You don't need to be signed in to read BMJ Group Blogs, but you can register here to receive updates about other BMJ Group products and services via our Group site.

JME

Physicians on Facebook

9 Sep, 09 | by Iain Brassington

There’s a short piece in the latest JME about the use of social networking sites by medics that’s got me thinking.  In it, Guseh, Brendel and Brendel suggest that physicians need to be especially careful about accepting, say, a Facebook friend request from patients because of the nature of social networking sites and the possibility that normal privacy rules may be violated.  (For the rest of this post, I’ll talk mainly about Facebook, but that’s just for convenience.  The points will stand in relation to any social networking site.)

I can see something of the motivation for the worry here, but I’m not sure I share it.  The reason for this is that I have yet to be convinced that the online world presents us with any new problems: all it does is re-manifest old ones.  For that reason, there’s nothing about which we need to get all that excited.  Nor is there anything special about physicians, as opposed to anyone else, on FB.

Let’s start with the first area of dispute: is there anything special about online social networking?  more…

How should we regulate research?

22 Dec, 08 | by David Hunter

The BMJ is having it’s once yearly wrangle about the regulation of research in the UK: It’s time to change how Europe regulates research

Many of the suggestions made and complaints are to some degree valid, the present system is cumbersome (though I think moving in the right direction in many ways such as the introduction the Intergrated Research Application System (IRAS)). Efficiency could be increased without a significant loss to the quality of scrutiny.

However two counter points deserve to be made:

more…

Hurrah… The Complete JME back archive now available online

7 Nov, 08 | by Søren Holm

The complete JME back archive is now available online. You can now get all the important articles from the first issue in 1975 and onwards, to there is now no excuse for not citing that important articles from 1975 just because it requires a walk to the library!

And the language of bioethics is… ?

27 Oct, 08 | by Søren Holm

Going to conferences can often be a frustrating experience. Going may be good for refreshing your academic network but there is rarely any deep discussion of the topics on the agenda and many of the presentations are to be blunt rather boring.

I therefore count myself very lucky to have attended 3 interesting conferences within the last month. At all three events the participants actually conferred. There was sustained and constructive discussion and you felt that you had actually learned something by being there.

I won’t bore you with an account of all three conferences so the Workshop arranged by the EUROBESE project in Ghent and the conference on research ethics arranged by COBRA (wonderful acronym for an ethics centre!) at the University of Galway will only get honourable mention.

The reason for focusing on the third conference is that it linked closely with a problem affecting many medical ethics journals including the Journal of Medical Ethics, that is the question of language.

The conference was organised by the German Academy for Ethics in Medicine and its Swiss counterpart and the target population were early career German and Swiss bioethics academics. Its purpose was to enable these young academics to explore issues around publication in bioethics journals especially how you get your first publications in an international journal.

I had been invited to give one of four workshops on publication as a non-native speaker who is the editor of a reasonably prestigious English language bioethics journal and had been sent a list of questions that these young academics wanted answers to. Many of them were standard for such events, e.g. “How does the review process work?”, “Should you contact the editor before submitting?” and so on, but there were also some more specific questions about the importance of language that led me to reflect on the hegemony of English as the language of publication in the international bioethics field.

I looked through the JME’s own publication statistics and was reasonably content that we publish papers from all over the world and from many non-English speaking countries and authors. It was also evident from referee reports and editorial decisions that a paper with a good and interesting argument does not need to be written in perfect English to be accepted. As long as the English is good enough to communicate the argument effectively most referees (and all of the editors of the JME) will not insist on idiomatic and perfectly grammatical writing.

But I became aware of another language related problem that I had never really thought about before, probably because the academic bioethics literature in my own native Danish is fairly limited. In some languages there is a large and theoretically sophisticated bioethics literature and academics working within that language community naturally relate to that literature and reference it in their work. But to most Anglo-American academics and referees these discussions and the literature that is referenced are at best unknown and at worst misinterpreted as bad referencing practice. In any field a set of references become established as the classical references for certain ideas, e.g. in English language bioethics Parfit’s “Reasons and Persons” for the discussion of personal identity or Glover/Lockwood/Harris/Singer (take your pick) for the discussion of personhood as the basis for full moral status. Referees look for these references and when they do not find them they may suspect that the author is either ignorant of the literature of has some hidden agenda. But in many cases these inferences are fallacious because there is only a partial overlap between the literature as seen by the author and the literature as seen by the referee. In many cases it is actually the English language reader and referee who is the one who is ignorant of the literature. The author of the paper may well know the English language literature well in addition to his or her native language literature(s).

Is this a problem we can solve? We can clearly discuss it and thereby raise the awareness that there is a problem. But to really solve it we would have to convince our Anglo-American colleagues that there is a worthwhile non-English language bioethics literature and that it is actually possible to think interesting thoughts in other languages than English. That might be rather difficult. Like all hegemonies the hegemony of the English language serves those with power, in this case linguistic power well and they may not be willing to give it up.

The ethics of abortion - De ja vue or necessary debate?

3 Oct, 08 | by Søren Holm

This summer I realised with some horror that it was 20 years ago I first presented a paper at an international medical ethics conference while still being a medical student. That paper was on who should control the fate of aborted foetuses and the paper I gave the year after at the same conference was on whether “spare embryo” is a fixed category with moral importance. Both issues are still discussed in the literature and I just finished reading an excellent Danish PhD thesis discussing the current legal importance of these questions (1).

But would it not be better if we could finish with some issues one and for all and reach some kind of resolution?

In the current issue of the JME Carson Strong revisits an even older question in medical ethics – the question of the moral assessment of abortion. In his paper ‘A Critique of “The Best Secular Argument against Abortion”’ he analyses Don Marquis’ famous argument that what is wrong about killing adults is that it deprives them of a future like ours, and that since killing a foetus also deprives it of a future like ours abortion is a kind of wrongful killing.

The “future like ours” argument has already been extensively discussed in the literature and it would have been tempting to believe that everything that could be said about this argument had already been said, but Carson Strong has managed to find new and interesting problems in the argument.

Why should this be of any interest? Hasn’t the abortion issue been decisively settled? Well, the US Presidential election campaign shows that there is at least one major world power in which the issue has not been settled and current European debates concerning abortion tourism shows the problems that can arise if different jurisdictions regulate abortions in very different ways.

It is simply not the case that there is agreement about abortion or about the merit of the various arguments in the abortion debate.

Strong’s paper shows how an incisive critique can be combined with academic courtesy and is a model of how the abortion debate can be taken forward.

Go read! http://jme.bmj.com/cgi/content/full/34/10/727

1. Herrmann JR. Retsbeskyttelsen af fostre og befrugtede æg - Om håndteringen af retlige hybrider. København: Jurist- og Økonomforbundets Forlag, 2008

2. Marquis D. Why abortion is immoral. J Philos 1989;86:183-202.

Hot on the newsstands…

1 Oct, 08 | by Iain Brassington

The latest JME is out today… and I’d just like to draw everyone’s attention to the paper on facial allograft transplantation by Ben White and some random bloke who needs a haircut.  This isn’t because I had anything to do with it, but because (a) it’s very good, and (b) it’s based on Ben’s dissertation from his intercalated degree with us here at Manchester.  To go from a standing start as an ethicist to a publishable paper in a little over 9 months is impressive indeed.

 

He’s not the first Manchester intercalater to trouble the pages of the journal; I hope he’s not the last.

 

CLARIFICATION: As Sorn points out in the comments, this paper was in the JME tubes long before the blog got going.  And I think it’s teriffic for ANY student to be subitting papers and having them accepted.  No favouritism here.

JME blog homepage

Journal of Medical Ethics

Analysis and discussion of developments in the medical ethics field. Visit site

Latest from JME

Latest from JME

Blogs linking here

Blogs linking here