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Οι νευροεπιστήμες στις ψυχιατρικές πραγματογνωμοσύνες: ευρήματα από ομάδες εστίασης
IF 0.4 4区 哲学 Pub Date : 2019-07-15 DOI: 10.12681/BIOETH.20835
Γεωργία-Μάρθα Γκότση
Neuroscience is a rapidly growing scientific field, whose recent findings gain major interest in the field of criminal law and forensic psychiatry. Neuroscientific evidence is increasingly being used in criminal trials as part of psychiatric testimony, particularly in the US, but also in Europe.This article presents the findings of an empirical study with focus groups involving judges, lawyers, psychiatrists and neurologists, aiming to examine through a focus group interaction process, the use of neuroscientific data in psychiatric testimony from the perspective of all the actors involved in the criminal proceedings. In particular, the study aims to examine the way that neuroscientific evidence would likely be used by lawyers, the way that this evidence is perceived and interpreted by judges, as well as the opinion of psychiatrists - experts and neuroscientists concerning the usefulness, effectiveness and limitations of neurosciences’ use in criminal courts, especially in relation with the assessment of guilt and the assessment of the recidivism risk posed by an offender.
神经科学是一个快速发展的科学领域,其最近的发现引起了刑法和法医精神病学领域的重大兴趣。神经科学证据越来越多地被用于刑事审判,作为精神病学证词的一部分,尤其是在美国,但在欧洲也是如此。本文介绍了一项涉及法官、律师、精神病学家和神经学家的焦点小组实证研究的结果,旨在通过焦点小组互动过程,从刑事诉讼中涉及的所有行为者的角度审视精神病学证词中神经科学数据的使用。特别是,这项研究旨在检查律师可能使用神经科学证据的方式,法官对这些证据的感知和解释方式,以及精神科专家和神经科学家对神经科学在刑事法庭上使用的有用性、有效性和局限性的看法,特别是与犯罪评估和罪犯构成的累犯风险评估有关。
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引用次数: 0
Η βιοηθική στην εκπαίδευση
IF 0.4 4区 哲学 Pub Date : 2019-07-15 DOI: 10.12681/bioeth.20833
Αλεξάνδρα Γλυκοφρύδη (Alexandra Glykofridi), Μαρία Ζαπουνίδου (Maria Zapounidou)
During recent years, bioethics have become increasingly important as it has become clear that citizens of all ages will be called upon to take ethical decisions about the use of science and technology at some stage of their lives. Research shows that there is a global agreement on the need to teach more of these ethical and social issues related to science and technology at all levels of education.This article attempts to investigate the importance and role of bioethics in secondary and undergraduate university education. Examples of primary and secondary education curricula, their goals and their contribution to improving students' understanding of the different aspects of bioethics are presented. Then, it is attempted to review the situation of bioethics in universities curricula. The article analyzes the different philosophies of approaching bioethical education, its relation with human rights and compares the advantages and disadvantages of the teaching strategies of integration and specialization.In conclusion, it seems that bioethics is worthwhile being joined together with other disciplines and integrated into a wider framework of effective and informed decision-making skills, whether the person is a health professional or a modern citizen.
近年来,生物伦理学变得越来越重要,因为很明显,所有年龄段的公民都将被要求在他们生命的某个阶段对科学技术的使用做出伦理决定。研究表明,全球一致认为,需要在各级教育中教授更多与科学技术有关的这些伦理和社会问题。本文试图探讨生命伦理学在高校中本科教育中的重要性和作用。中小学教育课程的例子,他们的目标和他们对提高学生对生物伦理学不同方面的理解的贡献。在此基础上,对生物伦理学在大学课程中的现状进行了回顾。本文分析了不同的生命伦理教育理念及其与人权的关系,比较了一体化与专业化教学策略的利弊。总之,生物伦理学似乎值得与其他学科结合起来,并纳入有效和知情决策技能的更广泛框架,无论这个人是卫生专业人员还是现代公民。
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引用次数: 0
Ευθανασία: Πρακτικές που εφαρμόζουν οι χώρες της Ευρωπαϊκής Ένωσης
IF 0.4 4区 哲学 Pub Date : 2019-07-15 DOI: 10.12681/bioeth.20837
Αλεξάνδρα Κοζαμάνη (Alexandra Kozamani)
Euthanasia is one of the issues that bioethics deals with, which is one of the outmost importance. Furthermore it is very up-to-date. In Greece and in most countries of the European Union euthanasia has not been subject to specialized legislation. It is only occasionally debated, resulting in tension and conflict. On one hand, people have the right to self determination, so the end of life should be among them. On the other hand, life is considered to be of the highest value and it is the duty of healthcare personnel to guard and preserve it by any means, using their expertise and knowledge.In this paper, a brief report is made to the practices used across countries in the European Union regarding the end of life. Most countries are opposed to euthanasia while acknowledging the right of a patient to refuse or receive treatment. Only three countries have passed bills that legalize euthanasia under strict conditions. The rest, due to sensitivity in this matter, have not yet proceeded in reforming their laws accordingly. It seems that society does not have the necessary reassurances so that they can engulf that issue guarding the true will of a person.
安乐死是生命伦理学研究的问题之一,也是最重要的问题之一。此外,它是非常最新的。在希腊和大多数欧盟国家,安乐死并没有受到专门立法的约束。它只是偶尔辩论,导致紧张和冲突。一方面,人们有自决的权利,所以生命的终结应该是其中之一。另一方面,生命被认为具有最高价值,保健人员有责任利用其专长和知识,以任何方式保护和保护生命。在本文中,简要报告了欧盟各国关于生命终结的做法。大多数国家都反对安乐死,同时承认病人有拒绝或接受治疗的权利。只有三个国家通过了在严格条件下使安乐死合法化的法案。其余的国家由于在这个问题上的敏感性,尚未着手相应地改革它们的法律。社会似乎没有必要的保证,使他们能够掩盖这个问题,保护一个人的真正意志。
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引用次数: 0
«Υγρός βιολογικός χρυσός»: Κριτικές προσεγγίσεις των τραπεζών ομφαλοπλακουντιακού αίματος από το πεδίο «Επιστήμη, Τεχνολογία, Κοινωνία»
IF 0.4 4区 哲学 Pub Date : 2019-07-15 DOI: 10.12681/bioeth.20834
Κωνσταντίνος Μορφάκης (Constantinos Morfakis), Κατερίνα Βλαντώνη (Katerina Vlantoni)
Στην παρούσα eργασία παρουσιάζουμe τους τρόπους μe τους οποίους συνδέονται μe θeσμούς οι πρακτικές που ακολουθούν οι τράπeζeς ομφαλοπλακουντιακού αίματος (ΟπΑ). Οι διάφορeς μέθοδοι διαχeίρισης του ΟπΑ σχeτίζονται μe την καθιέρωση της λeιτουργίας τραπeζών ΟπΑ δημόσιου και ιδιωτικού χαρακτήρα. Οι δημόσιeς και οι ιδιωτικές τράπeζeς ΟπΑ συνδέονται μe διαφορeτικές κοινωνικές συνδηλώσeις. Οι δημόσιeς τράπeζeς αντιστοιχούν στις αρχές της αναδιανeμητικής οικονομίας, eνώ οι ιδιωτικές τράπeζeς στην οικονομία της αγοράς. Από την άλλη, οι πρακτικές λeιτουργίας των τραπeζών, όπως έχουν αναδeίξeι μeλέτeς από το διeπιστημονικό πeδίο σπουδών ‘Eπιστήμη, Τeχνολογία, Κοινωνία’, καθιστούν λιγότeρη άκαμπτη τη διάκριση μeταξύ δημόσιων και ιδιωτικών τραπeζών. Δίνοντας έμφαση στην κινητικότητα των κυττάρων ΟπΑ σe ένα eυρύ δίκτυο υποδομών και οργανισμών που αφορά στην αξιοποίησή τους, eπιχeιρούμe να δeίξουμe τους παράγοντeς που σχeτικοποιούν τη διάκριση μeταξύ δημόσιων και ιδιωτικών θeσμών αποθήκeυσης του ΟπΑ.
在本文中,我们提出的方式脐带血银行的做法相互关系的机构形式脐带血银行。脐带血利用模式的不同,与公共银行和私人银行的建立有关。公共银行和私人银行具有不同的社会意义。公办银行与再分配经济原则相联系,民营银行与市场经济原则相联系。正如跨学科领域“科学、技术、社会”的研究所证明的那样,脐带血银行的做法使公共和私人银行之间的区别不那么严格。通过关注脐带血细胞在广泛的基础设施网络和围绕其利用的组织中的流动性,我们打算显示在脐带血银行的两种模式中,公私性质的二元对立和对立考虑是有问题的因素。
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引用次数: 0
General Data Protection Regulation and Horizon 2020 Ethics Review Process: Ethics Compliance under GDPR 通用数据保护条例和地平线2020道德审查过程:GDPR下的道德合规
IF 0.4 4区 哲学 Pub Date : 2019-07-15 DOI: 10.12681/BIOETH.20832
Albena Kuyumdzhieva
The present manuscript examines the new ethics data protection requirements introduced for the research projects funded by the European Programme Horizon 2020.Initially, reference is made to the basic data protection principles introduced by the General Data Protection Regulation (GDPR) and the derogations permitted in the research field in favor of the science advancement. Although these derogations are subject to a number of safeguards to protect personal data, new ethics requirements are introduced for research projects funded by the European Programme Horizon 2020. The aim of these safeguards is the increased transparency and accountability at the data processing and the consequent enhanced protection of the individuals’ rights. These requirements are geared to the main research ethics postulate, which requires free, voluntary and informed participation of the research subject.Under these new requirements, Horizon 2020 beneficiaries/applicants must comply with a set of predefined standards, reflecting their ethical and legal obligations, provide a detailed and precise description of the technical and organisational measures that will be implemented in order to safeguard the rights of the research participants and also demonstrate their observance. In addition, depending on the type of the data being processed and the data processing techniques, the H2020 applicants/beneficiaries may need to provide a number of additional documents/explanations and implement further measures.
目前的手稿审查了由欧洲计划地平线2020资助的研究项目引入的新的伦理数据保护要求。最初,参考了通用数据保护条例(GDPR)引入的基本数据保护原则,以及为了科学进步而允许在研究领域进行的克减。尽管这些减损受到一些保护个人数据的保障措施的约束,但欧洲计划地平线2020资助的研究项目引入了新的道德要求。这些保障措施的目的是提高数据处理的透明度和问责制,从而加强对个人权利的保护。这些要求与主要的研究伦理假设相一致,即要求研究对象自由、自愿和知情地参与。在这些新要求下,Horizon 2020的受益人/申请人必须遵守一套预定义的标准,反映他们的道德和法律义务,提供详细和准确的技术和组织措施的描述,这些措施将被实施,以保护研究参与者的权利,并证明他们遵守了这些标准。此外,根据正在处理的数据类型和数据处理技术,H2020申请人/受益人可能需要提供一些额外的文件/解释并实施进一步的措施。
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引用次数: 2
The question of the prohibition of prostitution in Europe: A comparative overview of the Nordic and the German- Dutch model and the inconsistencies of the Greek Legislation 欧洲禁止卖淫问题:北欧模式和德国-荷兰模式的比较概览以及希腊立法的不一致之处
IF 0.4 4区 哲学 Pub Date : 2019-07-15 DOI: 10.12681/BIOETH.20836
Αριάδνη Πολυχρονίου
This article attempts to analyze and compare the two most influential systems that regulate prostitution in Europe: the Nordic model that is based on the total prohibition of prostitution and on the penalization of the purchase of sexual services and the German-Dutch model that introduces the normalization of prostitution via the legalization of the activity in question and the imposition of State controls and regulations.Furthermore, the article will focus on the policy of the European Union as well as on the Greek legislation regarding the confrontation of the phenomenon of prostitution. As far as the latter is concerned, the inconsistencies of the current legal framework and its applicability problems will be highlighted and the first efforts aiming at an alternative regulation of prostitution will be described.
本文试图分析和比较欧洲管制卖淫的两种最具影响力的制度:北欧模式以全面禁止卖淫和惩罚购买性服务为基础;德国-荷兰模式通过使有关活动合法化和实行国家管制和条例使卖淫正常化。此外,这篇文章将集中讨论欧洲联盟的政策以及希腊关于对付卖淫现象的立法。就后者而言,将强调目前法律框架的不一致之处及其适用性问题,并将说明旨在对卖淫实行另一种管制的初步努力。
{"title":"The question of the prohibition of prostitution in Europe: A comparative overview of the Nordic and the German- Dutch model and the inconsistencies of the Greek Legislation","authors":"Αριάδνη Πολυχρονίου","doi":"10.12681/BIOETH.20836","DOIUrl":"https://doi.org/10.12681/BIOETH.20836","url":null,"abstract":"This article attempts to analyze and compare the two most influential systems that regulate prostitution in Europe: the Nordic model that is based on the total prohibition of prostitution and on the penalization of the purchase of sexual services and the German-Dutch model that introduces the normalization of prostitution via the legalization of the activity in question and the imposition of State controls and regulations.Furthermore, the article will focus on the policy of the European Union as well as on the Greek legislation regarding the confrontation of the phenomenon of prostitution. As far as the latter is concerned, the inconsistencies of the current legal framework and its applicability problems will be highlighted and the first efforts aiming at an alternative regulation of prostitution will be described.","PeriodicalId":49112,"journal":{"name":"Acta Bioethica","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2019-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90302406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The two-fold significance of Research Ethics Committees (RECs): ensuring ethical research but also providing indirect ethics training of researchers 研究伦理委员会的双重意义:保证伦理研究的开展,同时也为研究人员提供间接的伦理培训
IF 0.4 4区 哲学 Pub Date : 2019-07-15 DOI: 10.12681/BIOETH.20831
Βασιλική Μολλάκη (Vasiliki Mollaki)
.
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引用次数: 0
Προγενέστερες οδηγίες και το θέμα της προσωπικής ταυτότητας
IF 0.4 4区 哲学 Pub Date : 2018-12-22 DOI: 10.12681/BIOETH.19688
Γεώργιος Μπούτλας, Στέλιος Βιρβιδάκης
Advance directives (ADs) are directives that a competent person gives in advance, for her treatment in case she is characterized (legally or by medical evaluation) incompetent for rational decision making that can guide action. ADs may be demands for active or passive euthanasia, raising legal and moral issues concerning their acceptance.In bioethics, although the view supporting the decisive authority of ADs, without any presuppositions, as expressions of self determination and of “critical interests”, remains dominant, there are strong philosophical objections to their unconditional acceptance. There are two opposed views on this issue: a) The so called extension view that supports the moral authority of ADs. b) The moral authority objection view that questions the moral acceptance of ADs, focusing on the continuity of personal identity (PI) and on the existence of experiential interests. In this paper we attempt to criticize the dominant bioethical view about the moral justification of ADs based on the extension view, dwelling mainly on cases of “happy demented” patients, who have strong experiential interests that can conflict with the “extended” critical interests.We thus examine first the more influential PI theories in bioethical discourse. These are the biological, the anthropological, the narrative and the psychological theories. Both psychological and narrative conceptions of PI adopt experiential data that are subject to relativistic evaluations and can lead to limitations of, and exceptions from, the concept of personhood. They both demand a thick first person identification of PI, which is then established as personal identity, supposedly grounding the authority of ADs. Despite their dominant position in bioethics, insofar as they lend support to the extension view, they face several objections.We try to defend the moral authority objection regarding ADs, by adopting a Kantian transcendental account of PI, which provides a rigid kernel that grounds a conception of human dignity as independent from any experiential assessment of abilities. This conception of human dignity also includes patients incompetent to express their will, and is endangered by the unconditional acceptance of ADs. We also investigate a possible moral justification of ADs in Kantian ethics which appeals to Kant’s positions on suicide.
预先指示(ad)是指如果她(在法律上或根据医学评估)被定性为无法做出可以指导行动的理性决策时,有能力的人事先作出的治疗指示。广告可能是主动或被动安乐死的要求,引起有关其接受的法律和道德问题。在生命伦理学中,尽管支持ADs的决定性权威的观点,没有任何预设,作为自我决定和“关键利益”的表达,仍然占主导地位,但对它们的无条件接受存在强烈的哲学异议。在这个问题上有两种对立的观点:a)支持ADs道德权威的所谓延伸观点。b)道德权威反对观点,质疑ADs的道德接受性,关注个人同一性(PI)的连续性和经验利益的存在。在本文中,我们试图批判基于扩展观点的关于ad道德正当性的主流生物伦理学观点,主要关注“快乐痴呆”患者的案例,这些患者具有强烈的经验利益,可能与“扩展”的关键利益相冲突。因此,我们首先考察生命伦理学话语中更有影响力的PI理论。这些是生物学理论,人类学理论,叙事理论和心理学理论。个人身份的心理和叙事概念都采用经验数据,这些数据受到相对论性评估的影响,可能导致人格概念的限制和例外。他们都要求PI有一个厚实的第一人称身份,然后将其建立为个人身份,据说这是ad权威的基础。尽管它们在生物伦理学中占据主导地位,但就它们支持延伸观点而言,它们面临着一些反对意见。我们试图通过采用康德对个人身份的先验解释来捍卫关于个人身份的道德权威反对意见,该解释提供了一个严格的核心,该核心将人类尊严的概念独立于任何对能力的经验评估。这种人类尊严的概念也包括没有能力表达自己意志的病人,并因无条件接受ad而受到威胁。我们还研究了康德伦理学中ad的可能道德正当性,这诉诸于康德关于自杀的立场。
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引用次数: 0
Φαρμακογονιδιωματική: Ηθικά διλήμματα
IF 0.4 4区 哲学 Pub Date : 2018-12-22 DOI: 10.12681/BIOETH.19691
Θωμάς Κορδόνης
In the present article I will depict some of the emerging controversies that are expected to be of serious concern in the developing field of pharmacogenomics. Pharmacogenomics is the branch of genetics concerned with determining the likely response of an individual to therapeutic medications. The first upcoming issue is the voluntary agreement of the patients, concerning the research of their genome, that is also reflected in their relatives, as well as in their wider social group (s). Secondly, the great financial costs of pharmacogeonomic therapies is most likely to lead to new social inequalities or upsurge the existing ones in commodity of health. Furthermore, this will possibly lead to more group minorities, based on the rarity of some alleles among individuals and their following response to the applied medication. As for cognitive functions, pharmacogenomics seems to be a great challenge for the enhancement of both cognitive dysregulation in patients and intellectual ability in healthy individuals. Consequently, this will lead to an unbridgeable gap between the users and nonusers of newer medications regarding their intellectual abilities, that are unachievable by normal training of physical abilities. Last but not least, l will refer to whether or not genetic data regard strictly confidential personal data, not allowed to be published, despite of possible social benefit and to what extent their carrier has the right of ignoring it.
在本文中,我将描述一些正在出现的争议,这些争议预计将在药物基因组学的发展领域引起严重关注。药物基因组学是遗传学的一个分支,研究个体对治疗性药物的可能反应。即将面临的第一个问题是患者自愿同意对其基因组进行研究,这也反映在他们的亲属以及更广泛的社会群体中。其次,药物基因组疗法的巨大财务成本最有可能导致新的社会不平等或加剧现有的健康商品不平等。此外,基于个体中某些等位基因的稀缺性以及他们对应用药物的后续反应,这可能会导致更多的少数群体。在认知功能方面,药物基因组学似乎是一个巨大的挑战,既可以改善患者的认知失调,也可以改善健康个体的智力。因此,这将导致使用者和非使用者之间在智力能力方面存在不可逾越的差距,这是通过正常的身体能力训练无法达到的。最后但并非最不重要的是,我将提及基因数据是否被视为严格保密的个人数据,不允许公布,尽管可能带来社会效益,以及它们的载体在多大程度上有权忽略它。
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引用次数: 0
Το εννοιολογικό πλαίσιο των βιοηθικών προβλημάτων: ένας ενδεικτικός σχολιασμός
IF 0.4 4区 哲学 Pub Date : 2018-12-22 DOI: 10.12681/bioeth.19689
Μαρία Χωριανοπούλου
The aim of this study is to briefly examine and critically evaluate certain philosophical approaches of the utmost importance on the concepts of human dignity and autonomy. Since these notions are systematically invoked in the context of the current bioethical debates, it is imperative that their exact content be clarified. Thus, aspects of the human dignity are traced back to the stoic, Christian, Kantian, and post-Kantian tradition, while on the other hand two major conceptions of autonomy are analysed (autonomy conceived as self-determination and as self-restriction) along with their respective bioethical implications. Human dignity and autonomy being related to extremely divergent meanings, it follows that conceptual clarity is an indispensable prerequisite for conducting fruitful bioethical discussions
本研究的目的是简要地考察和批判性地评价关于人类尊严和自治概念的某些最重要的哲学方法。由于这些概念在当前的生物伦理辩论中被系统地引用,因此必须澄清它们的确切内容。因此,人类尊严的各个方面可以追溯到斯多葛派、基督教、康德主义和后康德主义传统,而另一方面,我们分析了两个主要的自治概念(自治被认为是自决和自我限制)以及它们各自的生物伦理含义。由于人的尊严和自主的意义极为不同,因此,概念的明确是进行富有成果的生物伦理讨论必不可少的先决条件
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引用次数: 0
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Acta Bioethica
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