted in the initial classes to teach the basic principles of ethical thinking. (2) To define what constitutes a “natural” disaster vs what constitutes a disaster brought about by the imposition of human imperatives on the natural world (e.g., to build seawalls or not in efforts to mitigate against beach erosion). (3) To explore a variety of controversial issues at the intersections of two or more of the following: natural processes, human society, and the environment (e.g., forecasting the potential for violent volcanic eruption and understanding the effects of such forecasts on the safety of proximal human populations vs economic disaster caused by evacuation or loss of revenue affected by "false alarms"). (4) To improve the students’ oral communication skills, both as individuals and as members of cooperating groups. (5) To develop and practice using ethically- and scientifically-valid frameworks for reaching decisions about controversial science-based issues. (6) To learn about local organizations, businesses, government agencies, the media and individuals in society who are involved with reacting to and developing solutions for response to these events and their related ethical issues. Students wrote 1- to 2-page journal essays on the issues discussed in class each week and a term paper on issues related to a “natural disaster” of their choice. The 3-credit class brought individuals from academia, private industry, the military, and from civic, state, and federal government agencies into the classroom each week to present information about their experiences, to present reality checks on aspects of actual disaster situations, and to answer student questions. The difficulty was working around guest speakers’ schedules. Student feedback to the class was generally positive, reactions included: “Best part? Getting to talk to real scientists.” ; “You can’t “teach“ ethics, either you have them or you don’t.” ; “I really liked the “student panel” there should be more of them and less lecturing.” ; “This should be a “writing-intensive” class.”
The impact of genetic information on policy and clinical practice.
This article discusses genetics-related policy issues that have an impact on health care systems, health care providers, and their patients: privacy, mass screening, family screening, and knowledge dissemination. Access, cost, and ethical implications are important discussant points for each of these genetic-related policy issues. Embedded in the issue of privacy are concerns of insurability, confidentiality, and discrimination. The public health policy implications related to mass screening programs include efficacy of the screening tests, availability of primary and secondary interventions, access, costs, and program evaluation. Policy issues for family screening are similar to mass screening, with added concerns about privacy and availability of adequate resources, including health care providers and counselors trained in genetics. Knowledge dissemination is critical to maintaining currency of clinical information and applications of genetic technologies and treatments. As genetic information expands, the need for knowledge dissemination will increase. The importance of advanced practice nurses' involvement in these policy issues is discussed. PMID:16443953
The Use of Safety Plans with Children and Adolescents Living in Violent Families
Counselors are regularly confronted with children and adolescents who reside in violent or potentially violent living environments. In this article, safety plans are presented as a tool that counselors can use to promote the safety of children living in unsafe family situations. Ethics-related counseling issues that should be considered when counseling children living in violent living homes are also discussed. A case example is provided to illuminate the presented concepts.
REEXAMINATION OF THE ETHICS OF PLACEBO USE IN CLINICAL PRACTICE.
A placebo is a substance or intervention believed to be inactive, but is administered by the healthcare professional as if it was an active medication. Unlike standard treatments, clinical use of placebo usually involves deception and is therefore ethically problematic. Our attitudes toward the clinical use of placebo, which inevitably includes deception or withholding information, have a tremendous effect on our practice regarding truth-telling and informed consent. A casual attitude towards it weakens the current practice based on shared decision-making and mutual trust between patients and healthcare professionals. Issues concerning the clinical use of placebo are thus intimately related to patient-provider relationships, the public's trust in medicine, and medical education. A review of recent survey studies suggests that the clinical use of placebo appears to be fairly well accepted among healthcare professionals and is common in clinical settings in various countries. However, we think that an ethical discussion is urgently needed because of its controversial nature. If judged to be ethically wrong, the practice should end. In the present paper, we discuss the ethicality of the clinical use of placebo with deception and argue against it, concluding that it is unethical and should be banned. We will show that most arguments in favor of the clinical use of placebo can be refuted and are therefore incorrect or weak. These arguments will be presented and examined individually. Finally, we will briefly consider issues relevant to the clinical use of placebo without deception. PMID:22296589
The importance of expressly examining global warming policy issues through an ethical prism
A vast scientific and economic literature on global warming has emerged in the last two decades. Surprisingly, however, there has been little written on the ethical dimensions of human-induced climate change despite the numerous, obvious, and profoundly important ethical questions raised by human activities that are now clearly threatening human health, the environment, and many things humans value greatly. This paper argues that ethical analysis of global warming issues is practically imperative for two reasons. First, unless ethical analysis is made of global warming issues, ethically dubious decisions about global warming will be made because many of the most important ethical considerations are hidden in what appear to be ethically neutral scientific and economic arguments about global warming policy options. Secondly, unless issues of ethics, justice and equity are expressly dealt with, urgently needed global solutions to global warming will not likely be adopted by many nations. That is, an ethical focus on global warming matters is the key to achieve a globally acceptable solution and to harness political support for action. The paper concludes with a recommendation on how institutions and nations should go about implementing express examination of the ethical dimensions of global warming questions. The paper argues for express identification of ethical issues often hidden in scientific and economic analyses of global warming policy options. (Author)
Podoconiosis: non-filarial elephantiasis.
Background The potential contribution of community engagement to addressing ethical challenges for international biomedical research is well described, but there is relatively little documented experience of community engagement to inform its development in practice. This paper draws on experiences around community engagement and informed consent during a genetic cohort study in Kenya to contribute to understanding the strengths and challenges of community engagement in supporting ethical research practice, focusing on issues of communication, the role of field workers in 'doing ethics' on the ground and the challenges of community consultation. Methods The findings are based on action research methods, including analysis of community engagement documentation and the observations of the authors closely involved in their development and implementation. Qualitative and quantitative content analysis has been used for documentation of staff meetings and trainings, a meeting with 24 community leaders, and 40 large public and 70 small community group meetings. Meeting minutes from a purposive sample of six community representative groups have been analysed using a thematic framework approach. Results Field workers described challenges around misunderstandings about research, perceived pressure for recruitment and challenges in explaining the study. During consultation, leaders expressed support for the study and screening for sickle cell disease. In community meetings, there was a common interpretation of research as medical care. Concerns centred on unfamiliar procedures. After explanations of study procedures to leaders and community members, few questions were asked about export of samples or the archiving of samples for future research. Conclusions Community engagement enabled researchers to take account of staff and community opinions and issues during the study and adapt messages and methods to address emerging ethical challenges. Field workers conducting informed consent faced complex issues and their understanding, attitudes and communication skills were key influences on ethical practice. Community consultation was a challenging concept to put into practice, illustrating the complexity of assessing information needs and levels of deliberation that are appropriate to a given study. PMID:2843362
The American Association for the Advancement of Science (AAAS) Dialogue on Science, Ethics, and Religion (DoSER) provides this Website offering "resources on the scientific content of evolutionary theory and its place in education; historical, philosophical, legal and religious perspectives on evolution; and commentary on current issues" (including the AAAS Board Statement on the Kansas State Board of Education decision). The site is organized into seven main sections: Current Issues, Educational Resources, Scientific Resources, Perspectives, Court Cases (including the "Balanced Treatment" Law), Historical Documents (by Darwin), and Epic of Evolution (essays from a forthcoming volume). Documents at the site reflect current thinking by the leading scholars in the field of evolution and provide historical context for evaluating current thinking. A careful collection of related links augments each section. For further information, see the Dialogue on Science, Ethics, and Religion (DoSER) homepage.
Temporary services for patients in need of chronic care
Background A project is a temporary endeavour undertaken to create a product or service. Projects are frequently used for the testing and development of new approaches in social work. Projects can receive grants from central, often national or international institutions, and allow for more experimentation than work placed within existing institutions. Discussion For socially marginalized groups who need continuing support and care, receiving help in a project means that the clients will have to be transferred to other services when the project ends. There is also a risk that clients will experience a decline in services, as staff members have to seek new employment towards the end of the project, or begin to focus more on the evaluation than the services. This raises some ethical issues concerning the use of human subjects in projects. Conclusion Project managers should consider ethical issues relating to continuity of services when serving vulnerable patients with a need for continuing care.
Legal and Ethical Apprehensions Regarding Relational Object. The Case of Genetically Modified Fish
This paper is the result of a contribution between ethics and law, which will be used as thought-process tools, to address the complex issue of legal and ethical statuses of GM fish. To find answers, we propose to consider this issue from a wider angle, looking at the relations between the human, animal, and living worlds. We show that it is possible to construct other forms of intellectual logic that, without setting these worlds in opposition, do not lapse into relativism where boundaries are blurred. In this sense, we submit the hypothesis that ordered pluralism should help us to move past a mere Man?Animal relationship to reveal the entire complexity of relationships within mankind and between mankind and other (non-human) worlds alongside it and to which it belongs: the animal and liv...
A six-week full time course for third-year undergraduate medical students at Imperial College uniquely links evidence-based medicine (EBM) with ethics and the management of change in health services. It is mounted jointly by the Medical and Business Schools and features an experiential approach. Small teams of students use a problem-based strategy to address practical issues identified from a range of clinical placements in primary and secondary care settings. The majority of these junior clinical students achieve important objectives for learning about teamwork, critical appraisal, applied ethics and health care organisations. Their work often influences the care received by patients in the host clinical units. We discuss the strengths of the course in relation to other accounts of programmes in EBM. We give examples of recurring experiences from successive cohorts and discuss assessment issues and how our multi-phasic evaluation informs evolution of the course and the potential for future developments. PMID:16807168
Informed Consent in Educational Settings and the Novice Researcher
Research ethics are of fundamental importance to any research. They define and shape the research process from the very beginning as they are the code on which academics rely on as guiding practice in the field (Hopf, 2004). Informed consent is an interesting concept as it is interwoven with other ethical issues that include power, privacy and anonymity (Punch, 2002). All of these are ongoing concerns for a researcher and can arise at any stage of the research process (Coad & Evans, 2008). This article describes the informed consent process for an in-progress research masters thesis about the school experiences of senior secondary school students who have funding from Ongoing and Reviewable Resource Scheme (ORRS). It examines this in relation to the "hierarchy of gatekeepers" (Powell & Smith, 2009, Stalker, 1998) and issues of capacity to give informed consent.
In renal transplant, there is a well-known deficiency in organ supply relative to demand. Live donation provides superior results when compared with deceased donation including a better rate of graft success and fewer immunologic complications. This deficiency in organs leads to significant morbidity and mortality rates. Alternative avenues have been extensively explored that may expand the live donor pool. They include altruistic donation as well as paired and pooled exchange programs. Altruistic donation is a truly selfless act from a donor unknown to the recipient. Kidney paired donation involves 2 incompatible donor-recipient pairs swapping donors to produce compatibility. Pooled donation involves at least 2 pairs, and can take the form of domino chains in which altruistic input sets up a chain of transplants, in which each recipient's incompatible donor makes a donation for the next recipient. Despite application of these various methods, there lie extensive ethical issues surrounding them. Misconceptions frequently occur; for instance, the perceived benefit that donating an organ to a loved one is greater for a related donor than for an altruistic one. Additionally, it is frequently believed that immunologic incompatibility offers coerced donors liberation from surgery, and that overcoming these barriers by introducing exchange programs provides vulnerable donors less protection. This article explores these and other complex ethical issues surrounding the various methods of expanding the donor pool. The authors offer opinions that challenge the ethical issues and attempt to overcome those views that hinder progress in the field. PMID:21649566
A Three-Tiered Approach to Enhance Undergraduate Education in Bioethics
The systematic integration of ethics into undergraduate programs is a key component to improving the understanding of ethical issues in science for a broad audience. We propose a three-tiered approach to integrating ethics and social issues that can be readily adapted to particular curricular needs. A concerted incorporation of ethics strategically targeted to each level of undergraduate education will improve the preparation of prospective research scientists, enhance K12 teacher training, increase the scientific and ethical literacy of the general public, and improve the awareness of health professionals regarding ethics in medicine. After examining textbooks, programs, and faculty perspectives, we suggest areas in which changes can be made to incorporate ethics into undergraduate education.
As a leading cause of mortality, coronary artery disease is on the focus of genetic research as a complex trait. Although predictive genetic testing for cardiovascular diseases is on the counter, it is still hard to aggregate information from multiple genetic variants, environmental factors and family history into a single score. Every susceptibility allele provides small contribution to disease formation. Biomarkers play a role in various metabolic pathways. Genetic information and data depend heavily on probabilities. This should be clearly explained by genetic counselor to the patient and relatives who are looking for certain answers. Presence of susceptibility alleles can be a source of anxiety and it may result as a reduced self-confidence in ability to change health behavior. Complex diseases set a new stage to study novel techniques that can elucidate interactions among genetic, environmental and ethnic factors. The cookbook approach to treat a complex disease can often be misleading. Future studies may provide personalized information, which can improve the outcome of standardized treatments. As knowing one's own genetic risk is becoming a task for the responsible individual, it surely will add new challenges to ethical framework. Publicly marketing genetic tests for complex diseases raises ethical concerns. To avoid discriminatory use of genetic information; genetic risk scoring, therapeutic process, ethical policies must have a multifaceted progress. In this review, we summarized the attempts to resolve ethical issues related to genetic testing in complex diseases to resolve patient autonomy with individual responsibility and to aim the patient beneficence and confidentiality. PMID:22306571
Facilitating ethical reflection among scientists using the ethical matrix
Several studies have indicated that scientists are likely to have an outlook on both facts and values that are different to that of lay people in important ways. This is one significant reason it is currently believed that in order for scientists to exercise a reliable ethical reflection about their research it is necessary for them to engage in dialogue with other stakeholders. This paper reports on an exercise to encourage a group of scientists to reflect on ethical issues without the presence of external stakeholders. It reports on the use of a reflection process with scientists working in the area of animal disease genomics (mainly drawn from the EADGENE EC Network of Excellence). This reflection process was facilitated by using an ethical engagement framework, a modified version of the Ethical Matrix. As judged by two criteria, a qualitative assessment of the outcomes and the participants' own assessment of the process, this independent reflective exercise was deemed to be successful. The discussions demonstrated a high level of complexity and depth, with participants demonstrating a clear perception of uncertainties and the context in which their research operates. Reflection on stakeholder views and values appeared to be embedded within the discussions. The finding from this exercise seems to indicate that even without the involvement of the wider stakeholder community, valuable reflection and worthwhile discourse can be generated from ethical reflection processes involving only scienitific project partners. Hence, the previous assumption that direct stakeholder engagement is necessary for ethical reflection does not appear to hold true in all cases; however, other reasons for involving a broad group of stakeholders relating to governance and social accountability of science remain.
Approaches to GPS-survey of tourist movements within a North Sea island destination
Recent developments in information and positioning technologies, converging into portable devices offer new opportunities not only for tracking tourist movements, but also for interactive description and development of experiences. In this paper, we asses the usefulness of a small GPS-GSM device to track tourist movements on a Danish island dominated by summer house tourism, supported by a central database and Internet-based visualisation. A number of methodological challenges and their possible solutions are discussed. Of equal importance to the technical issues, found to work as expected, was the psychological and ethical issues related to recruiting participants and make them share their impressions and provide information on their in-situ decisions.
Ethical Dilemma of Governmental Wiretapping
USA Government wiretapping activities is a very controversial issue. Undoubtedly this technology can assist law enforced authority to detect / identify unlawful or hostile activities; however, this task raises severe privacy concerns. In this paper, we have discussed this complex information technology issue of governmental wiretapping and how it effects both public and private liberties. Legislation has had a major impact on the uses and the stigma of wiretapping for the war on terrorism. This paper also analyzes the ethical and legal concerns inherent when discussing the benefits and concerns of wiretapping. The analysis has concluded with the effects of wiretapping laws as they relate to future government actions in their fight against terrorists.
International Legal and Ethical Considerations at Pfizer, Inc.
Pfizer, Inc. (hereinafter Pfizer), a U.S.-based pharmaceutical company, states that it is committed to being an "exemplary corporate citizen" that is "dedicated to discovering and developing innovative medicines and making them available to people all around the world." Pfizer boasts about its philanthropic focus, yet, like any for-profit organization, Pfizer has a responsibility to its shareholders to be profitable. Pfizer must balance its obligations to its shareholders with its stated philanthropic vision, while also being mindful of the public relations ramifications of its decisions. This article presents a business case developed to encourage business students to consider the legal and ethical ramifications of Pfizer's handling of three drugs in the international context. Part I of this article consists of a case study involving actual issues confronting Pfizer. The case is structured around key events regarding the use of three of Pfizer's pharmaceutical products which involve different legal and ethical considerations. The assignment at the end of the case is designed to prompt students to identify legal and ethical issues confronting the company, analyze the issues, and then propose solutions for Pfizer. Part II of this article is a teaching note, which includes learning objectives, potential uses of the case, a discussion about each of the assigned case questions, and suggestions regarding evaluation of the assignment. (Contains 115 footnotes.)
This guide accompanies the following article: Matthew Kieran, `Art, Morality and Ethics: On the (Im)moral Character of Art Works and Inter-Relations to Artistic Value'. Philosophy Compass 1/2 (2006): pp. 129-143, doi: 10.1111/j.1747-9991.2006.00019.x Author's Introduction Up until fairly recently it was philosophical orthodoxy - at least within analytic aesthetics broadly construed - to hold that the appreciation and evaluation of works as art and moral considerations pertaining to them are conceptually distinct. However, following on from the idea that artistic value is broader than aesthetic value, the last 15 years has seen an explosion of interest in exploring possible inter-relations between the appreciative and ethical character of works as art. Consideration of these issues has a di...
Harm of efficiency oriented HRM practices on stakeholders: an ethical issue for sustainability
Purpose - The purpose of this paper is to explore psychological, social and work related health aspects of harm imposed on stakeholders, such as employees, their families and communities, by organizations while using efficiency based human resource management (HRM) practices. Design/methodology/approach - The ethical issues of negative externality (NE) or harm of HRM practices are scrutinized using ethics of care for a stakeholders' perspective. Further, the conceptual framework of NE of HRM is used to analyse the psychological, social and work related health harm of one of the strategic HRM practices, work intensification, a widely used practice to improve the efficiency of employees. Findings - It is evident from this article that NE of work intensification has become the major contribut...
Book reviewed in this issue: International Relations theory Critical International Relations theory after 25 years. Edited by Nicholas Rengger and Ben Thirkell-White. The political economy of global security: war, future crises and changes in global governance. By Heikki Patomaki. Foreword by Richard Falk. National interest and international solidarity: particular and universal ethics in international life. Edited by Jean-Marc Coicaud and Nicholas J. Wheeler. Human rights and ethics Torture and the twilight of empire: from Algiers to Baghdad. By Marnia Lazreg. International law and organization The prohibition of propaganda for war in international law. By Michael G. Kearney. United Nations sanctions and the rule of law. By Jeremy Matam Farrall. Foreign policy Progressive foreign policy. E...
Book reviewed in this issue. International Relations theory Barbarous philosophers: reflections on the nature of war from Heraclitus to Heisenberg. By Christopher Coker. Visions of world community. By Jens Bartelson. Rethinking world politics: a theory of transnational neopluralism. By Philip G. Cerny. Intenational law, human rights and ethics The limits of ethics in International Relations: natural law, natural rights, and human rights in transition. By David Boucher. The fog of law: pragmatism, security and international law. By Michael J. Glennon. Just war on terror? A Christian and Muslim response. Edited by David Fisher and Brian Wicker. International organization and foreign policy Deadlocks in multilateral negotiations: causes and solutions. Edited by Amrita Narlikar. A history of d...
Ethical Issues in New Drug Prescribing
We use the format of a hypothetical case study to review issues related to pharmaceutical product approval and physician prescribing practices. In this case, a new FDA-approved drug is recommended for a patient who subsequently experiences an adverse event that may or may not be related to the prescription. This case raises a number of ethical and legal considerations physicians routinely face when deciding whether to recommend such drugs for their patients. Despite the need for ongoing observation by the regulatory apparatus, physicians should be cognizant of the limitations of the drug approval system and the post-approval prescription drug surveillance system. We discuss physicians? ethical obligations when faced with a newly approved drug, including seeking out independent sources of l...
Today, French public debate and bioethics research reflect an ongoing controversy about eugenics. The field of reproductive medicine is often targeted as pre-implantation genetic diagnosis (PGD), prenatal diagnosis, and prenatal detection are accused of drifting towards eugenics or being driven by eugenics considerations. This article aims at understanding why the charge against eugenics came at the forefront of the ethical debate. Above all, it aims at showing that the charge against prenatal diagnosis is groundless. The point of view presented in this article has been elaborated jointly by a geneticist and a philosopher. Besides a survey of the medical, bioethical, philosophical and social sciences literature on the topic, the methodology is founded on a joint analysis of geneticist's various consults. Evidence from office visits demonstrated that prenatal diagnosis leads to case-by-case decisions. As we have suggested, this conclusion does not mean that prenatal diagnosis is devoid of ethical issues, and we have identified at least two. The first is related to the evaluation of a decision to abort. The second line of ethical questions arises from the fact that the claim for "normality" hardly hides normative and ambiguous views about disability. As a conclusion, ethical dilemmas keep being noticeable in the field of reproductive medicine and genetic counselling, but an enquiry about eugenic tendencies probably does not allow us to understand them in the proper way. PMID:22814726
"But I didn't do it!": ethical treatment of sex offenders in denial.
This article addresses ethical questions and issues related to the treatment of sex offenders in denial, using the empirical research literature and the ethical codes of American Psychological Association (APA) and National Association of Social Workers (NASW) to guide the ethical decision-making process. The empirical literature does not provide an unequivocal link between denial and recidivism, though some studies suggest that decreased denial and increased accountability appear to be associated with greater therapeutic engagement and reduced recidivism for some offenders. The ethical codes of APA and NASW value the client's self-determination and autonomy, and psychologists and social workers have a duty to empower individual well-being while doing no harm to clients or others. Clinicians should view denial not as a categorical construct but as a continuum of distorted cognitions requiring clinical attention. Denial might also be considered as a responsivity factor that can interfere with treatment progress. Offering a reasonable time period for therapeutic engagement might provide a better alternative than automatically refusing treatment to categorical deniers. PMID:20937795
Publishing research is imperative to both counselor educators and students in counseling programs. Furthermore, faculty-student publication collaborations can often be a mutually beneficial professional endeavor. However, determining order of authorship can be a complex ethical issue. The authors review prior research to illustrate the complexities of authorship and suggest a decision-making model and considerations for preventing and resolving these ethical dilemmas. Implications for counselors include future research studies on complex issues regarding authorship of faculty-student collaborations, future incidence studies investigating occurrence of ethics violations, and incorporation of publication ethics into course work in counselor education programs. (Contains 1 figure.)
How nurses and physicians face ethical dilemmas--the Croatian experience.
The aim of this study was to assess nurses' and physicians' ethical dilemmas in clinical practice. Nurses and physicians of the Clinical Hospital Centre Rijeka were surveyed (N=364). A questionnaire was used to identify recent ethical dilemma, primary ethical issue in the situation, satisfaction with the resolution, perceived usefulness of help, and usage of clinical ethics consultations in practice. Recent ethical dilemmas include professional conduct for nurses (8%), and near-the-end-of-life decisions for physicians (27%). The main ethical issue is limiting life-sustaining therapy (nurses 15%, physicians 24%) and euthanasia and physician-assisted suicide (nurses 16%, physicians 9%). The types of help available are similar for nurses and physicians: obtaining complete information about the patient (37% vs. 50%) and clarifying ethical issues (31% vs. 39%). Nurses and physicians experience similar ethical dilemmas in clinical practice. The usage of clinical ethics consultations is low. It is recommended that the individual and team consultations should be introduced in Croatian clinical ethics consultations services. PMID:21558110
Ethical Fairy Tales: Using Fairy Tales as Illustrative Ethical Dilemmas with Counseling Students
Learning to navigate ethical dilemmas is important in counseling students' training. According to the Council for the Accreditation of Counseling and Related Educational Programs (2009 standards, counseling students must receive ethics education. A common goal for counselor educators is to assist students in translating ethical theory into practice. One method traditionally used within counselor education is case examples. A creative way to apply case examples to ethics education is adapting well-known fairy tales into ethical dilemmas. We adapted six fairy tales to address typical ethical and legal dilemmas counseling students may face once in practice. Following each case example is a brief analysis, including corresponding ethical standards from the American Counseling Association Code of Ethics,viewed from a relational-cultural perspective.
Ethics education: An assessment case of the American University of Science and Technology - Lebanon
Purpose - The purpose of this paper is to closely assess the level of business ethics education in one of the Lebanese educational institutions, namely the American University of Science and Technology (AUST) through shedding light on how the Faculty of Business and Economics' curriculum is set to meet the national and regional markets' requirements of sound business education. Design/methodology/approach - Descriptive, analytical and statistical analyses are used in this study. Findings - The study reveals several factors that affect business ethics education at AUST, namely students' ethics literacy and ethical perceptions, students' attitudes towards ethical issues, ethics and personal actions, personal morality, religious and ethical business conducts. This is in addition to the impact...
The Personal Selling Ethics Scale: Revisions and Expansions for Teaching Sales Ethics
The field of sales draws a large number of marketing graduates. Sales curricula used within today's marketing programs should include rigorous discussions of sales ethics. The Personal Selling Ethics Scale (PSE) provides an analytical tool for assessing and discussing students' ethical sales sensitivities. However, since the scale fails to address many ethical issues within the personal selling process, it should be revised. The current research assessed the PSE's content validity via a content analysis of today's university sales texts, popular press sales books, and codes of ethics. Results of the content analysis were used to develop a revised scale (PSE-2) that includes new scenarios suggested by the literature search. A sample of 669 students was used to replicate the original study and test the revised PSE-2 and its new ethical scenarios. The updated scale offers marketing educators an effective tool by which to enhance sales ethics discussions. (Contains 8 tables.)
The purpose of the study is to explore Turkish preservice science teachers' informal reasoning regarding socioscientific issues and the factors influencing their informal reasoning. The researchers engaged 39 preservice science teachers in informal reasoning interview and moral decision-making interview protocols. Of the seven socioscientific issues, three issues were related to gene therapy, another three were related to human cloning, and one was related to global warming. The data were analyzed using an interpretive qualitative research approach. The characteristic of informal reasoning was determined as multidimensional, and the patterns of informal reasoning emerged as rationalistic, emotive, and intuitive reasoning. The factors influencing informal reasoning were: personal experiences, social considerations, moral-ethical considerations, and technological concerns.
Objective: The field of clinical ethics is relatively new and expanding. Best practices in clinical ethics against which one can benchmark performance have not been clearly articulated. The first step in developing benchmarks of clinical ethics services is to identify and understand current practice...
Awareness of Societal Issues among High School Biology Teachers Teaching Genetics
The purpose of this study was to investigate how aware high school biology teachers are of societal issues (values, moral, ethic, and legal issues) while teaching genetics, genetics engineering, molecular genetics, human heredity, and evolution. The study includes a short historical review of World War II atrocities during the Holocaust when scientists from all the above-mentioned disciplines had been involved in trying to support and develop the eugenics theories. It investigates pre- and postwar theories of the eugenics movement in the United States which were implemented successfully in Germany and a literature survey of the studies of societal issues related to these subjects. The sample consisted of 30 male and female biology teachers. Enclosed are teachers' answers in favor or against including debates about societal issues in their classrooms while teaching the disciplines mentioned above.
The duty to care in an influenza pandemic: A qualitative study of Canadian public perspectives
Ever since the emergence of SARS, when we were reminded that the nature of health care practitioners duty to care is greatly contested, it has remained a polarizing issue. Discussions on the nature and limits of health care practitioners duty to care during disasters and public health emergencies abounds the literature, ripe with arguments seeking to ground its foundations. However, to date there has been little public engagement on this issue. This study involved three Townhall meetings held between February 2008 and May 2010 in three urban settings in Canada in order to probe lay citizens views about ethical issues related to pandemic influenza, including issues surrounding the duty to care. Participants included Canadian residents aged 18 and over who were fluent in English. Data were c...
Here, I investigate the challenges involved in addressing ethical questions related to food policy, food security, and climate change in a public engagement atmosphere where ?experts? (e.g., scientists and scholars), policy-makers and laypersons interact. My focus is on the intersection between food and climate in the state of Alaska, located in the circumpolar north. The intersection of food security and climate represents a ?wicked problem.? This wicked problem is plagued by ?unruliness,? characterized by disruptive mechanisms that can impede how ethical issues in policy-making are broached. Unruliness is exacerbated by conditions of engagement that can be characterized as occurring in a ?fog.? In this fog, interlocutors encounter both moral and epistemological conundrums. In considering...
Globalization, Ethics, and the 'War on Terror'
This article serves as a lead-in to the special issue and reflects on the relationship between globalization, ethics, and the 'war on terror'. It argues that while globalization studies have focused substantially on the marketization of life, including the realms of politics and culture, the current 'war on terror' phase has directed focus in theory and practice back to traditional state-centred security concerns and critical investigation of state-citizen relations, notably in the context of multicultural societies. The article discusses three key areas of ethics. First those connected to the terminology of 'war' in this context and the applicability of just war thinking; second, the challenge of such rhetoric to core values of liberal democracies, such as equality and impartiality; and t...
Book reviewed in this issue. International Relations theory British international thinkers from Hobbes to Namier. Edited by Ian Hall and Lisa Hill. International law, human rights and ethics After Abu Ghraib: exploring human rights in America and the Middle East. By Shadi Mokhtari. Globalizing justice: the ethics of poverty and power. By Richard W. Miller. International organization and foreign policy The contemporary Commonwealth: an assessment 1965 2009. Edited by James Mayall. The Commonwealth and international affairs: the Round Table centennial selection. Edited by Alex May. International security in practice: the politics of NATO Russia diplomacy. By Vincent Pouliot. Conflict, security and defence Securing the state. By David Omand. Why intelligence fails: lessons from the Iranian Re...
ActionBioscience: Issues in Biotechnology
Created by the American Institute of Biological Sciences (AIBS), the ActionBioscience website is designed to promote bioscience literacy through a host of educational activities, worksheets, interactive features, and online demonstrations and visualizations. This particular part of the site looks at issues in biotechnology through a range of articles and activities that can be used in classrooms or for personal edification. This section contains over two dozen of these activities, arranged into thematic sections including technology and ethics, cloning, and medical biotechnology. Each article contains a brief introduction, a set of related external links, and a set of references for future use. Some of the pieces that shouldn't be missed are "Agricultural Bioterrorism" by Radford G. Davis and "Designer Babies: Ethical Considerations" by Nicholas Agar.
Abstract The human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) epidemic in Africa has raised important ethical issues for both researchers and clinicians. The most notorious controversy has been related to the zidovudine (AZT) trials in Africa in the late 1990s, in which the control groups were given a placebo rather than an effective drug to prevent vertical transmission. This raised concerns in the sponsoring country about exploitation of subjects, injustice and an ethical double standard between donor countries and resource-poor settings. However, the real double standard is between clinical practice standards in Western versus African countries, which must be addressed as part of the increasing global inequity of wealth both between countries and also within co...
Genetic secrets: Protecting privacy and confidentiality in the genetic era
Few developments are likely to affect human beings more profoundly in the long run than the discoveries resulting from advances in modern genetics. Although the developments in genetic technology promise to provide many additional benefits, their application to genetic screening poses ethical, social, and legal questions, many of which are rooted in issues of privacy and confidentiality. The ethical, practical, and legal ramifications of these and related questions are explored in depth. The broad range of topics includes: the privacy and confidentiality of genetic information; the challenges to privacy and confidentiality that may be projected to result from the emerging genetic technologies; the role of informed consent in protecting the confidentiality of genetic information in the clinical setting; the potential uses of genetic information by third parties; the implications of changes in the health care delivery system for privacy and confidentiality; relevant national and international developments in public policies, professional standards, and laws; recommendations; and the identification of research needs.
Genetic secrets: Protecting privacy and confidentiality in the genetic era. Final report
Few developments are likely to affect human beings more profoundly in the long run than the discoveries resulting from advances in modern genetics. Although the developments in genetic technology promise to provide many additional benefits, their application to genetic screening poses ethical, social, and legal questions, many of which are rooted in issues of privacy and confidentiality. The ethical, practical, and legal ramifications of these and related questions are explored in depth. The broad range of topics includes: the privacy and confidentiality of genetic information; the challenges to privacy and confidentiality that may be projected to result from the emerging genetic technologies; the role of informed consent in protecting the confidentiality of genetic information in the clinical setting; the potential uses of genetic information by third parties; the implications of changes in the health care delivery system for privacy and confidentiality; relevant national and international developments in public policies, professional standards, and laws; recommendations; and the identification of research needs.
"Perspectives" is a special feature included in this issue of the Journal of Creativity in Mental Health. It provides mental health professionals with an opportunity to discuss their positions on a variety of creativity-related topics. In this column, Thania Acaron, board-certified dance/movement therapist, dancer, educator, and curriculum designer, presents critical viewpoints on the disconnection of the body in modern society. She explores the ethical and academic responsibilities of professionals working with the arts with special populations within the worlds of both the arts and the health professions. This article presents critical viewpoints on the disconnection of the body in modern society and the inherent resistance involving the body-mind connection. The ethical and academic responsibilities of professionals working with the arts with special populations are explored both within the worlds of the arts and the health professions. Venues for interdisciplinary collaboration that can help heal the body-mind gap are considered.
Ethical issues in a pediatric private practice.
Building a successful pediatric private practice requires clinical expertise and an understanding of the business process, as well as familiarity with the American Speech-Language-Hearing Association Code of Ethics. This article provides an overview of the ethical issues that may be encountered when building a practice, including a look at marketing and advertising, financial management, privacy, and documentation. Ethically sound decision making is a key to a successful business. PMID:22144085
Abstract in english The present work provides an overview of patent protection for second medical use of known chemical compounds, in Brazil and other countries, through the approach of the main controversies related to this theme. That issues encompass aspects related to the legality of the protection granted by the patent, the general requirements of patenteability, the ethic and social concepts and the politic and economic factors involved. This work also introduces the diverging views of (more) the two Brazilian government agencies involved in the procedure for granting patent in the pharmaceutical area, INPI and ANVISA.
Molecular approaches to human polygenic disease - Symposium 130
This volume deals with the application of recombinant DNA techniques to the identification of diseases that have more than one inherited component. Focus is on the polygenic factors responsible for coronary atherosclerosis. Several other disorders having a polygenic orgin are also discussed, including hypertension, diabetes mellitus, psychiatric diseases, and autoimmune (HLA-related) disorders. Problems raised by the study of different families or different populations are covered, as well as the possibility of applying molecular techniques to disease prevention-for example, through gene therapy. Also explored are some of the ethical issues that relate to human gene mapping.
Legal, Ethical, and Financial Dilemmas in Electronic Health Record Adoption and Use
Electronic health records (EHRs) facilitate several innovations capable of reforming health care. Despite their promise, many currently unanswered legal, ethical, and financial questions threaten the widespread adoption and use of EHRs. Key legal dilemmas that must be addressed in the near-term pertain to the extent of clinicians' responsibilities for reviewing the entire computer-accessible clinical synopsis from multiple clinicians and institutions, the liabilities posed by overriding clinical decision support warnings and alerts, and mechanisms for clinicians to publically report potential EHR safety issues. Ethical dilemmas that need additional discussion relate to opt-out provisions that exclude patients from electronic record storage, sale of deidentified patient data by EHR vendors, adolescent control of access to their data, and use of electronic data repositories to redesign the nation's health care delivery and payment mechanisms on the basis of statistical analyses. Finally, one overwhelming financial question is who should pay for EHR implementation because most users and current owners of these systems will not receive the majority of benefits. The authors recommend that key stakeholders begin discussing these issues in a national forum. These actions can help identify and prioritize solutions to the key legal, ethical, and financial dilemmas discussed, so that widespread, safe, effective, interoperable EHRs can help transform health care.
Good Conversations: An Enhanced Model to Teach Business Ethics
Business practices are a constant matter of discussion by ethical theorists concerned with the conflicts between profitability and justice (Cherry, Lee, & Chien, 2003). Business decisions are complex and hence likely to be compromised by low-quality or questionable strategies (Carpenter & Sanders, 2008). The line between misbehavior and legal violations is sometimes crossed because individuals (leaders) are not fully aware of the biases in their judgment (Carpenter & Sanders, 2008). Business schools play an important role in the preparation of learners in ethics and responsible citizenship. Ethical decision-making models may be used to generate both strong justification and relevant application of rules and principles to an ethical issue, developing alternate ways of thinking (Beschorner, 2006). The use of the Integrative Model of Ethical Decision-Making in an upper-division management course at a public baccalaureate college in Southern Nevada increased students' awareness about ethical issues, provided a framework for logical and moral reasoning, and enabled students to apply deontological and teleological evaluations in ethical judgments. Students acknowledged "good conversations" as a necessary step in ethical decision-making, increased their ethical assessment skills, and engaged in dialogical reasoning. Ethical-decision making models assist in developing better curricula, improving faculty performance, and preparing students with high levels of critical thinking and problem-solving skills. (Contains 1 figure.)
P-642 - Ethical principles in medicine and psychiatry
The ethical principles, from ancient times to the present, that have shaped our current ethical perceptions and relevant codes of ethics in Medicine and Psychiatry (Virtue Ethics, Casuistry, Deontological theory, Utilitarianism, Principlism, Ethics of Care) are reviewed and discussed. The primacy of principles, especially those related to virtue ethics, over rules and codes is emphasized and it is pointed out that moral decisions are always filtered through the set of values of the individual practitioner. It is emphasized that ethical principles should be taken into account not separately but as a whole because there are many cases in which there is contradiction and the physician must decide which principle takes precedence. A general ethical obligation with universal acceptance but with...
Abstract in portuguese A presença de discussões acerca de temas relativos à Ética na produção científica brasileira de Biblioteconomia e Ciência da Informação é o enfoque principal deste texto, que advém da análise de periódicos desses campos de conhecimento e da prática profissional. Para isso, selecionou-se um título por cada região político-administrativa brasileira, Sul, Sudeste, Centro-Oeste e Nordeste, dentre os existentes, cuja edição tivesse se mantido regular no per (more) íodo de 1997 a 2006. Em cada um desses títulos, a partir de palavras-chave previamente definidas, foram identificados os artigos e ensaios que trataram do tema. Com isso, buscava-se conhecer os fundamentos filosóficos e doutrinários, as temáticas e abordagens, e as tendências da discussão Ética na produção periódica brasileira de Biblioteconomia e Ciência da Informação. Metodologicamente, o trabalho envolve a identificação dos periódicos e dos textos publicados sobre a temática; a leitura e a descrição dos mesmos; a identificação dos aspectos apontados nos objetivos pretendidos; a análise dos discursos utilizando a técnica do Discurso do Sujeito Coletivo; e a organização das idéias contidas visando chegar a uma síntese. Foram localizados 10 textos produzidos por 16 autores, sendo dois de 1997, quatro de 2005, quatro distribuídos de 1998 a 2004; nenhum foi encontrado referente ao ano de 2006. Foram identificadas como fundamentos éticos as Doutrinas da Ética do Discurso, da Ética da Alteridade e da Teoria Ético-política da Justiça; e foram também identificadas as temáticas, abordagens e tendências da discussão sobre a Ética, que revelaram a questão da postura profissional determinada pelo quadro atual da sociedade e das tecnologias. Conclui-se que apesar de existir preocupação com o tema Ética por parte de alguns profissionais da informação que escrevem e publicam sobre o assunto, o mesmo ainda é pouco explorado na literatura e está mais dirigido para questões gerais. Abstract in english The presence of discussions on issues relating to ethics in Brazilian scientific production of Librarianship and Information Science is the main focus of this text, which comes from the periodic review of these fields of knowledge and professional practice. For this reason, picked up a scientific periodical title for each brazilian administrative region, whose editing had been maintained regularly over the period 1997 to 2006. In each of these periodical titles, from keyw (more) ords previously defined, have been identified articles and essays which addressed the theme. With this, trying to be informed of the reasons for philosophical and doctrinal, the themes and approaches and trends of the discussion Ethics in regular production of Brazilian Librarianship and Information Science. Methodologically, the work involved identification of journals and texts published on the subject, reading and description of them; identification of the aspects highlighted in the objectives pursued, analysis of speech using the technique of Discurso do Sujeito Coletivo collective subject of discourse) - DSC; organization of the ideas contained, aiming to reach a synthesis. We found 10 texts produced by 16 authors, 2 of 1997, 4 in 2005, 4 distributed from 1998 to 2004 and none was found regarding the year 2006. They were identified as ethical foundations, the doctrines of Ethics of Speech, the Ethics of Otherness and Ethical-Political Theory of Justice, in addition to the issues, approaches and trends of the discussion Ethics, which show the issue of professional attitude determined by the current picture of society and current technologies. We conclude that although there is concern about the ethics issue by some of the professionals who write and publish information on the subject, it is still little explored in literature and is more focused on general issues.
THE ETHICS OF UTERUS TRANSPLANTATION.
Human uterus transplantation (UTx) is currently under investigation as a treatment for uterine infertility. Without a uterus transplant, the options available to women with uterine infertility are adoption or surrogacy; only the latter has the potential for a genetically related child. UTx will offer recipients the chance of having their own pregnancy. This procedure occurs at the intersection of two ethically contentious areas: assisted reproductive technologies (ART) and organ transplantation. In relation to organ transplantation, UTx lies with composite tissue transplants such as face and limb grafts, and shares some of the ethical concerns raised by these non-life saving procedures. In relation to ART, UTx represents one more avenue by which a woman may seek to meet her reproductive goals, and as with other ART procedures, raises questions about the limits of reproductive autonomy. This paper explores the ethical issues raised by UTx with a focus on the potential gap between women's desires and aspirations about pregnancy and the likely functional outcomes of successful UTx. PMID:21726265
This meeting was held June 10, 1996 at Georgetown University. The purpose of this meeting was to provide a multidisciplinary forum for exchange of state-of-the-art information on the human genome education model. Topics of discussion include the following: psychosocial issues; ethical issues for professionals; legislative issues and update; and education issues.
Treatment of potential organ donors in the emergency department: a review.
The expanding role of emergency medicine in the care of potential organ donors presents unique ethical challenges. This article introduces emergency providers to the ethical challenges of organ donation, including issues of patient autonomy and consent, public perception and trust, goals of care, and the determination of death. PMID:22699019
Pro/con ethics debate: is nonheart-beating organ donation ethically acceptable?
This pro/con debate explores the ethical issues surrounding nonheart-beating organ donation (NHBD), a source of considerable controversy. It is estimated that NHBD can increase the number of organs available for transplant by 25% at a time of great need. However, should NHBD be ethically acceptable?...
Primer on Ethics and Crossing Species Boundaries
When you cross species boundaries, you combine the genetic or cellular material of two species. This peer-reviewed issue oriented article addresses whether it is ethical to experiment with part-human animals? Do the potential medical benefits outweigh the ethical concerns? Should guidelines be constructed for such research? How far should science go in pursuit of knowledge?
Prejudice as moral action in Christian ethical decision-making
Given the many approaches regarding the use of the Bible, the ethical work in biblical interpretation and the work of being concerned with an ethical issue affecting the Christian as a moral agent cannot be separated from one another. This article deals with that affinity between the approach of the...
Adolescents are passionately interested in ethical questions suggesting adolescence may be a critical period for including bioethics in science education. Knowledge arises when the mind interacts with content; an understanding of ethical issues develops as an evolving process around real-life situations. The question is what role should teachers play in the acquisition of this knowledge?
Ethical, legal, and social issues related to the collection, storage, and use of biospecimens and data derived from children raise critical concerns in the international debate. So far, a number of studies have considered a variety of the individual issues crucial to pediatric biobanking such as decision making, privacy protection, minor recontact, and research withdrawal by focusing on theoretical or empirical perspectives. Our research attempted to analyze such issues in a comprehensive manner by exploring practices, rules, and researcher opinions regarding proxy consent, minor assent, specimens and data handling, and return of results as faced in 10 European countries. Because of the lack of comparative analyses of these topics, a pilot study was designed. Following a qualitative methodology, a questionnaire draft mostly including open-ended queries was developed, tested, and sent by e-mail to a selected group of researchers dealing with pediatric biobanking (n=57). Returned questionnaires (n=31) highlighted that the collection, storage, distribution, and use of biospecimens and data from children were widely practiced in the contacted laboratories. In most cases, pediatric biobanking was subjected to national or local regulations covering adult biobanks (n=26). Informed consent was generally given by parents or legal representatives (n=17). Children's opinions were frequently sought and taken into account (n=16). However, minors were usually not recontacted at the age of maturity to express their own choices (n=26). Based on the collected data, dedicated recommendations are needed to govern unique ethical and regulatory issues surrounding pediatric biobanking.
Transplantation ethics: are we approaching the crossroads?
Ethical issues of organ transplantation are of extreme importance to involved physicians and to society. The basic principle is that the donor cannot be considered as a commodity; financial incentives must not occur. Regarding deceased-donor organ transplantations, ethical issues are related to the consent for donation, determination of death, and principles of organ allocation. Living donors should be healthy, giving free consent after being fully informed about the risks of the procedure. Transplant professionals have a double responsibility because they must remember about the rights of the organ recipient as well as of the donor. Because of the organ shortage we commonly use organ recovery from donors after cardiac arrest and extend the living-donor pool, practices that may influence some important ethical principles. A proper detailed determination of donor death is of utmost importance. The dead donor rule must be preserved. However category III non-heart-beating donors (so-called controlled cardiac arrest) raise doubts as to the time of the decision to transfer the dying (not yet dead) patient to the operating room to withhold supportive treatment. In certain centers, not quite healthy living donors are being used; they are called extended-criteria or complex donors. Although organ trade is condemned, some workers agree to use as complete strangers donors, obviously believing in pure altruistic motivation of such donors without the additional incentives. Finally, is the trend to consider utility in organ allocation justified? It seems that quite soon we may need a new transplantation ethics code that is not totally directed by transplant professionals exclusively to the needs of potential recipients. PMID:22974946
Objectives. We assessed ethics competencies of public health professionals in codes and competencies, reviewed ethics instruction at schools of public health, and recommended ways to bridge the gap between them. Methods. We reviewed the code of ethics and 3 sets of competencies, separating ethics-related competencies into 3 domains: professional, research, and public health. We reviewed ethics course requirements in 2010-2011 on the Internet sites of 46 graduate schools of public health and categorized courses as required, not required, or undetermined. Results. Half of schools (n?=?23) required an ethics course for graduation (master's or doctoral level), 21 did not, and 2 had no information. Sixteen of 23 required courses were 3-credit courses. Course content varied from 1 ethics topic to many topics addressing multiple ethics domains. Conclusions. Consistent ethics education and competency evaluation can be accomplished through a combination of a required course addressing the 3 domains, integration of ethics topics in other courses, and "booster" trainings. Enhancing ethics competence of public health professionals is important to address the ethical questions that arise in public health research, surveillance, practice, and policy. (Am J Public Health. Published online ahead of print September 20, 2012: e1-e5. doi:10.2105/AJPH.2012.300680). PMID:22994177
Integration of Social Sciences in Nuclear Research
In 1998, SCK-CEN initiated a programme to integrate social sciences into its scientific and technological projects. Activities were started on the following issues: (1) sustainable development; (2) ethics and decision making in nuclear waste management (transgenerational ethics/retrievability; socio-psychological aspect and local involvement); (3) law and liability (medical applications and the basic safety standards implementation); (4) decision making (emergency management); safety culture; ALARA and ethical choices in protection). Two working groups were created to discuss two broad items: (1) ethical choices in radiation protection; and (2) the role and culture of the expert. Progress and major achievements in SCK-CEN's social science programme in 2001 are summarised.
The Role of Empirical Research in Bioethics
There has long been tension between bioethicists whose work focuses on classical philosophical inquiry and those who perform empirical studies on bioethical issues. While many have argued that empirical research merely illuminates current practices and cannot inform normative ethics, others assert that research-based work has significant implications for refining our ethical norms. In this essay, I present a novel construct for classifying empirical research in bioethics into four hierarchical categories: Lay of the Land, Ideal Versus Reality, Improving Care, and Changing Ethical Norms. Through explaining these four categories and providing examples of publications in each stratum, I define how empirical research informs normative ethics. I conclude by demonstrating how philosophical inqui...
Emerging Technologies and Ethics: A Race-to-the-Bottom or the Top?
Does national success with an emerging technology require ethical sacrifices? This question is considered through the simultaneous consideration of ethics, investment, and outcomes in the nine jurisdictions that are making the largest investments in nanotechnologies???an important emerging technology. It is found that while ethical environment has no notable effect on pure and applied research, a more positive ethical environment is associated with measures associated with invention and commercialization. In summary, a race-to-the-top supports invention and commercialization of emerging technologies. A critical finding as it suggests that issues such as corruption and regulation could be critical in limiting the extraction of social and economic benefit from emerging technologies (like nan...
Teaching Ethics in International Business Courses: The Impacts of Religions
Implicit in most comparative ethical studies is the assumption that cultural and religious differences between countries are the major reasons behind the variations in ethical beliefs and business practice across nations. This article examines research on the international ethical issues and the common moral concerns that permeate differing religious and philosophical perspectives--not only Judaism and Christianity, but also Islam, Hinduism, Buddhism, and Confucianism with emphasis on the Golden Rule. Many commonalities were found. The authors suggest that students (and practitioners) should understand the basic tenets of the major religions and their implications on international business ethics because of the apparent failure of current philosophical approaches. (Contains 2 tables.)
Firms' ethics, consumer boycotts, and signalling
This paper develops a theory of consumer boycotts. To affect a firm's ethical behavior, moral consumers refuse to buy from an unethical firm. Consumers who do not care about ethical behavior may join the boycott to (falsely) signal that they do care, increasing the disciplinary power of consumer boycotts. In the firm's choice between ethical and unethical behavior, the optimality of mixed and pure strategies depends on the cost of producing ethically. In particular, when the cost is (relatively) low, ethical behavior arises from a prisoners' dilemma as the firm's optimal strategy.
Abstract in spanish A partir de una exploración del concepto dignidad de la persona, en el cual se basa el reconocimiento de los derechos humanos, se describen artículos relacionados directa e indirectamente con la comunicación social en la Declaración Universal de los Derechos Humanos. En este contexto se plantea la relación entre ética y comunicación, tomando como referencia la concepción de la intencionalidad ética. La reflexión se desarrolla más detalladamente en torno a la ju (more) sticia social, que a su vez implica la equidad participativa. En ella se encuentra el núcleo de la relación entre ética y comunicación, entendida como una relación en la que todos sean reconocidos como sujetos interlocutores con el derecho a expresarse desde sus propias identidades sociales y culturales Abstract in english By examining the concept of human dignity, on which human rights are basically acknowledged, we discuss issues both directly and indirectly related to social communications in the Declaration of the Rights of Man. In this context, we then discuss the relation established between ethics and communications, taking ethic purpose or intent as a point of reference, and then proceed to examine in more detail the concept of social justice, which in turn implies the notion of par (more) ticipatory equity. In the latter, we find the heart of the relationship between ethics and communications, understood as a relationship in which everyone is recognized as an interlocutor with the right to express him/her-self from his/her own social and cultural identity
Children and adolescents who are growing up gay, lesbian, bisexual, gender nonconforming, or gender discordant experience unique developmental challenges. They are at risk for certain mental health problems, many of which are significantly correlated with stigma and prejudice. Mental health professionals have an important role to play in fostering healthy development in this population. Influences on sexual orientation, gender nonconformity, and gender discordance, and their developmental relationships to each other, are reviewed. Practice principles and related issues of cultural competence, research needs, and ethics are discussed.
Researching Ulster Loyalism: The Methodological Challenges of the Divisive and Sensitive Subject
This article offers a reflection upon four aspects of methodology in the context of the author's doctoral research in Northern Ireland: managing identity and research relationships, the ethics of dissemination and the reception of potentially polemic research in the academy. It argues that identity influences research in sensitive contexts in ways that are often hard to anticipate, that more inclusive approaches to dissemination can help counter issues related to research relationships, and that responses to work in controversial contexts highlight ambiguities within the academy regarding the nature and function of social science research, presenting particular challenges for early-career researchers.
Research-Based Learning: Teaching Development through Fieldschools
The challenge of bringing research-based learning to undergraduate development studies and anthropology students has led to convening a fieldschool in Indonesia. The fieldschool has been vital in introducing students to fieldwork methodology and in developing a deeper understanding of the relation of research data to development theory. In addition, students who participate in the fieldschool discover a whole new aspect to learning where an emotional and intellectual response to the field situation is required and they are challenged to consider the ethical issues raised in the course of their research. (Contains 2 notes.)
Ecological Restoration in Context: Ethics and the Naturalization of Former Military Lands
The philosophy of ecological restoration has focused primarily on three issues: the question of what to restore, whether and why restoration “fakes” nature, and how restoration shapes human-nature relationships. Using “M2W conversion sites” - former military lands recently redesignated as U.S. national wildlife refuges - as a case study, we examine how the restoration of these lands challenges existing philosophical frameworks for restoration. We argue that a contextual, case-based analysis best reveals the key ethical and philosophical questions related to restoration at M2W sites, and that such an approach may be useful in developing more nuanced philosophical analyses of ecological restoration more generally.
An improved immunoassay for detection of saxitoxin by surface plasmon resonance biosensors
Saxitoxin and its analogs, the causative agents of paralytic shellfish poisoning (PSP), are a worldwide threat to seafood safety. Effective monitoring of potentially contaminated fishing areas as well as screening of seafood samples is necessary to adequately protect the public. While many analytical methods exist for detecting paralytic shellfish toxins (PSTs), each technique has challenges associated with routine use. One recently developed method [1] that overcomes ethical or performance-related issues of other techniques is the surface plasmon resonance (SPR) bioassay. Notwithstanding the advantages of this method, much research remains in optimizing the sensor substrate and assay conditions to create a robust technique for rapid and sensitive measurement of PSTs. This manuscript descr...
Employing Liberative Pedagogies in Engineering Education
Many educators in the humanities and social sciences employ pedagogies of liberation, including feminist and/or critical or radical pedagogies based on the works of bell hooks, Paulo Freire, and others, to engage students in collectively creating democratic classrooms that encourage all voices. This article motivates the use of these pedagogies in engineering education and presents their application in an engineering thermodynamics course. Implementation areas include relating course material to students' experiences, facilitating students' responsibility for learning and authority in the classroom, incorporating ethics and policy issues, and decentering Western civilization. Assessment approaches are discussed, as well as limitations of liberative pedagogies in an engineering context.
ELSI Bibliography: Ethical legal and social implications of the Human Genome Project
This second edition of the ELSI Bibliography provides a current and comprehensive resource for identifying publications on the major topics related to the ethical, legal and social issues (ELSI) of the Human Genome Project. Since the first edition of the ELSI Bibliography was printed last year, new publications and earlier ones identified by additional searching have doubled our computer database of ELSI publications to over 5600 entries. The second edition of the ELSI Bibliography reflects this growth of the underlying computer database. Researchers should note that an extensive collection of publications in the database is available for public use at the General Law Library of Los Alamos National Laboratory (LANL).
Children and adolescents who are growing up gay, lesbian, bisexual, gender nonconforming, or gender discordant experience unique developmental challenges. They are at risk for certain mental health problems, many of which are significantly correlated with stigma and prejudice. Mental health professionals have an important role to play in fostering healthy development in this population. Influences on sexual orientation, gender nonconformity, and gender discordance, and their developmental relationships to each other, are reviewed. Practice principles and related issues of cultural competence, research needs, and ethics are discussed.
Fluidity of Regulation-CSR Nexus: The Multinational Corporate Corruption Example
Corporate social responsibility (CSR) is a relatively undeveloped concept despite its increasing importance to corporations. One difficulty is the possible inexactness of CSR. Another is the apparent reluctance by regulatory authorities and policy makers to intervene in the area. This is largely a result of inhibitions created by traditional approaches to company law with emphasis on shareholder protection and financial disclosure. The consequence is the stultification of independent development of CSR by tying social issues to financial performance. This attitude might not be unconnected to the theoretical and practical challenges in justifying CSR and defining its scope. The underlying impediment is a factual and theoretical failure to distinguish ?instrumental? and ?pure? (ethical) CSR....
Human development, nature and nurture: Working beyond the divide
In this essay, I explore what social science might contribute to building a better understanding of relations between ‘nature’ and ‘nurture’ in human development. I first outline changing scientific perspectives on the role of the environment in the developmental and behavioural sciences, beginning with a general historical view of the developmental science of human potentials in the twentieth century, and then reflecting on a call to arms against ‘toxic stress’ issued in 2012 by the American Academy of Pediatrics. I suggest that such post-genomic programmes of early intervention, which draw on emerging scientific theories of organismic plasticity and developmental malleability, raise significant social and ethical concerns. At the same time, such progra...
Postmortem sperm retrieval: the Canadian perspective.
Postmortem sperm retrieval has been used worldwide. Following retrieval, sperm can then be used (usually by the surviving partner) to produce a child related to the now-deceased male. This paper describes a request for postmortem sperm retrieval made by the family of a man who had suffered trauma leading to his death. The man had not given written consent for the retrieval and use of his sperm before his accidental death. The case illustrates some of the complex ethical and legal issues occurring in Canada and describes the new Canadian regulations, which prohibit postmortem sperm retrieval unless explicit written consent has been provided by the deceased. PMID:19168449
Book reviewed in this issue. International Relations theory Thinking politically: essays in political theory. By Michael Walzer. Edited by David Miller. Human rights and ethics Human rights and structural adjustment. By M. Rodwan Abouharb and David Cingranelli. Ending slavery: how we free today's slaves. By Kevin Bales. International law and organization International territorial administration: how trusteeship and the civilizing mission never went away. By Ralph Wilde. Crafting cooperation: regional international institutions in comparative perspective. Edited by Amitav Acharya and Alastair Iain Johnston. Foreign policy Shifting alliances: Europe, America and the future of Britain's global strategy. By Patrick Diamond. The European Union and the United States: competition and convergence ...
Children and adolescents who are growing up gay, lesbian, bisexual, gender nonconforming, or gender discordant experience unique developmental challenges. They are at risk for certain mental health problems, many of which are significantly correlated with stigma and prejudice. Mental health professionals have an important role to play in fostering healthy development in this population. Influences on sexual orientation, gender nonconformity, and gender discordance, and their developmental relationships to each other, are reviewed. Practice principles and related issues of cultural competence, research needs, and ethics are discussed. PMID:22917211
Chromosome 21 in the News: Genome Gateway
Over the last few weeks, scientists announced they have completed mapping Chromosome 21, the chromosome associated with Down's syndrome, epilepsy, Lou Gehrig's disease, and Alzheimer's. Researchers hope the achievement will lead to treatments in the future. Nature Magazine, features a free page, Genome Gateway, with online original research papers from Nature and Nature Genetics relating to genomics. Included here is a link to the breakthrough paper announcing the completed sequence of chromosome 21. The site also provides a news service with "up-to-the-minute coverage of research progress, policy issues, funding and ethical implications of genome sequencing."
Abstract in english This article aims to reconstruct the issue of legitimation of democratic orders based on a typology of deliberative consensuses, relating different initial positions by actors to the principles of justification and application of the norms by which they operate. Based on Habermas? model of the ethics of discourse, the article argues that a democratic order?s legitimacy depends on a "virtuous circle of democracy", defined as the circulation of forms of consensus that are able to avoid the characteristic crises in legitimation for each type of consensus.
Top Ten Challenges for the Academic Technology Community
This is a PowerPoint presentation from the EDUCAUSE website. The Advisory Committee for Teaching and Learning (ACTL) identified the key technology-related teaching and learning issues in higher education for 2007. They include: establishing and supporting a culture of evidence; demonstrating improvement of learning; translating learning research into practice; selecting appropriate models and strategies for e-learning; providing tools to meet growing student expectations; providing professional development and support to new audiences; sharing content, applications, and application development; protecting institutional data; addressing emerging ethical challenges; understanding our evolving role.
Advances in Biometric Encryption: Taking Privacy by Design from Academic Research to Deployment
Abstract An organization should address ethical issues including privacy before deploying biometric systems. Threats to informational privacy rights related to potential data misuse, function creep, and the data linkage of personal information contained in diverse databases makes possible such unintended consequences as surveillance, profiling, and discrimination. Unlike passwords, biometric data are unique, irrevocable, and variable. Biometric encryption (BE) is highlighted as a prominent example of Privacy by Design, where privacy is embedded as a core functionality in the biometric system. BE binds a digital key to (or extracts the key from) the biometrics. Earlier technical challenges to this new technology, as well as recent advances, are presented. Lastly, an overview is provided of ...
A Midsummer Night's Dream: Relating Ethics to Mutuality
Shakespeare's A Midsummer Night's Dream shows ethical conflicts to be resolved relationally. Quarreling lovers divide Duke Theseus's Athenian court in advance of his own nuptial celebration, forcing the Duke to decide moral questions based on their ethical consequences. King Oberon's conflicted fairy world meddles in human affairs, adding to the ethical confusion. Athenian workmen vie for roles in a court performance that becomes both a theatrical travesty and a triumph of relational ethics owing to Bottom, the character most within relation itself. Paradoxically, the “dream” elevates relating per se to self-consciousness. Hegel's dialectical, Jean-Luc Nancy's transfiguring, and Martin Buber's relational perspectives take up Shakespeare's premise of treating ontology and ethi...
This paper contributes to a growing body of literature analyzing the social responsibilities of SMEs (Sarbutts, 2003, Journal of Communication Management 7(4), 340?347; Castka et?al., 2004, Corporate Social Responsibility and Environmental Management 11, 140?149; Enderle, 2004, Business Ethics: A European Review 14(1), 51?63; Fuller and Tian, 2006, Journal of Business Ethics 67, 287?304; Jenkins, 2006, Journal of Business Ethics 67, 241?256; Lepoutre and Heene, 2006, Journal of Business Ethics 67, 257?273; Roberts, 2003, Journal of Business Ethics 44(2), 159?170; Williamson et al., 2006, Journal of Business Ethics 67, 317?330) by designing a conceptual framework based on the Strategic Management Theory, which links social issues to the creation of sustained competitive advantages for SMEs....
Approaches to the Teaching of Bioethics and Professional Ethics in Undergraduate Courses
The role of ethics in bioscience undergraduate degrees is now widely accepted, but how ethics should be taught, who should teach it and what the curriculum should include are matters for debate. This article discusses teaching strategies: specialist options, or embed ethics in other courses, or both; use of professional philosophers, or bioscientists with ethics teaching training, or both. Experience from a bioethics programme at the University of Glasgow is discussed, including the need or not to teach technical philosophical terminology; the aims of ethics teaching (with a strong distinction made between professional ethics in science and more personal issues like animal experimentation); strategies for sustainability in staffing; and teaching and assessment methods. (Contains 3 boxes.)
Disorders of consciousness (DOC) raise profound scientific, clinical, ethical, and philosophical issues. Growing knowledge on fundamental principles of brain organization in healthy individuals offers new opportunities for a better understanding of residual brain function in DOCs. We here discuss ne...
Bioethics and the Stem Cell Research Debate
Bioethics--the study of ethical issues in science and medicine--has grown to become a significant academic and service-oriented discipline with its own research centers, conferences, journals, and degree programs. As these issues have moved to the center of public debate, the law has assumed an increasingly important place in the discipline of bioethics. Today, embryonic stem cell research stands out as a critically important issue about which the U.S. has neither ethical consensus nor clear, comprehensive regulation. The ethical debate centers on the fact that stem cell research involves the destruction of very early human embryos. This article provides a brief scientific background followed by a discussion of key ethical and legal/regulatory issues that surround embryonic stem cell research.
Abstract in portuguese Neste trabalho, apresenta-se um estudo das relações do comprometimento com a ética profissional junto aos profissionais da área contábil, na tentativa de averiguar se o nível de introjeção dos valores éticos influencia o seu nível de comprometimento. Na etapa empírica, foram utilizados dois instrumentos de mensuração, sendo um relativo ao comprometimento organizacional de Medeiros (2003), adaptado para a profissão, com 28 (vinte e oito) indicadores e outro c (more) om 20 (vinte), construído a partir do teorizado por Lisboa et al. (1997), que foi inspirado no código de ética do contador gerencial do Institute of Management Accountants, como um conjunto de quatro preceitos mínimos: a competência, o sigilo, a integridade e a objetividade, que na visão dos autores, representam as bases mínimas exigidas num código de ética, analisados a partir das técnicas de análise fatorial, regressão linear e test "t". Constatou-se que o comprometimento é influenciado pelo nível de introjeção ética e que existe diferenciação no comprometimento por parte das duas categorias profissionais: técnicos e contadores. O resultado do estudo mostra que o profissional de nível superior tem seu comprometimento influenciado diretamente pelo nível de introjeção dos deveres éticos da profissão em quatro bases diferentes, e o técnico em contabilidade em duas. O estudo mostra, também, que a objetividade é o maior preditor do comprometimento, sendo esse mais bem evidenciado pelos aspectos instrumentais e normativos, possibilitando considerar que as relações de troca e de necessidade se apresentam como salientes diante da atuação ética dos contabilistas. Abstract in english This paper presents a study in commitment issues related to professional ethics amongst professionals in Accounting. It aims to verifying whether the introjections of ethical values influence commitment level. In the empirical phase of the research, two measurement instruments were used, one related to organizational commitment, Medeiros (2003) that was adapted to the profession, with 28 (twenty-eight) indicators and the other one with 20 (twenty). This was done consideri (more) ng Lisboa et al (1997) that was inspired on the ethics code of managerial accounting of the Institute of Management Accountants. The documents relate four minimal ethical precepts: competence, secrecy, integrity and objectiveness; all of which from the authors? point of view, represent the minimal basis required on an ethics code. They were analyzed from the factorial analysis and the "t" test and it was found out that the commitment issue is influenced by the level of ethical introjections and that there is a differentiation on commitment amongst technicians and accountants. Study results show that the professionals of higher education have their commitment level influenced directly by the introjections of the ethical duties of the profession in four different instances. As for the accounting technician, there are two instances. The study also indicates that objectiveness is the greatest predictor in commitment and this is better shown by normative and instrumental aspects. Therefore, it allows to inferring that relations based on exchange of needs is presented here as a key factor in the ethical performance of accountants.
How a Deweyan science education further enables ethics education
This paper questions the perceived divide between ‘science’ subject matter and ‘moral’ or ‘ethical’ subject matter. A difficulty that this assumed divide produces is that science teachers often feel that there needs to be ‘special treatment’ given to certain issues which are of an ethical or moral nature and which are ‘brought into’ the science class. The case is made in this article that dealing with ethical issues in the science class should not call for a sensitivity that is beyond the expertise of the science teacher. Indeed it is argued here that science teachers in particular have a great deal to offer in enabling ethics education. To overcome this perceived divide between science and values it needs to be recognised that the educative development of learners is both scientific and moral. I shall be using a Deweyan perspective to make the case that we as science teachers can overcome this apparent divide and significantly contribute to an ethics education of our students.
The Question of Professionalization: A Narrative
For quite some time now, there have been discussions and debates in North America in the field of ethics concerning professionalization. From a talk given to graduate and undergraduate university students, the author tells the personal journey of an ethicist in the province of Quebec, Canada, and offers a narrative to illustrate some of the issues she faced since starting her work in the field of ethics at the end of the 1990s. Instead of taking the usual ?for? and ?against? positions, the author addresses the issue of professionalization of healthcare ethics from her own point of view. Referring to her experience with ethics committees and research ethics boards and to the works of George A. Legault in Crise d?identit? professionnelle et Professionnalisme (Presses de l?Universit? du Qu?be...
Abstract in portuguese Os autores realizam um estudo a respeito de uma correlação entre a bioética e a psicologia médica. Dividem o trabalho em duas partes. A primeira discute os conceitos filosóficos sobre a distinção entre moral e ética, trata da ética ligada à medicina e dedica-se à bioética, procurando definir o que se compreende por essa disciplina, descrevendo seus três princípios básicos: a autonomia, a beneficência, não-maleficência e a justiça. Portanto, traça nesta (more) parte do trabalho, uma trajetória que partiu da ética em sua vertente filosófica até chegar à ética em sua aplicação à medicina. A segunda parte é dedicada a definição do campo da psicologia médica, estudando aspectos da relação emocional do indivíduo doente com a sua doença, da relação do médico com a medicina e enfoca o relacionamento do médico com seu paciente. Discutem algumas situações clínicas em que se observa essa correlação. No final, buscam elaborar algumas conclusões. Abstract in english The authors make a study about the correlation between bioethics and medical psychology. They divide the study in two parts. The first part they discuss the philosophical concepts about the distinction between morals and ethics, they deal with ethics applied to medicine and they are trying to define what is meant by subject and describe its three basic principles: autonomy, beneficence, non maleficence and justice. Consequently in this part they trace route that started f (more) rom ethics in its philosophical origins and moved on to ethics in its application to medicine. The second part is dedicated to the definition of the field of study of medical psychology, they study some aspects of the emotional relation of the patient with his illness, the relation of the doctors of his medicine and the relacionship between doctor and his patient. They discusse some clinical issues where they observe this correlation. At last, they try to draw some conclusions.
Ethics or Morals: Understanding Students' Values Related to Genetic Tests on Humans
To make meaning of scientific knowledge in such a way that concepts and values of the life-world are not threatened is difficult for students and laymen. Ethics and morals pertaining to the use of genetic tests for hereditary diseases have been investigated and discussed by educators, anthropologists, medical doctors and philosophers giving, at least in part, diverging results. This study investigates how students explain and understand their argumentation about dilemmas concerning gene testing for the purpose to reduce hereditary diseases. Thirteen students were interviewed about their views on this issue. Qualitative analysis was done primarily by relating students’ argumentation to their movements between ethics and morals as opposing poles. Students used either objective or subjective knowledge but had difficulties to integrate them. They tried to negotiate ethic arguments using utilitarian motives and medical knowledge with sympathy or irrational and personal arguments. They discussed the embryo’s moral status to decide if it was replaceable in a social group or not. The educational implications of the students’ use of knowledge in personal arguments are discussed.
Knowledge and attitudes of Swedish politicians concerning induced abortion.
ABSTRACT Objective Induced abortion is more frequent in Sweden than in many other Western countries. We wanted to investigate attitudes and knowledge about induced abortion among politicians responsible for healthcare in three Swedish counties. Method A study-specific questionnaire was sent to all 375 elected politicians in three counties; 192 (51%) responded. Results The politicians stated that they were knowledgeable about the Swedish abortion law. More than half did not consider themselves, in their capacity as politicians, sufficiently informed about abortion-related matters. Most politicians (72%) considered induced abortion to be primarily a 'women's rights issue' rather than an ethical one, and 54% considered 12 weeks' gestational age an adequate upper limit for induced abortion. Only about a third of the respondents were correctly informed about the number of induced abortions annually carried out in Sweden. Conclusion Information and knowledge on induced abortion among Swedish county politicians seem not to be optimal. Changes aimed at reducing the current high abortion rates will probably not be easy to achieve as politicians seem to be reluctant to commit themselves on ethical issues and consider induced abortion mainly a women's rights issue. PMID:23061799
Ethics and neuropsychiatric genetics: a review of major issues.
Advances in neuropsychiatric genetics hold great hopes for improved prevention, diagnosis and treatment. However, the power of genetic testing to identify individuals at increased risk for disorders and to convey information about relatives creates a set of complex ethical issues. Public attitudes are inevitably affected by the shadow of eugenics, with its history of distorting scientific findings to serve socio-political ends. Nonetheless, the growing availability of genetic tests means that more patients will seek genetic information and physicians must manage the process of informed consent to allow meaningful decisions. Patients should be helped to understand the often-limited predictive power of current knowledge, potential psychological impact, risks of stigma and discrimination and possible implications for family members. Decisions for predictive testing of children raise additional concerns, including distortions of family dynamics and negative effects on children's self-image; testing is best deferred until adulthood unless preventive interventions exist. Pharmacogenomic testing, part of personalized medicine, may bring collateral susceptibility information for which patients should be prepared. The implications of genetic findings for families raise the question of whether physicians have duties to inform family members of implications for their health. Finally, participation in research in neuropsychiatric genetics evokes a broad range of ethical concerns, including the contentious issue of the extent to which results should be returned to individual subjects. As genetic science becomes more widely applied, the public will become more sophisticated and will be likely to demand a greater role in determining social policy on these issues. PMID:22272758
The genetic testing of minors within the direct-to-consumer (DTC) genetic testing (GT) context has been given relatively little attention. The issue of testing healthy children for diseases that would only develop in adulthood raises many important ethical, legal and social issues. As genetic testing is now available outside of the traditional health care system, often without even the intermediate of a health care professional, we surveyed 37 DTC GT companies regarding their policies for testing in children. Although the response rate is relatively low (35%, 13/37), our findings reveal that a clear majority of companies do perform genetic testing in minors. As such, companies testing for adult onset diseases are acting in contradiction of established professional guidelines, which state, ...
Awareness of Societal Issues Among High School Biology Teachers Teaching Genetics
The purpose of this study was to investigate how aware high school biology teachers are of societal issues (values, moral, ethic, and legal issues) while teaching genetics, genetics engineering, molecular genetics, human heredity, and evolution. The study includes a short historical review of World War II atrocities during the Holocaust when scientists from all the above-mentioned disciplines had been involved in trying to support and develop the eugenics theories. It investigates pre- and postwar theories of the eugenics movement in the United States which were implemented successfully in Germany and a literature survey of the studies of societal issues related to these subjects. The sample consisted of 30 male and female biology teachers. Enclosed are teachers' answers in favor or against including debates about societal issues in their classrooms while teaching the disciplines mentioned above. Teachers' answers were analyzed in relation to three variables: years of teaching experience, gender, and religion faith. Data were collected from questionnaires and personal interviews and analyzed according to qualitative and quantitative methods. The results show that amongst the teachers there is a medium to low level of awareness of societal issues, while mainly emphasizing scientific subjects in preparation of matriculation examinations. The majority of the teachers do not include societal issues in their teaching, but if students raise these issues, teachers claimed to address them. No differences in teachers' opinions to societal issues were found in relation to gender or religious faith. Teachers with more years of teaching experience tend to teach with a more Science, Technology, and Society (STS) approach than novice teachers. The results are discussed in relation to teachers' professional development and teaching strategies are suggested to be used in their classrooms based on a STS approach, which includes the societal issues as a main goal.
Background: Speech pathologists are confronted by ethical issues when they need to make decisions about client care, address team conflict, and fulfil the range of duties and responsibilities required of health professionals. However, there has been little research into the specific nature of ethical dilemmas experienced by speech pathologists and whether the nature of ethical conflict changes as they acquire experience in the professional workforce. Speech pathologists' perceptions of ethical issues provide insight into factors impacting upon quality of care in contemporary healthcare settings. Aims: To describe, compare, and contrast the nature of ethical dilemmas identified by new graduate and experienced speech pathologists. Methods & Procedures: A narrative methodology was used to explore the ethical dilemmas that participants experienced in the professional work place. Primary data were collected through in-depth interviews with ten new graduate and ten experienced speech pathologists in their work settings. During these interviews, participants were asked to "tell the story" of ethical dilemmas they identified at work. Outcomes & Results: An ethical story was constructed for each participant based upon keywords and concepts from interview transcripts. These keywords and concepts were coded into group themes that reflected the nature of ethical dilemmas experienced by new graduate versus experienced speech pathologists. Comparing the results of thematic analysis for both groups of participant revealed similarities and differences in ethical dilemmas identified by new graduate and experienced health professionals. Conclusions & Implications: Participants identified ethical dilemmas in the professional practice areas of client management, professional relationships, service delivery, and personal/professional identity. Themes from new graduates' ethical dilemmas included: making safe choices; avoiding conflict, following service delivery rules, and building professional identity. Experienced speech pathologists' themes included: life choices, adapting policies, and professional status. Supporting client autonomy, managing risk taking, adopting fair service delivery policies, and supporting health professionals' ethical practice are part of ethical quality care. The results support the need for an increased focus on ethical practice in the workplace and further support for speech pathologists experiencing ethical conflict in response to service delivery policies. (Contains 3 tables and 1 note.)
Abstract in english Background: The inclusion of ethical aspects in the world health care reform is currently being discussed. Aim: To analyze the ethical component of health care decision making in Chile. Material and methods: A qualitative analysis of interviews with 4 health service directors, 4 public hospital directors and 1 sub director. Inquiries to 16 public hospital ethics committees, about importance of ethical components in decision making, role of ethics committees in financial i (more) ssues and the feasibility of incorporation explicit ethical considerations in decision making. Results: There is an absence of explicit ethical criteria in decision making. There is little participation of directors in these issues and lack of information. Although ethical aspects are considered relevant, they are not taken into account. Ethics committees are mostly dedicated to evaluate research protocols. The community is not mentioned as a relevant actor in decision making about resource allocation. Conclusions: Health service directors and all health care personnel should be trained in bioethics. These aspects should be incorporated to their daily work (Rev Méd Chile 2002; 130: 181-190)
Abstract in portuguese Este artigo aborda a reconstrução do imperativo categórico de Kant pela ética do discurso de Habermas. O procedimento metodológico adotado combinou vários métodos científicos: o dedutivo, ao se partir de teoria geral acerca do tema proposto para chegar a conclusões sobre situações particulares; o tipológico, no estudo de um tipo ideal para a criação desse mesmo modelo na realidade; o analítico, referindo-se à análise conceitual e à busca pelo emprego rig (more) oroso de conceitos; o hermenêutico-fenomenológico, no qual a categoria epistemológica fundamental é a compreensão e a meta, a interpretação dos fatos. Na primeira seção, o texto trata da formulação do imperativo categórico, suas consequências para a ação humana e fórmulas derivadas. A seguir, é apresentada a proposta habermasiana de sua ética do discurso, o princípio da universalização e a redução do agir ético à ação monológica. Por derradeiro, estabelece-se uma relação entre as duas posturas teórico-filosóficas e as consequências sociojurídicas da ética habermasiana para uma Teoria da Sociedade. Abstract in english This article analyzes the reconstruction of Kant's categoric imperative by Habermas' discourse ethics. Various scientific methodologies were combined including deductive, typological, analytical and hermeneutic-phenomenological approaches. The deductive approach begins from the general theory about the issue to seek conclusions about particular situations. The typology approach focuses on the study of an ideal type used to create a model in reality. The analytical approac (more) h focuses on conceptual analysis and strives for a rigorous use of concepts. In the hermeneutic-phenomenological approach the fundamental epistemological category is comprehension and the goal is an interpretation of the facts. The text first presents a formulation of the categorical imperative and its consequences for human action and derived formulas. It then presents the Habermasian proposal for a discourse ethics, the principle of universalization and the reduction of ethical action to monological action. Finally, it establishes a relation between the two theoretical-philosophical positions and the socio-juridical consequences of Habermasian ethics for a Theory of Society.
Ethical principles for physician rating sites.
During the last 5 years, an ethical debate has emerged, often in public media, about the potential positive and negative effects of physician rating sites and whether physician rating sites created by insurance companies or government agencies are ethical in their current states. Due to the lack of direct evidence of physician rating sites' effects on physicians' performance, patient outcomes, or the public's trust in health care, most contributions refer to normative arguments, hypothetical effects, or indirect evidence. This paper aims, first, to structure the ethical debate about the basic concept of physician rating sites: allowing patients to rate, comment, and discuss physicians' performance, online and visible to everyone. Thus, it provides a more thorough and transparent starting point for further discussion and decision making on physician rating sites: what should physicians and health policy decision makers take into account when discussing the basic concept of physician rating sites and its possible implications on the physician-patient relationship? Second, it discusses where and how the preexisting evidence from the partly related field of public reporting of physician performance can serve as an indicator for specific needs of evaluative research in the field of physician rating sites. This paper defines the ethical principles of patient welfare, patient autonomy, physician welfare, and social justice in the context of physician rating sites. It also outlines basic conditions for a fair decision-making process concerning the implementation and regulation of physician rating sites, namely, transparency, justification, participation, minimization of conflicts of interest, and openness for revision. Besides other issues described in this paper, one trade-off presents a special challenge and will play an important role when deciding about more- or less-restrictive physician rating sites regulations: the potential psychological and financial harms for physicians that can result from physician rating sites need to be contained without limiting the potential benefits for patients with respect to health, health literacy, and equity. PMID:22146737
This article introduces an experiential exercise that enhances students' ability to identify ethical issues and to respond to them in ways that consider the relationship between organizational factors and ethical action. Students identify a required number of ethical incidents in their workplaces during a specified period. Students submit a written description for each incident, drawing from moral philosophical frameworks and/or other ethical concepts to label the issue as one that either exemplifies a "best practice" or "raises concern." For "best practice" examples, students consider the implications of the practice on the organization and its stakeholders and whether and how the practice could be improved. For examples that "raise concern," students explain what the ethically appropriate action would be, indicate whether they would take that action, report any reservations they have about taking that right action, and consider how to behave ethically in a way that would bring about desired outcomes without incurring negative outcomes. Then, a subset of submissions is selected for an in-class discussion. Using examples from students' own experiences engages them and underscores for them the relevance of business ethics issues. Instructions for facilitating classroom discussion and variations for adapting the exercise are provided. (Contains 5 notes and 1 table.)
Saints and sinners: Competing identities in public relations ethics
Public relations ethics is confused and often superficial in its approach, relying heavily on traditional theory, with only occasional reference to more recent developments in professional ethics, particularly feminist and global ethical perspectives. This paper argues that the central ethical tension facing public relations as a field lies in its divided ethical identity, in particular between the idealized codes of conduct influenced by the US-based excellence project, which conjure images of wise counsel balancing duties to client and society, and practitioner-led expectations that they are advocates and should privilege clients over society. The paper touches on the wider context of professional ethics in the early 21st century from western and non-western perspectives, in order to fra...
‘A Glorious Sun and a Bad Person’ : Wittgenstein, Ethical Reflection and the Other
Most commentators working on Wittgenstein’s remarks on ethics note that he rejects the very possibility of traditional normative ethics, that is, a philosophically justified normative guide for right conduct. In this article, Wittgenstein’s view of ethical reflection as presented in his notebooks from 1936 to 1938 is investigated, and the question of whether it involves ethical guidance is addressed. In Wittgenstein’s remarks, we can identify three requirements inherent in ethical reflection. The first two is revealed in the realisation that ethical reflection presupposes both a clear understanding of oneself and a normative ideal of how one ought to live and reason. The third source of normativity springs from the fact that ethical reflection involves a relationship with the other, not as judge, but as example and addressee. In this way, ethical reflection is essentially relational. In the article, we unfold how these three normative sources figure in Wittgenstein’s remarks, especially how the third requirement, the relationship with the other, shows both a point of conversion and a difference between his view of ethics and religious faith. It will also be argued that even if Wittgenstein thus presents ethical reflection as a normatively guided activity, the content of the guidance is personal, springing solely from the reflecting individual.
This book demonstrates how educators and youth leaders can help middle-school and older students understand and define their relationship with nature and learn the importance of protecting the environment. Chapter 1 defines environmental ethics and discusses biocentric and anthropocentric ways of seeing the world. Chapter 2 examines how ecology, nature, technology, and human communities relate to environmental ethics. Chapter 3 classifies types of environmental ethics, discusses misconceptions and excuses that act as barriers to following an environmental ethic, and provides details on specific ethics: Wise Use movement, social ecology, ecofeminism, land stewardship or management, Leopold's ecological conscience or land as community, Schweitzer's reverence for life, deep ecology or bioregionalism, indigenous or traditional ethics, animal liberation and rights, and radical ecoactivism. Chapter 4 discusses strategies for teaching environmental ethics and values, criticisms of such education in public schools, instructional challenges, and authentic assessment of student progress. Chapter 5 describes 40 outdoor and classroom activities to help students develop an environmental ethic. The activities fall into 11 categories: thinking and discussion, solo reflection, writing, nature study, questioning, codes of ethics, role models, action projects, aesthetics, literature, and games. Chapter 6 lists environmental ethics curricular resources and periodicals. A bibliography contains approximately 180 references. An index and chapter notes are included. (SV)
Book reviewed in this issue. International Relations theory A cultural theory of International Relations. By Richard Ned Lebow. Peace in International Relations. By Oliver P. Richmond. Theorising international society: English School methods. Edited by Cornelia Navari. Political thought and international relations: variations on a realist theme. Edited by Duncan Bell. Human rights and ethics Contemporary human rights ideas. By Bertrand G. Ramcharan. Resentment's virtue: Jean Amery and the refusal to forgive. By Thomas Brudholm. Unsettling accounts: neither truth nor reconciliation in confessions of state violence. By Leigh A. Payne. International law and organization Chasing the flame: Sergio Vieira de Mello and the fight to save the world. By Samantha Power. Civil war and the rule of law:...
Shopping to save lives: Gender and environment theories meet ethical consumption
Much of the current work in the field of 'gender and environment' has been developed around case studies of environmental roles, rights and responsibilities at the community or household scale in the South. This paper asserts that the theoretical insights developed through these case studies can be of great use when examining issues of gender and environment in the North, particularly when it comes to issues of ethical consumption. In this paper I examine the promotional discourses of two cause-related marketing (CRM) campaigns (where consumption of a CRM product triggers a donation to a development cause) using two such insights: (i) the mutual constitution of gendered subjectivities and environments and (ii) a gender and environment approach to questioning neoliberalization. This approac...
National Security as a Corporate Social Responsibility: Critical Infrastructure Resilience
This article argues for an extension to the scope of corporate social responsibility (CSR) research to include a contemporary issue of importance to national and global security, critical infrastructure resilience. Rather than extending the multiple perspectives on CSR, this study aimed to identify a method of recognising CSR-related issues, before applying it to two dissimilar case studies on critical infrastructure resilience. One case study was of an international telecommunications company based in the US while the other was of the railway network in Britain during a period of privatisation. The method used was derived from Okoye?s (J Bus Ethics 89(4):613?627, 2009) common reference core for CSR. Both case studies satisfied all the criteria sought which points to critical infrastructur...
We contacted 125 scientists, ethicists, legal scholars, social scientists and informal science educators to participate in a short survey designed to identify critical issues related to nanotechnology. Fifty-six (45%) responded positively, and 46 completed the survey. We then conducted a series of interviews and site visits based on scientific area, and regional representation. Key points are summarized in the attached table. Based on the results of our surveys, we were able to construct three strong areas of ethical, legal, social, and environmental issues around which to build socratic dialogs in a standard Fred Friendly Seminar format. We were also able to identify 4 science center/museum partnerships and a proposal has been submitted to NSF's NISE Program. We are preparing to submit proposals to other agencies and foundations for support.
Teachers' PET Project. Population Education Training.
Six population education activities presented in both English and Spanish are part of this activity pack. The first, "Population Riddles," helps students to understand just how much one billion is. The second, "Everything Is Connected," helps students to identify ways that factors in human society and the natural environment are interdependent. The third, "Something For Everyone," is a resource management activity that demonstrates the need for short-term conservation practice in the interest of preserving a long-term supply. The fourth, "Taking A Stand On U.S. Issues," discusses ethical issues related to population change and its impacts. The fifth, "Earth: The Apple Of Our Eye," uses an apple to represent the Earth and the amount of water and arable land found on it. The last activity is a population quiz with the answers. (KR)
This paper presents an overview of the studies directed at helping post-coma persons with minimally conscious state improve their adaptive behavior. Twenty-one studies were identified for the 2000-2010 period (i.e., a period in which an intense debate has occurred about diagnostic, rehabilitative, prognostic, and ethical issues concerning people with severe acquired brain injury). Three of the 21 studies involved transcortical magnetic or deep brain stimulation. Six studies focused on the provision of multisensory stimulation or music therapy. The remaining 12 studies involved the use of response-related (contingent) stimulation and assistive technology. The outcomes of the studies, which were generally reported as positive, were discussed in terms of (a) the size (quantitative relevance) of the changes obtained, (b) the credibility/reliability of the changes, in light of the methodological conditions of the studies, and (c) the level of engagement and interaction involvement of the participants. Relevant issues for future research were also examined. (Contains 1 table.)
Haz-Ed: Classroom Activities for Understanding Hazardous Waste
Haz-Ed is a compilation of interdisciplinary activities that focus on the scientific, technical, and political issues related to hazardous waste sites and Superfund (the U.S. Environmental Protection Agency program to locate, investigate, and clean up hazardous waste sites nationwide). Haz-Ed materials can be used as part of a larger curriculum, as special stand-alone activities, or on an occasional basis to teach students about hazardous waste issues. The materials are designed to help students develop skills in critical thinking, problem solving, and decision making. They also increase environmental awareness and encourage an environmental ethic in students. The Introduction defines the components of the materials which will enable teachers to design their own organization for the Haz-Ed activities. All materials listed are linked to a PDF format in addition to the web enabled format.
Business ethics is a fragmented and well covered scientific field. This Master thesis study concerns two type of organizations, namely family businesses (FB’s) and venture capital firms (VCF’s), in relation to the ethical decision-making process, which is a relatively undiscovered field. The study i...
Herbal medicine research and global health: an ethical analysis.
Governments, international agencies and corporations are increasingly investing in traditional herbal medicine research. Yet little literature addresses ethical challenges in this research. In this paper, we apply concepts in a comprehensive ethical framework for clinical research to international traditional herbal medicine research. We examine in detail three key, underappreciated dimensions of the ethical framework in which particularly difficult questions arise for international herbal medicine research: social value, scientific validity and favourable risk-benefit ratio. Significant challenges exist in determining shared concepts of social value, scientific validity and favourable risk-benefit ratio across international research collaborations. However, we argue that collaborative partnership, including democratic deliberation, offers the context and process by which many of the ethical challenges in international herbal medicine research can, and should be, resolved. By "cross-training" investigators, and investing in safety-monitoring infrastructure, the issues identified by this comprehensive framework can promote ethically sound international herbal medicine research that contributes to global health. PMID:18797616
Ethics, culture and nursing practice in Ghana
DONKOR N.T. & ANDREWS L.D. (2011) Ethics, culture and nursing practice in Ghana. International Nursing Review58, 109-114 Objective:- This paper describes how nurses in Ghana approach ethical problems. Background:- The International Council of Nurses' (ICN) Code for Nurses (2006) that serves as the model for professional code of ethics worldwide also acknowledges respect for healthy cultural values. Using the ICN's Code and universal ethical principles as a benchmark, a survey was conducted in 2009 to ascertain how nurses in Ghana respond to ethical and cultural issues in their practice. Methods:- The study was qualitative with 200 participant nurses. Data were obtained through anonymous self-administered questionnaires. Descriptive statistics were used to analyze the data. Findings:- Nurse...
How to build an appropriate information ethics code for enterprises in Chinese cultural society
Information ethics codes play a vital role in clarifying the responsibilities of MIS (management information systems) professionals and providing them with a point of reference when dealing with ethical issues. In view of the important 21st Century role played by China, particularly Mainland China, which represents a hugely significant market to all global enterprises, it is hoped that this study will assist the business world in understanding the culture in which Chinese business is conducted, and will facilitate the building of a suitable information ethics code in the future. Academically, this paper aims to explain how Confucian ethics and the guanxi culture perspective affect MIS professionals' ethical dilemmas and reactive processes. Specifically, it examines the reactive processes o...
Privacy in libraries: the perspective from India
Purpose - Ethics is an inherent concept for any profession. The purpose of this paper is to discuss the ethical perspective of librarianship. The focus of the discussion is to identify whether it is ethics or law which should supercede in changing the legal and social environment, with special reference to India. Design/methodology/approach - The state of a right to privacy in India is elaborated. The discussion is focused around library ethics and user privacy, which is a much less talked about matter in Indian librarianship than in the developed world. Findings - Professional ethics should be given equal consideration while framing law and policies for non-profit organizations like libraries. The issue of privacy has been given very little credence in terms of library rules and regulatio...
The birth of the empirical turn in bioethics
Physicians have been required to possess high ethical standards, as medical practice is directly involved with patients' lives. Although ethics arise out of an individual's consciousness, ethical regulations imposed by the nation/government together with self-regulation by physician groups are important in the practice of ethics, for which reason countries around the world undertake various initiatives. This paper investigates physician licensure, organizations governing physician status, the role of physician groups, and the actual conditions of lifelong learning and ethics education in developed countries worldwide, in contrast with which it throws problems in the situation in Japan into relief. Organizations governing physician status, the form of medical associations, and the improvement of lifelong learning are pointed out as critical issues especially in Japan. PMID:15812972
The ethics of care and treatment of sex offenders.
The ethics of care acknowledges the importance of establishing and maintaining practices that help people to meet their needs, develop and protect basic capabilities for problem solving, emotional functioning, and social interaction, and avoid pain and suffering. In this article, we explore the contribution an ethics of care perspective can make to work with sex offenders. First, we briefly describe five classes of ethical problems evident in work with sex offenders. Second, the concept of care is defined and a justification for a version of care theory provided. Third, we apply the care ethical theory to ethical issues with sex offenders and demonstrate its value in responding to the five classes of problems outlined earlier. PMID:20944060
Physicians have been required to possess high ethical standards, as medical practice is directly involved with patients' lives. Although ethics arise out of an individual's consciousness, ethical regulations imposed by the nation/government together with self-regulation by physician groups are important in the practice of ethics, for which reason countries around the world undertake various initiatives. This paper investigates physician licensure, organizations governing physician status, the role of physician groups, and the actual conditions of lifelong learning and ethics education in developed countries worldwide, in contrast with which it throws problems in the situation in Japan into relief. Organizations governing physician status, the form of medical associations, and the improvement of lifelong learning are pointed out as critical issues especially in Japan.(Communicated by Takashi SUGIMURA, M.J.A.)
Teaching Engineering Ethics with Sustainability as Context
Purpose: The purpose of this paper is to ascertain the engagement and response of students to the teaching of engineering ethics incorporating a macro ethical framework whereby sustainability is viewed as context to professional practice. This involves incorporating a broader conception of engineering than is typically applied in conventional teaching of engineering ethics. Design/methodology/approach: A real life wicked problem case study assignment was developed. Students' understanding and practical application of the concepts were considered. A survey was conducted to gauge students' appreciation of the professional importance and their enjoyment of the subject matter. Findings: It was found that students appreciate and enjoy a macro ethical sustainability informed approach, but find it more challenging to apply in practice. Practical implications: The paper demonstrates an approach to the teaching of engineering ethics using a practical example, which can help broaden engineers' self-perceived role towards one where sustainability is context. It also shows how students can find such an approach to teaching ethics to be both enjoyable and relevant. Social implications: Engineers educated to perceive the importance of engaging with macro ethical issues as part of professional practice will be significantly better placed to inform public and industry policy towards greater good and engage with other professional and expert groups. Originality/value: In this paper, an approach to engineering ethics which diverges from the traditional is proposed. This can be of value to those involved in the teaching of engineering ethics, particularly those seeking to incorporate sustainability and other macro ethical issues. (Contains 1 table, 1 figure, and 3 notes.)
Recent Studies of Research Ethics at the National Academy of Sciences
Over the last few years, the National Academy of Sciences/National Research Council has been asked to revisit some of the core ethical issues for science that had not been properly explored since the 1990s. Some of the interest in this area related to the impact of technology changes in the sciences (e.g., management of massive data bases) and some to institutional changes (e.g., globalization of research teams, emergence of new scientific powers abroad, and new models in the publishing industry). As a result, a series of authoritative reports from the Academies’ Committee on Science, Engineering and Public Policy have been developed by expert committees and published - the third edition of On Being A Scientist (2009), a report on Ensuring the Integrity, Accessibility, and Stewardship of Research Data in the Digital Age (2009), and underway there is a new edition of Responsible Science: Ensuring the Integrity of the Research Process (first published in 1992, forthcoming in 2012). It is relevant in this age of global science that the latest edition of OBAS has been translated into multiple foreign languages, and the InterAcademy Council has launched its own project on research ethics with a report due from this multi-science academy body in the 2012-2013 period. Some of the principal findings and issues raised in these reports will be presented by Richard E. Bissell, Executive Director for Policy and Global Affairs at the National Academy of Sciences.
The intersection of science and our society has led to legal and ethical issues in which we all play a part. To support development of scientific literacy, college science courses need to engage students in difficult dialogues around ethical issues. We describe a new course, Stem Cells and Society, in which students explore the basic biology of stem cell research and the controversy surrounding it. As part of the course, we highlight the nature of science, looking at the methods and norms within the scientific community. To gain a perspective on the current stem cell controversy, we examine the public debates in the 1970s surrounding in vitro fertilization, the stem cell initiative in Missouri, and the personal and religious viewpoints that have emerged relative to the stem cell debate. In the Stem Cells and Society course, students are challenged to develop and clarify their own personal positions concerning embryonic stem cell research. These positions are grounded in science, religion or personal philosophy, and law. (Contains 4 tables and 2 figures.)
On a daily basis Danish troops use technologies, which are not authorized by Danish politicians or decision makers. This occurs during the use of mutual support between coalition forces. As the technological level of autonomous abilities increases, the impact of this use gets more complex to identify and analysing the limits of acceptance relevant. The public pressure on implementing technologies increase, in order to minimize casualties, by replacing troops with robots. This makes analysing the consequences of implementing the technologies, in order to decrease the amount of casualties during stabilization operations, relevant and the topic of this project. Conclusions are that the consequences of technological measures are considerable according to doctrine, organization, training and cultures based on two primary issues: Computer based intelligence is not able to comply with the human skills according to issues as emotional communication and cultural relations. This makes technologies unable to build the impression of a safe and secure environment within a population. The strategic compression, globalization and the intense use of communications create a public demand for justified decisions based on ethic considerations. Therefore the use of unmanned technologies must be regulated by humans and focussed on tasks not influenced by ethic considerations.
Universal screening for inherited metabolic diseases in the neonate (and the fetus).
The traditional focus of newborn screening for inherited metabolic diseases is to test infants for medical conditions that may cause significant morbidity and mortality unless treatment is initiated early. A major change began with the application of tandem mass spectrometry to the quantitative analysis of amino acids and acylcarnitines in dried blood spots. Beyond the lack of a consensus on disease selection, the pace of introduction for expanded screening programs has been slow and patchy among and within countries. Universal metabolic screening poses important ethical issues, related to possible ambiguous findings, late-onset diseases, conditions, such as lysosomal storage disorders, with no clear-cut evidence on when and how to start a therapy. The possible application of next generation sequencing to newborn screening has been recently proposed. In the near future it will be also possible to perform a genetic and mutational scan across the whole genome of the fetus in a non-invasive manner by analyzing cell-free fetal DNA in maternal blood as early as the 5th week of gestational age. These high-throughput methods applied to neonatal and non-invasive prenatal screening of genetic diseases, including inborn errors of metabolism, are raising further technical, political and ethical issues. PMID:23025760
Science, a human endeavor, seems to be ever-struggling between the possibilities of technology and the limitations of ethics. No other single event in the history of science demonstrates how the use of data and evidence were construed to massage ethics to fuel a reproductive war against the lower classes. As the introduction to the issue states, "...new immigrants were seen as troublemakers, and the eugenicists purported to have data showing that the problem was in their genes. The solution to the problem was simple -- selective immigration restriction." The somber topic of eugenics is covered exceptionally well in this website from the Dolan DNA Learning Center, a part of Cold Spring Harbor Laboratory in New York. A series of links leads visitors to exhibits highlighting such issues as the scientific origins of eugenics, the social origins that married social Darwinism with genetics, sterilization and marriage laws, and much more. Another link to a related site, DNA Interactive, further stresses that while the eugenics movement has since passed, "Coming to grips with the past failings of eugenics may allow us to move with greater confidence into the new gene age." Certainly a fascinating look at a troubling era in social history, this site offers a wealth of background knowledge as well as posing critical questions for today and beyond.
Using a Corporate Code of Ethics to Assess Students' Ethicality: Implications for Business Education
The author used a corporate code of ethics as a roadmap to create 18 scenarios for assessing business students' ethicality as measured by their behavioral intention. Using a logistic regression analysis, the author also examined 8 factors that could potentially influence students' ethicality. Results indicate 6 scenarios related to 5 areas of the code that deserve special attention and increasing course coverage. These 5 areas of concern are (a) failure to report unethical behavior, (b) improper use of company assets, (c) conflict of interest, (d) inaccurate accounting records by way of channel stuffing (offering a deep discount to customers to overbuy), and (e) trading on inside information. Regression analysis results suggest that female gender, accounting major, full-time work experience, and the number of workplace ethics trainings have a positive influence on students' ethicality. These results should help educators and corporate ethics trainers direct more attention to students or entry-level personnel with these characteristics. (Contains 2 tables and 3 notes.)
A Framework for Ethical Conformity in Marketing
The extant marketing literature provides little guidance for theory development or practice with regard to questions of ethical conformity and the resulting market response. To begin to bridge this research gap, we advance a theoretical framework of ethical conformity in marketing, appealing to marketing ethics, management strategy, and sociological foundations. We set the stage for our theoretical arguments by considering the role of normative expectations related to marketing practices and behaviors held by societal constituents. Against this backdrop, we propose drivers of conformity in marketing, including practices consistent with both overconformity and underconformity. The framework allows us to advance testable research propositions by which questions of ethical conformity may be e...
Creating an Interdisciplinary Business Ethics Program
Driven by recent accreditation mandates, a changing legal environment, and multiple high-visibility corporate ethics scandals, many business schools are responding to the growing movement within higher education to integrate ethics into the curricula. The literature suggests that the amount of attention given to ethics varies widely among institutions, and has not been coherently developed. Moreover, institutions have struggled to tie related projects and instruction to the overall concept of assurance of student learning. The purpose of this paper is to provide a framework for institutions interested in creating an interdisciplinary business ethics program that combines critical success factors, assurance of student learning and continuous quality improvement. Using a nationally recognize...
Teaching Ethics to High School Students: Virtue Meets Economics
When highly visible lapses in ethics occur, education gets some of the blame. Principals in the U.S. subprime mortgage crisis and the Enron scandal had been educated at Harvard and other elite business schools, where professional and moral ideals had arguably been replaced by a focus on profits at the expense of ethics. A long-standing tradition in ethics education, however, holds that by college or graduate school it is "too late" to teach ethics. A natural question arises: Can we teach ethics earlier, possibly at the high school level? This article reports on a curricular effort titled "Teaching the Ethical Foundations of Economics by the National Council on Economic Education" (NCEE) with just that goal. After several years of development and assessment, materials for teaching ethics in social studies classrooms have been prepared and tested. The early results suggest that high school students can successfully be taught about ethical issues in economics and other social studies classes. (Contains 1 table and 4 notes.)
Books reviewed in this issue. International Relations theory The evolution of International Security Studies. By Barry Buzan and Lene Hansen. International law and organization Escaping the self-determination trap. By Marc Weller. Punishment, justice and international relations: ethics and order after the Cold War. By Anthony F. Lang Jr. Foreign policy Perceptions and policy in transatlantic relations: prospective visions from the US and Europe. Edited by Natividad Fernandez Sola and Michael Smith. Avoiding trivia: the role of strategic planning in American foreign policy. Edited by Daniel W. Drezner. India and the United States in the 21st century: reinventing partnership. By Teresita C. Schaffer. Conflict, security and armed forces The new counterinsurgency era: transforming the US milit...
Cognitive Sustainability in the Age of Digital Culture
The aim of this article is to contextualize the implications of the expansion of digital culture in the on-going discussions about the relations between sustainability and information and communication technologies. In order to relate the development of a global digital communication web, its effects on cultural processes and the issues of ecosystem and human sustainability that humanity is facing, I will relate and elaborate on three aspects: 1) A Batesonean perspective on sustainability 2) The recent evolution of the technosphere, and 3) Yuri Lotman’s notion of Semiosphere and his semiotic theory of culture. This path will lead me to delineate some of the eco-ethical dimensions implied in the development of pervasive digital-interactive-immersive-representational technologies.
Abstract in english The question of how and when to communicate potential risks associated with new drugs has remained an important focus of tension between the pharmaceutical industry and regulatory entities, such as the American Food and Drug Administration. Recently there has been widespread concern related to the cardiovascular risks associated with the use of Avandia, a rosiglitazone produced by Glaxo Smith Kline. In fact, several metaanalyses involving rosiglitazone provided a relative (more) ly consistent message that rosiglitazone increases the risk of myocardial ischemic events. In the present article, we review the controversy regarding the way the pharmaceutical company handled this issue, and we describe examples of inappropriate conduct regarding an industry-sponsored clinical trial with this drug. We raise several important ethical questions related to the way researchers handle conflicts of interest when they are employees of the pharmaceutical industry. Finally, we discuss the requirements to conduct biomedical research funded by the pharmaceutical industry in Chile.
Book reviewed in this issue. International Relations theory On global order: power, values and the constitution of international society. By Andrew Hurrell. Between war and politics: international relations and the thought of Hannah Arendt. By Patricia Owens. William E. Connolly: democracy, pluralism and political theory. Edited by Samuel Chambers and Terrell Carver. The realist tradition and contemporary international relations. Edited by W. David Clinton. Nations, states and violence. By David D. Laitin. Human rights and ethics Killing civilians: method, madness and morality in war. By Hugo Slim. Purify and destroy: the political uses of massacre and genocide. By Jaques Semelin. Human rights and the WTO: the case of patents and access to medicines. By Holger Hestermeyer. International la...
Digital Ethics Past, Present, Futures (Foreword)
I offer an overview of Digital Ethics (DE) as a field of enquiry that serves as the larger context for this volume and its constituent chapters. Along the way, I point out the trajectories and contributions of this volume and its constituent chapters to DE. To do so, I first take up four difficulties facing efforts to develop a working definition of “digital ethics.” I then offer a taxonomy of the ethical issues that constitute much of the main foci of DE over the past five years, and indicate where these issues are further addressed in this volume. I conclude with some suggestions of emerging ethical domains and challenges that will likely become increasingly important components of DE, including one represented in this volume.
Ethical issues in radiation protection
Ethical theories are relevant to the current recommendations and standards for radiation protection. Radiation protection is not only a matter for science. It is also a problem of philosophy. In order for protection regulations to be respected, it must correspond to widely accepted ethical values among those who are affected by the regulations. The workshop covered the following issues: Problems in Present Protection Policy, ICRP Protection Policy - A Historical Perspective, Radiation Risk - What we know and what we believe, Present ICRP Recommendations, Ethical Values in the Context of ICRP Recommendations, Collective Responsibility for Invisible Harm, Environmental Protection - Ethical Issues, The Global Change of Values, and Procedural justice and Radiation Protection. Six workshop contributions and a workshop summary are presented in this report.
Medical ethics needs a third dimension.
McCarthy, former chairman of a National Health Service area health authority, responds to an article by T.A.H. English, "What price excellence?," in the same issue of the Journal of Medical Ethics. Unlike English, she believes that Great Britain's present system for resource allocation has not achieved an equitable distribution of health care for the disadvantaged. She argues that English's emphasis on high technology care and on professional excellence reflects the physician's traditional ethic of obligation only to the individual patient. McCarthy asserts that this two-dimentisional ethic must be supplemented by a concern for society as a whole. PMID:7131500
This paper demonstrates that ethical problems may occur in qualitative research even if it draws on seemingly safe, ?exempt? data. Drawing on J.L. Jacobs? concept of ?double vision,? I describe a number of ethical issues that arose in a project using archived oral Holocaust testimonies; these included concerns about using pseudonyms and identification numbers instead of subjects? real names and problems with coding the testimonies and writing up the results. Despite these concerns, I conclude that double vision need not always be problematic, and can actually help identify guidelines for producing work that is both scientifically and ethically sound.
Enhancing Human Capacities is the first to review the very latest scientific developments in human enhancement. It is unique in its examination of the ethical and policy implications of these technologies from a broad range of perspectives.Presents a rich range of perspectives on enhancement from world leading ethicists and scientists from Europe and North AmericaThe most comprehensive volume yet on the science and ethics of human enhancementUnique in providing a detailed overview of current and expected scientific advances in this areaDiscusses both general conceptual and ethical issues and c
Ethics education for dermatology residents
The Accreditation Council for Graduate Medical Education and the Royal College of Physicians and Surgeons of Canada both require the teaching and demonstration of general competencies, which include professionalism and ethics as a condition of training program accreditation and specialty certification, respectively. Residents in dermatology and other specialties perceive their training in ethics is inadequate in numerous areas. Residents and specialists in dermatology encounter numerous ethical and professional issues throughout their workday. A dermatoethics curriculum was developed at The Warren Alpert Medical School of Brown University in 2001 to address the need for training in bioethics and professionalism. The subject matter of the curriculum and didactic methods are reviewed. Guidel...
Reparative Therapy: The Adolescent, the Psych Nurse, and the Issues
TOPIC: Reparative therapy aims to modify the sexual orientation of lesbian, gay, and bisexual (LGB) people into that of heterosexuals. Although denounced as harmful by most professional organizations, these treatments continue-youth may be particularly vulnerable to the negative consequences. PURPOSE: The purpose of this article is to discuss reparative therapies, the potential harm LGB youth may experience, clinical and practice issues for psychiatric nurses, and the ethical issues surrounding nurse involvement in reparative therapy. CONCLUSIONS: Reparative therapy for adolescents raises important clinical and ethical issues for psychiatric nursing. Further discussion of nurse involvement in these treatments is needed.
The Petition: A Global Warming Case Study
These are the teaching notes for a case study in which students consider the political, economic, and ethical issues surrounding the debate over global warming. This case was designed to strengthen their understanding of the greenhouse effect; global warming and its possible causes; how past changes in temperature and carbon dioxide concentration can be estimated; what controls weather patterns; geochemical cycles; and how to read graphs and interpret data. In addition, they will acquire a better understanding of how humans may impact the earth's environment; the politics and economics of scientific issues; how and why experts may differ; and their responsibility in dealing with ethical and political issues.
Climate conscious citizenship in a digital urban setting
Climate change has challenged urban life, and as an omnipresent force, Nature sets the agenda for urban living. Using stakeholder theory to conceptualise urban life, we approach Nature as both an omnipresent stakeholder and an issue to be continuously addressed and related to. Adapting the stakeholder focus to relations, stakes and values, we conceptually analyse the digital installation entitled CO2mmitment/CO2nfessions, which was a prominent part of the Aarhus CO2030 exhibition launching the vision of the Danish city of Aarhus to become carbon neutral by the year 2030. In the analysis, we explore how the citizen is framed and invited to enact his/her responsibilities to the natural environment in an urban setting and how the digital mediation facilitates various forms of relations and climate conscious positions, incorporating both narcissistic desires, universal anxiety, moral obligations, ethical virtue and image performance. Statements from the actual confessors/committers exemplify this. Thus, the paperprovides insight into understanding the complexity of climate-conscious citizenship as a complex configuration of paradoxical, co-existing ethics and arguments.
Ethics and Higher Education. American Council on Education/Macmillan Series on Higher Education.
The purpose of this book is to provide a basic resource that defines the ethical issues in higher education and to offer a starting point for means of resolution or policy development in regard to them. Part 1 establishes an interpretive framework for the book in the following papers: "Institutional Culture and Ethics" (David Smith and Charles Reynolds); "Academic Principles of Responsibility" (Charles Reynolds and David Smith); "Through Thick and Thin: Two Ways of Talking about the Academy and Moral Responsibility" (James Laney). Part 2, focusing on activities and functions common to most institutions, contains "Academic Planning: Values and Decision Making" (Richard Morrill); "Admission Recruiting and Selection: Some Ethical Concerns" (Alice Cox); "Ethical Issues in Intercollegiate Athletics" (Lonnie Kliever); "Institutional Advancement: Survival with Integrity" (Harlan Stelmach and Mark Holman); "Ethical Issues in Faculty Evaluation" (George LaNoue). In part 3, a number of current and pressing issues are examined in the following papers: "Affirmative Action: Solution or Problem?" (Donna Shavlik); "Cheating and Plagiarism" (Richard Fass); "Legitimate Limits on Free Expression" (Deni Elliott); "Racism on Campus" (Mark Chesler and James Crowfoot); "The Challenge of Diversity" (J. Herman Blake and others); "The Guardians of Heloise? Sexual Harassment in Higher Education" (Mary Jo Small); "Student Social Concerns" (Margaret Barr); "Values and Ethics in the Graduate Education of Scientists" (Jules LaPidus and Barbara Mishkin); "Regulating Proprietary and Classified Research: Some Observations on Current University Policies" (Nicholas Steneck); "When Responsibilities Conflict: Stock Ownership and South Africa" (Raymond Bacchetti); "Ethics and Educational Assessment" (Marjorie Peace Lenn and D. Jeffrey Lenn); "Ethical Challenges of the College and University Presidency" (Daniel Perlman). References accompany each paper. (JDD)
After making a brief history on the nuclear law, the author shows that ethical aspects got involved in nuclear matters at three levels: security of nuclear supplies, radioactive waste management, and potential human failures. Then a list of ``good conduct norms`` which should be the link between law and ethics is given. They correspond to different issues of nuclear development: technological quality, radiation protection, radioactive waste management, public information, international cooperation, non-proliferation. (TEC).
Bioethics commission to review gene patenting
In October, in an unexpected development, U.S. President Bill Clinton created a national ethics advisory board, the National Bioethics Advisory Commission (NBAC, Washington, DC), to study both research ethics and the management and use of genetic information. Of particular interest to biotechnology companies and researchers is the fact that the commission`s brief encompasses issues about human gene patenting, a subject not contained in earlier proposals for the commission.
Organ transplants : ethical, social, and religious issues in a multicultural society
"Recent advances in the fields of organ donation and organ transplant have introduced new hope for the treatment of serious diseases. However, this promise has been accompanied by several issues. The most common issue raised is ethical implications, but in a multicultural society like Malaysia, addi...
A Comparative Study of Ethical Values of Business Students: American vs. Middle Eastern Cultures
Business schools must prepare students to face the world and yet maintain strong ethical convictions. The question of ethics in the business environment is not exclusive to the United States. Ethical business behavior is a multinational issue, and all business schools world-wide must deal with this issue. However, cultural differences often define acceptable ethical behavior. For example, the acceptable amount of a "token" gift from one party to another is an ethical issue. Some American businesses do not even allow employees to accept gifts from clients, while within other businesses, both National and International, it is an acceptable tradition. Bribery of foreign officials during the 1970's addressed this issue of what is acceptable in the form of gifts and/or payments between public officials when they initiated the Foreign Corrupt Practices Act of 1977, which prohibits the "paying, offering, promising to pay (or authorizing to pay or offer) money or anything of value.....to corrupt payments to a foreign official, a foreign political party or party official, or any candidate for foreign political office" (usdoj.gov). Ethical situations involving foreign officials and diplomats in other countries can also affect business transactions, which may ultimately be controlled by graduates from business schools in our colleges and universities. Consequently, the question is "What are the differences in ethical perceptions and values between cultures?" Once this question is addressed, business professors can adapt their teaching methods to help shape and mold the ethical values of business students. In a search for the answer to these ethical questions between cultures, the authors representing two universities, decided to conduct a small research sample on their business students. One of the colleges is a small public university located in the Southeastern United States, and the other is a university located in the Middle Eastern country of the United Arab Emirates (UAE). A small sample of students from selected business classes of each school were given a 16 question ethics quiz which had been taken from The Wall Street Journal. The questions ranged from personal use of company e-mail on the job to whether or not the individuals had lied about sick days or had taken credit for another's work. The authors hoped to determine whether there were any significant differences between the answers given from the two schools pertaining to these types of ethical issues and to learn to what extent the different cultures had in shaping the ideas of these future business professionals. (Contains 2 tables.)
Abstract in portuguese A temática relacionada a imperícia, imprudência e negligência na ética médica adquire os contornos previstos na noção de responsabilidade legal, de onde resulta a inferência de que o erro médico tem tripla acepção, fundada na noção de responsabilidade com bases patrimoniais, penais e éticas. Este estudo analisa 18 das 26 matrizes curriculares dos cursos de Medicina, autorizados ou reconhecidos pelo Ministério da Educação, oferecidos pelas Instituições (more) de Ensino Superior (IES) situadas no Estado de Minas Gerais, com o objetivo de perscrutar a oferta de disciplinas relacionadas a responsabilidade civil médica, ética, bioética e deontologia. Desses cursos, oito não disponibilizam as matrizes curriculares para acesso público, nos moldes da Portaria nº 2.864, de 24 de agosto de agosto de 2005, do Ministério da Educação, e seis não têm nenhuma disciplina específica sobre ética, bioética ou responsabilidade civil. Apenas nove cursos oferecem a disciplina de ética, oito a de bioética, e apenas três a disciplina de deontologia. Nenhuma das matrizes curriculares analisadas oferece a disciplina de responsabilidade civil médica, embora os casos de erro médico estejam aumentando consideravelmente. Abstract in english In medical ethics, the issue of inexperience (failure to meet standard of conduct), recklessness, and negligence involves the notion of legal liability, suggesting that medical error has a threefold definition based on financial, criminal, and ethical liability. This study analyzes 18 of the 26 course curricula in medicine authorized or accredited by the Brazilian Ministry of Education and offered by institutions of higher learning in the State of Minas Gerais with the ai (more) m of identifying the supply of courses related to medical liability, ethics, bioethics, and deontology. Of these curricula, eight fail to provide public access to the course contents as established by Ministry of Education Ruling no. 2.864 of August 24, 2005, and six offer no specific course on ethics, bioethics, or liability. Only nine schools provide courses on ethics, eight on bioethics, and three on deontology. None of the curricula offered any course content on medical liability, although malpractice suits have become increasingly widespread in Minas Gerais.
Ethical Issues in Rehabilitation Counselor Supervision and the New 2010 Code of Ethics
The 2010 revision of the "Code of Professional Ethics for Rehabilitation Counselors" addresses changes in ethical standards related to rehabilitation counselor supervision. In an effort to promote awareness of these changes, this article offers a brief overview of the revisions and implications for practice including the responsibility of supervisors to actively engage in and support professional development activities.
Although the philosophy of ethical and socially responsible communication management practices has a long history and has been described in great detail, the notion of the communication manager as an ethical / moral ombudsperson is relatively new. With increasing numbers of communication managers n...
Neuroimaging Research with Children: Ethical Issues and Case Scenarios
There are few available resources for learning and teaching about ethical issues in neuroimaging research with children, who constitute a special and vulnerable population. Here, a brief review of ethical issues in developmental research, situated within the emerging field of neuroethics, highlights the increasingly interdisciplinary nature of research with children. Traditional boundaries between behavioural, psychological, neuroscientific and educational research are being blurred by multidisciplinary studies of learning and human development. Developmental and educational researchers need to be aware of the ethical quandaries inherent in such research, and moral educators need to encourage researchers to consider the ethical aspects of developmental neuroimaging. To this end, fictional case scenarios were designed to address two topics in the ethical conduct of neuroimaging research with children: inadvertent findings in paediatric neuroimaging and inclusion of young children in pharmacological clinical trials. The latter is contrasted with an educational trial in an alternate scenario, underscoring similarities in ethical issues across types of developmental research. It is hoped that discussions elicited by such scenarios will contribute to both moral education and paediatric neuroethics. (Contains 3 notes.)
Books reviewed in this issue. International Relations theory The clash of ideas in world politics: transnational networks, states, and regime change, 1510-2010. By John M. Owen IV. Hierarchy in International Relations. By David A. Lake. British foreign policy, national identity, and neoclassical Realism. By Amelia Hadfield-Amkhan. International law, human rights and ethics Laws, outlaws, and terrorists: lessons from the war on terrorism. By Gabriella Blum and Philip B. Heymann. International organization and foreign policy Liberal Leviathan: the origins, crisis, and transformation of the American world order. By G. John Ikenberry. Conflict, security and defence Governing the bomb: civilian control and democratic accountability of nuclear weapons. Edited by Hans Born, Bates Gill and Heiner ...
Books reviewed in this issue International Relations theory War, religion and empire: the transformation of international orders. By Andrew Phillips. Contesting democracy: political ideas in twentieth-century Europe. By Jan-Werner Mller. The Realist case for global reform. By William E. Scheuerman. The Anglosphere: a genealogy of a racialized identity in international relations. By Srdjan Vucetic. International organization, law and ethics Zero-sum future: American power in an age of anxiety. By Gideon Rachman. Conflict, security and defence The changing character of war. Edited by Hew Strachan and Sibylle Scheipers. War and ideas: selected essays. By John Mueller. The Oxford international encyclopaedia of peace. Edited by Nigel J. Young. Eliminating nuclear weapons: the role of missile de...
Books reviewed in this issue. International Relations theory Realism and world politics. Edited by Ken Booth. Worlds in transition: evolving governance across a stressed planet. By Joseph A. Camilleri and Jim Falk. International law, human rights and ethics The handbook of the international law of military operations. Edited by Terry D. Gill and Dieter Fleck. International organization and foreign policy Latin America facing China: South-South relations beyond the Washington Consensus. Edited by Alex E. Fernndez Jilberto and Barbara Hogenboom. Conflict, security and defence Why nations fight: past and future motives for war. By Richard Ned Lebow. On art and war and terror. By Alex Danchev. The insurgent archipelago: from Mao to Bin Laden. By John Mackinlay. Counterinsurgency. By David J. K...
Exploring Engagement in Games & Interactive Narratives
Henrik Schønau Fog holds a Master degree in Film- and Media Science and a Bachelor degree in computer science from the University of Copenhagen. He is currently a Ph.D. Fellow at the Department of Architecture, Design and Media Technology; Section of Medialogy at Aalborg University, Copenhagen. Here he is lecturing Game Design, Animation, Screen Media, Interactive Narratives and Motion Capture while supervising various bachelor and master projects. Henrik is currently investigating engagement in relation to games, experiential learning, and interactive narratives. At the two invited lectures at M.I.T, he will present his findings through various cases - for example how engagement has been used to implement an interactive dramatic experience - the "First Person Victim”, which is intended as an experiential learning tool to assist high-school educators teaching social and ethical issues in relation to refugees and victims of war.
Evaluating Engagement in a Non-pleasurable Experience: First Person Victim
Henrik Schønau Fog holds a Master degree in Film- and Media Science and a Bachelor degree in computer science from the University of Copenhagen. He is currently a Ph.D. Fellow at the Department of Architecture, Design and Media Technology; Section of Medialogy at Aalborg University, Copenhagen. Here he is lecturing Game Design, Animation, Screen Media, Interactive Narratives and Motion Capture while supervising various bachelor and master projects. Henrik is currently investigating engagement in relation to games, experiential learning, and interactive narratives. At the two invited lectures at M.I.T, he will present his findings through various cases - for example how engagement has been used to implement an interactive dramatic experience - the "First Person Victim”, which is intended as an experiential learning tool to assist high-school educators teaching social and ethical issues in relation to refugees and victims of war.
[Death and its epidemiological investigation: considerations about some relevant aspects].
This article addresses death and issues related to its investigation, as important components for Epidemiology/Public Health. It highlights aspects linked to the improvement of quality of investigation and surveillance of death, as well as the advance of scientific/epidemiological research in this area, analyzed in view of current legislation and ethical principles in Brazil. We discuss the problem related to knowing "whom the health information belongs to and which are the limits of its utilization", considering also the possibility of using identified databases. At the end, we suggest competent ways, as a "Term of Responsibility/Confidentiality" signed by the researcher in order to enable scientific/epidemiological research to continue in the country, in a more opportune and agile manner. PMID:21180846
Books reviewed in this issue. International Relations theory Violence and social orders: a conceptual framework for interpreting recorded human history. By Douglass C. North, John Joseph Wallis and Barry R. Weingast. Rethinking Realism in International Relations: between tradition and innovation. Edited by Annette Freyberg-Inan, Ewan Harrison and Patrick James. International law, human rights and ethics Shaping foreign policy in times of crisis: the role of international law and the State Department Legal Adviser. By Michael P. Scharf and Paul R. Williams. The rule of law. By Tom Bingham. International organization and foreign policy No enchanted palace: the end of empire and the ideological origins of the United Nations. By Mark Mazower. Contested states in world politics. By Deon Geldenh...
Personalised food: how personal is it?
Consumer goods became increasingly personalised, particularly during the last half of the 20th century. Foods and food products have been added a new flavour in this consumer trends with increasingly personalised values of convenience, cost, packaging, and taste. Now functional food industry is ready to take its next venture in a relatively new domain personalising health. Whether the goal of matching foods to individual genotypes to improve the health of those individuals can be attained, and personalised nutrigenomic foods enter the world?s food markets, depends on numerous hurdles being overcome: some scientific in nature, some technical and others related to consumer, market or ethical issues. Public adoption of new technologies is an important determinant for their success. Many of th...
Are Stock Options Grants to CEOs of Stagnant Firms Fair and Justified?
Prior research has examined several ethical questions related to executive compensation. The issues that have received most attention are whether executives? pay is fair and justified by performance. Since more recent studies show that stock options grants constitute the single largest component in executive compensation, we examine the relations of these grants to economic determinants and corporate governance for firms in the stagnant stage of their lifecycle. We find that, on average, stock options grants comprise a significant portion of annual CEO compensation (26.4%) for stagnant firms. We also find that economic (corporate governance) factors explain less (or more) of the cross-sectional variation in stock options grants for stagnant firms than for growth firms. Furthermore, we docu...
Books reviewed in this issue International Relations theory Tragedy and International Relations. Edited by Toni Erskine and Richard Ned Lebow. Merchant, soldier, sage: a new history of power. By David Priestland. International organization, law and ethics Good fences, bad neighbors: border fixity and international conflict. By Boaz Atzili. The rise and fall of war crimes trials: from Charles I to Bush II. By Charles Anthony Smith. Conflict, security and defence Useful enemies: when waging wars is more important than winning them. By David Keen. The Al Qaeda factor: plots against the West. By Mitchell D. Silber. Governance, civil society and cultural politics From ambivalence to betrayal: the left, the Jews, and Israel. By Robert S. Wistrich. Political economy, economics and development Key...
Ethics and images of suffering bodies in humanitarian medicine.
Media representations of suffering bodies from medical humanitarian organisations raise ethical questions, which deserve critical attention for at least three reasons. Firstly, there is a normative vacuum at the intersection of medical ethics, humanitarian ethics and the ethics of photojournalism. Secondly, the perpetuation of stereotypes of illness, famine or disasters, and their political derivations are a source of moral criticism, to which humanitarian medicine is not immune. Thirdly, accidental encounters between members of the health professions and members of the press in the humanitarian arena can result in misunderstandings and moral tension. From an ethics perspective the problem can be specified and better understood through two successive stages of reasoning. Firstly, by applying criteria of medical ethics to the concrete example of an advertising poster from a medical humanitarian organisation, I observe that media representations of suffering bodies would generally not meet ethical standards commonly applied in medical practice. Secondly, I try to identify what overriding humanitarian imperatives could outweigh such reservations. The possibility of action and the expression of moral outrage are two relevant humanitarian values which can further be spelt out through a semantic analysis of 'témoignage' (testimony). While the exact balance between the opposing sets of considerations (medical ethics and humanitarian perspectives) is difficult to appraise, awareness of all values at stake is an important initial standpoint for ethical deliberations of media representations of suffering bodies. Future pragmatic approaches to the issue should include: exploring ethical values endorsed by photojournalism, questioning current social norms about the display of suffering, collecting empirical data from past or potential victims of disasters in diverse cultural settings, and developing new canons with more creative or less problematic representations of suffering bodies than the currently accepted stereotypes. PMID:22877932
This article presents the ethical issues in animal research using a combined approach of ethical theory and analysis of scientific findings with bearing on the ethical analysis. The article opens with a general discussion of the moral acceptability of animal use in research. The use of animals in research is analyzed from the viewpoint of three distinct ethical approaches: contractarianism, utilitarianism, and animal rights view. On a contractarian view, research on animals is only an ethical issue to the extent that other humans as parties to the social contract care about how research animals are faring. From the utilitarian perspective, the use of sentient animals in research that may harm them is an ethical issue, but harm done to animals can be balanced by benefit generated for humans and other animals. The animal rights view, when thoroughgoing, is abolitionist as regards the use of animals in science (as in any other human use that is not also in the animals’ best interest). These views are not compatible, and since all three views in more or less pure form are found in modern Western societies, use of animals for research is bound to cause controversy. However, there may be room for some kind of compromise where adherents of each view compromise on some points. The ethical basis for the mainstream view of the use of animals in research is analyzed in this light. In the second part of the article, scientific information about the use of animals in research (and in particular the harm and benefit of such use) is analyzed in the light of ethical questions that seem to be pertinent against the background of a mainstream compromise view.
Assessing Models of Public Understanding In ELSI Outreach Materials
Advances in the science of genetics have implications for individuals and society, and have to be taken into account at the policy level. Studies of ethical, legal and social issues related to genomic research have therefore been integrated in the Human Genome Project (HGP) since the earliest days of the project. Since 1990, three to five percent of the HGP annual budget has been devoted to such studies, under the umbrella of the Ethical, Legal, and Social Implications (ELSI) Programs of the National Human Genome Research Institute of the National Institute of Health, and of the Office of Biological and Environmental Research of the U.S. Department of Energy (DOE). The DOE-ELSI budget has been used to fund a variety of projects that have aimed at ?promoting education and help guide the conduct of genetic research and the development of related medical and public policies? (HGP, 2003). As part of the educational component, a significant portion of DOE-ELSI funds have been dedicated to public outreach projects, with the underlying goal of promoting public awareness and ultimately public discussion of ethical, legal, and social issues surrounding availability of genetic information (Drell, 2002). The essential assumption behind these projects is that greater access to information will lead to more knowledge about ethical, legal and social issues, which in turn will lead to enhanced ability on the part of individuals and communities to deal with these issues when they encounter them. Over the same period of time, new concepts of ?public understanding of science? have emerged in the theoretical realm, moving from a ?deficit? or linear dissemination of popularization, to models stressing lay-knowledge, public engagement and public participation in science policy-making (Lewenstein, 2003). The present project uses the base of DOE-funded ELSI educational project to explore the ways that information about a new and emerging area of science that is intertwined with public issues has been used in educational public settings to affect public understanding of science. After a theoretical background discussion, our approach is three-fold. First, we will provide an overview, a ?map? of DOE-funded of outreach programs within the overall ELSI context to identify the importance of the educational component, and to present the criteria we used to select relevant and representative case studies. Second, we will document the history of the case studies. Finally, we will explore an intertwined set of research questions: (1) To identify what we can expect such projects to accomplish -in other words to determine the goals that can reasonably be achieved by different types of outreach, (2) To point out how the case study approach could be useful for DOE-ELSI outreach as a whole, and (3) To use the case study approach as a basis to test theoretical models of science outreach in order to assess to what extent those models accord with real world outreach activities. For this last goal, we aim at identifying what practices among ELSI outreach activities contribute most to dissemination, or to participation, in other words in which cases outreach materials spark action in terms of public participation in decisions about scientific issues.
Who Owns Rights To Pharmacogenetic Information?
This lesson guides students to examine the potential benefits, risks, and ethical concerns of designer drugs. Students begin by reading an article titled Ethical Issues in Pharmacogenetics by Carol Isaacson Barash, an ActionBioscience.org original article. Next they will read information on the National Human Genome Research Institute on Pharmacogenetics: Frequently Asked Questions about Pharmacogenomics. Instructors can then use the lesson to guide students through shorter activities and/or one main activity. The smaller activities involve students in describing the research behind the issue, making it accessible to a less-informed audience, and in exploring the ethical issues outlined in the article to support various points of view. The larger activity is for upper level students to gather evidence to support particular perspectives so that they can present different views about the ownership of human DNA information.
In this chapter I explore questions of research ethics from the perspective of dialogue theory through an analysis of a study I carried out in 2009-2010. The analysis focuses on dissenting voices among research participants. Voices, in a Bakhtinian sense, include the situated interplay of differences in language as well as discourse, ideology, themes (see Phillips 2011: 160). The dissenting voices arose in relation to an event, which was organized as part of the wider, collective research project to which my study belonged. This event took the form of a film contest in which participants submitted machinima films – that is, animated films produced in virtual spaces such as Second Life or online games such as World of Warcraft – and distributed via the Internet. The aim of my study was to gain insight into three areas of digital audiovisual media production, namely, the sorts of authorship practices emerging online, the semiosis (meaning-making) of these new kinds of texts (such as machinima films), and thecommunication and collaboration in online spaces (such as online communities where filmmakers create and share these new kinds of digital audiovisual texts). The production of machinima film in virtual worlds may sound like a strange activity set in a foreign, exotic space to some readers. Yet within the frames of these sorts of online spaces, communication unfolds in many ways: people meet each other, create textual practices, and constitute social networks of, and for, meaning-making, or discourse. My exploration of dialogic research ethics explores online communication as one kind of situated, discursive practice where dissenting voices are articulated. My analysis takes the form of a reflexive examination of ethics in regards to the dissenting voices among a group of research participants, who all had submitted machinima films to a film contest. Based on empirical analysis, I discuss the different power positions and knowledge interests by participants and researcher – and the impact of power asymmetry – upon the relationships between the involved people. I find it especially relevant to apply Bakhtin’s principle of the unfinalizable (Bakhtin 1981, 1984) – that there is no fixed or final interpretation, and no one has – or ought to have – the final word (except for instance, when someone dies). Following this principle involves an approach that is sometimes termed open-ended, but which may more aptly be called “unfinalizable” as Frank suggests in his discussion of the ethical imperatives of dialogic research (2005: 966). Since there is no final statement, there is only continuing dialogue through which a participant in a dialogue – such as in a research project – continues, “to become who they may yet be” (2005: 967). The dissensus that occurred among participants in my study served to remind me, as researcher, to heighten my awareness of difference (among voices) and open up for multiple, heterogeneous voices. A dialogic approach seeks to avoid the finalization or closure of the “monologic” whereby an attempt is made to reduce “the unfinalizable, open and multivocal process of meaning-making” to a totalising, closed, and univocal system of meaning-making – a singular voice (Baxter 2006: 102). Dissensus, or multivocal opposition, opens up for multiple voices and can be conducive to a reflexive understanding of conversational choices and the workings of knowledge and power in dialogue which can further individual and community development and empowerment (Phillips 2011: 40-41). The unfinalizable is thereby a useful principle for reflexivity about taking a dialogic approach, such as, for probing how to seek the articulation of multiple voices, rather than closure. For instance, by asking “nice”, supportive, non-confrontational interview questions and being empathic, a researcher risks not opening up for critical voices, and thereby also restricts analytic themes (Kvale 2006). The empirical data in the research study are based on exploring authorship practices, the semiosis of machinima films, and the relationships in online spaces relating to the machinima film contest which was held as part of the wider research project to which my study belonged. The data include different perspectives on the voting process for winning an audience prize in the film contest. My aim in this chapter is to discuss and demonstrate how Bakhtin’s theory of dialogue can be applied in qualitative research in order to pursue a form of research ethics that is based on recognition of the unfinalizable nature of meaning-making and active cultivation of difference as a positive dynamic for change. Phillips suggests that the application of Bakhtin’s dialogic theories “forms a lens with two related trajectories” (2011: 40) – one trajectory has a focus on meaning-making, the other on relations between voices. I refer to both trajectories, but especially to the ethical implications of dissenting voices and tensions arising from the unfinalizability of relations with research participants In my analysis, I focus partly on how participants in my study themselves brought up questions of ethics, power and morals and partly on how my own role and relations with the participants developed since my role was associated with the role of my university with respect to questions of ethics, power and morals. The questions brought up by the research participants led me to realise that I had initially overlooked various ethical aspects and downplayed power asymmetries. In particular, I had not realised how my initial dialogical conceptions were supported by, in Kvale’s terms, an “empathetic dialogical conceptions of the research interview as a conflict- and power-free zone” (2006: 483) which impacted on how I had initially related to and with the research participants. For instance, when the participants told me about experiences in film contests in general (including the importance of winning, and concerns with fairness in voting). I was slow to realise that the specific film contest sponsored by my university had to do with winning – and with ethics,power and morals. This recognition gave me the impetus to work reflexively with dissenting voices among the participants and led me to pursue additional interviews on the theme of ethics in contests in order to gain a wider repertoire of voices. Thereby, my ongoing reflexive analysis of the dissenting voices changed during the course of the ongoing study. Furthermore, I gained interest for ethical issues relating to creative practices and social relations in online spaces (social media). Therefore, my interest, insights, and the kind of knowledge I gained also shifted. Applying Bakhtin’s analytical lens, I explore the implications of a dialogic understanding of I-other relations and the research participants’ competing, different or dissenting voices. Such dissensus or conflict is understood as an integral aspect of social life as people in conversation constantly choose among a wide repertoire of voices and privilege certain voices over others. More specifically, though, dissension in research involves particular positions and patterns where certain participants (including the researcher) talk on the basis of expertise, power or authority. In addition, I consider how relations in a research study develop with attention to the particularities of the social context and kinds of knowledge that frame the research. In this regard, I draw upon the film contest study in order to examine the challenges or problems associated with developing social relations in research practices. These challenges or problems involve the negotiation of tensions across voices that narrate events taking place in the online context. I focus especially on specific problems related to research online, because online spaces are relatively new social arenas and may present particular problems related to the study of individuals and practices (such as, machinima filmmakers and their creative practices). My main empirical research question is inspired by Phillips’ presentation and application of Bakhtin’s theory as an analytical lens for communication research (2011: 40): What voices are articulated in my study, and what tensions emerge from the occurrence of dissenting voices? And on the basis of my answer to this question, I then discuss the implications of a Bakhtinian dialogic approach for research ethics in general. Bakhtin’s theory of dialogue suggests that principles, norms and ideals for social change do exist, but it does not provide guidance as such on how to apply dialogic principles in order to understand, analyse and practically deal with negotiations in research practice. Therefore, I draw upon contemporary approaches to dialogic-oriented research in communication, psychology and organizational development (Phillips 2011, Baxter 2011). The chapter is divided into three parts. In the first part, I present dialogic theory and ethics with a focus on the principle of the unfinalizable. I discuss three neo-Bakhtinian concepts: otherness (or the dynamics of meeting I/I, and I/thou), heteroglossia (or multivoicedness), and space (or context, including online spaces) and construct a theoretical framework built around these three concepts. In the second part, I outline the study including details about the film contest, and apply the theoretical framework in analysis of the dissenting voices that emerged during the interview process. In this analysis, I focus on questions of research ethics based on application of Bakhtin’s theory of dialogue.. In the third part, I present and discuss the wider implications for research practice of a dialogic approach to research ethics. This discussion focuses on Bakhtin’s principle of the unfinalizable and his critique of monologism for its exclusion or marginalisation of other voices and interpretations. There, I also discuss the main empirical question in relation to three aspects: the interpretation of multiple voices, power in interview relations and ethical issues of online. I suggest here that it is crucial to develop methodologies that take account of the complexities of dialogic-oriented research. Finally, I consider the unfinalizable as a principle that may actually maintain, rather than dilute, the researcher’s authorial voice as a producer of research-based knowledge.
Design elements of professional ethics courses.
Optometrists face ethical dilemmas daily in the practice of their profession. Students training to become optometrists also face ethical dilemmas, some of which are unique in their role as students. The focus on ethical practice has been heightened by the increasing scope of optometric practice, the greater demand of society for professional accountability, the greater diversity of membership and viewpoints, the decrease in available dollars for health care delivery, and the conflicting roles of ophthalmology and opticianry with optometry. These factors have led to the addition or expansion of professional ethics courses in optometry programs. This paper examines the difficulties inherent in defining professional ethics and designing ethics courses. Curricular issues are examined, including course objectives, instructors, content, evaluation, timetabling, teaching strategies, student assessment, and resource implications. Much of the research in this area has been done in medical education. Although the content of ethical dilemmas encountered by medical students and physicians may not be applicable to optometry, the process by which they learn to approach the dilemmas is the same. PMID:8570164
Privacy in the Digital Environment--Issues for Libraries.
This paper discusses issues for libraries related to privacy in the digital environment. The first section defines the meaning of privacy. The second section discusses the impact of technology and the use of technology, including principles issued by the U.S. Department of Health, Education, and Welfare in 1973 that still provide a basis for humane and responsible collection and retention of personal data. The third section provides background on the history of privacy from the 18th century to the present. The fourth section addresses the present and future of privacy, including trends in the protection of privacy, federal laws affecting privacy, a European Union directive on data protection, and U.S. Department of Commerce statement of principles related to privacy that covers notice, choice, onward transmission, security, data integrity, access, and enforcement. The fifth section considers the relation between privacy and libraries, including automated library systems and access to electronic resources. The sixth section discusses privacy in action, focusing on an American Library Association interpretation of the Library Bill of Rights that provides an overview of privacy issues and an ethical framework for library policies. (MES)
ABSTRACT: BACKGROUND: Denmark has implemented a comprehensive, nationwide pharmaceutical information system, and this system has been evaluated by the Danish Council of Ethics. The system can be seen as an exemplar of a comprehensive health information system for clinical use.AnalysisThe paper analyses 1) how informed consent can be implemented in the system and how different implementations create different impacts on autonomy and control of information, and 2) arguments directed towards justifying not seeking informed consent in this context. RESULTS AND CONCLUSION: Based on the analysis a heuristic is provided which enables a ranking and estimation of the impact on autonomy and control of information of different options for consent to entry of data into the system and use of data from the system.The danger of routinisation of consent is identified.The Danish pharmaceutical information system raises issues in relation to autonomy and control of information, issues that will also occur in relation to other similar comprehensive health information systems. Some of these issues are well understood and their impact can be judged using the heuristic which is provided. More research is, however needed in relation to routinisation of consent. PMID:23157854
Until recently, qualitative research has made limited use of visual sources, particularly visual texts (drawing, painting or photographs), but also including multimodal data (video and web-based) and visual data (tables, graphs, charts, etc.). Thus, discussions of ethics and evidence in this area have lagged behind those related to textual data, such as written fieldnotes. This is particularly true for qualitative research dissertations, where graduate students are caught in the tension between established and emerging standards of ethics and evidence. This trend holds true across most institutions of higher education, but it is especially pronounced in those schools that are smaller and more regionally focused where innovations may take more time to become firmly established. This paper examines issues of ethics, evidence, and academic politics in the use of visual sources within the genre of the dissertation, with a special focus on the ways these innovative practices move into the higher education institutions that are at a distance from the center of change. We begin with the viewpoint of a dissertation advisor who has experience in the use of visual sources in the instruction of qualitative research at the doctoral level and its use in the conduct of qualitative research dissertations. Three case examples drawn from three doctoral students in a Graduate School of Education provide a view of the issues involved in researcher generated data, participant generated data, and the ways emerging technologies offer new visualizing possibilities. We conclude with a cross-cutting discussion of issues related to the functions visual sources serve in these dissertations, followed by recommendations for the future use of these materials in the qualitative research dissertation process. Study participants are located in a small, regional institution of higher education, a context that figures importantly in the story. Our goal is to promote discussion and advance understanding of the ways visual sources, and by extension, the ways other innovative research processes can be used by qualitative researchers (particularly doctoral students), despite academia's reluctance in the face of change. (Contains 14 figures and 2 tables.)
This packet contains four sets of newsletters. Some of the topics covered in the Spring 1993 edition include the following: the rhetoric of crisis discredited, ethics in business-education partnerships, teaching about editorials, the politics of workplace literacy, women and literacy programs in Canada, and a list of resources on native literacy. The Summer 1993 issue includes information on the following: literacy and technology, portfolio assessment, the Gzowski tournament that raises money for Canadian literacy, teaching editorials, computer software for adults, and access to technology. In the Fall 1993 issue, the newsletter covers these topics: teamwork, partnerships, and quality in workplaces, in literacy, programs, and in schools; systems that work against literacy; how teamwork cuts both ways in the classroom; art and literacy in the classroom; total quality in community programs; and literacy and minority women. The final issue of the volume, Winter 1994, examines the following: new technologies in education as they relate to teacher education; layers of language, student writing on the family, numeracy and mathematical literacy, the Canada-wide mathematics test, and a list of resources on numeracy. All four of the issues contain news of conferences and meetings and all include "Media Focus," a supplement that includes reviews and articles about media and education. (KC)
Abstract in portuguese Nos últimos anos, os avanços nas Ciências Biológicas têm levado a sociedade a discutir diversas questões no campo da moral e da ética. Questões como engenharia genética, clonagem e pesquisas com células-tronco são questões chamadas de sociocientíficas por estarem na interface entre a ciência e a sociedade. Nesse trabalho buscamos entender como estudantes de Ensino Médio percebem e interpretam questões relacionadas à manipulação genética em seres humano (more) s. Houve divisão de opiniões em relação à eugenia negativa, que se destina a remover características desfavoráveis das pessoas; mas a eugenia positiva, que busca melhoramento de características estéticas, foi rejeitada por todos os estudantes. As variações nas opiniões em relação ao assunto tratado podem ser, em grande medida, devidas às representações sociais dos estudantes. Abstract in english In the recent years the advances in biological sciences has been convincing society to discuss issues concerning moral and ethics. Issues as cloning, stem-cell research and genetic engineering are called socioscientific issues because they put into evidence the interface between science and society. In this paper we aimed at understanding how High School students realize and interpret issues regarding human genetic improvement. As a result we have found divergent opinions (more) regarding negative eugenics, specifically about its attempts of taking out undesirable characteristics of individuals; but there was an agreement among all the students in rejecting positive eugenics, that aims at improving individuals esthetical characteristics. The divergences and differences of opinions may be related to the students' social representations.
Engaging Narratives and the Limits of Lay Ethics: Introduction
How can one discover the ethical issues associated with nanotechnologies? One heuristic is to tend closely to the ethical reflections of lay publics and the ways in which these are informed by experience with technological innovation, technology governance, and the (broken) promises of visionary science and technology. A close collaboration between social scientists and philosophers took this heuristic to its limits: On the one hand, it achieved remarkably fine?grained insights into public reflection about nanotechnologies. On the other hand, a philosophical analysis of these reflections makes apparent that there is a profound disconnect between the lay ethics rooted in public talk and the ethical and normative commitments that are embedded in nanotechnological research programs and practi...
The Possible Sources of Ethical Issues in Urban/Physical Planning in Turkey
Ethical issues of urban planning in Turkey are understudied. This article briefly examines eight possible sources of unethical behavior, decision and policy in Turkish urban planning. This analysis of ethical problems and sources of physical urban planning focuses on the local government level. This study focuses on harmonizing Turkish and international literature on local politics, urban planning, urbanization, planning profession and planning ethics literature with the perceptions, attitudes and conditions of planning actors based on interviews and survey conducted in selected Turkish municipalities and SPAs in 2008-09 as part of a major EU-funded public sector ethics project in Turkey. The roles of interest groups, conditions of planners and decision-makers on urban planning and plannin...
Ethics and prevention of overweight and obesity: an inventory
Summary Efforts to counter the rise in overweight and obesity, such as taxes on certain foods and beverages, limits to commercial advertising, a ban on chocolate drink at schools or compulsory physical exercise for obese employees, sometimes raise questions about what is considered ethically acceptable. There are obvious ethical incentives to these initiatives, such as improving individual and public health, enabling informed choice and diminishing societal costs. Whereas we consider these positive arguments to put considerable effort in the prevention of overweight indisputable, we focus on potential ethical objections against such an effort. Our intention is to structure the ethical issues that may occur in programmes to prevent overweight and/or obesity in order to encourage further deb...
Bioenergy and Land Use: Framing the Ethical Debate
Increasingly, ethical concerns are being raised regarding bioenergy production. However, the ethical issues often do not stand out very clearly. The aim of the present paper is to improve on this situation by analyzing the bioenergy discussion from the perspective of land use. From this perspective, bioenergy production may give rise to ethical problems because it competes with other forms of land use. This may generate ethical problems mainly for two reasons. First, bioenergy production may compete, directly or indirectly, with food production; and as consequence the food security of poor people may be adversely affected (social aspects arguments). Secondly, the production of bioenergy may directly or indirectly lead to deforestation and other changes of land use that have a negative effe...
Ethical Issues in School Art Therapy
School art therapists face numerous ethical dilemmas, from referrals to therapy, through privacy, safety and predictability in the art therapy room, to the need to balance cooperation with the educational staff and its expectations of shared information with loyalty to the patient. Breach of confidentiality also has legal implications. The ownership and exposure of treatment records and artwork likewise involve ethical considerations. System and patient needs sometimes conflict. The handling of ethical issues--often resolved technically or according to facility tradition--greatly impacts the therapy process. The author encourages art therapists in schools to plan and implement systematic work procedures; nevertheless, they should also make sure their methods comply with their moral and ethical standards.
Teaching Social Work Values and Ethics: A Curriculum Resource. Second Edition
Congress, Black, and Strom-Gottfried cover the gamut of values and ethics issues affecting social work curricula at the BSW and MSW degree levels, as well as those complying with CSWE's 2008 Educational Policy and Accreditation Standards. This book's course outlines, interactive learning techniques, technological resources, and extensive bibliography can be applied to virtually any social work course. Its bibliography also features specialty areas new to social work ethics, such as international and rural social work. Resources included account for potential ethical dilemmas concerning practice, law, philosophy, research, conflict resolution, policy advocacy, and work/life balance. Experiential learning opportunities presented in exercises allow students to witness important ethical concepts first-hand, leaving a lasting impression when they become professionals. Regardless of specialization, this book applies to all students' career aspirations--particularly those interested in child welfare, gerontology, health care, and school social work.
Bringing Mission to Practice: It's a Matter of Ethics
In an evening seminar held in the Illinois Math and Science Academy (IMSA) auditorium, Lisa Anderson-Shaw, Director of Clinical Ethics Consulting Service at the University of Illinois Medial Center, posed a scenario that inspired a thirty-minute discussion of contemporary bioethics, during which speaker and students untangled issues of patient autonomy, utilitarianism, and the Kantian notion of a human's right to unconditional truth. The rich discussion was part of IMSA's "Considerations in Ethics (CinE)" program--a series of nine lectures and small-group discussions designed to advance the ethics component of IMSA's mission. In this article, the author provides background on and describes the Considerations in Ethics course taught at the Illinois Math and Science Academy.
El dilema ético de la fluoración del agua potable/ The ethical dilemma of water fluoridation
Abstract in english Dental caries remains a worldwide public health problem because of its magnitude and impact on affected people's quality of life. Among preventive strategies, water fluoridation is one of the most important, but its value still remains uncertain after more than a half of Century of its use. The aim of this study is to analyse some of the ethical arguments for and against water fluoridation and to determine if empirical data allow to decide if there are correct policies fr (more) om a bioethical perspective. Autonomy, compulsory medication (mass medication), precautionary principle, justice in health care and ethics of protection are discussed. It is concluded that fluoridation is beneficial and that there is no ethical reason to oppose it, based on a specific kind of ethics developed to analyse and clarify complex public health's issues
Is Your Avatar Ethical? On-Line Course Tools that Are Methods for Student Identity and Verification
On-line college courses present a mandate for student identity verification for accreditation and funding sources. Student authentication requires course modification to detect fraud and misrepresentation of authorship in assignment submissions. The reality is that some college students cheat in face-to-face classrooms; however, the potential for on-line fraud exceeds that of traditional classroom protocols. Because of reduced personal contact, on-line teaching requires additional ways to prevent cheating and to authenticate authorship of course submissions. Key issues include providing both legal and ethical accountability to college's funding sources for accreditation. Detection methods include qualitative and quantitative analysis utilizing course content analysis, psychometrics, and biometrics (which includes fingerprint, voice recognition software, camera photo ID matched to student ID). Case studies include qualitative analysis focused on cultural causes related to ethical lapses. This article describes these topics and methods and how their use helps detect and reduce cheating. Verification methods should identify student authorship and submission misrepresentation and reduce errors in student evaluations, grading, course outcomes analysis, and the granting of college credit for work completed. (Contains 32 endnotes.)
The U.S. Department of Veterans Affairs (VA) operates the largest integrated health care system within the United States. VA budgets continue to escalate in an environment of heightened financial prudence and accountability. Despite having received many awards in areas from patient satisfaction and safety to product innovations, like any health care system, the VA is not immune to ethical conflict that requires exploration and evaluation. Several VA dermatologists, including section chiefs, were interviewed, and their responses to ethical complexities encountered or anticipated were analyzed in fictional case scenarios. Five morally concerning issues were highlighted. These include (1) providing care in a teaching setting with limited resources to a patient population with few other health care alternatives; (2) stereotyping patients, altogether an uncommon act, is possibly easier to do in the VA and has the potential to negatively affect patient care; (3) service-related disability claim cases often include medical opinion and findings documented in the medical record when judgments are made, thus the VA physician can have a significant effect on the outcome of these claims; (4) whether the VA provides a setting for apathetic physicians to thrive or instead allows for a more meaningful work experience and then how to manage the subpar performer; (5) except for the treatment of HIV lipodystrophy with injectables, primary cosmetic procedures are prohibited at the VA and can lead to difficulties for the VA dermatologist attempting to comply in a era where dermatology is being more closely associated with cosmesis. PMID:22902226
This paper describes the interventions by the International Committee of the Red Cross to support a hospital in Afghanistan during the mid 1990s. We present elements of the interventions introduced in Ghazni, Afghanistan, and consider a number of ethical issues stimulated by this analysis. Ethical challenges arise whenever humanitarian interventions to deal with complex political emergencies are undertaken: among those related to the case study presented are questions concerning: a) whether humanitarian support runs the risk of propping up repressive and irresponsible governments; b) whether humanitarian relief activities can legitimately focus on a narrow range of interventions, or need to broaden to address the range of challenges facing the health system; and c) whether sustainability and quality of care should be routinely considered in such settings. The paper concludes by highlighting the value of case studies, suggesting mechanisms for extending transparency and accountability in humanitarian health interventions, and highlighting the need of contextualising humanitarian work if the interventions are to be successful. PMID:12870477
Righteous realists: Perceptions of American power and responsibility in the nuclear age
This is a study of the moral and ethical dimensions of political realism in post-World War II America, especially in relation to realist thought on nuclear weapons issues. Emphasis is placed on evolving notions of power and responsibility as they form the basis for a realist philosophy of power in the nuclear age. It is argued that the realists developed a concept of responsible power which was a hybrid of traditional American ideals and European Realpolitik. Included are chapters on the personal and intellectual background of five noteworthy realists, the realist position on some basic dilemmas in political ethics, the problem of usable and unusable force, the realists' view on deterrence and arms control, the question of democracy versus guardianship, and the realists as cultural critics. This study highlights the coherence of realist thought while pointing out the paradoxes upon which it is based. It situates realism in its historical context and reveals realism's relationship to explicit political and cultural values. It concludes that at their core, the realists were moralists; and realism was the entity through which they reconciled morality and power.
Validiteten af spørgeskemaundersøgelser med lav svarprocent
INTRODUCTION: The purpose of the present study was to compare the characteristics of epidemiological survey non-respondents with the characteristics of respondents who participated by mail and phone. MATERIAL AND METHODS: The study was based on data from questionnaires and registered data on socio-demographics. The Child Behavior Checklist for Ages 1-5 (CBCL/1-5) and "Experiences when answering a questionnaire" was mailed to 300 parents of children aged 18 months to five years. Parents who did not respond after a mail reminder were contacted by telephone. RESULTS: A total of 138 families replied to the mail contact, 99 replied after telephone contact, and we received no response from 63 families. No statistical differences in socio-demographic characteristics were found between the three groups. No statistical differences were found concerning the total problem behaviour score of the CBCL/1-5 between mail and phone responders. Parents who participated by phone thought more frequently than mail responders thatquestions on the CBCL/1-5 were ethically offensive, and that their own knowledge about child well-being and behaviour was unsatisfactory, p < 0,01. CONCLUSION: Non-participation is associated with parental attitudes towards ethical issues related to CBCL/1-5 and to poor parental knowledge about child well-being and behaviour. In spite of this, and although there was a low initial participation rate, it seems reasonable to assume that the results of child psychiatric epidemiological questionnaire surveys can be generalised. Udgivelsesdato: 2009-Feb-2
BACKGROUND: Transcranial direct current stimulation (tDCS) is a neuromodulatory technique that delivers low-intensity, direct current to cortical areas facilitating or inhibiting spontaneous neuronal activity. In the past 10 years, tDCS physiologic mechanisms of action have been intensively investigated giving support for the investigation of its applications in clinical neuropsychiatry and rehabilitation. However, new methodologic, ethical, and regulatory issues emerge when translating the findings of preclinical and phase I studies into phase II and III clinical studies. The aim of this comprehensive review is to discuss the key challenges of this process and possible methods to address them. METHODS: We convened a workgroup of researchers in the field to review, discuss, and provide updates and key challenges of tDCS use in clinical research. MAIN FINDINGS/DISCUSSION: We reviewed several basic and clinical studies in the field and identified potential limitations, taking into account the particularities of the technique. We review and discuss the findings into four topics: (1) mechanisms of action of tDCS, parameters of use and computer-based human brain modeling investigating electric current fields and magnitude induced by tDCS; (2) methodologic aspects related to the clinical research of tDCS as divided according to study phase (ie, preclinical, phase I, phase II, and phase III studies); (3) ethical and regulatory concerns; and (4) future directions regarding novel approaches, novel devices, and future studies involving tDCS. Finally, we propose some alternative methods to facilitate clinical research on tDCS. PMID:22037126
Recent decades have witnessed increasing possibilities for genetic testing and screening. In clinical genetics, the doctor's office defined a secluded space for discussion of sensitive reproductive options in cases of elevated risk for genetic disorders in individuals or their offspring. When prenatal screening for all pregnant women became conceivable, the potential increase in scale made social and ethical concerns relevant for the whole of society. Whereas genetic testing in clinical genetic practice was widely accepted, prenatal screening at a population level met with unease. Concerns were raised regarding social pressure to screen: the sum of individual choice might result in a 'collective eugenics'. The government's involvement also raised suspicion: actively offering screening evoked associations with eugenic population policies from the first half of the 20th century. By reconstructing elements of policy and public debate on prenatal screening in the Netherlands from the past 30 years, this article discusses how the government has gradually changed its role in balancing the interest of the individual and the collective on genetic reproductive issues. Against a background of increasing knowledge about and demand for prenatal screening among the population, governmental policy changed from focusing on protection by banning screening toward facilitating screening in a careful and ethically sound way by providing adequate information, decision aids and quality assessment instruments. In the meanwhile, invigorating democracy in public debate may entail discussing concepts of 'the good life' in relation to living with or without impairments and dealing with genetic information about oneself or one's offspring. PMID:22109908
Some Ethical Considerations in Astronomy Research and Practice
Research ethics as an applied field has evolved due to a number of contentious and public lapses in ethical judgment over the past hundred years. But the main principles underlying good, ethical behavior in all of the sciences are rooted in what Robert Merton calls the ethos of science. Values and virtues, including the universal nature of its underlying objects, communal nature of scientific research, the necessity for individual disinterestedness on the part of researchers, and science's nature as organized skepticism, provide a foundation for conducting ethical research. Scientific integrity, the relation between basic science and the general public, and the social role of science all argue for adopting virtues, guiding behavior, and pursing science in ways we can now characterize as ethical in themselves. Being a good scientist and doing good science overlaps significantly with being a good person.
In this conceptual paper, we aim to develop a much needed ethical research agenda for international Human Resource Management (HRM), given that the changing geopolitical dynamics interrogate the political role of multinational companies and the ethical stance they take in their HRM practices. To theoretically ground this agenda, we turn to cosmopolitanism and distinguish three main perspectives?political, cultural, and social?each of which implies a different understanding of the self?other relation in the context of the global world. We translate the core and ethical stance of each perspective to the field of international HRM, presenting three different foci of an ethical research agenda in terms of the ethical implications for multinational companies, research focus, methodological sugg...
Transferring knowledge about high-level waste repositories: An ethical consideration
The purpose of this paper is to present requirements to Information and Documentation Systems for high-level waste repositories from an ethical point of view. A structured synopsis of ethical arguments used by experts from Europe and America is presented. On the one hand the review suggests to reinforce the obligation to transfer knowledge about high level waste repositories. This obligation is reduced on the other hand by the objection that ethical obligations are dependent on the difference between our and future civilizations. This reflection results in proposing a list of well-balanced ethical arguments. Then a method is presented which shows how scenarios of possible future civilizations for different time horizons and related ethical arguments are used to justify requirements to the Information and Documentation System.
Nursing students as research participants: A framework for ethical practice
SummaryAim The aim is to discuss a new framework that can aid ethical decision making in educational nursing research. Background Nurse researchers have a significant amount of guidance to inform their ethical decision making in relation to research. However, research governance and professional guidance only go so far in promoting ethical research practice. Nurse researchers who work in higher education institutes face particular ethical challenges when nursing students are used as research participants. Method We explore the complexities of educational research and introduce a framework that can help nurse researchers to make ethically sound research decisions. We draw inspiration from Wendler and Grady (2008) [Wendler, D., Grady, C., 2008. What should research participants understand to...
Challenges and innovations in bioethics instruction for physician assistant programs.
Ethics spans all of the medical specialties and is constantly evolving as new medical technologies develop. As PAs become involved in Institutional Ethics Committees (IEC) and related settings, ethics instruction becomes an increasingly important component of their education. Students need the tools to face ethical dilemmas in order to provide the best possible care to their patients across the life span. Furthermore, PAs have a clear role and responsibility in end-of-life and palliative care. Ethics education can be most effective when incorporated into both the preclinical and clinical phases of instruction. There are many ways in which this can be accomplished so that future PAs are equipped with the necessary tools, skills, and information. PMID:22827150
Some Thoughts on John Dewey's Ethics and Education
The philosopher and educator, John Dewey, explores the emergence of the terms "ethics" and "education" from a pragmatist's perspective, i.e., within the linguistic and social components' framework, and society's existing cognitive and cultural level. In the current article, we examine the development, logical control and the relation between ethics and education as well as the ethical principles he follows. The latter comprises his ethical ideas and his ideas about morality which constitute school's ethical raison d'etre, the general ethical education which is achieved there, the special study programme and the ideals that are actualised by people. These principles lead to the conclusion that education is a necessity of life and a social function, and that it is self-referential and cross-referential by others, and is conditioned by conservatism or progressiveness subject to measurable criteria, whilst its democratic perception is assessed by the quality of the respective societies. Therefore, each theory arises from the ethical problems existed in the real world and is subject to logical control, whilst its individual and collective self must serve ethical situations that lean towards the good achievement.
Learning from the Codes of the Academic Disciplines
Ethical questions have long been the impetus for philosophical inquiry around the world. When ethical questions arise in the classroom, during advising or in other academic settings, university and college instructors may appeal to the ethical codes within their own discipline for guidance. The materials presented in this article review teaching-related sections of the professional codes of conduct from five fields of scholarship (history, physics, engineering, nursing, and psychology) and seek common themes that may guide university and college instructors in general approaches to ethical dilemmas as well as specific situations. Despite a breadth of topical areas, the selected ethics codes share common ground, and each addresses appropriate education and training within a discipline. The materials address differences in the approaches of the chosen ethics codes and then explore similarities, particularly those that translate into tangible classroom behaviors for university and college teachers. The article closes with appeals for explicit graduate education in ethics and for instructors to recognize the larger ethical context in which they teach. (Contains 2 notes.)
Peace through Tourism: The Birthing of a New Socio-Economic Order
Humankind is currently witnessing, and shaping, the most significant and rapid paradigm shift in human history ? a paradigm shift of major demographic, economic, ecological, and geo-political dimensions. For the first time in human history ? we are faced not with just one crisis ? but a confluence of several crises; crises that are not related to a single tribe or community ? a single nation ? or a single region of the world ? but are each global in scale. To meet the challenges of these global crises will require an equally historic paradigm shift; a paradigm shift with a strong environmental ethic that restores ecological balance and integrity to our failing ecosystems, and that addresses the critical issue of climate change; a paradigm shift toward an economic system that brings about a...
Searches of the literature or Internet using the term "medical tourism" produce two sets of articles: travel for the purpose of delivering health care or travel for the purpose of seeking health care. The first usage primarily appears in the medical literature and is beyond the scope of this article, which focuses on travel to seek health care. Still, there are some aspects these two topics have in common: both are affected by ease and speed of international travel and communication associated with globalization, and both raise questions about continuity of care as well as issues related to cultural, language, and legal differences; both also raise questions about ethics. This article describes some of the motivating factors, contributing elements, and challenges in elucidating trends, as well as implications for clinicians who provide pretravel advice and those who care for ill returning travelers. PMID:19061760
Knowledge and attitudes of Swedish politicians concerning induced abortion
ABSTRACT Objective Induced abortion is more frequent in Sweden than in many other Western countries. We wanted to investigate attitudes and knowledge about induced abortion among politicians responsible for healthcare in three Swedish counties. Method A study-specific questionnaire was sent to all 375 elected politicians in three counties; 192 (51%) responded. Results The politicians stated that they were knowledgeable about the Swedish abortion law. More than half did not consider themselves, in their capacity as politicians, sufficiently informed about abortion-related matters. Most politicians (72%) considered induced abortion to be primarily a `women's rights issue' rather than an ethical one, and 54% considered 12 weeks' gestational age an adequate upper limit for induced abortion. On...
Development in Islamic banking: a financial risk-allocation approach
Purpose - The core objective of this paper is to direct worldwide attention towards the unparalleled development in Islamic banking, its infrastructures and supporting institutions in recent years. This paper articulates the case for Islamic banking in a very comprehensive and effective manner. It depicts Islamic banking as a growing discipline adding more ethical, competitive and diversified tools and systems into global finance. It highlights the paradigm, theory and practice, achievements, pitfalls and future prospects of Islamic banking. Design/methodology/approach - The paper deals with the Islamic paradigm of borrowing, lending and investment. It presents the conceptual model and practice of Islamic banking. It covers other related issues over the recent development of Islamic bankin...
Drawing from the literature on sport consumer behavior and related fields such as marketing, the purpose of this paper is to introduce some new research topics in the field of sport marketing. Based on six categories of customer metrics and two important perspectives of consumer decision making (social identity and customer satisfaction), four important research streams are identified: consumer motivations, social identity, customer satisfaction, and customer loyalty. For each research stream, the core issues are introduced based on the conceptualization of key constructs and the theoretical explanations that outline the relationships between antecedents, consequences, and moderating variables. This paper also provides directions for future research that focuses on the development of new concepts, such as brand experiences, brand ethics, brand community, human brands, and customer engagement, which go beyond traditional marketing concepts.
Developing wisdom and moral duty in management
Purpose - The primary purpose of this paper is to demonstrate that the writings of Aristotle and Cicero can be used to as a conceptual tool to promote an understanding of wisdom, moral duty, and related subjects in respect to contemporary business management practice. Design/methodology/approach - The methodology comprised a critical reading and analysis of Aristotle's Nichomachean Ethics and Cicero's De Officiis (On Duties). The approach combines both historical and philosophical research. An earlier version of the paper was presented to a group of early/middle managers, and then to a group of more senior/experienced managers. Findings - Both groups supported the idea that the article was appropriate for highlighting moral issues in contemporary business management practice. Research limi...
Accountability and the affective labour of teachers: a Marxist?Vygotskian perspective
This article addresses the issue of affective labour in education in the context of standards-based reforms and accountability. In particular, it focuses on neoliberal strategies of rationalization and control that produce a number of social pathologies, such as alienated teaching and learning and reified social relations between teachers and students. The article turns to affective labour as something that enables teachers to counteract these effects. This argument arises from the analysis of interviews with teachers who continue to generate and sustain the sociality of teaching and learning. Affect directs teachers? commitment to practice that is governed by feeling, passion and the ethics of care. What gives affective labour such an important position is that it is both outside and beyo...
The global accounting profession in the United States
For several decades during its nearly 123-year history, the AICPA has worked to meet the changing needs of an increasingly global economy. Today, virtually all the issues at the top of our agenda have a significant international component. Many of them relate to how CPAs, companies and investors can productively navigate through international waters. As the world becomes flatter, international convergence in accounting and auditing standards and ethics codes, as well as the mobility of accountants into foreign lands, have increased in importance. At the same time, as the United States (along with the rest of the world) struggles to emerge from the worst recession in eight decades, the CPA profession is at the forefront of efforts to address problems in our financial system, and to contribu...
Abstract in english It is indispensable for physicians to understand and recognize the fusion of different cultures, to deliver the best possible service to patients with different cultural backgrounds, especially when ethical-medical problems are involved. The Hindu community in Chile differs in significant ways with the western culture. This is especially true for some issues such as the belief in reincarnation or gender inequality, among others. These discrepancies can be relevant for the (more) analysis of several bioethical problems. Therefore, it is necessary to understand the different beliefs, traditions and Hindu visions. We hereby present a review of Hinduism, its relation with medical practice and, as an example, a case of abortion in a Hindu family. Reviewing the traditions, beliefs and methods will help to understand and respect the beliefs of different cultures in contemporary and globalized bioethics.
Drug advertising is one of the most popular forms of communication between pharmaceutical companies and prospect drug purchasers. In the face of strong competition on the pharmaceutical market on the one hand, and patient's high susceptibility to various forms of advertising on the other, drug producers try to reach as wide group of recipients as possible. However, proper medicine use requires not only doctor's wide knowledge and experience, but also patient's awareness of necessity of rational drug usage. Advertising activities related to this group of medicines are covered by rigorous law regulations, with taking into account above-mentioned issues, and other specific features of drugs available with prescription. The aim of this article is to present legislative and non-legislative regulations concerning Rx drugs, taking into consideration law regulations that are in force in the European Union and the United States. Ethic codes implemented by drug producers associations were also used. PMID:22876622
La profesión docente/ The teaching profession
Abstract in english This article focuses on understanding teaching activities, especially in the feld of health science, as a set of tasks and actions that teachers undertake when transforming scientifc knowledge into curriculum contents and actions. There are several ways to address this issue. Some authors identify specifc roles and qualities of teachers structured as variables and dimensions. Others use the term competences, applied as skills, aptitudes or abilities to do something very w (more) ell or duly intervene in a certain matter. The term competence, although not yet clearly defined, is used in this work because it is widely used in Health Sciences education. Some defnitions are reviewed. Teacher?s competences in the following areas recognized: those related to specifc professional skills, in contents organization, in learning skills, in new information and communication technologies, in evaluation and in social and ethical areas of educational practices.
Universal screening for inherited metabolic diseases in the neonate (and the fetus)
The traditional focus of newborn screening for inherited metabolic diseases is to test infants for medical conditions that may cause significant morbidity and mortality unless treatment is initiated early. A major change began with the application of tandem mass spectrometry to the quantitative analysis of amino acids and acylcarnitines in dried blood spots. Beyond the lack of a consensus on disease selection, the pace of introduction for expanded screening programs has been slow and patchy among and within countries. Universal metabolic screening poses important ethical issues, related to possible ambiguous findings, late-onset diseases, conditions, such as lysosomal storage disorders, with no clear-cut evidence on when and how to start a therapy. The possible application of next generati...
Key Concepts of Environmental Sustainability in Family and Consumer Sciences
It is the vision of the American Association of Family & Consumer Sciences to be "recognized as the driving force in bringing people together to improve the lives of individuals, families, and communities" (AAFCS, 2010). Because of this focus on individuals and families and its well-established presence in American schools, family and consumer sciences (FCS) is a logical discipline to promote environmental sustainability within the family.The objective of this article is to identify and develop key concepts of environmental sustainability related to all FCS content areas.The key concepts are divided into three categories: environmental sustainability issues; addressing the problems; and overarching concepts (including ethics and resources available through Family, Career, and Community Leaders of America.) Examples of environmental sustainability teaching and learning strategies for secondary FCS classrooms are included. (Contains 1 table and 2 resources.)
Purpose - The aim is to review the latest management developments across the globe and pinpoints practical implications from cutting-edge research and case studies. Design/methodology/approach - The article is prepared by an independent writer who adds their own impartial comments and places the articles in context. Findings - Advocates of environmentally aware business practices often say that the companies that prosper in future will be those that pay attention to "green" issues. Similar attitudes exist in relation to business practices; the idea that, in the long-term, ethically sound companies and their leaders will be the ultimate winners. The wide-ranging recent reports of morally dubious and even illegal practices, not least in the world of high finance, have rocked the confidence o...
Moral distress in nurses in oncology and haematology units.
One of the difficulties nurses experience in clinical practice in relation to ethical issues in connection with young oncology patients is moral distress. In this descriptive correlational study, the Moral Distress Scale-Paediatric Version (MDS-PV) was translated from the original language and tested on a conventional sample of nurses working in paediatric oncology and haematology wards, in six north paediatric hospitals of Italy. 13.7% of the total respondents claimed that they had changed unit or hospital due to moral distress. The items with the highest mean intensity in the sample were almost all connected with medical and nursing competence and have considerably higher values than frequency. The instrument was found to be reliable. The results confirmed the validity of the MDS-PV (Cronbach's alpha = 0.959). This study represents the first small-scale attempt to validate MDS-PV for use in paediatric oncology-haematology nurses in Italy. PMID:22457383
Book reviewed in this issue. International Relations theory Theory of world security. By Ken Booth. The powers to lead. By Joseph S. Nye Jr. Human rights and ethics Just politics: human rights and the foreign policy of Great Powers. By C. William Walldorf, Jr. The responsibility to protect: ending mass atrocity crimes once and for all. By Gareth Evans. The United Nations High Commissioner for Refugees (UNHCR): the politics and practice of refugee protection in the twenty-first century. By Gil Loescher, Alexander Betts and James Milner. International law and organization New world disorder: the UN after the Cold War: an insider's view. By David Hannay. The United Nations Security Council and war: the evolution of thought and practice since 1945. Edited by Vaughan Lowe, Adam Roberts, Jennife...
A study investigated (1) the role of English as a language of power, and how it has affected multilingualism in Canada and South Africa, (2) the nature and implementation of South Africa's multilingual policy, (3) how South Africa's language education policy and policy implementation compare to those in Canada, (4) how South African language teachers approach English language education, multilingualism, and multiculturalism in education, and (5) ethical issues related to English language teaching in the two countries. Data were gathered through a review of publications and government documents and a visit to South Africa. Focus is on the status of endangered languages and the role played by English language education and policy in endangering them. Background information and documents on South African language policies and education are appended. Contains 56 references. (MSE)
[How does Hinduism analyze an ethical clinical dilemma].
It is indispensable for physicians to understand and recognize the fusion of different cultures, to deliver the best possible service to patients with different cultural backgrounds, especially when ethical-medical problems are involved. The Hindu community in Chile differs in significant ways with the western culture. This is especially true for some issues such as the belief in reincarnation or gender inequality, among others. These discrepancies can be relevant for the analysis of several bioethical problems. Therefore, it is necessary to understand the different beliefs, traditions and Hindu visions. We hereby present a review of Hinduism, its relation with medical practice and, as an example, a case of abortion in a Hindu family. Reviewing the traditions, beliefs and methods will help to understand and respect the beliefs of different cultures in contemporary and globalized bioethics. PMID:20098814
EMERGING TECHNOLOGIES AND DEVELOPING COUNTRIES: STEM CELL RESEARCH REGULATION AND ARGENTINA
ABSTRACT Given its intimate relationship with the human body and its environment, biotechnology innovation, and more particularly stem cell research innovations as a part thereof, implicate diverse social and moral/ethical issues. This paper explores some of the most important and controversial moral concerns raised by human embryonic stem cell research (and the closely associated field of cloning), focusing on concerns relating to the wellbeing of the embryo and the wellbeing of society (the collective). It then considers how and whether these concerns are dealt with in regulatory instruments in Argentina, a southern developing country, examining in particular whether the values underlying these concerns have been translated into practical and effective rules reflective of the primary mor...
Book reviewed in this issue. International Relations theory Political evil in a global age: Hannah Arendt and international theory. By Patrick Hayden. International law, human rights and ethics Means to an end: U.S. interest in the International Criminal Court. By Lee Feinstein and Tod Lindberg. International organization and foreign policy Regional leadership in the global system: ideas, interests and strategies of regional powers. Edited by Daniel Flemes. New powers: how to become one and how to manage them. By Amrita Narlikar. Conflict, security and defence* The worst-kept secret: Israel's bargain with the bomb. By Avner Cohen. A skeptic's case for nuclear disarmament. By Michael O'Hanlon. Governance, civil society and cultural politics The globalization of surveillance. By Armand Matte...
Mapping and Sequencing the Human Genome: Science, Ethics, and Public Policy.
The human genome project started in 1989 with the collaboration of the National Institutes of Health (NIH) and the U.S. Department of Energy (DOE). This document aims to develop an understanding among students of the human genome project and relevant issues. Topics include the science and technology of the human genome project, and the ethical and public policy dimensions of the project. Four activities are presented in the document: (1) "DNA Sequences"; (2) "Do Our Genes Determine Our Future?"; (3) "The Case of Nathaniel Wu"; and (4) "Public Policy: Genetics and Alcoholism". Four chapters of instructional information on DNA and appropriate activities related to the chapters are also presented. Chapters include: (1) "The Hereditary Molecule"; (2) "Passing Traits from One Generation to the Next"; (3) "How Genes and the Environment Influence Our Health"; and (4) "Controlling Our Genetic Futures." Appendices include Timeline, Helpful Hints, and Some Frequently Used Suppliers. (Contains 39 references.) (YDS)
Teaching and Learning about Solid Waste: Aspects of Content Knowledge
This paper investigates aspects of content knowledge related to teaching and learning about solid waste, focusing on the processes of learning and teaching by Elementary School teachers in Brazil, in two modalities of continuing education: courses and school-based meetings. We analyse elements of teachers' reflections whilst referring to three dimensions of environmental education: knowledge, values (ethic and aesthetic), and political participation. We identify which dimensions are predominant, or absent, and the aspects included and developed in projects elaborated by teachers. The results raise issues we consider important to support teacher education and curriculum programmes and help teachers develop more substantial, critical and effective projects about the subject. (Contains 1 table.) [This research was supported by the Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq) and the Fundacao Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES).
El médico y los conflictos de intereses/ The physician and the conflicts of interest
Abstract in english Conflicts of interest are frequent in medical practice. They occur when a secondary interest unduly influences professional medical judgment, over and above the patients' benefit, his first real interest. Most of these secondary interests come from particular businesses of the physicians or their relationships with the industry. They may become a threat to the confidence that is established in the patient-physician relationship or to the medical profession as a whole. The (more) se conflicts of interest vary in types and magnitude and are not recognized by physicians on most occasions. Solutions are inevitably related to the honesty and integrity of each physician. Due to the absence of specific national ethical references, it is necessary to discuss the issue and conclude recommendations that guide interns, residents, clinicians, researchers, medical educators, medical and scientific associations to resolve these types of conflicts (Rev Méd Chile 2003; 131: 1463-8).
Abstract in english Videorecording of patients requires the utmost respect for the privacy and confidentiality of the patients. Consent should be requested from patients for all videorecording. When a mental disability or mental or physical illness prevents patients from giving their permission, agreement to recording from a legal representative or from a close relative or carer are necessary. Three documents on this subject issued in the United Kingdom, the United State of America and Italy (more) are briefly summarized and discussed. The problem of consent for videorecording is addressed particularly in reference to persons incapable of making decisions on their own, such as persons in vegetative state. The general ethical framework is outlined and a few practical proposals are given.
WEAPONS ARE NOTHING BUT OMINOUS INSTRUMENTS: The Daodejing's View on War and Peace
Abstract The Daodejing (DDJ) is an ancient Chinese text traditionally taken as a representative Daoist classic expressing a distinctive philosophy from the Warring States Period (403-221 BCE). This essay explicates the ethical dimensions of the DDJ paying attention to issues related to war and peace. The discussion consists of four parts: (1) -naturalness- as an onto-cosmological argument for a philosophy of harmony, balance, and peace; (2) war as a sign of the disruption of the natural pattern of things initiated by the proliferation of desire; (3) defensive war and appropriate war conduct required when one has to be involved in warfare; and (4) the natural and spontaneous way of living that would prevent war from happening in the first place. This essay attempts to show that what makes t...
THE ARABIC LANGUAGE AND CONTEMPORARY EGYPTIAN NATIONAL VALUES: A LEXICAL ANALYSIS
Aiming at compiling a culture specific taxonomy of Arabic values, four Egyptian raters extracted 327 value descriptive nouns from a dictionary of Arabic. These concepts were rated as personal guiding motives by 773 Egyptian students at the American University in Cairo (AUC), 490 of them women. Principal Components Analysis with varimax rotation yielded six factors which explained 29.4% of the variance: I. Nobility and Compassion, II. Discipline, III. Advancement, IV. Self-Actualization, V. Belief and Commitment and VI. Counter-Culture. These factors were named and interpreted by a focus group of seven former or current AUC students. The value dimensions reflect the traditional ethic of Arabic society and focus on community related issues which are characteristic of collectivist societies.
Aim To explore how well professional education and post-qualification clinical supervision support equips health visitors to deal with ethical tensions associated with implementing the public health agenda while also being responsive to individual clients. BACKGROUND: Current health policy in England gives health visitors a key role in implementing the government's public health agenda. Health visitors are also required by their Professional Code to respond to the health-related concerns and preferences of their individual clients. This generates a number of public health-related ethical tensions. METHODS: Exploratory cross-sectional qualitative (interpretive) study using 29 semi-structured individual interviews with health visitors, practice teachers and university lecturers exploring how well health visitors' professional education and post-qualification clinical supervision support equips them for dealing with these ethical tensions and whether they thought further ethics education was needed. Interviews were audio-recorded, transcribed and analysed thematically using a Framework approach. Findings Health visitors' professional education did not always equip them to deal with ethical tensions, which arose from delivering public health interventions to their clients. However, the majority of participants thought that ethics could not be taught in a way that would equip health visitors for every situation and that ongoing post-qualification clinical supervision support was also needed, particularly in the first year after qualifying. The amount of post-qualification support available to practising health visitors was variable with some health visitors unable to access such support due to their working circumstances and pressures on staff time. Literature on the ethical tensions associated with evidence-based practice; public health ethics and ethics of care might be useful for health visitors in gaining greater understanding of the ethical tensions they face. This could be introduced as part of health visitors' professional education or on post-qualification study days. PMID:22785158
Purpose – Helping Autism-diagnosed teenagers navigate and develop socially (HANDS) is an EU research project in progress. The aim of HANDS is to investigate the potential of persuasive technology as a tool to help young people diagnosed, to whatever degree, as autistic. The HANDS project set out to develop mobile ICT solutions to help young people with autism become more fully integrated into society and the purpose of this paper is to present an overview of the design behind the HANDS toolset. Design/methodology/approach – The topic of credibility is approached from an analytical, as well as an ethical, angle in order to address issues of credibility in relation to designing assistive technological tools. In addition, the authors set out to explore possible ways in which credibility can be evaluated. The paper presents a preliminary method for the evaluation of credibility; but which requires further refinement, as well as empirical support in order to inform us about issues of system credibility. Therefore, the suggested method reflects a working hypothesis which may serve as a springboard for further investigation. Findings – The authors propose a preliminary method which reveals the necessity of certain preconditions requisite for evaluating the credibility of a system; and, in this way, seek to establish an ethically sound evaluation procedure for analysing credibility, by combining quantitative (i.e. electronic footprints) and qualitative assessments (i.e. dialogue between teacher and learner) of system credibility. Research limitations/implications – Further investigation of the evaluation process is needed to develop a standard for resolving the credibility of a system. Naturally, such a standard would serve not only as a tool for measuring credibility but also as a didactic tool for scaffolding a pedagogic dialogue between teacher and learner. It becomes important, therefore, to undertake the task of developing this standard in collaboration with the teachers in the HANDS project. Originality/value – The paper discusses credibility issues and ethical concerns with a view to designing mobile solutions for autism-diagnosed teenagers. The ideas expressed and developed herein are applicable to many assistive, technological tools available to persons with special needs.
Psychiatric genetic testing: Attitudes and intentions among future users and providers.
Psychiatric genetic research may eventually render possible psychiatric genetic testing. Whereas all genetic knowledge has certain characteristics raising ethical, legal, and social issues, psychiatric genetic knowledge adds more controversial issues. Ethical principles have been proposed as a guide in this field, but the optimal utilization of genetic testing has also been recognized to depend on knowledge of the potential consumers' attitudes. To provide knowledge to inform the public debate on mental illness and genetics, and the future conducting of psychiatric genetic testing and counseling, we surveyed attitudes toward psychiatric genetic testing among 397 patients with a psychiatric diagnosis, 164 of their relatives and 100 medical and psychology students. The results showed widespread interest in psychiatric genetic testing of self and child, but less support for prenatal testing. Psychiatric and somatic genetic testing attracted the same amounts of accept. General attitudes toward access to psychiatric genetic testing and information revealed substantial support for bioethical principles of autonomy and privacy. However, questions describing more specific situations revealed contradictions mirroring the bioethical dilemmas recognized in the field and variations in attitudes between groups with different levels of knowledge of genetics, different kinds of experience with mental illness, and different motives and preconceptions regarding psychiatric genetics. The contradictions and differences in attitudes among possible future users and providers of psychiatric genetic testing and counseling indicate ambivalence, insecurity, and perceived lack of knowledge in relation to psychiatric genetics. These results should inform further research and the future integration of psychiatric genetics into practice. (c) 2007 Wiley-Liss, Inc. Udgivelsesdato: 2008-Apr-05
Abstract in portuguese Esta pesquisa bibliográfica analisou o tema da eticidade em pesquisa qualitativa. Os dados foram coletados em artigos científicos de uma revista brasileira de saúde coletiva de acesso eletrônico. Foram analisados 117 artigos, correspondentes às pesquisas qualitativas e a 23,49% das publicações entre 01/1998 a 03/2007. O corpo de dados foi organizado em torno de questões referentes à identificação, à temática/objeto, ao referencial teórico, à metodologia e a (more) os aspectos éticos envolvidos. A análise propôs questões e indicou relevâncias a partir do que os pesquisadores expressam acerca da ética em seus relatos de pesquisa qualitativa, referentemente a dois tipos de relações - do pesquisador com o "sujeito pesquisado" e com "seus pares". Concluiu-se que há muito a ser problematizado acerca do cotidiano da pesquisa, o que exige exposição e abertura à crítica. É preciso conhecer o próprio discurso sobre o tema e pensar no que "o dito" e o "não dito" podem revelar sob o aparente resguardo da obediência às normas, reconhecendo que os desafios para a qualificação remetem ao amadurecimento e à consistência teórica de seus investigadores, especialmente no que se refere à dimensão ética do ofício de pesquisar. Grande parte de tais desafios incidem diretamente sobre as instituições que assumem a responsabilidade na formação de pesquisadores. Abstract in english This study investigated the ethics of qualitative research by using bibliographic research. Data were collected in scientific articles from a Brazilian journal of collective health and the access to the sources was electronic. It were analyzed 117 articles of qualitative research which corresponded to 23.49% of the total production of the journal from 01/1998 to 03/2007. The information collected was organized considering the identification, themes/object, theoretical ref (more) erential, methodology and ethical aspects involved. The analysis proposed a discussion based on what the researchers express about ethics on their qualitative studies when it comes to two different kinds of relation: between the researchers and their research-subject and with their co-workers. The conclusions brought up many issues to be discussed on the daily routine of the research activity and that demands exposition and openness to criticism. There is also an urge to think what the "said" and the "unsaid" can reveal underneath the obedience to the rules, launching to the process of maturing and to the theoretical consistence of the researchers, especially in the ethical dimension of the researching activity. A huge part of those challenges are of direct responsibility of the institutions which are in charge of the researcher's formation.
The African ethic of Ubuntu/Botho: implications for research on morality
In this article we provide a theoretical reconstruction of sub-Saharan ethics that we argue is a strong competitor to typical Western approaches to morality. According to our African moral theory, actions are right roughly insofar as they are a matter of living harmoniously with others or honouring communal relationships. After spelling out this ethic, we apply it to several issues in both normative and empirical research into morality. With regard to normative research, we compare and contrast this African moral theory with utilitarianism and Kantianism in the context of several practical issues. With regard to empirical research, we compare and contrast our sub-Saharan ethic with several of Lawrence Kohlberg's views on the nature of morality. Our aim is to highlight respects in which the...
The use of genetically modified plants in agriculture (GM crops) is controversially discussed in academic publications. Important issues are whether the release of GM crops is beneficial or harmful for the environment and therefore acceptable, and whether the modification of plants is ethically permissible per se. This study provides a comprehensive overview of the moral reasoning on the use of GM crops expressed in academic publications from 1975 to 2008. Environmental ethical aspects in the publications were investigated. Overall, 113 articles from 15 ecology, environmental ethics, and multidisciplinary science journals were systematically reviewed. Three types of moral concerns were used to structure the normative statements, moral notions, and moral issues found in the articles: concer...
Ethical questions raised by the first allotransplantations of the face: A survey of French surgeons
Introduction: More than any other allograft, the allotransplantation of the face has a symbolic character, which raises a large number of questions. The objective of this article is to make an analysis through a survey carried out among French surgeons. Methods: A file of 909 e-mail addresses of surgeons was created so as to send out a questionnaire regarding 10 ethical issues. Results: Beyond the technical prowess, the surgeons ethical reflection initially focused on the notion of consent to donation and care. They attached equal importance to all ethical questions. They spontaneously raised the issue of over-mediatization of these first transplants and the place of the transplant surgeons and their patients in the medical information. Conclusion: Over two thirds of the surgeons attached ...
Breaking (through) the law--coming out of the silence: nursing, HIV/AIDS and euthanasia.
This paper provides a nursing perspective on ethical, legal, professional and practical issues faced by nurses working in HIV/AIDS care in relation to euthanasia/assisted suicide. Nurses who care for PLWHA (People Living with HIV/AIDS) have been conspicuously silent in the recent debates about euthanasia in Australia. Many factors prevent nurses from openly acknowledging their participation in assisted suicide/euthanasia and contributing to important debates about this topic. Their commitment to client confidentiality and the illegality of the practices are clearly significant factors which inhibit nurses from speaking freely. In addition, however, nurses' well-documented precarious legal position (Johnstone, 1994-alpha) and their subordinate status within the health care system make their public silence almost inevitable. Naming and challenging the factors which contribute to nurses silence, this paper draws on the experiences of nurses who have cared for PLWHA who have requested assistance in dying. It identifies practical, ethical and legal issues and dilemmas which can arise for nurses who may be involved in these practices, highlighting their special skills, relationships with clients, responsibilities and the complexity of their role; it also elucidates, however, the serious professional and personal risks nurses face given the legal and legislative status quo. This paper suggests that nurses may play a central, though covert, role in assisted suicide/euthanasia in HIV/AIDS care, rendering it imperative that their perspectives be included in the debates about the legalization of assisted suicide/euthanasia. Moreover, the paper identifies and challenges some severe impediments nurses must confront and address if they are to be able to contribute fully to this debate and to those which may arise in the future. PMID:9743735
Most professionals have the arduous task of managing their own dual loyalty: in one contextual relationship, they are members of a profession while simultaneously they are employed as members of a locally established organisation. This sense of a dual loyalty has to be taken into account when professional bureaucracies develop ethics programmes. This article focuses on universities. Accounting for the dual loyalty of academic professionals, it is the objective of the study to contribute to the most appropriate ethics programmes in such an academic context. Based on a review of the literature, we identify which ethical issues commonly emerge in educational and research activities. Then we offer a conceptual analysis of the conditions required for each different strategy of ethics management. We argue that none of the four theoretically derived strategies is applicable solely on its own. For universities it is most promising to design ethics programmes based on the guiding values of the academic community, including integrity measures for universities and corrective measures for students. The argument developed in this article is assumed to be widely applicable in assessing the appropriateness of ethics management strategies in other professional settings. (Contains 1 figure and 3 tables.)
Integrating Healthcare Ethical Issues into IS Education
Federal initiatives are encouraging the increase of IS graduates to work in the healthcare environment because they possess knowledge of datasets and dataset management that are key to effective management of electronic health records (EHRs) and health information technology (IT). IS graduates will be members of the healthcare team, and as such, they should gain an understanding of bioethics and "level the playing field" so that they may meaningfully contribute to the healthcare team. Moreover, they should be mindful of professional ethical codes and common ground that healthcare and IS professions share, particularly with regard to ethical principles of beneficence, autonomy, fidelity, and justice. The purpose of this paper is to present ways to integrate healthcare ethical issues within IS education. To this end, we discuss the notion of a mutual understanding of bioethics and present professional codes of ethics as an advance organizer. We also offer an example ("Fidelity and The Case of Two Datasets") that may be used in class to illustrate a specific IS healthcare ethical dilemma. Prepared with the knowledge of ethical problems in healthcare organizations, IS professionals can meaningfully contribute to the deliberations and resolutions of the problems that will emerge as more healthcare facilities employ EHRs. (Contains 3 tables.)
Abstract in portuguese Este artigo discute os temas éticos envolvidos na informação em saúde, especificamente no fornecimento de informação médica aos pacientes que ingressam na World Wide Web. A discussão envolve preocupações e sugestões em relação ao controle de qualidade, evitar os erros, o governo de Internet, a responsabilidade do site Web e o registro da propriedade intelectual. Argumenta-se sobre questões e temas de grande importância no mundo em desenvolvimento, incluindo a América Latina e o Caribe Abstract in spanish Este artículo discute los temas éticos involucrados en la información en salud, específicamente aquéllos en torno a la entrega de información médica a los pacientes que ingresen a la World Wide Web. La discusión abarca preocupaciones y sugerencias en relación con el control de calidad, evitar los errores, el gobierno de Internet, la responsabilidad del sitio Web y el registro de la propiedad intelectual. Se argumenta que estos temas tienen gran importancia en el mundo en desarrollo, incluyendo a Latinoamérica y el Caribe Abstract in english This article discusses the ethical issues involved in consumer health informatics -specifically those issues surrounding the provision of medical information for patients on the World Wide Web. The discussion includes concerns and suggestions relating to: quality control and error avoidance, Internet governance and Web site responsibility, and intellectual property and control. These issues are argued to be of exceptional importance in the developing world, including Latin America and the Caribbean
The Evolution of Policy Issues in Stem Cell Research: An International Survey.
Stem cell research remains a tremendously promising yet controversial field of study. It continues to attract considerable public interest and generate discussion and debate. However, while the high profile of this field has endured, the tone and nature of the discourse that drives this profile appears to be changing. In order to get a better sense of how these potential shifts are perceived by individuals directly embedded in the field, we conducted an international internet survey of members of the stem cell research community. Our participants included individuals publishing on both scientific and ethical, legal and social issues topics. We explored the degree to which participants perceived that key policy issues were becoming more or less contentious over time. We queried views regarding the effect of regulatory frameworks on emerging stem cell research technologies and the extent to which participants experience pressure related to clinical translation. We also explored participants' relationships with industry, experience with patents and perceptions regarding the emphasis placed on the potential economic benefits of stem cell research. Our results suggest that while traditional debates such as those surrounding the moral status of the embryo remain, other issues more closely associated with clinical translation and commercialization are perceived as becoming increasingly contentious. This survey provides useful insight into the perspectives of a sample of active researchers working in countries around the world as well as an opportunity to reflect on the likely direction of future stem cell policy debates. PMID:22851302
Purpose - The purpose of this paper is to bring definitional clarity to the term "virtue" as pertinent to the behavioural sciences literatures on leadership; to identify a short and consolidated list of cardinal virtues commonly associated with leadership effectiveness; to provide a model relating leader virtues to leader outcomes (i.e. ethics, happiness, life satisfaction, and effectiveness); and to propose a program of research. Design/methodology/approach - The authors systematically and comprehensively review Aristotelian and Confucian literatures on virtue ethics, and the literatures on seven leadership styles - i.e. moral, ethical, spiritual, servant, transformational, charismatic, and visionary leadership. Findings - Six virtues, including four considered cardinal by Aristotle (cour...
RESEARCH INTEGRITY IN CHINA: PROBLEMS AND PROSPECTS
Abstract In little more than 30 years, China has recovered from the intellectual stagnation brought about by the Cultural Revolution to become a global leader in science and technology. Like other leading countries in science and technology, China has encountered some ethical problems related to the conduct of research. China's leaders have taken some steps to respond to these problems, such as developing ethics policies and establishing oversight committees. To keep moving forward, China needs to continue to take effective action to promote research integrity. Some of the challenges China faces include additional policy development, promoting education in responsible conduct of research, protecting whistle blowers, and cultivating an ethical research environment.
Medical information and the right to privacy
This report is a compilation of submitted abstracts of papers presented at the DOE-supported workshop on medical information and the right to privacy held at the National Academy of Sciences in Washington, DC, on June 9 and 10, 1994. The aim of this meeting is to provide a forum to discuss the legal, ethical and practical issues related to the computerization and use of medical data, as well as the potential impact the use of these data may have on an individual`s privacy. Topical areas include an overview of the Federal and legal requirements to collect medical data, historical experiences with worker screening programs, currently available medical surveillance technologies (both biomedical and computer technologies) and their limitations. In addition, an-depth assessment of the needs and interests of a wide spectrum of parties as they relate to the use of medical data from both a legal and privacy perspective is provided. The needs of the individual, the public (e.g., blood and tissue banks), private enterprises (e.g., industry and insurance carriers), and the government (e.g., FBI) are discussed. Finally, the practical and legal issues relating to the use of computers to carry, store and transmit this information are also examined. The abstracts are presented in the intended order of presentation as indicated in the agenda for the meeting.
Abstract in spanish El tratamiento ambulatorio involuntario (TAI) nos plantea la necesidad de ir más allá de cuestiones legales. Brindándonos la oportunidad de la deliberación ética sobre los tratamientos psiquiátricos. Abstract in english The Involuntary Outpatient Treatment make us to go beyond legal issues. It give us the opportunity to dicuss psychiatric treatment under ethics terms.
The Ethics of Suicide and Suicide Prevention.
Debates the question of suicide as a defensible choice, particularly for the terminally ill, examining the relevance of such issues as the mortality, rationality, and dynamics of the suicidal act, and the legitimacy of physician-assisted suicide. Contrasting perspectives are articulated by two prominent suicidologists as a spur to the reader's deeper reconsideration of the ethics of suicide and suicide prevention. (KW)
The New Music Industry : - Understanding the Dynamics of the New Consumer of Music
The music industry today is undergoing a revolution with digital distribution of music taking over the traditional sales of physical CDs (Mewton, 2008). The peer-to-peer networking and illegal music piracy is a problem that lately has been widely discussed in forums of ethics, legal issues and econo...
Defining the vital condition for organ donation
The issue of organ donation and of how the donor pool can or should be increased is one with significant practical, ethical and logistic implications. Here we comment on an article advocating a paradigm change in the so-called "dead donor rule". Such change would involve the societal and legal aband...
Human induced pluripotent stem cells (hiPSCs) generated by de-differentiation of adult somatic cells offer potential solutions for the ethical issues surrounding human embryonic stem cells (hESCs), as well as their immunologic rejection after cellular transplantation. However, although hiPSCs have b...
Updating Democracy Studies : Outline of a Research Program
Technologies carry politics since they embed values. It is therefore surprising that mainstream political and legal theory have taken the issue so lightly. Compared to what has been going on over the past few decades in the other branches of practical thought, namely ethics, economics and the law, p...
Heavy Metal Veggies: A Decision Case for Environmental and Nutrition Education.
One alternative to continued landfilling or incineration is the development of municipal solid waste (MSW) composting facilities. This case study permits students to examine issues associated with environmental contamination by MSW and to make decisions based on agricultural, environmental, economic, food safety, and ethical considerations. The case study was tested in high school and undergraduate courses. (LZ)
This online article is from the Museum's Seminars on Science, a series of distance-learning courses designed to help educators meet the new national science standards. Scenario: Immortality, part of the Genetics, Genomics, Genethics seminar, summarizes recent research on aging and discusses the ethical and ecological issues that could arise from decreased mortality rates.
Assessment and diffusion of biotechnology drugs
Biotechnology, viewed as a young and innovative field, is associated with great possibilities and high expectation on patient benefits. But there are also public controversies on ethical, social and economic issues. Beginning with recombinant human insulin in 1982, more than 50 biotechnology drugs h...
LOCOG sustainable sourcing code
Sustainable sourcing is the procurement of products and services with environmental, social and ethical issues in mind. At LOCOG, we see this as sensible and efficient business practice, which is integral to the way we work. It helps us to make properly informed and balanced decisions when procuring...
Counseling Psychology in the Justice System.
Presents an overview of pscyhological counseling for offenders. The 12 articles of this special issue deal with counseling before trial, in prison, and after release and also crisis intervention for police officers. Other topics include the juvenile justice system, juvenile diversion, ethics, and the economics of service delivery. (JAC)
Human genome program report. Part 2, 1996 research abstracts
This report contains Part 2 of a two-part report to reflect research and progress in the US Department of Energy Human Genome Program from 1994 through 1996, with specified updates made just before publication. Part 2 consists of 1996 research abstracts. Attention is focused on the following: sequencing; mapping; informatics; ethical, legal, and social issues; infrastructure; and small business innovation research.
DOE Human Genome Program contractor-grantee workshop
This volume contains the proceedings for the DOE Human Genome Program`s Contractor-Grantee Workshop V held in Sante Fe, New Mexico January 28, February 1, 1996. Presentations were divided into sessions entitled Sequencing; Mapping; Informatics; Ethical, Legal, and Social Issues; and Infrastructure. Reports of individual projects described herein are separately indexed and abstracted for the database.
Rethinking Growth Social Intrapreneurship for Sustainable Performance
Should we rethink growth? Is the abundance of the western world still ethical? Growth, social responsibility and sustainable development are indeed deeply entangled. This book aims to provide the reader with a transversal, holistic view on these issues, and a real understanding of corporate growth, along with its possible alternatives.
Ethical Issues in the Social Worker's Role in Physician-Assisted Suicide.
Presents results of an exploratory study of social workers' views on physician-assisted suicide (PAS), situations in which PAS would be favored, and whether there is a difference in education or training on mental health issues, ethics, or suicide between social workers who favor PAS and those who oppose PAS. (BF)
This study investigated the ethics and effectiveness of a community service project with disabled citizens designed to foster college students' social responsibility. Community service raised student awareness of the need for inclusion of disabled citizens in community leisure programs and for genuine respect. Results also raised issues of relationship development and termination. (SM)
Preclinical development of monoclonal antibodies: Considerations for the use of non-human primates
The development of mAbs remains high on the therapeutic agenda for the majority of pharmaceutical and biotechnology companies. Often, the only relevant species for preclinical safety assessment of mAbs are non-human primates (NHPs), and this raises important scientific, ethical and economic issues. ...
Induced Abortion: An Ethical Conundrum for Counselors.
Induced abortion is one of the most controversial moral issues in American culture, but counselor value struggles regarding abortion are seldom addressed in counseling literature. This article considers the conflictual nature of the ethical principles of autonomy, fidelity, justice, beneficence, and nonmaleficence as they can occur within the context of the counseling relationship, particularly with clients considering abortion. (Contains 63 references.) (GCP)
Taking ethics into account in farm animal breeding: what can the breeding companies achieve?
Animal welfare and the ethical issues it raises have been discussed intensively for a couple of decades. The emphasis has been on the direct effects of housing and husbandry, but more attention is now being given to problems originating in selective breeding. European attempts to adjust animal welfa...
Education for Sustainable Society as a Current Phase of Environmental Education
Papers were reviewed in order to reveal the developmental process of the environmental education concept from the Stockholm Declaration (1972) to the United Nations Decade of Education for Sustainable Development (2005-2014) and to clarify the principle of education for sustainable society as a current phase of environmental education. Among the many issues, the author emphasizes the need for education on local environmental pollution, awareness of the assailant versus sufferer relationships in every environmental problem, participation in action and movements against global environmental crisis, and global partnerships between assailants, mostly in ‘developed’ countries, and sufferers, mainly in ‘developing’ countries, against economic globalization. The urgent goals of education for sustainable society are considered to be the eradication of poverty, diseases, violence, discrimination, and social injustice in ‘developing’ countries, most of which have been caused by globalization and the ‘developed’ countries. The conventional environmental ethic is considered as a combination of the inter-generation ethic and the space ship ethic. The former says that the present generation is the assailant of the future generation while the latter states that all people on earth are equally crew members of the earth as a space ship. These two ethics ignore the existence of assailants and sufferers in both present and future generations and place the sufferers in the present generation under a false charge as assailants of the future generation. A new environmental ethic should be established on the basis of the inter-generation ethic and an alternative to the space ship ethic, namely the inter-area ethic that declares the existence of assailants and sufferers in both present and future generations.
Raising the awareness of ethics in IT students: Further development of the teaching model
The question of ethics of Information Technology Professionals is one that gets considerable attention in both the popular press and some academic literature. There have been occasional calls for undergraduate courses to include the topic in the curriculum. Most schools do so. In many cases students, particularly undergraduate students, have only a vague notion of some of the business issues involved and the professional bodies` published codes off ethics make for fairly dry classroom material. In 1989, Dan Couger discussed teaching ethics in an IS environment. This paper takes the approach outlined by Couger, essentially personalising the issues, a step further by drawing on input from leading IT practitioners. The approach in the School of IS at the University of New South Wales incorporates the suggestions contained in several recent publications, calling for management to take the lead in setting ethical standards, providing current advice to students and developing the existing ethical awareness of the students. The paper gives a review of current literature in the area and gives details of the teaching methodology adopted.
A bibliographic review on ?saviour sibling? was performed in order to find out the ethical criteria put forward by the authors on this issue. 23 biomedical and 10 bioethical journals were reviewed and authors for and against the procedure were found. In the Biomedical journals, the main arguments for this issue are that nobody should be hurt and that there is an ethical imperative that is to save a life and that this is preferable to abortion. Those against, believe that an inadequate discrimination against women is being exerted on one hand by subjecting them to a complex, inefficient and dangerous procedure, and on the other, against embryos when many healthy ones are rejected because they are not compatible, or because of the dangers to the embryo, and also the psychological problems for the sick child as well as the donor. In the bioethical journals, we found a higher proportion of papers that are in its favor than in biomedical journals. The arguments are similar to those of the bioethical ones, but there are some particular arguments such as that the autonomy of parents must be respected; that it is a success of the common sense; that it is not an invasive process as it is considered; that it only involves blood donation not a solid organ; that the child that donates will feel accompanied by the saved one and he/she will feel the satisfaction of since having helped someone to live because without this procedure, the baby child would probably not have been born. The arguments against are the discrimination women undergo when they are subjected to this procedure with potential risks for her, the embryos and children. In conclusion: a) the morality of ?saviour sibling? medicine not has been debated in the bioethics and biomedical community before its implementation b) in both communities the majority of authors consider it to be ethically licit; c) paradoxically there is a greater relative percentage of authors who are critical of it within the biomedical field than in bioethics; d) from a personalist bioethics perspective a human embryo is endowed with the dignity of a person and as such must be respected, this technique being an positive eugenics practice, in which, after previous selection health embryos are deprived of their right to exist. PMID:23130745
Abstract in spanish Las intervenciones de salud pública inciden por lo general en grupos más que en individuos, y los ensayos controlados aleatorizados (ECA) por conglomerados son un instrumento para evaluar su eficacia. A partir de ejemplos de seis ensayos de ese tipo llevados a cabo en Bangladesh, la India, Malawi y Nepal, analizamos nuestra experiencia en cuanto a los dilemas éticos que plantea la realización de esos ensayos. Situamos los ECA por conglomerados en el contexto general d (more) e las investigaciones de salud pública, resaltando los debates sobre la necesidad de compaginar la autonomía individual y el bien común, y sobre la ética de las investigaciones de salud pública en los entornos de ingresos bajos en general. Tras una breve introducción a los ECA por conglomerados, examinamos los problemas particulares que hemos encontrado, entre los que cabe citar la naturaleza del consentimiento colectivo -y la responsabilidad de obtenerlo- y la necesidad de consentimiento de los individuos, dentro de los grupos, respecto a la realización de la intervención y la recogida de datos. Analizamos el momento del consentimiento en relación con la aplicación de las estrategias de salud pública, así como los problemas que surgen para garantizar el examen ético y la aprobación en un dominio complejo. Por último, se considera el debate sobre los beneficios para los grupos de control y el nivel de atención que deberían recibir, así como el tema de la adopción de la intervención sometida a ensayo una vez concluido este. Abstract in english Public health interventions usually operate at the level of groups rather than individuals, and cluster randomized controlled trials (RCTs) are one means of evaluating their effectiveness. Using examples from six such trials in Bangladesh, India, Malawi and Nepal, we discuss our experience of the ethical issues that arise in their conduct. We set cluster RCTs in the broader context of public health research, highlighting debates about the need to reconcile individual auto (more) nomy with the common good and about the ethics of public health research in low-income settings in general. After a brief introduction to cluster RCTs, we discuss particular challenges we have faced. These include the nature of - and responsibility for - group consent, and the need for consent by individuals within groups to intervention and data collection. We discuss the timing of consent in relation to the implementation of public health strategies, and the problem of securing ethical review and approval in a complex domain. Finally, we consider the debate about benefits to control groups and the standard of care that they should receive, and the issue of post-trial adoption of the intervention under test.
Economics at the FTC: Pharmaceutical Patent Dispute Settlements and Behavioral Economics
Economics at the Federal Trade Commission (FTC) supports both the competition and consumer protection missions of the agency. In this year?s essay we discuss two issues, one from each of the agency?s missions. First, we focus on intellectual property issues in pharmaceuticals. Specifically, we discuss the principal rationale for antitrust concerns about certain patent dispute settlements in the ethical drug industry. Then, we discuss consumer economics, our recent behavioral economics conference, and how behavioral economics influences our thinking about consumer policy.
Mapping our genes: Federal Genome projects: How vast. How Fast
This document provides the transcript of the discussion by panel members of legal land ethical issues confronting the biotechnology community. The meeting was convened at the request of the Congressional Office of Technology Assessment to help it prepare an assessment of the Human Genome Project. The issues discussed include patent rights, intellectual property rights, and the positions of the US National Institutes of Health, US Department of Energy, and US National Science Foundation with regard to these rights.
Enterprise and Leadership Studies on Firms, Markets and Networks
This work seeks to offer a broad perspective and important practical insights into economic institutions, focusing on dynamic issues such as entrepreneurship and ethical leadership, which are crucial to institutional growth. Mark Casson analyzes economic institutions from an integrated social science perspective. This perspective is based on the rational action principle of mainstream economics, modified to allow for endogenous preferences and information costs. Combining plausible assumptions with analytical rigour, it offers insights into a range of issues, including the growth of firms, fam
Introducción al conflicto de intereses: an Introduction/ Conflicts of Interest
Abstract in english We have prompted a local discussion on the very timely issue of conflicts of interest in order to incorporate an official declaration into our publication. This editorial serves as a general introduction to the matter from the dynamics of communication. This issue of the journal also includes three articles on conflicts of interest based on the reflections of the Editorial Committee, the SONEPSYN Board, and the Ethical Council
The gene-splicing wars: Reflections on the recombinant DNA controversy
Controversial questions of safety and ethics have surrounded use of recombinant DNA techniques from the beginning. This book takes a historical perspective on the issue, examining the public policy, political, and international aspects of the debate and presenting the views of scientists, industry, and the press. It emphasizes how lessons learned from the experience can be used to cope with similar issues in the future.
A perfect storm in interventional pain management: regulated, but unbalanced.
Interventional pain management now stands at the crossroads at what is described as "the perfect storm." The confluence of several factors has led to devastating results for interventional pain management. This article seeks to provide a perspective to various issues producing conditions conducive to creating a "perfect storm" such as use and abuse of interventional pain management techniques, and in the same context, use and abuse of various non-interventional techniques. The rapid increase in opioid drug prescribing, costs to health care, large increases in death rates, and random and rampant drug testing, can also lead to increases in health care utilization. Other important aspects that are seldom discussed include medico-legal and ethical perspectives of individual and professional societal opinions and the interpretation of diagnostic accuracy of controlled diagnostic blocks. The aim of this article is to discuss the impact of several factors on interventional pain management and overuse, abuse, waste, and fraud; inappropriate application without evidence-based literature support (sometimes leading to selective use or non-use of randomized or observational studies for proving biased viewpoints - post priori rather than a priori), and issues related to multiple professional societies having their own agendas to push rather than promulgating the science of interventional pain management. This perspective is based on a review of articles published in this issue of Pain Physician, information in the public domain, and other relevant articles. Based on the results of this review, various issues of relevance to modern interventional pain management are discussed and the viewpoints of several experts debated. In conclusion, supporters of interventional pain management disagree on multiple aspects for various reasons while detractors claim that interventional pain management should not exist as a speciality. Issues to be addressed include appropriate use of evidence-based medicine (EBM), overuse, overutilization, and abuse. PMID:20309377
In 2008 [corrected] the Catholic Church published a document entitled Dignitas Personae (DP) about a range of bioethical issues related to the areas of assisted reproduction and human genetics. The objective of this paper is analyzing the issues treated in the same and comments the novelty of his arguments in the bioethical thinking of the Catholic Church. DP document has an introduction, three parts and a conclusion. The publication of document is due to recent advances that have occurred in recent years in the two areas mentioned above. This advances were not analyzed in a previously document called Donum Vitae (DV). DP analyzes these new advances from the anthropological and ethical approaches of DV. Not intending to contradict DV, the DP applies the arguments of DV to new situations. In both the title and elsewhere in the text it is affirmed that the human embryo has the dignity of human person. From this principle DP analyzes issues such as the status of the human embryo, intracytoplasmic sperm injection, (ICSI), preimplantation diagnosis, embryo cryopreservation, contragestion, embryo reduction etc. In these matters, as in the questions such as human genetics, cloning, gene therapy or the use of biological material obtained from abortions, the document reaffirms previous ideas of the Catholic Church, applies them to new problems or develops new arguments that will require further reflection. In conclusion, the document is very useful for understanding the current bioethical thinking of the Catholic Church on these issues; it clarifies certain disputes, suggesting new arguments, and leaves other issues to free discussion and subsequent interventions of the Catholic Magisterium. Finally, the document reaffirms the commitment of the Catholic Church to the poor of our techno-scientific society, the proletariat of the new century: human embryos. PMID:21692553
The Ethics, Law and Policy Group was created to identify and address critical ethical, legal and social questions faced by researchers and patients participating in The Cancer Genome Atlas (TCGA) program. The guidelines established will help policy makers develop and apply effective and fair policies related to cancer genome research. These policies will have implications for cancer genome research and could support the translation of discoveries in cancer genomics to the clinic.
Auto ID technologies such RFID are more and more commonly used in industry and in distribution. Human are identify thanks to this technology, too. A lot of people have highlighted ethic problems relative to their utilization. This paper present first RFID technology, then it presents their opportunities in business and industry. In a second part, the paper highlights some ethic problems leading to a necessary standardization and regulation.
Ethics is not a word often encountered at meetings of space activists or in work groups planning a space future. Yet, the planning of space exploration ought to have ethical dimensions because space workers are not disconnected from the remainder of society in either their professional disciplines, in their institutions, or in the subject matter they choose to study. As a scientist, I have been trained in the schema of research. Although the scientific method is noted for its system of self -correction in the form of peer review, sharing of information, and repeatability of new findings, the enterprise of universal knowledge still depends heavily on an ethical system rooted in honesty in the reporting of findings and in the processing of data. As a government employee, I receive annual "ethical training". However, the training consists almost entirely of reminders to obey various laws governing the activities and the external relationships of government employees. For 20 years l have been involved in discussions of possible futures for human exploration of space beyond low Earth orbit. Many scenarios ranging from lunar landing to Martian settlement have been discussed without any mention of possible ethical issues. l remember hearing Apollo astronaut Harrison Schmitt once remark that space exploration was attractive because technology can be employed in its purest form in the conquest of space. His point was that the challenge was Man against Nature, a struggle in which the consequences or side effects of technology was not an issue. To paraphrase, in space you do not need an environmental impact study. I wish to analyze this proposition with regard to contexts in which people initiate, or plan to initiate, activities in space. Depending on the situation, space can be viewed as a laboratory, as a frontier, as a resource, as an environment, or as a location to conduct business. All of these associations and contexts also are found in our everyday activities on Earth, and by analogy ethical issues exist that translate into the spatial dimension.
Susceptibility to acoustic trauma in young and aged gerbils
The effect of age on susceptibility to noise-induced hearing loss (NIHL), the effect of gender on the interaction of age-related hearing loss (ARHL) and NIHL, and the relative contributions of ARHL and NIHL to total hearing loss are poorly understood. The issues are difficult to resolve empirically in human subjects because of lack of control over extrinsic variables and for ethical reasons. Accordingly, these issues were examined in a well-studied animal model of both ARHL and NIHL, the Mongolian gerbil. Animals were exposed to an intense tone (3.5 kHz, 113 dB SPL, 1 h) either as young adults (6-8 months) or near the end of the average lifespan of the species (34-38 months). Hearing thresholds were determined with the auditory brainstem response (ABR). ARHL was approximately 5-10 dB, with slightly more observed in males at 16 kHz (pgerbils were predicted by an addition of ARHL and NIHL in dB, similar to an international standard on hearing loss allocation, ISO-1999 [Determination of Occupational Noise Exposure and Estimation of Noise-Induced Hearing Impairment (1990)]. Previous evaluations of ISO-1999 using the gerbil animal model concluded that addition of ARHL and NIHL in dB overpredicts total hearing loss. However, in these studies, ARHL was large and nearly equal to NIHL. In the current study, where ARHL was much less than NIHL, addition of the two factors in dB, as recommended by ISO-1999, results in fairly accurate predictions of total hearing loss.
The use of performance-enhancing and social drugs by athletes raises a number of ethical and health concerns. The World Anti-Doping Agency was constituted to address both of these issues as well as publishing a list of, and testing for, banned substances in athletes. Despite continuing methodological developments to detect drug use and associated punishments for positive dope tests, there are still many athletes who choose to use performance and image enhancing drugs. Of primary concern to this review are the health consequences of drug use by athletes. For such a large topic we must put in place delimitations. Specifically, we will address current knowledge, controversies and emerging evidence in relation to cardiovascular (CV) health of athletes taking drugs. Further, we delimit our discussion to the CV consequences of anabolic steroids and stimulant (including amphetamines and cocaine) use. These drugs are reported in the majority of adverse findings in athlete drug screenings and thus are more likely to be relevant to the healthcare professionals responsible for the well-being of athletes. In detailing CV health issues related to anabolic steroid and stimulant abuse by athletes we critique current research evidence, present exemplar case studies and suggest important avenues for on-going research. Specifically we prompt the need for awareness of clinical staff when assessing the potential CV consequences of drug use in athletes. PMID:23097484
Expert systems-enhancement of productivity
The design of expert systems has become an active area of research for information analysts and computer scientists. Their partial success (e.g. Mycin, Mdx, Prospector, Macsyma, Dendral) has led to cautious optimism. The following issues figure predominantly in the ongoing discussion and are investigated in this presentation: (1) the implementation issue addresses the epistemological and technological question of how expert knowledge should be organized and represented; (2) the evaluation issue assesses criteria for determining the performance of a given system; (3) the integration issue deals with the sociological and ethical questions of how expert systems should be integrated in the production process. 23 references.
Abstract in english Two interrelated universal practices, humanitarian medicine and immunization, pose certain ethical problems. To shed light on the matter, we present some historical reference points indispensable to an understanding of contemporary vaccination programs, focusing especially on certain anthropological issues posed by this practice as far as representations of the body and of health within populations. Two examples of humanitarian vaccination practices, one used among an aut (more) ochthonous population and the other among young people on the street, serve to illustrate some thoughts on management of the body and on the resistance displayed by these groups. We then propose paths to follow in re-examining the ethics of vaccination.
This paper examines interwoven ethical and epistemological issues raised by attempts to promote responsive childcare practices based on neuroscience evidence on the developmental effects of early stress. The first section presents this ?neuroscience argument for responsive early childcare?. The second section introduces some evidential challenges posed by the use of evidence from developmental neuroscience as grounds for parental practice recommendations and then advances a set of observations about the limitations of the evidence typically cited. Section three highlights the ethical implications of the neuroscience argument for responsive early childcare. It argues that the neuroscience argument, first, fuels unwarranted parental anxiety by unduly raising the stakes of families? early chi...
Addressing the history, physics, biology, economics, politics, psychology, and ethics of nuclear armaments, the author provides a survey of diverse facets of the nuclear controversy. The study encompasses such key areas as nuclear hardware and technology; the short- and long-term effects of nuclear weapons; strategic doctrine, deterrence and defense policy; the arms race, arms control, and nuclear proliferation; and the economic impact, psychology, and ethics of nuclear armaments. A ''Policy Issues'' section, presenting both the advocate and opponent sides of the debate, is included with each chapter.
The GMO-Nanotech (Dis)Analogy?
The genetically-modified-organism (GMO) experience has been prominent in motivating science, industry, and regulatory communities to address the social and ethical dimensions of nanotechnology. However, there are some significant problems with the GMO-nanotech analogy. First, it overstates the likelihood of a GMO-like backlash against nanotechnology. Second, it invites misconceptions about the reasons for public engagement and social and ethical issues research as well as their appropriate roles in nanotech research, development, application, commercialization, and regulatory processes. After an explication of the standard GMO-Nanotech analogy, these two problems are discussed in turn. (Contains 10 notes.)
Information Ethics Education for a Multicultural World
How can we prepare information systems students to face the ethical challenges of a globalized world? This paper describes a three-step approach for addressing these challenges. First, we have designed undergraduate and graduate information ethics courses that expand the range of learning of ethical theories beyond the traditional Western canon to include a wide spectrum of non-Western and feminist theories. Second, we have designed interactive cases for this course that adopt a collaborative learning approach where students work together in small groups by playing different roles that make interdependent decisions. Third, we deliver these cases via an educational simulation, making the approach scalable and transferable to other institutions across the country and around the world. The data for this study includes textual answers from end-of-semester questionnaires completed by 101 undergraduate and graduate students during four information ethics courses that included use of the simulation. Data was analyzed using thematic analysis, focusing on the multicultural and global dimensions of student learning. Five themes emerged from data collected in the four courses: Learning about a Diverse Range of Ethical Theories; Learning about how Ethical Theories are Related to Culture and Values; Relating International and Multicultural Dimensions to Understanding Oneself; Relating International and Multicultural Dimensions to Understanding Others; and Understanding the Role of Ethics and Culture in Information Systems Design and Use. Based on these results, the three-step approach developed in this study can be implemented across the country and around the world to ensure that students are prepared for the ethical challenges of a globalized world. (Contains 2 figures and 2 tables.)
Ethics and the police surgeon: compromise or conflict?
Police surgeons play an important role in the British criminal justice system. Professionally located between the two worlds of medicine and the law, they face ethical dilemmas which derive from the dual nature of their role. The development of the police surgeon service has seen the emergence of three further dualisms within the police surgeon role. These are the forensic-therapeutic divide, the specialist-generalist division, and the issue of dependence or independence with regard to the police. These internal dualisms are discussed and their implications explored. Attention then turns to a consideration of three issues which demonstrate the nature of the ethical dilemmas facing the British police surgeon: the particular articulation of the (police) doctor-patient relationship, the matter of consent, and the subject of confidentiality. Both these ethical issues and the nature of the police surgeon role are explored through the primary analysis of survey and interview data collected from a national sample of police surgeons and police services, and the secondary analysis of key documents on the police surgeon, the paper concludes that specific ethical guidance is needed to address the forensic aspects of the police surgeon role. PMID:8771640
Living, Learning, Loving: Constructing a New Ethics of Integration in Education
The paper positions education and learning in the context of Gilles Deleuze's ethico-political philosophy oriented to becoming-other amidst experiences and events. Deleuze's unorthodox affective epistemology is inseparable from ethics in terms of real-life consequences at the level of practice. The paper presents the critical and clinical analysis of experiential events as texts comprising a mode of the informal pedagogy in terms of creating new concepts, meanings, and values for experience. The logic of sense foregrounds ethical evaluations of experience with regard to multiple directions we might take in novel situations, which disrupt common sense with problems that do not yet yield answers as univocal and unidirectional solutions. The paper conceptualizes a model of the new ethics of integration as a follow-up to the ethics of care in education informed by the relational self-other dynamics and moral interdependence.
Progress towards a world-wide code of conduct
In this paper the work of the International Federation for Information Processing (IFIP) Task Group on Ethics is described and the recommendations presented to the General Assembly are reviewed. While a common code of ethics or conduct has been not recommended for consideration by the member societies of IMP, a set of guidelines for the establishment and evaluation of codes has been produced and procedures for the assistance of code development have been established within IMP. This paper proposes that the data collected by the Task Group and the proposed guidelines can be used as a tool for the study of codes of practice providing a teachable, learnable educational module in courses related to the ethics of computing and computation, and looks at the next steps in bringing ethical awareness to the IT community.
The idea of radical pedagogy is connected to the ideals of social justice and democracy and also to the ethical demands of love, care and human flourishing, an emotional context that is sometimes forgotten in discussions of power and inequality. Both this emotional context and also the emphasis on politics can be found in the writings of Paolo Freire, someone who has provided much inspiration for radical pedagogy over the years. However, Freire did not create any explicit ethical foundation for radical pedagogy. This paper argues that, when constructing normative grounds for radical pedagogy, Habermas's discourse ethics can be an important source, with the caveat that discourse ethics on its own is not sufficient grounding enough where radical pedagogy is concerned. Habermasian critical theory should be supplemented with Axel Honneth's theory of recognition, as Freire's focus on love and human flourishing corresponds well with Honneth's theory's three modes of recognition: love, rights and respect (solidarity stemming from mutual relations of respect).
Rationality Versus Emotions: The Case of Tax Ethics and Compliance
Businesses that rely heavily on cash transactions have been found to be particularly susceptible to low tax ethics. Recent research indicates that cash is a highly powerful and tempting reward, which elicits a strong emotional response. In this article, we investigate how emotions affect tax ethics in a series of experimental studies. Specifically, we show that affective priming and the ease with which tax information is retrieved moderate tax ethics. We also show that the relative effectiveness of deterrence, such as audit probabilities and tax fines, is moderated by affect. These results point toward a complex picture of tax ethics, requiring a multifaceted policy approach that emphasizes not only enforcement, but also cognitive and affective aspects of human behavior.
EUDAIMONIA AND AGAPE IN MACINTYRE AND KIERKEGAARD'S WORKS OF LOVE:Beginning Unpolemical Enquiry
ABSTRACT This essay explores connections and divergences between Alasdair MacIntyre's eudaimonistic ethic and Soren Kierkegaard's agapeistic ethic-perhaps the greatest proponents of these ethical paradigms from the past two centuries. The purpose of the work is threefold. First, to demonstrate an impressive amount of convergence and complementarity in their approaches to the transcendent grounds of an ethic of flourishing, the rigors necessary for a proper self-love, and the other-directed nature of proper social relations. Second, given the inapplicability of common dichotomies, to pinpoint more precisely where Kierkegaard departs from eudaimonism, and where MacIntyre departs from agapeism. Finally, to show that both Kierkegaard's and MacIntyre's grounds for departure are inadequate, and ...
Intellectual Freedom Manual. Eighth Edition
Updated for the first time since 2005, this indispensable volume includes revised interpretations of the Library Bill of Rights along with key intellectual freedom guidelines and policies, including: (1) A new chapter, "Interactivity and the Internet," and other fresh material on intellectual freedom and privacy in online social networks; (2) An examination of intellectual freedom for disabled library patrons; and (3) Coverage of the latest USA PATRIOT Act debates and extensions. Part I, Intellectual Freedom and Libraries: An Overview, includes: (1) Intellectual Freedom: An Enduring and All-Embracing Concept (Candace D. Morgan); (2) ALA and Intellectual Freedom: A Historical Overview (Judith F. Krug and Candace D. Morgan); and (3) Challenges and Issues Today (Candace D. Morgan). Part II, "Library Bill of Rights", includes: (1) "Library Bill of Rights": Policy Statement; and (2) "Library Bill of Rights": Interpretations. Part III, Protecting the Freedom to Read, includes: (1) The Freedom to Read; (2) Libraries: An American Value; (3) Policies and Statements Related to Access to Information, Library Resources, and Library Services; and (4) Policies and Statements Related to Confidentiality, Privacy, and Governmental Intimidation. Part IV, Code of Ethics of the American Library Association, includes: (1) Code of Ethics of the American Library Association; (2) Enforcement of the "Code of Ethics of the American Library Association": Questions and Answers; (3) Resolution on Workplace Speech; and (4) Questions and Answers on Speech in the Workplace. Part V, Intellectual Freedom and the Law, includes: (1) Public Libraries and the Public Forum Doctrine (Theresa Chmara); (2) Minors' First Amendment Rights to Access Information (Theresa Chmara); and (3) Privacy and Confidentiality in Libraries (Deborah Caldwell-Stone). Part VI, Preserving, Protecting, and Working for Intellectual Freedom, includes: (1) Preparing for and Responding to Challenges (Beverley Becker); (2) Communicating the Intellectual Freedom Message (Larra Clark with Macey Morales); (3) Lobbying for Intellectual Freedom (ALA Washington Office); and (4) Rallying for Intellectual Freedom: Where to Go for Help and How You Can Help (Angela Maycock and Nanette Perez). Preface, Acknowledgments, Introduction, Contributors, Glossary, Selected Bibliography, and Index are also included. [For "Intellectual Freedom Manual. Fifth Edition", see ED391526.
Abstract in portuguese Estudou-se temas éticos e/ou bioéticos publicados na Revista Brasileira de Enfermagem - REBEn, que inquietaram a Enfermagem no período 1970 2000, objetivando identificar nos artigos publicados, temas relacionados à ética/bioética e discutir as perspectivas teóricas nas quais os autores fundamentam suas argumentações. O desenho do estudo é de tipo documental ou bibliográfico. Os resultados mostraram que nos últimos 30 anos houve aumento gradativo, no número de (more) artigos que debatem questionamentos éticos. Os principais temas relacionados à Bioética foram: dilemas e conflitos éticos associados a assistência à saúde, Deontologia, formação ética do enfermeiro e ética em pesquisa. Após 1984 surge o primeiro estudo, versando sobre tema usual da bioética e o termo bioética aparece pela primeira vez em 1998. Abstract in spanish Fueran estudiados los temas éticos y/o bioéticos publicados en la Revista Brasileña de Enfermería (REBEn) que inquietaran la enfermería en el período entre 1970 y 2000. Objectivando: Identificar en los artículos publicados en la REBEn, durante el período mencionado, los temas relacionados con la ética/bioética. Discutir las perspectivas teóricas en las cuales los autores basan sus discusiones. El estudio era cuantitativo y cualitativo, tipo documental o bibliog (more) ráfico. Resultados: en los 30 años pasados tenía aumento gradual en el número de los artículos que debatían los cuestionamientos éticos. Después de 1984 aparezcó el primer estudio, con connotación bioética, en la cual el autor discurre sobre las intervenciones de la enfermería delante del paciente en muerte inminente, con el propósito de verificar las relaciones entre los valores personales y profesionales del enfermero. El término bioética fue utilizado por la primera vez por Valéria Lunardi en 1998. Abstract in english It was studied the ethical and/or bioethical issues published in the Revista Brasileira de Enfermagem (Brazilian Nursing Journal REBEn) that disturbed the nursing in the period between 1970 and 2000. Tha aim was to identify in articles published in the REBEn, during the mentioned period, subjects related to the ethics/bioethics. To discuss the theoretical perspectives in which the authors base their arguments. The study was quantitative and qualitative, documentary or bib (more) liographical type. Results: in the last 30 years it had gradual increase in the number of the articles that debates ethical questionings. After 1984 appear the first study, with bioethics connotation, in which the author discourses on the interventions of nursing before the patient in imminent death, with the purpose to verify the relations between the personal and professional values of the nurse. Was Valéria Lunardi who used the bioethics term for the first time in 1998.
[Recent topics on ethical issues in psychiatry, mental care and welfare].
This lecture focuses on several ethical issues on psychiatry research and psychiatric practice. The most important issue in ethics is informed consent in both the national guidelines on ethics in genomic study and epidemiological studies determined by the Ministry of Health, Welfare and Labor, Ministry of Education, Culture, Sports, Science and Technology and Ministry of Economy, Trade and Industry. They recommend researchers to obtain consent from subjects making free voluntary decisions after they are fully provided with the necessary information and explanation. The guidelines on ethics in genomic study strongly recommend organizing an ethical committee committed by several extramural members from the fields of law, social or human sciences. On the other hand, the guidelines on ethics in epidemiological study provide how to obtain informed consent in detail according to how projects are carried out. Strict requirements of informed consent tend to inhibit medical research conduct, in particular a research on post-mortem brain, which is one of the important research areas for elucidation of pathogenesis and pathophysiology of mental disorders. Recently a new trend to organize a brain bank by donation of the patient who has given consent before death. This is a proper way to collect post-mortem brain overcoming the ethical problems and it is our hope that this trend will develop in our country. Disclosure of medical records to patients is one of the most recent and debated issues in psychiatric practices. In 1999, the Ministry of Health and Welfare started investigations on whether medical records should be disclosed to patients. The report of the committee strongly recommends accelerating the disclosure of medical records. Responding to this report, several medical organizations issued a guideline. Recently, we carried out a questionnaire survey on the disclosure rate of medical records in the psychiatric departments of both medical school hospitals and national mental hospitals, where special committees have been organized to determine the disclosure of the medical records when a patient demands it officially. Contrary to our expectation the rate of disclosure demands was very low in both medical schools and national mental hospitals. The average number was only less than one case in medical schools, and less than 0.5 cases in national mental hospitals. It was speculated that patient requests demanding the disclosure of the records are mostly managed by the doctor in charge without consulting the special committee. Looking back the process of debate on the disclosure of medical records, several important issues, such as notice of diagnosis, informed consent, management of records, standardization of medical records, financial support to establish management system of medical records and so on, remain to be further examined thoroughly. PMID:12481440
Parental counseling becomes complex when considering the use of emerging technologies, especially if it is unclear whether the level of evidence is sufficient to transform the proposed therapy into accepted practice. This paper addresses ethical issues underlying medical decision-making and counseling in the setting of emerging treatments, when long-term outcomes are still in the process of being fully validated. We argue that the ethical transition of emerging technologies, ideally from ethically impermissible to permissible, to obligatory, depends primarily on two factors: outcome data (or prognosis) and treatment feasibility. To illustrate these points, we will use intestinal transplant for short bowel syndrome (SBS) as a specific example. After reviewing the data, this paper will ident...
The Role of Ethics and Morality in EU Law
The aim of this article is to reflect on the role of ethics and morality in EU law. Two specific biolegal fields of study constitute the primary object in this regard; funding of research into human embryonic stem cells (hESCs) and the patentability hereof. The reason why the choice has fallen upon these aspects in particular is that they are both pivotal to the pursuit and realisation of the therapeutic and commercial prospects ascribed to hESC research. Whilst the said prospects are enormous the Member States' different outlook upon the permissibility of engaging in such activities is, however, equally immense because of their different cultural background and religious inheritance. Due to the various approaches towards the ethical issues raised in this regard the European Community is therefore faced with a great challenge. It is in the light of this challenge that the reflections on the role of ethics and morality in EU law are to be seen.
Standards for certifying computer technicians professionals
When computers were primarily statistical devices, printing checks, and writing reports; the general populace had little minimal interaction with computer in action. Common examples of computer ethical issues in that earlier age had to do with programmer`s writing programs which perpetrated fraud in banking or stock transactions. As computers slowly and invisibly permeated most areas of our life, we entered a new age of computing in which the successful operation of the computerized processes assumed greater ethical significance. The general public had more interactions with and greater dependence on computerized processes. This change places greater significance on the activity of the computing practitioner. As the practice of computing has changed, so have the computing practitioner`s ethical obligations changed in both degree and kind.
Exploring synergies between human rights and public health ethics: A whole greater than the sum of its parts. ( 2008) BMC International Health and Human Rights, 8, 2. DOI: 10.1186/1472-698X-8-2. Background The fields of human rights and public health ethics are each concerned with promoting health and elucidating norms for action. To date, however, little has been written about the contribution that these two justificatory frameworks can make together. This paper explores how a combined approach may make a more comprehensive contribution to resolving normative health issues and to advancing a normative framework for global health action than either approach made alone. We explore this synergy by first providing overviews of public health ethics and of international human rights law relevan...
Mandatory evacuation of residents during the Fukushima nuclear disaster: an ethical analysis
Background The Japan earthquake and tsunami of 11 March 2011 severely damaged the Fukushima Daiichi nuclear plant. After learning of the radiation leak, the Japanese government issued an evacuation directive for residents within 20 km of the plant a day after the earthquake. Approximately 1 month later, this area was designated a ‘high alert zone’ and effectively sealed-off. The purpose of this report is to examine these measures from an ethical perspective, and consider what lessons can be drawn from this experience. Methods Analytic discussion. Results We examine the measures from an ethical perspective and argue that if the government's aim was to avoid health risks posed by radiation exposure, then ordering compulsory expulsion of all residents cannot be ethically ...
Editors' overview: neuroethics: many voices and many stories.
Advances in neuroscience continue to enhance understanding of the brain and provide new tools to take advantage of that understanding. These changes are poised to profoundly alter society. Given that the impact will be felt not only by neuroscientists, but by diverse members of society, it is imperative that conversations engage all stakeholders. Doing so will allow for the sharing of diverse views and perspectives to understand and frame the science, better educate and prepare the public for new developments, and provide a shared approach to identifying and resolving ethical challenges. These were the goals of Neuroethics Week, staged in 2007 by the Center for Ethics in Science and Technology in San Diego, and are the basis for the contributions to this special issue of Science and Engineering Ethics. PMID:23054674
Practical wisdom of Confucian ethical leadership: a critical inquiry
Purpose - This paper aims to examine whether and to what extent the practical wisdom contained in classical Confucianism can provide conceptual and ethical resources for ethical leadership for Chinese companies in the twenty-first century. The objectives of the paper are: to reconstruct the core elements of Confucianism; to account some major issues confronting corporate China; to identify the attributes of the Confucian ethical leadership through those of Junzi against such a backdrop; to identify some major challenges for Junzi leadership in today's business environment in China; and to consider some implications of this analysis for management development and management education. Design/methodology/approach - The paper adopts a normative analysis. Findings - A critical articulation of ...
Reflections on the ethics of Internet newsgroup research
We contribute to the emerging debate regarding ethical questions that arise when conducting Internet based health research; specifically, when utilizing archived Internet newsgroup materials as a data source. By reporting our experiences and reflections, we hope to be of help to others engaged/considering Internet newsgroup research, in working out how to achieve the goals of research in an ethically appropriate way. We identify key ethical issues specific to Internet newsgroup research that we encountered; namely, uncertainty concerning the nature of Internet newsgroup research, ''ownership'' of contributions and what may be considered ''public'' and what ''private''. We reflect upon how we managed to navigate the tensions that these uncertainties generated and conclude by suggesting an i...
Scientists? Perspectives on the Ethical Issues of Stem Cell Research
This paper describes findings from an ethics education project funded by the Canadian Stem Cell Network (SCN). The project is part of a larger research initiative entitled ?The Stem Cell Research Environment: Drawing the Evidence and Experience Together??. The ethics education study began with a series of focus groups with SCN researchers and trainees as part of a ?needs assessment?? effort. The purpose of these discussions was to identify the main ethical issues associated with stem cell (SC) research from the perspective of the stem cell community. This paper will focus on five prominent themes that emerged from the focus group data including: (1) the source of stem cells; (2) the power of stem cells; (3) working within a charged research environment; (4) the regulatory context; and (5) ...
The "Ethics Committee": A Practical Approach to Introducing Bioethics and Ethical Thinking
Bioethics is an increasingly important part of the biosciences curriculum at school and in higher education, but few science teachers have much experience of teaching the subject in an engaging or interactive manner. This article sets out a session that allows students to practise the skills of ethical thinking and ethical debate in a relevant context as members of an "ethics committee". They can then compare their decision with the opinions of the group as a whole as well as explore the resolution of the issue in the real world. The session can be easily adapted to a range of audiences, and has been trialled with primary and secondary school children, undergraduates in medicine and the biosciences, and adults as part of university outreach events. (Contains 2 tables.)
The treatment of sex offenders: evidence, ethics, and human rights.
Public policy is necessarily a political process with the law and order issue high on the political agenda. Consequently, working with sex offenders is fraught with legal and ethical minefields, including the mandate that community protection automatically outweighs offender rights. In addressing community protection, contemporary sex offender treatment is based on management rather than rehabilitation. We argue that treatment-as-management violates offender rights because it is ineffective and unethical. The suggested alternative is to deliver treatment-as-rehabilitation underpinned by international human rights law and universal professional ethics. An effective and ethical community-offender balance is more likely when sex offenders are treated with respect and dignity that, as human beings, they have a right to claim. PMID:20937793
The price of responsibility : ethics of animal husbandry in a time of climate change
This paper examines the challenges that climate change raises for animal agriculture and discusses the contributions that may come from a virtue ethics based approach. Two scenarios of the future role of animals in farming are set forth and discussed in terms of their ethical implications. The paper argues that when trying to tackle both climate and animal welfare issues in farming, proposals that call for a reorientation of our ethics and technology must first and foremost consider the values that drive current livestock production. This paper sets forth and discusses the broader societal values implicit in livestock production. We suggest that a virtues approach would improve our thinking and practice regarding animal agriculture, facilitating a move from livestock production to animal husbandry. This change in animal agriculture in a time of climate change would stress virtues such as attentiveness, responsibility, competence, and responsiveness as central elements in any mitigation or adaptation program.
An Ecological Compass for Planetary Engineering
Abstract Proposals to address present-day global warming through the large-scale application of technology to the climate system, known as geoengineering, raise questions of environmental ethics relevant to the broader issue of planetary engineering. These questions have also arisen in the scientific literature as discussions of how to terraform a planet such as Mars or Venus in order to make it more Earth-like and habitable. Here we draw on insights from terraforming and environmental ethics to develop a two-axis comparative tool for ethical frameworks that considers the intrinsic or instrumental value placed upon organisms, environments, planetary systems, or space. We apply this analysis to the realm of planetary engineering, such as terraforming on Mars or geoengineering on present-day...
Every Child. Volume 11, Number 3, Winter 2005
"Every Child" is Australia's premier early childhood publication, aimed at anyone involved in the care and education of children from birth to eight years--in particular child care professionals, teachers, child care students and the parents of young children. Published quarterly, it contains informative and entertaining articles on such issues as early childhood curriculum, ethics, health and professional development. This edition of "Every Child" focuses on a range of advocacy, policy and practice issues that promote quality and equity in early childhood services. It also includes the first installment of contemporary research from the National ECA Early Childhood Conference to be held in Brisbane, September 28-October 2, 2005. The main features in this issue are: (1) Toy Libraries; (2) Welfare Reform; (3) National Child Protection Week; (4) Surviving the Bully in Early Childhood; and (5) Code of Ethics Agenda-Special Update. [This document was produced by Early Childhood Australia Inc., formerly known as the Australian Early Childhood Association.
Adherence in asthma is an important cause for concern. Although nearly 50% of asthma patients are considered poorly adherent to therapeutic advices, adherence is still difficult to assess, understand and improve despite major medical consequences. In this review, we revisited the literature of the last 10 years related to adherence in severe asthma. The concepts have changed and "compliance" is usually replaced by "adherence". Assessment of adherence is addressing ethical issues, but provides important insight into difficult-to-treat asthma. Different tools have been used but none is routinely recommended. Health-related outcomes (poor control, exacerbations, hospitalizations, lung function decline), which are clearly associated with severe asthma, are often worsened by non-adherence with consequences also on patient related outcomes (quality of life). The potential behaviour associated with non-adherence and all other related factors including easy-to-recognize psychological traits can help for patient's future management. Therapeutic educational interventions have been recognized with a scientifically proven efficiency even though evolution and improvements are needed. A multidisciplinary approach is required in severe asthma. Therapeutic adherence for a given patient is always a prerequisite to any other aspects when addressing severe asthma phenotypes. Severe asthma should be considered only in those who still experienced poor asthma outcomes despite optimal adherence. At a glance, poor adherence and severe asthma should be considered antinomic. Better understanding of the causes and customised management are potential future directions. PMID:23106657
Inconvenient desires : should we routinely neuter companion animals?
Influential parts of the veterinary profession, and notably the American Veterinary Medicine Association, are promoting the routine neutering of cats and dogs that will not be used for breeding purposes. However, this view is not universally held, even among representatives of the veterinary profession. In particular, som veterinary associations in Europe defend the view that when reproduction is not an issue, the neutering, particularly of dogs, should be decided on a case-by-case basis. However, even in Europe the American view is gaining ground. In light of this situation, this paper considers whether or not routine neutering of cats and dogs, in cases where uncontrolled reproduction is not an issue, can be ethically defended. The starting point of this consideration is a review of the veterinary literature on the effects of neutering on companion animals. The focus is both on the welfare of neutered animals themselves, and on behavioral and other effects that may not directly affect the animals' welfare, but that may be motivating factors for owners to neuter their companion animals. Here it becomes clear that justification for routine neutering, particularly of confined male dogs, does not follow from claims about the dogs' own welfare. The costs of neutering male dogs, in terms of increased risk of very serious diseases, may well outweigh the benefits. Then, building on this veterinary material, but including some other, additional considerations, the paper goes through some possible ethical approaches to routine animal neutering. These ethical approaches offer different degrees of concern about, or opposition to, routine neutering. Finally, based on this ethical exploration, it is argued that routine neutering, at least in the case of non-free-ranging companion animals, raises significant ethical questions, and from some ethical perspectives, looks highly problematic.
Guidelines for establishing locus specific databases.
Information about genetic variation has been collected for some 20 years into registries, known as locus specific databases (LSDBs), which nowadays often contain information in addition to the actual genetic variation. Several issues have to be taken into account when considering establishing and maintaining LSDBs and these have been discussed previously in a number of articles describing guidelines and recommendations. This information is widely scattered and, for a newcomer, it would be difficult to obtain the latest information and guidance. Here, a sequence of steps essential for establishing an LSDB is discussed together with guidelines for each step. Curators need to collect information from various sources, code it in systematic way, and distribute to the research and clinical communities. In doing this, ethical issues have to be taken into account. To facilitate integration of information to, for example, analyze genotype-phenotype correlations, systematic data representation using established nomenclatures, data models, and ontologies is essential. LSDB curation and maintenance comprises a number of tasks that can be managed by following logical steps. These resources are becoming ever more important and new curators are essential to ensure that we will have expertly curated databases for all disease-related genes in the near future. PMID:22052659
Signals detected by measuring disproportionality of drug-event combinations are only statistical indicators of possible real safety issues, and are not per se necessarily medically important. Nevertheless, once a signal is observed, sponsors are obligated by regulations and ethical considerations to determine whether it represents a new product-associated risk by additional analysis, validation and evaluation of its clinical relevance. Signal strength does not necessarily correlate with medical significance. Strong signals most often represent known, expected and/or medically trivial adverse reactions or confounding by treatment indication, common co-morbidities or other common concomitant treatments. Conversely, any product with reasonably extensive clinical use and reporting of suspected adverse reactions is likely to manifest many weak but clinically unimportant signals, creating significant background 'noise'. Since relatively rare, medically important adverse drug reactions are often likely to manifest as weak signals, sponsors face a potentially onerous burden of evaluating multiple signals in order to distinguish true, clinically important events of concern from spurious signals. This paper discusses the regulatory, clinical and potential legal liability issues that confront industry as a consequence of signal identification activities, including: current and anticipated regulatory requirements for detection, assessment and reporting; the reliability of the data used for signal generation; assessment of clinical relevance; organisational approaches and responses to observed signals; targeted clinical and scientific responses to observed signals; and potential regulatory, legal and commercial impact. PMID:17604414
Since the work of Watson and Crick in the mid-1950s, the science of genetics has become increasingly molecular. The development of recombinant DNA technologies by the agricultural and pharmaceutical industries led to the introduction of genetically modified organisms (GMOs). By the end of the twentieth century, reports of animal cloning and recent completion of the Human Genome Project (HGP), as well techniques developed for DNA fingerprinting, gene therapy and others, raised important ethical and social issues about the applications of such technologies. For citizens to understand these issues, appropriate genetics education is needed in schools. A good foundation in genetics also requires knowledge and understanding of topics such as structure and function of cells, cell division, and reproduction. Studies at the international level report poor understanding by students of genetics and genetic technologies, with widespread misconceptions at various levels. Similar studies were nearly absent in India. In this study, I examine Indian higher secondary students' understanding of genetic information related to cells and transmission of genetic information during reproduction. Although preliminary in nature, the results provide cause for concern over the status of genetics education in India. The nature of students' conceptual understandings and possible reasons for the observed lack of understanding are discussed. (Contains 3 tables.)
The third planning workshop of the Human Genome Diversity Project was held on the campus of the US National Institutes of Health in Bethesda, Maryland, from February 16 through February 18, 1993. The second day of the workshop was devoted to an exploration of the ethical and human-rights implications of the Project. This open meeting centered on three roundtables, involving 12 invited participants, and the resulting discussions among all those present. Attendees and their affiliations are listed in the attached Appendix A. The discussion was guided by a schedule and list of possible issues, distributed to all present and attached as Appendix B. This is a relatively complete, and thus lengthy, summary of the comments at the meeting. The beginning of the summary sets out as conclusions some issues on which there appeared to be widespread agreement, but those conclusions are not intended to serve as a set of detailed recommendations. The meeting organizer is distributing his recommendations in a separate memorandum; recommendations from others who attended the meeting are welcome and will be distributed by the meeting organizer to the participants and to the Project committee.
Leading Organizational Culture: Issues of Power and Equity
The literature on educational leadership and management has referred to culture since at least the 1970s. Despite the concept's mention in over one-third of articles written in this journal, there has been little in-depth engagement with how leaders might influence it and the ethical issues involved. The article argues that leadership must engage with culture as a key mediator of power within organizations. Four levels of cultural activity are suggested: the cultural context created by global phenomena; the cultures of local communities; the organizational culture; and the sub- and counter-cultures within the organization. The article considers a bifurcation in the skills assumed necessary to respond to, on one hand, multi- or intra-culture and, on the other, organizational culture. The article suggests that the degree of perceived difference from norms dictates leaders' orientation to and engagement with culture, with cultural competence generally promoted only in relation to multicultural issues. It concludes that leaders are currently ill-served by encouragement to focus on aligning the organization's members to a single, strong culture and that the persistent surface engagement with culture may perpetuate inequalities. The need to move leaders to engage more deeply with the power and complexity of culture is indicated.
The duty to care in an influenza pandemic: A qualitative study of Canadian public perspectives.
Ever since the emergence of SARS, when we were reminded that the nature of health care practitioners' duty to care is greatly contested, it has remained a polarizing issue. Discussions on the nature and limits of health care practitioners' duty to care during disasters and public health emergencies abounds the literature, ripe with arguments seeking to ground its foundations. However, to date there has been little public engagement on this issue. This study involved three Townhall meetings held between February 2008 and May 2010 in three urban settings in Canada in order to probe lay citizens' views about ethical issues related to pandemic influenza, including issues surrounding the duty to care. Participants included Canadian residents aged 18 and over who were fluent in English. Data were collected through day-long facilitated group discussions using case scenarios and focus group guides. Participant's views were organized according to several themes, including the following main themes (and respective sub-themes): 1. Legitimate limits; a) competing obligations; and b) appeal to personal choice; and 2. Legitimate expectations; a) reciprocity; and b) enforcement and planning. Our findings show that participants moved away from categorical notions of the duty to care towards more equivocal and often normative views throughout deliberations. Our analysis contributes a better understanding of the constitutive nature of the duty to care, defined in part by taking account of public views. This broadened understanding can further inform the articulation of acceptable norms of duty to care and policy development efforts. What is more, it illustrates the urgent need for policy-makers and regulators to get clarity on obligations, responsibilities, and accountability in the execution of HCPs' duty to care during times of universal vulnerability. PMID:23089615
Towards an Ethics of Psychoanalysis: A Critical Reading of Lacan's Ethics.
Lacan's seminar The Ethics of Psychoanalysis (1959-1960) pursues, from a Freudian perspective, a fundamental philosophical question classically addressed by Aristotle's Nichomachean Ethics: How is human life best lived and fulfilled? Is there is an ethic of this type intrinsic to psychoanalysis? Lacan placed the problem of desire at the center of his Ethics. His notorious self-authorized freedom from convention and probable crossing of limits (see Roudinesco 1993) may have led mainstream analysts to ignore his admonition: "At every moment we need to know what our effective relationship is to the desire to do good, to the desire to cure" (Lacan 1959-1960, p. 219). This means that the analyst's desire, as well as the patient's, is always in play in his attempt to sustain an ethical position. An examination of Lacan's seminar highlights this link, but also points to a number of unresolved issues. The patient's desire is a complex matter, readily entangled in neurotic compromise, defense, and transference, and the analyst's commitment to it is also problematic because of the inevitable co-presence of his own desire. Lacan suggested that more emphasis be placed in training on the desire of the analyst, but beyond that a proposal is advanced for the institutionalization of a "third" as reviewer and interlocutor in routine analytic practice. Analysis may not be a discipline that can be limited to a dyadic treatment relationship. PMID:23118239
The right to secure food in the perspective of the general improvement of the fundamental rights.
The 9th International Congress of the European Society EurSafe (European Society of Agricultural and Food Ethics) was held on September 15-18, 2010, in Bilbao, Spain, gathering 150 experts from more than 20 countries, with the purpose of reflecting on ethical-social and legal issues posed by bio-scientific advances and the challenges of agriculture and food in the Third Millennium. Under the motto "Global Food Security: Ethical and Legal Challenges", the Congress was organized by the Inter-University Chair in Law and the Human Genome and particular attention was paid to the need to improve access to sufficient, nutritionally adequate and safe food for all humankind, and to the socio-economic and political obstacles which, from day to day, impede this access, given that twenty years after taking on the Millennium Objectives, poverty and hunger have not only failed to decline, but continue to reach record figures. Professor Stefano Rodotà, member of the European Group on Ethics in Science and New Technologies, deserves a special mention. That Group, independent and multidisciplinary, was created for the purpose of advising the European Commission on ethical aspects of science and new technologies in connection with the preparation and implementation of Community legislation and policy. Below we reproduce the speech given by Professor Stefano Rodotà during the EurSafe 2010 Congress's Plenary Session hold in Bilbao, 17th September 2010. PMID:21510133
Parental counseling becomes complex when considering the use of emerging technologies, especially if it is unclear whether the level of evidence is sufficient to transform the proposed therapy into accepted practice. This paper addresses ethical issues underlying medical decision-making and counseling in the setting of emerging treatments, when long-term outcomes are still in the process of being fully validated. We argue that the ethical transition of emerging technologies, ideally from ethically impermissible to permissible, to obligatory, depends primarily on two factors: outcome data (or prognosis) and treatment feasibility. To illustrate these points, we will use intestinal transplant for short bowel syndrome (SBS) as a specific example. After reviewing the data, this paper will identify the ethical justifications for both comfort care only and intestinal transplant in patients with ultra SBS, and argue that both are ethically permissible, but neither is obligatory. The approach outlined will not only be valuable as ultra SBS outcomes data continue to change, but will also be applicable to other novel therapies as they emerge in perinatal medicine. PMID:23014383
Professional ethics in context : practising rural canadian psychologists.
The complexities of professional ethics are best understood and interpreted within their sociohistorical context. This paper focuses on the experience of 20 rural psychologists from across Canada, a context rife with demographic and practice characteristics that may instigate ethical issues. Employing hermeneutic phenomenology, these qualitative research results are indicative of professional struggles that impacted the participants' experience of professional ethics and raised key questions about policy and practise. Concerns regarding competition highlight potential professional vulnerability, beget the idea of fostering general psychological practice, and question the role of professional bodies in addressing rural shortages. Dependency on government funding models and decisions highlights the benefits and medical cost-offset effect of psychological services' role in funded medical care. The controversial prescriptive authority debate for psychologists raises myriad concerns that are particularly salient to rural practitioners. These include changes to training and practice, with risks of psychopharmacology gaining prominence over behavioural health interventions. National inconsistencies in level of registration add to the growing shortage of practitioners. Finally, the results illuminate the need for advocacy to move beyond the literature and into public policy to increase public awareness, decrease the stigma of mental illness, and develop rural Canadian psychology. Although limited to this study, these results allowed for a fuller and more robust understanding of rural practice in consideration of professional ethics, which may inform policy, science, or ethical clinical practice. PMID:23188406
Promise or Peril: The Strategic Defense Initiative.
The major policy debate touched off by President Reagan's March 1983 speech announcing the Strategic Defense Initiative (SDI) was the reopening of one that had begun 35 years before. Then and now the ultimate question is what kind of strategic posture is most likely to contribute to mutual strategic stability? The answer is central to national survival and has profound ethical implications. A strategic posture that safeguards peace by the threat of annihilation, one that bases national defense on the threat of killing scores of millions of people, is ethically troubling, morally corrosive, and dehumanizing. This volume of 35 essays by statesmen, scholars, and strategic analysts seeks to give the reader a comprehensive picture of the key issues surrounding strategic defense. Part 1 traces the historical antecedents of today's debate over strategic defense. Part 2 provides a spectrum of views on whether a strategic defense system is technically feasible and strategically advisable. Part 3 documents the complete transformation of the Soviet Union's public position on strategic defense, while showing that its programs to develop such weapons systems have been unaffected by that reversal. Part 4 examines the implications of strategic defense for the Western alliance. Part 5 presents the debate about whether SDI enhances or diminishes the prospect for verifiable arms control. And Part 6 looks at moral aspects of strategic defense. Also included are an appendix with the text of the 1972 ABM treaty, a chronology relating technological, political, and strategic developments from the 1930s to the present, a glossary of terms used in the book, a bibliography, and an index of names. (BZ)
Empirical research on moral distress: issues, challenges, and opportunities.
Studying a concept as complex as moral distress is an ongoing challenge for those engaged in empirical ethics research. Qualitative studies of nurses have illuminated the experience of moral distress and widened the contours of the concept, particularly in the area of root causes. This work has led to the current understanding that moral distress can arise from clinical situations, factors internal to the individual professional, and factors present in unit cultures, the institution, and the larger health care environment. Corley et al. (2001) was the first to publish a quantitative measure of moral distress, and her scale has been adapted for use by others, including studies of other disciplines (Hamric and Blackhall 2007; Schwenzer and Wang 2006). Other scholars have proposed variations on Jameton's core definition (Sporrong et al. 2006, 2007), developing measures for related concepts such as moral sensitivity (Lutzen et al. 2006), ethics stress (Raines 2000), and stress of conscience (Glasberg et al. 2006). The lack of consistency and consensus on the definition of moral distress considerably complicates efforts to study it. Increased attention by researchers in disciplines other than nursing has taken different forms, some problematic. Cultural differences in the role of the nurse and understanding of actions that represent threats to moral integrity also challenge efforts to build a cohesive research-based understanding of the concept. In this paper, research efforts to date are reviewed. The importance of capturing root causes of moral distress in instruments, particularly those at unit and system levels, to allow for interventions to be appropriately targeted is highlighted. In addition, the issue of studying moral distress and interaction over time with moral residue is discussed. Promising recent work is described along with the potential these approaches open for research that can lead to interventions to decrease moral distress. Finally, opportunities for future research and study are identified, and recommendations for moving the research agenda forward are offered. PMID:22476738
‘‘What's wrong with my monkey?'' : ethical perspectives on germline transgenesis in marmosets
The birth of the first transgenic primate to have inherited a transgene from its parents opens the possibility to set up transgenic marmoset colonies, as these monkeys are small and relatively easy to keep and breed in research facilities. The prospect of transgenic marmoset models of human disease, readily available in the way that transgenic laboratory mice are currently, prompts excitement in the scientific community; but the idea of monkeys being bred to carry diseases is also contentious. We structure an ethical analysis of the transgenic marmoset case around three questions: whether it is acceptable to use animals as models of human disease; whether it is acceptable to genetically modify animals; and whether these animals' being monkeys makes a difference. The analysis considers the prospect of transgenic marmoset studies coming to replace transgenic mouse studies and lesion studies in marmosets in some areas of research. The mainstream, broadly utilitarian view of animal research suggests that such a transition will not give rise to greater ethical problems than those presently faced. It can be argued that using marmosets rather than mice will not result in more animal suffering, and that the benefits of research will improve with a move to a species more similar in phylogenetic terms to humans. The biological and social proximity of monkeys and humans may also benefit the animals by making it easier for scientists and caretakers to recognize signs of suffering and increasing the human motivation to limit it. The animal welfare and research impacts of the transition to marmoset use will depend very much on the extent to which researchers take these issues seriously and seek to minimize animal harm and optimize human benefit.
Designation and influence of household increasing block electricity tariffs in China
Background Although adaptation and proper biological functioning require developmental programming, pollutant interference can cause developmental toxicity or DT. Objectives This commentary assesses whether it is ethical for citizens/physicians/scientists to allow avoidable DT. Methods Using conceptual, economic, ethical, and logical analysis, the commentary assesses what major ethical theories and objectors would say regarding the defensibility of allowing avoidable DT. Results The commentary argues that (1) none of the four major ethical theories (based, respectively, on virtue, natural law, utility, or equity) can consistently defend avoidable DT because it unjustifiably harms, respectively, individual human flourishing, human life, the greatest good, and equality. (2) Justice also requires leaving “as much and as good” biological resources for all, including future generations possibly harmed if epigenetic change is heritable. (3) Scientists/physicians have greater justice-based duties, than ordinary/average citizens, to help stop DT because they help cause it and have greater professional abilities/opportunities to help stop it. (4) Scientists/physicians likewise have greater justice-based duties, than ordinary/average citizens, to help stop DT because they benefit more from it, given their relatively greater education/consumption/income. The paper shows that major objections to (3)-(4) fail on logical, ethical, or scientific grounds, then closes with practical suggestions for implementing its proposals. Conclusions Because allowing avoidable DT is ethically indefensible, citizens---and especially physicians/scientists---have justice-based duties to help stop DT. PMID:20430980
Building on other models of longitudinal integrated clerkships (LIC), the University of Alberta developed its Integrated Community Clerkship with guiding principles of continuity of care, preceptor and learning environment. Professionalism is an important theme in medical education. Caring is important in professional identity formation and an ethic of caring is a moral framework for caring. This study explored the development of an ethic of caring in an LIC using empathy, compassion and taking responsibility as descriptors of caring. Through a hermeneutic phenomenological study, the authors focused on students' accounts of being with patients. Following an iterative process of successive analyses and explorations of the relevant literature, sensitizing concepts related to physician identity, and an ethic of caring were used to make sense of these accounts following the principles of constructivist grounded theory methodology. Continuity afforded by the LIC results in a safe environment in which students can meaningfully engage with patients and take responsibility for their care under the supervision of a physician teacher. Together these attributes foster an emerging physician identity born at the site of patient-student interaction and grounded in an ethic of caring. A medical student's evolving professional identity in the clerkship includes the emergence of an ethic of caring. Student accounts of being with patients demonstrate that the LIC at the University of Alberta affords opportunities for students be receptive to and responsible for their patients. This ethic of caring is part of an emerging physician identity for the study participants.
Abstract in portuguese Este artigo apresenta aspectos teóricos que sustentam uma ética do Cuidado de base discursiva, como utilizado em estudo que examinou os conflitos morais na assistência às pessoas vivendo com HIV/Aids. Com base na Bioética deliberativa, define conflito moral como um conflito de deveres. Foram utilizadas a ética do Discurso e as proposições do Cuidado, assumindo que o trabalho em saúde é eminentemente relacional e comunicacional. Conclui que a ética do Cuidado de (more) base discursiva reconhece a racionalidade nas decisões que envolvem aspectos morais no cotidiano da assistência. A busca de solução dos conflitos, sob essa perspectiva, sugere um processo dialético em que as razões para os argumentos são consideradas. Evidenciar argumentos diversos, incluindo aqueles que são contraditórios, mas defensáveis, possibilita a tomada de decisões prudentes. Abstract in spanish El artículo presenta aspectos conceptuales de una aproximación a los conflictos morales en el cuidado de las personas con sida basado en la ética discursiva. El planteamiento, desde de la Bioética deliberativa, definió conflicto moral como un conflicto de deberes. Utilizó la ética del Discurso y las proposiciones del Cuidado, asumiendo que el trabajo en salud es altamente relacional y comunicador. Las conclusiones indican que la ética del Cuidado reconoce la racio (more) nalidad de la toma de decisiones ante los conflictos morales en la asistencia. La búsqueda de soluciones para los conflictos morales, desde la perspectiva presentada, plantea un proceso dialéctico donde se ponderan las razones de todos los argumentos. La toma de decisiones prudentes es posible mediante la clarificación de la diversidad y contradicción de los argumentos. Abstract in english This paper presents a theoretical underpinning of a discourse ethics of care, as used in a study that examined the moral conflicts in assisting people living with HIV/Aids. Based on deliberative Bioethics, it defines moral conflict as a conflict of duties. It used discourse ethics and the propositions of care assuming that health work is highly relational and communicational. It concludes that discourse ethics of care recognizes rationality in decisions that involve moral (more) issues in everyday care. The search for conflict resolution, in this perspective, suggests a dialectical process in which the reasons for the arguments are considered. The action of evidencing different arguments, including those that are contradictory, but defensible, enables prudent decision making.
Policy implications of technologies for cognitive enhancement
The Advanced Concepts Group at Sandia National Laboratory and the Consortium for Science, Policy and Outcomes at Arizona State University convened a workshop in May 2006 to explore the potential policy implications of technologies that might enhance human cognitive abilities. The group's deliberations sought to identify core values and concerns raised by the prospect of cognitive enhancement. The workshop focused on the policy implications of various prospective cognitive enhancements and on the technologies/nanotechnology, biotechnology, information technology, and cognitive science--that enable them. The prospect of rapidly emerging technological capabilities to enhance human cognition makes urgent a daunting array of questions, tensions, ambitions, and concerns. The workshop elicited dilemmas and concerns in ten overlapping areas: science and democracy; equity and justice; freedom and control; intergenerational issues; ethics and competition; individual and community rights; speed and deliberations; ethical uncertainty; humanness; and sociocultural risk. We identified four different perspectives to encompass the diverse issues related to emergence of cognitive enhancement technologies: (1) Laissez-faire--emphasizes freedom of individuals to seek and employ enhancement technologies based on their own judgment; (2) Managed technological optimism--believes that while these technologies promise great benefits, such benefits cannot emerge without an active government role; (3) Managed technological skepticism--views that the quality of life arises more out of society's institutions than its technologies; and (4) Human Essentialism--starts with the notion of a human essence (whether God-given or evolutionary in origin) that should not be modified. While the perspectives differ significantly about both human nature and the role of government, each encompasses a belief in the value of transparency and reliable information that can allow public discussion and decisions about cognitive enhancement. The practical question is how to foster productive discussions in a society whose attention is notably fragmented and priorities notably diverse. The question of what to talk about remains central, as each of the four perspectives is concerned about different things. Perhaps the key issue for initial clarification as a condition for productive democratic discussion has to do with the intended goals of cognitive enhancement, and the mechanisms for allowing productive deliberation about these goals.
In this study, we developed a model of unethical behavior intentions, collected data from managers of the private (n?=?208) and the public (n?=?307) sectors in the Republic of Macedonia, and tested our model across these two sectors. Results suggested that for both sectors, unethical behavior intentions were not related to the love of money and corporate ethical values, whereas irritation was negatively related to life satisfaction. Moreover, corporate ethical values were related to life satisfaction for the private sector only, whereas the love of money and unethical behavior intentions were related to irritation for the public sector only. Managers in the private sector had higher corporate ethical values, lower unethical behavior intentions, lower irritation, and higher life satisfactio...
Corruption and whistleblowing in international humanitarian aid agencies
Purpose - The purpose of this paper is to address issues of corruption and governance for international humanitarian organisations (such as Red Cross, Greenpeace, the Salvation Army, and Medecins Sans Fronti&eres). Any such corruption may be both an issue of governance within an organisation as well as an external issue, such as political corruption, with which such organisations must deal in relationships with stakeholders. Design/methodology/approach - The analysis is derived from annual reports, news reports, and published articles. Findings - A moral basis for operations is based on analysis, information, measuring and reporting. Research limitations/implications - In-depth investigations of the ethical performance of humanitarian organisations are required. Practical implications - Th...
Sustainability of diets: From concepts to governance
The production of food for consumption produces environmental stress and raises ethical issues. As humans are able to choose different foodstuffs in their diets, food consumption guidance may have large benefits for the environment. Meat consumption is often identified as the most environmentally harmful foodstuff to produce and animal welfare and rights issues are receiving ever more attention. By combining both issues, this article proposes a conceptual framework for combining alternative dietary habits and agricultural production styles in general environmental policy strategies. Two means to lower meat consumption are proposed: 1) Redeveloping the Pigouvian food taxation system introduced by Goodland (1997), in which foodstuffs are taxed according to their environmental burden. An elab...
Preclinical safety testing of monoclonal antibodies: the significance of species relevance.
Selecting a pharmacologically relevant animal species for testing the safety and toxicity of novel monoclonal antibody (mAb) therapies to support clinical testing can be challenging. Frequently, the species of choice is the primate. With the increased number of mAbs in the pharmaceutical pipeline, this has significant implications for primate use, and so raises several important scientific, ethical and economic issues. Here, following a recent international workshop held to debate this topic, we discuss issues in the preclinical testing of mAbs, with a particular focus on species relevance and primate use, and provide suggestions for how these issues might be addressed. PMID:17268483
Discussing Controversial Issues in the Classroom
Discussion is widely held to be the pedagogical approach most appropriate to the exploration of controversial issues in the classroom, but surprisingly little attention has been given to the questions of why it is the preferred approach and how best to facilitate it. Here we address ourselves to both questions. We begin by clarifying the concept of discussion and justifying it as an approach to the teaching of controversial issues. We then report on a recent empirical study of the Perspectives on Science AS-level course, focusing on what it revealed about aids and impediments to discussion of controversial ethical issues.
Discussing Controversial Issues in the Classroom
Abstract Discussion is widely held to be the pedagogical approach most appropriate to the exploration of controversial issues in the classroom, but surprisingly little attention has been given to the questions of why it is the preferred approach and how best to facilitate it. Here we address ourselves to both questions. We begin by clarifying the concept of discussion and justifying it as an approach to the teaching of controversial issues. We then report on a recent empirical study of the Perspectives on Science AS-level course, focusing on what it revealed about aids and impediments to discussion of controversial ethical issues.
Photographing human subjects in biomedical disciplines: an Islamic perspective.
Visual recording of human subjects is commonly used in biomedical disciplines for clinical, research, legal, academic and even personal purposes. Guidelines on practice standards of biomedical recording have been issued by certain health authorities, associations and journals, but none of the literature discusses this from an Islamic perspective. This article begins with a discussion on the general rules associated with visual recording in Islam, followed by modesty issues in biomedical recording and issues of informed consent and confidentiality. In order to be deemed ethical from the Islamic perspective, all the aforementioned criteria must conform to, or not contradict, Islamic teaching. PMID:23038799
Legal aspects of sexually transmitted diseases: abuse, partner notification and prosecution.
Sexually transmitted diseases (STDs), with special emphasis to HIV infection, involve legal and ethical issues regarding informed consent to submit to a diagnostic, observance of professional secrecy in regard to partner(s) and community; legal troubles of particular difficulties are related to STD involving minors; lastly, physicians must be able to recognize the state of so called medical necessity. Knowledge and awareness of these related obligations are crucial to STD in medical practice; it is also important to allow for proper protection of victims of suspected sexual abuse under observation of healthcare. With regard to this aspect should be emphasized that violence against women and minors is a worldwide problem that has not yet been sufficiently acknowledged. Italian legislation (Law n. 96/1996) against rapes finally gave significant relevance to sex crimes. When sexual abusers have to be evaluated some obstacles may arise for lack of appropriate interdisciplinary approach, with insurance of the collection of biological samples, also related to STD diagnosis and alerts of legal authorities. Personal preconceptions may interfere with investigation if the biological evidences in children are few. In this regard, rules of document "Carta di Noto" drafted in 1996 and reviewed in July 2002 include some specific indications aiming to grant the reliability of the results of technical investigations and authenticity of the statements of the alleged victims. PMID:23007211
{open_quotes}The fragile X syndrome is the most common inherited form of mental retardation and, after Down syndrome, the most common identified form of mental retardation.{close_quotes} Although statements similar to this are found in almost every introduction to the fragile X syndrome, little is actually known about the true prevalence of fragile X syndrome or about the frequency of clinically unaffected carriers. To date, almost all estimates of the prevalence of the syndrome are based on cytogenetic surveys of overtly retarded populations. The cytogenetic test to detect the fragile X site expression is labor intensive, and its sensitivity and specificity are considerably less than 100%. Thus, once the gene for the fragile X syndrome was isolated, population surveys of the mutation were anticipated, as the DNA diagnostic test is accurate, relatively simple, and inexpensive compared with the cytogenetic test. However, population surveys have been slow to come, in part, because of the technical difficulties related to the type of sample tested (e.g., blood spot) and to ethical and logistical problems related to identification of a target population. Dr. Rousseau and his colleagues have overcome these difficulties and present in this issue of the journal the first large study of the frequency of clinically unaffected female carriers of the fragile X mutation. 21 refs.
On Dogs and Children: Judgements in the Realm of Meaning
When we say that good parenting is an ethical and not a technical matter, what is the nature of the warrant we can give for identifying one way of parenting as good and another as bad? There is, of course, a general issue here about the giving of reasons in ethics. The issue may seem to arise with peculiar force in parenting since parenting casts our whole being into uncertainty: here, above all, it seems, we do not scrutinise our commitments from a moral standpoint that is itself secure, and such moral judgements as we make must be tentative. I attempt to illustrate this from the point of view not of parenting but of owning a dog, where the uncertainty and the tentativeness are more marked still and can be deeply disconcerting. A strong case, however, can be made for saying that these are inevitable and proper features of the essentially dialogic and self-reflexive nature of ethical discourse. When we appreciate this, parenting appears less an especially problematic or marginal field of ethical inquiry than a paradigm case of it. (Contains 1 note.)
"I fell in love with Carlos the meerkat": Engagement and detachment in human-animal relations
ABSTRACT Relationship, connection, and engagement have emerged as key values in recent studies of human-animal relations. In this article, I call for a reexamination of the productive aspects of detachment. I trace ethnographically the management of everyday relations between biologists and the Kalahari meerkats they study, and I follow the animals' transformation as subjects of knowledge and engagement when they become the stars of an internationally popular, televised animal soap opera. I argue that treating detachment and engagement as polar opposites is unhelpful both in this ethnographic case and, more broadly, in anthropological discussions of ethics and knowledge making. [human-animal relations, science, media, ethics, engagement, detachment
Biotechnology is a highly distinctive area of scientific activity and its applications can strongly influence human life. Biotechnological innovations impact on sanitary, environmental, social, ethical and economic aspects and it is particularly important a greater public understanding of biotechnology issues in the view of increasing its acceptability. Knowledge and acceptance do not go always in the same direction, as the last is influenced by various complex factors, but without a knowledgeable public there can be no effective democratic agreement. So it appears important that scientific community and industry can promote and diffuse more knowledge among citizens and consumers, taking into account also of social and ethical issues raised by public and public interest groups. In this report bio safety of biotechnology applications and social and ethical issues are analyzed. They receive much attention in the discussion in the biotechnology arena (scientists, industry, institutions and the public). In particular health and environmental risks, gene therapy, transgenic animals, patent issues and genetic resources access, consumers rights are considered. Since the media are central to the dissemination of information and views about science, is has been evidenced their role, in addition to a short analysis of public perception and communication strategies.
Landscape, Politics, Labour and Identity: Stewardship and the Contribution of Green Political Theory
The conceptualisation of 'land' and 'landscape' is not only intellectually, but also politically and ethically, contested and subject to many of the debates one finds about related concepts of 'nature' and the 'natural'. How 'we' define and understand the 'land' and 'landscape' is not politically neutral and has implications for who 'we' are and the values and practices we have in relation to the land. This paper will offer an overview of the ways in which the land and landscape have been conceptualised within (green) political theory and environmental ethics, ranging from Wendell Berry's revenant agrarian stewardship to the ethics and politics of 'ecological restoration', to bioregional distinctions between 'ecosphere' and 'biosphere' human-nature relations, to more urban-based forms of '...
