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Reflexivity in Bioethics: Insights from Neurodivergent Narratives. 生命伦理学中的反身性:来自神经发散叙事的见解。
Q4 Medicine Pub Date : 2025-01-01 DOI: 10.1353/nib.2025.a974063
Jared Howes

Drawing on the analogy of lenses, this commentary examines two themes in first-person narratives of neurodivergence. The first, situatedness, explores how contexts-such as geography, culture, policy, and built environments-shape the neurodivergent experience. The second, blind spots, reveals how unexamined assumptions and biases, like the 'mind-blindness' of assuming everyone shares a mainstream perspective, are sustained. Together, these themes underscore the need for a more reflexive and dialogue-driven bioethics, one attuned to the specific contexts of lived experiences.

借鉴透镜的类比,这篇评论考察了神经分化的第一人称叙事中的两个主题。第一个,情境性,探索诸如地理、文化、政策和建筑环境等环境如何塑造神经发散性经验。第二个是盲点,它揭示了未经检验的假设和偏见是如何持续的,比如假设每个人都有一个主流观点的“思维盲点”。总之,这些主题强调需要一种更具反思性和对话驱动的生物伦理学,一种与生活经验的具体背景相协调的伦理学。
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引用次数: 0
Labels, Mis-labels, and Liberation: Narratives of Neurodiversity. 标签、错误标签和解放:神经多样性的叙述。
Q4 Medicine Pub Date : 2025-01-01 DOI: 10.1353/nib.2025.a974065
Holly K Tabor

The narratives in this issue powerfully illuminate the lived experiences of neurodiverse individuals, particularly the long-term effects of labels and mislabels. Authors describe being called "lazy," "robotic," or "broken," as well as misperceptions of being "gifted" or a "child prodigy." These mis-labels often deepened feelings of isolation and fueled masking, camouflaging, or cocooning to navigate daily life. Several contributors highlight the transformative role of social media, especially TikTok, in fostering recognition, diagnosis, and community, offering both relief and validation while also raising concerns about misinformation. A central theme is the liberating clarity of adult diagnosis, reframing identity with pride and self-acceptance: "autism is not a bad word: it is beautiful, joyous, intense, and empowering." Collectively, these stories underscore the power of narrative to challenge ableism, expose systemic failures, and affirm the motto "nothing about us without us," reminding readers of the need to listen, learn, and support authentic inclusion.

本期的叙述有力地阐明了神经多样性个体的生活经历,特别是标签和错误标签的长期影响。作者描述了被称为“懒惰”、“机械”或“破碎”的人,以及对“天才”或“神童”的误解。这些错误的标签往往加深了孤立感,助长了掩盖、伪装或茧化,以适应日常生活。几位撰稿人强调了社交媒体,尤其是抖音,在促进识别、诊断和社区方面的变革作用,在提供安慰和验证的同时,也引发了对错误信息的担忧。本书的中心主题是成人诊断的清晰性,以自豪和自我接纳的态度重新定义身份:“自闭症不是一个坏词:它是美丽的、快乐的、强烈的、赋权的。”总的来说,这些故事强调了叙事的力量,可以挑战残疾歧视,揭露系统的失败,并肯定了“没有我们就没有我们”的座右铭,提醒读者需要倾听、学习和支持真正的包容。
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引用次数: 0
My Self-discovery. 我的自我发现。
Q4 Medicine Pub Date : 2025-01-01 DOI: 10.1353/nib.2025.a974074
Florencia Ardon
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引用次数: 0
Confessions of a Crayon-Eater. 一个吃蜡笔的人的自白。
Q4 Medicine Pub Date : 2025-01-01 DOI: 10.1353/nib.2025.a974077
K R Halley
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引用次数: 0
The Love Spectrum Disorder. 爱谱障碍。
Q4 Medicine Pub Date : 2025-01-01 DOI: 10.1353/nib.2025.a974082
Sarah Laca
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引用次数: 0
Editors' Note. 编者注。
Q4 Medicine Pub Date : 2025-01-01 DOI: 10.1353/nib.2025.a974060
James M DuBois, Ana S Iltis, Heidi A Walsh
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引用次数: 0
Multiple Selves. The Story. 多个自我。这个故事。
Q4 Medicine Pub Date : 2025-01-01 DOI: 10.1353/nib.2025.a974069
Anya Ovcharenko
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引用次数: 0
When Autism and Psychosis Intersect with Domestic Violence and Therapy Harm. 当自闭症和精神病与家庭暴力和治疗伤害相交。
Q4 Medicine Pub Date : 2025-01-01 DOI: 10.1353/nib.2025.a974068
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引用次数: 0
Autistically Gendered. Autistically性别。
Q4 Medicine Pub Date : 2025-01-01 DOI: 10.1353/nib.2025.a974070
Betsy Selvam
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引用次数: 0
Navigating Ethical Crossroads in Pediatric Ophthalmology. 导航儿科眼科伦理十字路口。
Q4 Medicine Pub Date : 2025-01-01 DOI: 10.1353/nib.2025.a974067
Regina M Cooper

Baby J is a 10-month-old infant who presented at birth with bilateral opacification of the cornea and elevated eye pressure. She was diagnosed with a severe form of glaucoma due to a genetic mutation. Her condition can be managed with surgery and daily medications. However, studies on her specific condition report poor outcomes and frequent post-operative complications. Despite receiving the first-line surgeries, Baby J's pressure remained difficult to control, and her visual prognosis remained uncertain. The parents, who are both blind due to genetic causes, no longer wished to pursue surgical treatment due to their own adverse experiences, and the potential harm of pursuing surgery. Without further intervention, the visual pathways will fail to develop, and Baby J will become blind permanently. The physician, on the other hand, felt pursuing further surgery was a risk worth taking for the chance at achieving a better future for Baby J. This paper discusses Baby J's case and argues for the safeguarding of parental autonomy following a comprehensive analysis of the case details through the lens of prominent ethical frameworks including the Harm Principle, the Best Interest Standard, and Constrained Parental Autonomy.

婴儿J是一名10个月大的婴儿,出生时出现双侧角膜混浊和眼压升高。由于基因突变,她被诊断出患有严重的青光眼。她的病情可以通过手术和日常药物治疗来控制。然而,对其具体情况的研究报告结果不佳,术后并发症频繁。尽管接受了一线手术,婴儿J的血压仍然难以控制,视力预后仍不确定。这对父母都因遗传原因失明,由于他们自己的不良经历和手术的潜在危害,他们不再希望进行手术治疗。如果没有进一步的干预,视觉通路将无法发育,J宝宝将永久失明。另一方面,医生认为,为了让J宝宝有更好的未来,进行进一步的手术是值得冒险的。本文讨论了J宝宝的案例,并通过著名的伦理框架(包括伤害原则、最佳利益标准和受约束的父母自主权)对案例细节进行了全面分析,主张保护父母自主权。
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引用次数: 0
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Narrative inquiry in bioethics
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