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Full-Text Articles in Arts and Humanities
A Critical Examination Of Informed Consent Approaches In Pragmatic Cluster-Randomized Trials, Cory E. Goldstein
A Critical Examination Of Informed Consent Approaches In Pragmatic Cluster-Randomized Trials, Cory E. Goldstein
Electronic Thesis and Dissertation Repository
This thesis addresses the tension in pragmatic cluster-randomized trials between their social value and the requirement to respect the autonomy of research participants. Pragmatic trials are designed to evaluate the effectiveness of treatments in real-world settings to inform clinical decision-making and promote cost-efficient care. These trials are often embedded into clinical settings and ideally include all patients who would receive the treatments under investigation as a part of routine care. Trialists increasingly adopt cluster-randomized designs—in which intact groups, such as hospitals or clinics, are allocated randomly to study interventions—to simplify the inclusion of all patients. But including all-comers conflicts with …
Spirituality And Autonomous Religion In Southern Ontario: A Sociological And Theological Study, Christopher J. Medland
Spirituality And Autonomous Religion In Southern Ontario: A Sociological And Theological Study, Christopher J. Medland
Electronic Thesis and Dissertation Repository
This thesis analyzes non-institutional forms of religion in Southern Ontario with depth and description, via interviews of a specific local population sample (n = 10), and provides interpretation of these phenomena within a practical theological perspective (via typology). This analysis shows measurable potential for the development of a form of personal theological autonomy that is prevalent in this sample of individuals. The aspirations of the participants have suggested two possible types emerging from this sample of spiritual adherents: 1) the “inclusive seeker” and 2) the “spiritual-political activist”. This sociological account of the so-called “spiritual but not religious” (SBNR; and …
Emergence And Reduction In Science. A Case Study, Alexandru Manafu
Emergence And Reduction In Science. A Case Study, Alexandru Manafu
Electronic Thesis and Dissertation Repository
The past decade or so has witnessed an increase in the number of philosophical discussions about emergence and reduction in science. However, many of these discussions (though not all) remain too abstract and theoretical, and are wanting with respect to concrete examples taken from the sciences. This dissertation studies the topics of reduction and emergence in the context of a case study. I focus on the case of chemistry and investigate how emergentism can help us secure the autonomy of this discipline in relation to the underlying microphysics. I develop an account of emergence (called functional emergence) that is, …
Harm Or Mere Inconvenience? Denying Women Emergency Contraception, Carolyn Mcleod
Harm Or Mere Inconvenience? Denying Women Emergency Contraception, Carolyn Mcleod
Philosophy Publications
This paper addresses the likely impact on women of being denied emergency contraception (EC) by pharmacists who conscientiously refuse to provide it. A common view—defended by Elizabeth Fenton and Loren Lomasky, among others—is that these refusals inconvenience rather than harm women so long as the women can easily get EC somewhere else nearby. I argue from a feminist perspective that the refusals harm women even when they can easily get EC somewhere else nearby.
Referral In The Wake Of Conscientious Objection To Abortion, Carolyn Mcleod
Referral In The Wake Of Conscientious Objection To Abortion, Carolyn Mcleod
Philosophy Publications
Currently, the preferred accommodation for conscientious objection to abortion in medicine is to allow the objector to refuse to accede to the patient's request so long as the objector refers the patient to a physician who performs abortions. The referral part of this arrangement is controversial, however. Pro-life advocates claim that referrals make objectors complicit in the performance of acts that they, the objectors, find morally offensive. McLeod argues that the referral requirement is justifiable, although not in the way that people usually assume.
Self-Trust And Reproductive Autonomy, Carolyn Mcleod
Self-Trust And Reproductive Autonomy, Carolyn Mcleod
Philosophy Publications
In this thesis. I give a theory of the nature of self-trust and an explanation of its role in autonomous decision-making. We tend to think of trust as essentially interpersonal which casts doubt on the coherence of the concept of self-trust. Drawing on patients' experiences in reproductive medicine. I argue that self-trust is a meaningful as well as a useful concept. I provide autobiographical sketches of a number of women's experiences. supplemented by my own observations made while doing a clinical practicum in reproductive medicine, to illustrate that what many women feel toward themselves in a variety of reproductive health …