Informed consent in the Pakistani milieu: the physician’s perspectiveJournal of Medical Ethics - Tập 31 Số 2 - Trang 93-96 - 2005
Aamir Jafarey, Ali A. Farooqui
Informed consent enjoys an unassailable position in both clinical and research situations as a safeguard of patients’ rights. Keeping the patient involved in the decision making process is easier when there is direct communication with the individual. The Pakistani milieu offers challenges to this process because crucial decision making is often done by family members or is left entirely u...... hiện toàn bộ
Can we justify eliminating coercive measures in psychiatry?Journal of Medical Ethics - Tập 35 Số 1 - Trang 69-73 - 2009
E J D Prinsen, Johannes J. M. van Delden
The practice of coercive measures in psychiatry is controversial. Although some have suggested that it may be acceptable if patients are a danger to others or to themselves, others committed themselves to eliminate it. Ethical, legal and clinical considerations become more complex when the mental incapacity is temporary and when the coercive measures serve to restore autonomy. We discuss t...... hiện toàn bộ
Teaching ethics in the clinic. The theory and practice of moral case deliberation: Table 1Journal of Medical Ethics - Tập 34 Số 2 - Trang 120-124 - 2008
Bert Molewijk, Tineke Abma, Margreet Stolper, Guy Widdershoven
A traditional approach to teaching medical ethics aims to provide knowledge about ethics. This is in line with an epistemological view on ethics in which moral expertise is assumed to be located in theoretical knowledge and not in the moral experience of healthcare professionals. The aim of this paper is to present an alternative, contextual approach to teaching ethics, which is grounded i...... hiện toàn bộ
Autonomy at the end of life: life-prolonging treatment in nursing homes—relatives’ role in the decision-making processJournal of Medical Ethics - Tập 35 Số 11 - Trang 672-677 - 2009
Anne Dreyer, Reidun Førde, Per Nortvedt
Background:The increasing number of elderly people in nursing homes with failing competence to give consent represents a great challenge to healthcare staff’s protection of patient autonomy in the issues of life-prolonging treatment, hydration, nutrition and hospitalisation. The lack of national guidelines and internal routines can threaten the protection...... hiện toàn bộ
Failure to report and provide commentary on research ethics board approval and informed consent in medical journalsJournal of Medical Ethics - Tập 34 Số 10 - Trang 761-764 - 2008
Katherine A. Finlay, Conrad V. Fernandez
Background:The Declaration of Helsinki prohibits the publication of articles that do not meet defined ethical standards for reporting of research ethics board (REB) approval and informed consent. Despite this prohibition and a call to highlight the deficiency for the reader, articles with potential ethical shortcomings continue to be published.... hiện toàn bộ
Prescribing meaning: hedonistic perspectives on the therapeutic use of psychedelic-assisted meaning enhancementJournal of Medical Ethics - Tập 47 Số 10 - Trang 701-705 - 2021
Riccardo Miceli McMillan
The recent renaissance in research on psychedelic-assisted psychotherapy is showing great promise for the treatment of many psychiatric conditions. Interestingly, therapeutic outcomes for patients undergoing these treatments are predicted by the occurrence of a mystical experience—an experience characterised in part by a sense of profound meaning. This has led to hypotheses that psychedeli...... hiện toàn bộ
Ethics and ego dissolution: the case of psilocybinJournal of Medical Ethics - Tập 47 Số 12 - Trang 807-814 - 2021
William Smith, Dominic A. Sisti
Despite the fact that psychedelics were proscribed from medical research half a century ago, recent, early-phase trials on psychedelics have suggested that they bring novel benefits to patients in the treatment of several mental and substance use disorders. When beneficial, the psychedelic experience is characterized by features unlike those of other psychiatric and medical treatments. The...... hiện toàn bộ