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 …

Ethical Implications Of Covid-19 Vaccine Mandates, Nichaela Noebe

Williams Honors College, Honors Research Projects

This project will be looking at the ethical implications of the Covid-19 Vaccine Mandates. The paper will look at various ethical theories as well as different ethicists and apply it to the Covid-19 Vaccine Mandates. The project will come to the conclusion of whether the Vaccine Mandates were ethical or not given certain ethical ideas and views from the various ethicists.

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 …

Examining The Ashley Treatment: A Case Study Of The Bioethical Implications Associated With Growth Attenuation Therapy Through The Lens Of The Capabilities Approach, Allison Hill

CMC Senior Theses

In this paper, I will be addressing the questions: what is the capabilities approach? How does this framework help us to understand how altering our – and our children’s – bodies can assist in achieving equality for minorities? Or does it instead work against accomplishing this goal? How does this framework help us to understand how altering the bodies of people with disabilities can also protects those individuals’ dignity? Or does it do the opposite?

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, …

Autonomy, Suffering, And The Practice Of Medicine: A Relational Approach, Michael A. Stanfield

USF Tampa Graduate Theses and Dissertations

In this project, I argue that the conventional view of personal autonomy that is operational in contemporary American culture, bioethics and medical practice places undue emphasis on individualism and a limited range of personal qualities and attributes (such as self-sufficiency). Instead, I argue in favor of a relational approach to autonomy which recognizes that each person that exists has certain minimal connections or relations to others, and these connections/relations are identity-forming. Unfortunately, current medical practices have tended to overemphasize individuality and choice (consistent with the conventional view) while minimizing or excluding these relational aspects. As a result, informed consent and …

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 …

A Game We Have To Lose: Overcoming The Harm Of Coming Into Existence, Hannah Strang

Honors Projects

This paper explores the asymmetry of pleasure and pain as expressed in David Benatar’s book Better Never to Have Been, which is the basis for the argument that it is always an irreparable harm to bring a person into existence, and therefore we are morally obligated to pursue extinction as a species. I will examine Benatar’s argument in support of the asymmetry’s existence and analyze the strength of his argument for extinction overall, ultimately determining that his conclusion is too strong. I will defend this claim on the grounds that Benatar’s asymmetry implies the truth of two claims that must …

Fiduciary Duties And Commercial Surrogacy, Emma A. Ryman

Electronic Thesis and Dissertation Repository

Since the 1980’s, surrogacy has become a popular reproductive alternative for individuals experiencing infertility. The ethical and legal analyses of surrogacy have been rich and varied. Some bioethicists have charged the commercial surrogacy industry with the exploitation of global southern women or with the impermissible commodification of children and women’s reproductive capacities. Others have praised the potential for economic empowerment and bodily autonomy that surrogacy may accord to women. However, throughout these explorations of the ethics of surrogacy, comparatively little attention has been paid to the moral status of a crucial actor: the fertility doctor. Without doctors willing to provide …

Ethical Dilemmas When Refusing Medical Treatment: Modernized Bioethical Principle Of Autonomy, Melissa A. Micek

Undergraduate Theses and Capstone Projects

In 1978, Mary C. Northern was admitted to Tennessee Nashville General Hospital for an infection in both of her feet. It was discovered that Ms. Northern was suffering from untreated and severely gangrenous frostbite, which is deemed fatal if left untreated. The healthcare professionals agreed that in order to prevent the gangrene from spreading, both of her feet would need to be amputated. However, Ms. Northern strongly refused the life-saving operation. Ms. Northern posed no threat to anyone; however, it is questionable what the most ethical course of action is when a patient refuses treatment. This raises the question, should …

Autonomy And Distributive Justice At The End Of Life, Corinna Fukushima

Scripps Senior Theses

Discussions of autonomy at the end of life in health care contexts is no new phenomenon. However, what seems to have changed in issues of autonomy is cases where patients want to refuse a treatment to cases where patients are demanding more treatment when medical professionals may not agree or be able to provide them with the medical treatment. Some key competing interests impacting patient autonomy include beneficence-doing what is in the best interests of the health or well-being of the patient- and resource limitations. Here, I will explore distributive justice theories that impact the end of life and how …

An Assessment Of The Therapeutic Fib: The Ethical And Emotional Role Of Therapeutic Lying In The Caregiving Of Alzheimer's Disease Patients By Non-Medical Caregivers, Dina Green

Dissertations, Theses, and Capstone Projects

This study qualitatively assesses the various aspects of the use of the therapeutic lie in care giving for Alzheimer's Disease patients while examining the ethics of lying associated in and out of the medical setting. The objectives of this study are to: gain an understanding of the role therapeutic lying plays in the care given by non-medical caregivers through a series of focus groups and interviews; examine the moral and emotional issues related to the use of this practice with a focus on non-medical caregivers; gather knowledge of the use of therapeutic lying in order to improve care for Alzheimer's …

Beyond Permissibility : Traversing The Many Moral Pitfalls Of Abortion (A Virtue Ethics Approach), John Westley Mcmichael

Legacy Theses & Dissertations (2009 - 2024)

Ethical discussions about abortion, typically, focus on whether or not it is morally permissible to destroy a fetus. If it is morally impermissible to do so, that seems to answer the question of abortion outright: all things being equal, it is wrong. If it is permissible to kill a fetus, however, it doesn't follow that one cannot err morally by doing so. Using virtue ethics as my guiding normative theory, I argue that there are many potential moral errors one can make in having an abortion (or, in other cases, by not having an abortion) that do not hang on …

The Limits Of Rationality: Suicidality, Affectivity, And The Rational, Maria Jennifer Kulp

Dissertations

In this project, I expose conceptual and moral difficulties with the concept of rational suicide. After offering a comprehensive list of criteria used to define rationality in the bioethics literature, I turn to the scholarship of Susan Sherwin, Susan Wolf, Rosemarie Tong, Lisa Ikemoto and others to apply feminist critiques regarding the privileging of the liberal individual and claims of value neutrality in bioethics generally to the rational suicide literature specifically. Further, using the work of Genevieve Lloyd, I argue that just as definitions of rationality have been used to marginalize vulnerable populations (e.g., women and minorities), a similar marginalization …

Justice, Health, And Normal Function: A Political Foundation For Just Health Distribution, Erik Randall Krag

Doctoral Dissertations

Health is a particularly important social good, not least because it protects equality of opportunity: whatever goals we have, we need health to pursue them. Justice requires that we protect equality of opportunity, and so a just society must protect the health of its citizens. However, health resources are scarce; hence, theories of justice must consider how to distribute them fairly. Such distributional schemes must meet two requirements: first, they must fix what counts as a health need, and second, they must determine how to prioritize health needs. Existing discussions often focus on the second requirement alone, but this risks …

The Impact Of Regulating Social Science Research With Biomedical Regulations, Brenda Braxton Durosinmi

UNLV Theses, Dissertations, Professional Papers, and Capstones

The Impact of Regulating Social Science Research with Biomedical Regulations Since 1974 Federal regulations have governed the use of human subjects in biomedical and social science research. The regulations are known as the Federal Policy for the Protection of Human Subjects, and often referred to as the "Common Rule" because 18 Federal agencies follow some form of the policy. The Common Rule defines basic policies for conducting biomedical and social science research. Almost from the inception of the Common Rule social scientists have expressed concerns of the policy's medical framework of regulations having its applicability also to human research in …

Wittgenstein And Aesthetic Reasoning With Stories In The Bioethics Classroom, Michael Woods Nash

Doctoral Dissertations

Wittgenstein once remarked that the same kind of reasoning that occurs in ordinary conversations about works of art can be found “in Ethics, but also in Philosophy.” That observation has been almost entirely overlooked by his commentators. What is aesthetic reasoning? What does it look like in conversations about art? And where might we find examples of such reasoning “in Ethics”? To set the stage for my answers, I begin with an overview of the early Wittgenstein’s view of ethics and aesthetics, emphasizing two ideas that were retained in his later view of aesthetic reasoning: the moral importance of non-moral …

Proactive Procreation : Ethical Implications Of New Genetic Technologies For Parental Obligations To Future Offspring, L Syd M. Johnson

Legacy Theses & Dissertations (2009 - 2024)

This dissertation examines the ethical implications of recent genetic innovations, particularly preimplantation genetic diagnosis, for the obligations and duties of parents to future children. I critique common but uncompelling objections to the use of genetic information, diagnosis, and technology to influence the characteristics of future offspring, and conclude that genetic selection and enhancement are not different in kind or degree from other means of selection, direction, and enhancement that parents engage in to shape the lives of their children. Procreation is morally risky -- it risks imposing substantial burdens on persons who would not otherwise have to bear those burdens, …