The speculation about Donald Trump’s mental health that was doing the rounds earlier in the year seems to have died down a bit. That’s to be expected; like it or not, his Presidency is now part of normal life. But I’ve been lagging in my blogging here, and so it’s only now that I’ve got […]
Category: clinical ethics
Family Presence During Resuscitation: Extending Ethical Norms from Pediatrics to Adults
Guest Post: Christine Vincent and Zohar Lederman Paper: Family presence during resuscitation: extending ethical norms from paediatrics to adults Family Presence During Resuscitation is an important ethical issue for discussion within the medical community. Currently, family presence is more commonly accepted in paediatric cardiopulmonary resuscitation (CPR) than adult CPR. However, we argue that this fact is not morally […]
Aid-in-Dying Laws and the Physician’s Duty to Inform
Guest Post: Mara Buchbinder Paper: Aid-in-dying laws and the physician’s duty to inform Why do so many people assume that any clinical communication about aid-in-dying (AID, also known as assisted suicide), where it is legal, ought to be patient-initiated? Physician participants in my ongoing study tend to assume that physicians should wait for patients to initiate […]
Harm: Could It Sometimes Be a Good Thing?
Guest Post: Patrick Sullivan Response: Hanna Pickard and Steve Pearce, Balancing costs and benefits: a clinical perspective does not support a harm minimization approach for self-injury outside of community settings BBC news recently reported on the approval of plans for facilities to support self-injection rooms to allow drug users to inject safely under supervision in Glasgow. […]
Balancing Costs and Benefits: A Clinical Perspective Does not Support a Harm Minimization Approach for Self-injury Outside of Community Settings
Guest Post: Hanna Pickard and Steve Pearce Responding to: Harm may sometimes be a good thing? Patrick Sullivan Sullivan’s emphasis on the importance of supporting autonomy and independence among vulnerable people who self-injure is fundamental to good clinical practice. This is why some forms of harm minimization, such as encouraging reflection, responsibility, safe cutting and where appropriate […]
Bridging the Education-action Gap: A Near-peer Case-based Undergraduate Ethics Teaching Programme
Guest Post: Dr Selena Knight and Dr Wing May Kong Paper: Bridging the education-action gap – a near-peer case-based undergraduate ethics teaching programme Medical ethics and law is a compulsory part of the UK undergraduate medical school curriculum. By the time they qualify, new junior doctors will have been exposed to ethics teaching in lectures and […]
Professional Codes and Diagnosis at a Distance
This is the second part of my response to Trish Greenhalgh’s post on the propriety of medics, psychiatrists in particular, offering diagnoses of Donald Trump’s mental health. In the last post, I concentrated on some of the problems associated with making such a diagnosis (or, on reflection, what might be better called a “quasi-diagnosis”). In […]
Diagnosing Trump
It doesn’t take too much time on the internet to find people talking with some measure of incredulity about Donald Trump. Some of this talk takes the tone of horrified fascination; some of it is mocking (and is accompanied by correspondingly mocking images); and some people are wondering aloud about his mental health. In this […]
Chappell on Midwives and Regulation
Richard Yetter Chappell has drawn my attention to this – a blog post in which he bemoans the Nursing and Midwifery Council’s rules about indemnity insurance, and the effects that they’ll have on independent midwives. (I’d never heard of independent midwives – but an IM – according to Independent Midwives UK – is “a fully […]
The Importance of Disambiguating Questions about Consent and Refusal
Guest Post: Rob Lawlor Re: Cake or death? Ending confusions about asymmetries between consent and refusal Imagine you have an adolescent patient who is in need of life saving treatment. You offer him the treatment, assuming that he would consent, but he refuses. As he is not yet a competent adult, you decide to treat […]