Philosophy Commons^™

What Do We Owe The Other Animals In Health-Related Research?, Jessica A. Du Toit

Electronic Thesis and Dissertation Repository

In this dissertation, I provide an account of the protections to which most captive non-human animals are morally entitled when they participate in health-related research. At least in the animal ethics literature, it is uncontroversial that the protections currently afforded to captive research animals are inadequate. This has much to do with the fact that most animals who serve as research participants are 1) sentient and, thus, have important morally considerable interests; 2) unable to provide informed consent to their research participation; and 3) seriously harmed as a result of their participation.

Unsurprisingly, then, a number of authors have proposed …

Dementia And The Fragility Of Self: Navigating Ethical Considerations In Medical Decision-Making, Grace Sauers

Scripps Senior Theses

As the global population ages, the incidence of degenerative memory disorders such as Alzheimer's and dementia is expected to rise. The frequency of complex medical decision-making challenges for these patients will subsequently increase. It is now common practice for patients to provide advance directives outlining the care they wish to receive; in the case they are deemed incompetent to perform adequate decision making. However, patients with dementia occasionally express wishes contrary to those stated in their advance directives. This divergence creates ambiguity about which wishes should be honored and for who those wishes are being honored for. I aim to …

Medical Expertise, Patient Expertise, And Surrogate Decision Making: The Importance Of Co-Deliberation In Medical Decision-Making, Lindsey Grossheim

Theses

In biomedicine, there are many cases where a patient is incapacitated and unable to make their medical decisions. Often, these patients have no declared decision-maker. This thesis explores solutions which promote these patients’ ability to receive beneficent care and have a respect for their autonomy by proposing a requirement for co-deliberation between a medical professional (medical expert) and someone who knows the patient well (patient expert). This thesis studies a case and applies three solutions: one where each expert has full authority and a final solution where the two experts co-deliberate. Co-deliberation is a conversation between the two experts to …

Autonomy, Paternalism, And The Moral Foundations Of The Fiduciary Relationship, Austin Horn

Electronic Thesis and Dissertation Repository

The fiduciary relationship is a legal relationship that describes those interactions in which one party is entrusted to exercise discretionary power on behalf of another’s interests. In recent years, the fiduciary relationship proven to be a powerful tool for providing clarity to complex bioethical issues. But the exciting promise of the fiduciary relationship for bioethical analysis is threatened by at least two conceptual problems: moral-legal equivocation and paternalism. Legal-moral equivocation refers to the problem of assuming that the normative demands of a legal relationship are also morally normative. The cogent use of the fiduciary relationship in bioethical analysis requires …

Immunotherapy: Therapy Vs. Enhancement, Mariah Daly

Honors Program Theses

The battle against cancer is a long-standing struggle that has resulted in new information and the development of novel medical technologies. Current research aims to figure out a way to reprogram cells and bodily mechanisms to eliminate those cells that are cancerous without destroying healthy cells in the process. Methods which use the body’s own mechanisms, such as immunotherapy, have shown and continue to show potential for specifically targeting cancer cells. Adoptive T cell therapy is one form of immunotherapy that has gained significant attention and focus in the field. Therapies improve conditions up to the normal state of being, …

Normative Pragmatic Selfhood: A Pragmatist Conception Of Value For Marginal Cases, Sam Noel Johnson

Graduate Theses and Dissertations

I develop a theory of personal ontology called normative pragmatic selfhood (NPS) to explain what persons are and how they are morally valuable. I also demonstrate the applicability of NPS theory by using it to assess the moral status of marginal cases in bioethical dilemmas. I begin by discussing the concept of intrinsic value and why it is problematic when it comes to persons. I then draw upon John Dewey’s theory of value, specifically the concept of growth, and Kant’s concept of humanity to show that persons are objectively yet extrinsically valuable. Next, I discuss and argue how the psychological …

Epistemic Injustice And Suicidality, Sam Lilly

Honors Program Theses

This paper extends both Miranda Fricker's framework regarding epistemic injustice, found in her book 'Epistemic Injustice, as well as Ian James Kidd and Havi Carel's essay "Epistemic Injustice and Illness" to a small population of people who identify internally with the desire to kill oneself i.e. suicidality. I argue that a certain population of suicidal people are especially vulnerable targets of epistemic injustice.

Is It Ethical To Genetically Enhance Your Future Child?, Bella Ratner

Scripps Senior Theses

As the science related to genetic engineering becomes more advanced, more and more ethical questions relating to technologies such as CRISPR and preimplantation genetic diagnosis (PGD) arise. If we have the opportunity to choose the genes of our future children in order have children with our desired characteristics, should we do so? Is it okay to mess with some genes of your future child and not others? In this paper, I discuss arguments and objections associated with these questions. The aim of this paper is to show that it is ethical to alter the DNA of your future child or …