- Ethics in medical practice
- Ethics and Legal Issues in Pediatric Healthcare
- Palliative Care and End-of-Life Issues
- Healthcare Decision-Making and Restraints
- Mental Health and Psychiatry
- Patient Dignity and Privacy
- Torture, Ethics, and Law
- Health and Conflict Studies
- Grief, Bereavement, and Mental Health
- Disaster Response and Management
- Psychotherapy Techniques and Applications
- Empathy and Medical Education
- Reproductive Health and Technologies
- Medical Malpractice and Liability Issues
- Dementia and Cognitive Impairment Research
- Ethics in Clinical Research
- Psychology of Moral and Emotional Judgment
- Child and Adolescent Health
- Patient-Provider Communication in Healthcare
- Sexual Differentiation and Disorders
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare cost, quality, practices
- Posttraumatic Stress Disorder Research
- War, Ethics, and Justification
- Psychopathy, Forensic Psychiatry, Sexual Offending
Uniformed Services University of the Health Sciences
2015-2024
United States University
2023
Unifor
2022
University of Health Sciences
2022
University of the Potomac
2019
Walter Reed National Military Medical Center
2017
National Center for Post Traumatic Stress Disorder
2011-2015
Mental Health Australia
2002
Oklahoma State University
1988
Columbus University
1987
AbstractIn this introduction I discuss several ethical issues pertaining to the question other authors raise regarding whether we should permit minors donate an organ-such as part of their liver or a kidney-to sibling. particularly limits what analysis can accomplish; overriding, disproportionate effects might appear be no more than minor nuances; exceptional expertise "ethics experts" and can't offer; how patients' family members' feelings may prevail over rational arguments; importance...
AbstractIn this issue Autumn Fiester and several other experts explore optimal ethical approaches to surrogate decision-making trauma-informed ethics consultation (TIEC). Trauma-informed care is currently recommended in many clinical contexts which the risks of patients being traumatized by their illness its treatment are present. This gives priority feeling safe, an asymptotic goal that prescribes no one standard practice for all patients, but individualized tailored each patient's...
Shared decision making (SDM) is the state of art for clinicians’ communication with patients and surrogate makers. SDM involves give take, in which all parties interact to maximize autonomy patients. In this article I summarize core steps explore ways use it benefit greatest extent. review three articles included issue The Journal Clinical Ethics that highlight additional approaches we can help parents see what may be their own or child’s best interest. describe how these used most other...
Treating the Troops On 2 August 1990, Iraq invaded Kuwait. Since it was then apparent that U.S. might engage in combat and use biological chemical weaponry, Department of Defense (DoD) explored all means by which servicepersons could be protected. Several compounds (the word compound will used to refer drugs vaccines throughout this paper) were believed highly safe efficacious. Yet since safety efficacy considered had not been tested on human subjects exposed weapontry, definition they...
I suggest that we may want to strive, over time, change our present professional-cultural view, from one sees an expression of moral distress as a threat, view welcomes these challenges. Such effort better medicine would not only include dissenting clinicians, but patients (and their loved ones) well.
The attack on the United States by terrorists 9/11 and war with Iraq have raised new ethical questions for military physicians (Herman 2002; Elshtain 2003). How when attacks may occur now is less predictable. Planes been hijacked, persons dressed as civilians carry bombs to blow themselves others up. These dangers pose an increased threat, and, thus, there a need defensive measures. far these measures should go is, however, greatly open debate. One of most difficult question doctors...
The Hemochromatosis and Iron Overload Screening (HEIRS) Study screened 101,168 participants recruited from primary-care clinics in Canada the United States. present study investigated differences psychological effects of genetic screening for hemochromatosis (HFE mutation analysis) each country. comprised a subset 2,654 individuals who donated blood HFE analysis. initial 1-month post-result questionnaires included measures General Health, Mental Health (SF-36), measure percentage experienced...
Psychedelic treatments, particularly 3,4-methylenedioxymethamphetamine (MDMA)-assisted and psilocybin-assisted therapies, have recently seen renewed interest in their clinical potential to treat various mental health conditions. Clinical trials for both MDMA-assisted therapies shown be highly efficacious post-traumatic stress disorder major depression. Recent research psychedelic-assisted (PAT) demonstrated that although they are resource-intensive, effects rapid-acting, durable...
Many patients have lasting disorders due, for example, to excessive and chronic childhood stress. For these patients, certain psychotherapeutic approaches may be maximally effective, this universally the case. This piece is intended give providers optimal tools reaching helping who, otherwise, remain among those worst off. These interventions should enhance patients’ trust, quintessential precondition enabling change. Specific discussed include anticipating ambiguity clarifying before...
The first class at USUHS took its initial course in medical ethics 1977. I directed this until recently when COVID emerged. In piece, review what these students were taught during the 3 of 8 sessions involving children, end-of-life care, and rersearch. This provides readers with information regarding some faculty brought to provide lectures, key points they emphasized. It also summarizes more subtle that it was hoped would gain use throughout their careers lifetimes.
This article reviews careproviders' most difficult emotional challenges during disasters and provides approaches for responding optimally to them. It describes key that careproviders may pursue best help patients others a catastrophe. raises unanswered questions regarding when, if ever, should provide active euthanasia who are incompetent, give their own food water or otherwise soon die without
Abstract This article presents and analyzes options military physicians face regarding whether or not to respect gay servicepersons' confidentiality. situation is considered be generic others that involve similar conflicts. Dilemmas arising before after the emergence of HIV‐related diseases are discussed. Recommendations psychiatrists' ethical obligations when conducting forensic exams compared with physicians' It suggested psychiatrists should violate confidentiality under some...