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Johnson, James A., Douglas E. Anderson, and Caren C. Rossow. Health Systems thinking: a primer. Burlington, MA: Jones & Bartlett Learning, 2020. 138 pp. ISBN 9781284167146 Johnson、James A.、Douglas E.Anderson和Caren C.Rossow。卫生系统思维:入门。马萨诸塞州伯灵顿:Jones&Bartlett Learning,2020。138页,ISBN 9781284167146
IF 1.4 3区 哲学 Q2 Nursing Pub Date : 2022-11-15 DOI: 10.1007/s11017-022-09600-4
J. Marcum
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引用次数: 0
S. Clarke, H. Zohny and J. Savulescu (eds), Rethinking Moral Status, Oxford: Oxford University Press, 2021, ISBN: 978-0-19-289407-6 S.Clarke、H.Zohny和J.Savulescu(编辑),《重新思考道德地位》,牛津:牛津大学出版社,2021年,ISBN:978-0-19-289407-6
IF 1.4 3区 哲学 Q2 Nursing Pub Date : 2022-08-10 DOI: 10.1007/s11017-022-09589-w
Jacopo Morelli
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引用次数: 0
A festschrift in memory of Robert M. Veatch. 纪念罗伯特·m·韦奇的盛宴。
IF 1.4 3区 哲学 Q2 Nursing Pub Date : 2022-08-01 DOI: 10.1007/s11017-022-09571-6
Lainie F Ross
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引用次数: 0
The evolution of research participant as partner: the seminal contributions of Bob Veatch. 研究参与者作为合作伙伴的演变:鲍勃·维奇的开创性贡献。
IF 1.4 3区 哲学 Q2 Nursing Pub Date : 2022-08-01 DOI: 10.1007/s11017-022-09579-y
Christine Grady

Well before patient-centered or patient-controlled research became trendy, and earlier than calls to preferentially refer to research subjects as participants, Bob Veatch wrote "The Patient as Partner" Veatch presciently argued that research patients should not be thought of as passive subjects nor material from which to obtain data, but rather as partners in discovery. In this manuscript, I will explore Veatch's conception of patient as partner in research and how that idea has evolved and been implemented over time and consider some of the remaining challenges. Complexities of patient partnership include: clarifying the types of research in which patient partnership is most appropriate, recognizing the various possible levels of patient engagement in each case, avoiding tokenism and striving for respectful partnership, and keeping in mind the appropriate implementation of protections and safeguards. Bob Veatch would be pleased with the progress that has been made in creating research partnerships with patients, while also undoubtedly pushing us to continue to do better.

早在以患者为中心或患者控制的研究成为潮流之前,早在优先将研究对象称为参与者的呼吁之前,鲍勃·韦奇(Bob Veatch)就撰写了《作为合作伙伴的患者》(The Patient as Partner)一书。韦奇很有先见之明地认为,研究患者不应被视为被动的研究对象,也不应被视为获取数据的材料,而应被视为发现的合作伙伴。在本文中,我将探讨威奇将患者作为研究伙伴的理念,以及这一理念是如何随着时间的推移而发展和实施的,并考虑一些仍然存在的挑战。患者伙伴关系的复杂性包括:澄清最适合患者伙伴关系的研究类型,认识到每种情况下患者参与的各种可能水平,避免表面现象并努力建立尊重的伙伴关系,并牢记适当实施保护和保障措施。Bob Veatch会对我们在与患者建立研究伙伴关系方面取得的进展感到高兴,同时也无疑会推动我们继续做得更好。
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引用次数: 2
The philosopher as partner: an introduction to the scholarship of Robert M. Veatch. 作为伙伴的哲学家:罗伯特·m·韦奇的学术介绍。
IF 1.4 3区 哲学 Q2 Nursing Pub Date : 2022-08-01 Epub Date: 2022-07-13 DOI: 10.1007/s11017-022-09572-5
Lainie Friedman Ross

A diverse group of scholars reflect on the scholarship of Robert M. Veatch, the breadth of which is unmatched in modern day bioethics. Essays were written by both philosophers and clinician-philosophers, by contemporaries and mentees. They span the breadth of Bob's work and include analyses of his ideas about death, dying and organ transplantation, human experimentation and research ethics, disability, equality and justice, the doctor-patient relationship, the history of bioethics, as well as his pedagogical approach to teaching bioethics to clinicians across the health care spectrum. Recognition of Bob's influence in the modern field of bioethics and the challenges that persist are clearly identified.

形形色色的学者对罗伯特·m·韦奇(Robert M. Veatch)的学术研究进行了反思,其广度在现代生物伦理学中是无与伦比的。论文的作者既有哲学家,也有临床哲学家,既有同时代的人,也有学生。这些书涵盖了鲍勃的工作范围,包括对他关于死亡、死亡和器官移植、人体实验和研究伦理、残疾、平等和正义、医患关系、生物伦理学历史的观点的分析,以及他向医疗保健领域的临床医生教授生物伦理学的教学方法。认识到鲍勃在现代生物伦理学领域的影响和持续存在的挑战是明确的。
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引用次数: 0
Robert Veatch's early career in bioethics, contributions to the field, and career at Georgetown University. 罗伯特·韦奇在生命伦理学方面的早期职业生涯,对该领域的贡献,以及在乔治城大学的职业生涯。
IF 1.4 3区 哲学 Q2 Nursing Pub Date : 2022-08-01 Epub Date: 2022-10-17 DOI: 10.1007/s11017-022-09573-4
Tom L Beauchamp

In this essay, I describe Bob Veatch's career from the perspective of a colleague and friend. Bob and I started our professional careers at the same time and quickly came into professional contact. With Bob's move from the Hastings Center to the Kennedy Institute, we became colleagues and worked for almost a decade on our book on death and dying. He was an outstanding co-editor and author. I believe he knew more about the philosophically connected issues in this area of bioethics than anyone publishing in the area, and it was an area of intellectual interest that he pursued throughout his career. Beyond bioethics, Bob and I shared our shared love of contemporary bluegrass music, especially the songs of The Seldom Scene. Bob studied them much as he studied bioethics-with deep knowledge and seriousness. He was just a scholar by nature and with excellent training and experience. If we were to create a Hall of Fame for bioethics, Bob might be the first person elected.

在这篇文章中,我从一个同事和朋友的角度来描述鲍勃·维奇的职业生涯。鲍勃和我同时开始了我们的职业生涯,很快就开始了职业接触。随着鲍勃从黑斯廷斯中心转到肯尼迪研究所,我们成为了同事,并为我们关于死亡和临终的书工作了近十年。他是一位杰出的联合编辑和作家。我相信他比任何在该领域发表文章的人都更了解生命伦理学领域的哲学相关问题,这也是他在整个职业生涯中所追求的一个知识领域。除了生物伦理学,鲍勃和我都喜欢当代蓝草音乐,尤其是the rarely Scene乐队的歌曲。鲍勃像研究生物伦理学一样研究它们——知识渊博,态度严肃。他只是一个天生的学者,受过良好的训练和经验。如果我们要创建一个生命伦理学名人堂,鲍勃可能是第一个当选的人。
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引用次数: 0
Robert Veatch's Disrupted Dialogue and its implications for bioethics. 罗伯特·韦奇的《中断的对话》及其对生命伦理学的启示。
IF 1.4 3区 哲学 Q2 Nursing Pub Date : 2022-08-01 Epub Date: 2022-07-18 DOI: 10.1007/s11017-022-09576-1
Laurence B McCullough

In his Disrupted Dialogue: Medical Ethics and the Collapse of Physician-Humanist Communication (1770-1980) Robert Veatch presents a scholarly tour de force of eighteenth- and nineteenth-century Anglophone medical ethics to demonstrate how the easy communication between physicians and humanists in the Scottish Enlightenment progressively dissipated as medicine became detached from humanistic disciplines. In this paper I offer two comments-that the discourse of medical ethics in the Scottish Enlightenment was a discourse of Baconian moral science and that nineteenth-century medical ethics in the United States became detached from that discourse. The result was that a principal resource for physicians at the birth of bioethics, the American Medical Association's Principles of Medicine Ethics of 1957, did not equip physicians with the conceptual tools they needed to formulate and address the ethical challenges that became the agenda of bioethics. The paper opens with a brief portrait of Robert Veatch, the author's connections to him, and his little-known role as an impresario of the classical music of the Blue Ridge and Appalachia.

在他的《中断的对话:医学伦理和医生-人文主义交流的崩溃》(1770-1980)中,Robert Veatch展示了18世纪和19世纪英语医学伦理的学术力作,以证明苏格兰启蒙运动时期医生和人文主义之间的轻松交流是如何随着医学与人文学科的分离而逐渐消失的。在这篇论文中,我提出了两点评论——苏格兰启蒙运动时期的医学伦理学论述是培根式道德科学的论述,而19世纪美国的医学伦理学则脱离了这种论述。结果是,在生命伦理学诞生时,医生的主要资源——1957年美国医学协会(American Medical Association)的《医学伦理学原则》(Principles of Medicine Ethics)——并没有为医生提供他们需要的概念工具,来制定和解决成为生命伦理学议程的伦理挑战。文章开篇简要介绍了罗伯特·韦奇,作者与他的关系,以及他作为蓝岭和阿巴拉契亚地区古典音乐经理的鲜为人知的角色。
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引用次数: 1
Case analysis in ethics instruction: bootlegging theory in a topical structure. 伦理教学中的个案分析:专题结构下的私酒理论。
IF 1.4 3区 哲学 Q2 Nursing Pub Date : 2022-08-01 Epub Date: 2022-09-12 DOI: 10.1007/s11017-022-09577-0
Amy Haddad

Robert Veatch was a notable and prolific author in a variety of areas in philosophy, health care practice, and policy. However, it is evident by the sheer number of case study in ethics books, eighteen editions of case collections in all, that this approach to teaching ethics in the health sciences was especially important to him. A few of these case study collections he wrote alone, but the majority were written with co-authors from nursing, dentistry, pharmacy, allied health, and medicine, drawing on their respective areas of disciplinary expertise and experience as educators. The aim of this article is to focus on the pedagogy and framework Veatch developed to expose students to the rudiments of philosophical ethics so they could understand the conflicts between values, principles, and ethical theories. Authentic clinical cases, he believed, were a useful way to engage students. Putting the two ideas together, Veatch argued the best method of structuring cases is "bootlegging theory in a topical structure" (Veatch, Robert M., Case analysis in ethics instruction. In: Amy Haddad (ed) Teaching and learning strategies in pharmacy ethics, Creighton University, Omaha, 85-97, 1992). Veatch's rationale for this carefully planned systematic arrangement between case topics and philosophical ethics content are presented. The influence and input of co-authors from different disciplines are explored regarding case development and commentary content. Finally, the impact of these interdisciplinary case study textbooks on ethics instruction in the health sciences is evaluated.

罗伯特·韦奇是一位著名的多产作家,在哲学、卫生保健实践和政策等各个领域都有著述。然而,从伦理学书籍中案例研究的数量(总共有18个版本的案例集)可以明显看出,这种在健康科学中教授伦理学的方法对他来说尤其重要。这些案例研究集中有一些是他独自撰写的,但大多数是与来自护理,牙科,药学,联合健康和医学的共同作者撰写的,利用了他们各自领域的学科专业知识和作为教育者的经验。这篇文章的目的是关注威奇开发的教学方法和框架,让学生接触到哲学伦理的基本原理,这样他们就能理解价值观、原则和伦理理论之间的冲突。他认为,真实的临床案例是吸引学生的有效途径。把这两个观点结合在一起,Veatch认为构建案例的最佳方法是“主题结构中的私酒理论”(Robert M. Veatch,伦理学教学中的案例分析)。见:Amy Haddad(编)《药学伦理的教学与学习策略》,Creighton University, Omaha, 85-97, 1992)。提出了威奇在案例主题和哲学伦理内容之间精心策划的系统安排的基本原理。在案例发展和评论内容方面,探讨了来自不同学科的合著者的影响和投入。最后,评估这些跨学科案例研究教科书对健康科学伦理教学的影响。
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引用次数: 1
'Experimental pregnancy' revisited. “实验性怀孕”重现。
IF 1.4 3区 哲学 Q2 Nursing Pub Date : 2022-08-01 Epub Date: 2022-07-20 DOI: 10.1007/s11017-022-09578-z
Anne Drapkin Lyerly

In this paper, I reflect on an important article by Bob Veatch in the inaugural issue of the Hastings Center Report, entitled "Experimental Pregnancy." It is a report and elegant analysis of the Goldzieher Study, in which nearly 400 women were randomized to receive hormonal contraception or placebo absent consent or disclosure about placebo use, resulting in several pregnancies. Noting the study's limited notoriety, I first consider the narratives that have instead dominated bioethics' approach to pregnancy and research: thalidomide and diethylstibesterol (DES). These narratives have facilitated a narrow focus on avoiding fetal risk, to the exclusion of other ethically relevant considerations. I then revisit "Experimental Pregnancy" and offer two ways in which Bob's analysis serves as an important corrective, first, by foregrounding research subjects (persons who are or may become pregnant), and second, by normalizing pregnancy and thus foregrounding foundational ethical considerations that are sometimes lost amidst pregnancy's presumed exceptionalism.

在本文中,我回顾了Bob Veatch在《黑斯廷斯中心报告》创刊号上发表的一篇重要文章,题为“实验性怀孕”。这是对Goldzieher研究的一份报告和优雅的分析,在该研究中,近400名妇女被随机分配接受激素避孕药或安慰剂,她们没有同意或透露使用安慰剂的情况,结果导致几次怀孕。注意到这项研究的知名度有限,我首先考虑的是在怀孕和研究的生物伦理学方法中占据主导地位的叙述:沙利度胺和二乙基斯蒂甾醇(DES)。这些叙述促进了对避免胎儿风险的狭隘关注,而排除了其他伦理相关的考虑。然后,我重新审视了“实验性怀孕”,并提供了鲍勃的分析作为重要纠正的两种方式,首先,通过突出研究对象(正在或可能怀孕的人),其次,通过使怀孕正常化,从而突出了在怀孕假定的例外论中有时会丢失的基本伦理考虑。
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引用次数: 1
Disability bioethics and the commitment to equality. 残疾生物伦理学和对平等的承诺。
IF 1.4 3区 哲学 Q2 Nursing Pub Date : 2022-08-01 Epub Date: 2022-08-20 DOI: 10.1007/s11017-022-09575-2
Laura Guidry-Grimes

Robert Veatch's The Foundations of Justice: Why the Retarded and the Rest of Us Have Claims to Equality (1986) delves into deep questions of justice through the case of a child with disabilities. I describe what is basically right about this vision, as well as what is problematic from the standpoint of contemporary disability bioethics. From there, I dive into the notion of vulnerability that is at play in his work. He describes disability as necessarily a condition of weakness, lesser-than existence, and neediness. When disability is viewed in this way as an inherently vulnerable state of being, the essential sociopolitical dimensions of disability receive inadequate attention, which, in turn, makes it impossible to identify injustices correctly. I connect these points to concrete challenges faced by disability communities during the COVID-19 pandemic, which have raised profound questions about the just use of scarce critical care resources. Any case drawn from the pandemic is a very different kind of case than that of the child in Veatch's book, but a commonality is the question of who should get what limited resources when needs and urgency vary.

罗伯特·维奇的《正义的基础:为什么智障和我们其他人都要求平等》(1986)通过一个残疾儿童的案例深入探讨了正义的问题。我描述了这种观点的基本正确之处,以及从当代残疾生物伦理学的角度来看存在的问题。从这里开始,我深入研究了他作品中所体现的脆弱的概念。他将残疾描述为软弱、不存在和需要的必然条件。当残疾以这种方式被视为一种固有的易受伤害的存在状态时,残疾的基本社会政治方面得不到足够的重视,这反过来又使人们不可能正确地识别不公正。我将这些观点与残疾人社区在2019冠状病毒病大流行期间面临的具体挑战联系起来,这些挑战对公正利用稀缺的重症监护资源提出了深刻的问题。从大流行中提取的任何病例都与韦奇书中儿童的病例非常不同,但一个共同点是,当需求和紧迫性有所不同时,谁应该获得哪些有限的资源。
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引用次数: 1
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Theoretical Medicine and Bioethics
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