26 found
Order:
  1.  77
    Investigating Trust, Expertise, and Epistemic Injustice in Chronic Pain.Daniel Z. Buchman, Anita Ho & Daniel S. Goldberg - 2017 - Journal of Bioethical Inquiry 14 (1):31-42.
    Trust is central to the therapeutic relationship, but the epistemic asymmetries between the expert healthcare provider and the patient make the patient, the trustor, vulnerable to the provider, the trustee. The narratives of pain sufferers provide helpful insights into the experience of pain at the juncture of trust, expert knowledge, and the therapeutic relationship. While stories of pain sufferers having their testimonies dismissed are well documented, pain sufferers continue to experience their testimonies as being epistemically downgraded. This kind of epistemic (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   35 citations  
  2.  74
    Investigating Trust, Expertise, and Epistemic Injustice in Chronic Pain.Daniel S. Goldberg, Anita Ho & Daniel Z. Buchman - 2017 - Journal of Bioethical Inquiry 14 (1):31-42.
    Trust is central to the therapeutic relationship, but the epistemic asymmetries between the expert healthcare provider and the patient make the patient, the trustor, vulnerable to the provider, the trustee. The narratives of pain sufferers provide helpful insights into the experience of pain at the juncture of trust, expert knowledge, and the therapeutic relationship. While stories of pain sufferers having their testimonies dismissed are well documented, pain sufferers continue to experience their testimonies as being epistemically downgraded. This kind of epistemic (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   32 citations  
  3.  32
    Applying futility in psychiatry: a concept whose time has come.Sarah Levitt & Daniel Z. Buchman - 2021 - Journal of Medical Ethics 47 (12):e60-e60.
    Since its introduction in the 1980s, futility as a concept has held contested meaning and applications throughout medicine. There has been little discussion within the psychiatric literature about the use of futility in the care of individuals experiencing severe and persistent mental illness, despite some tacit acceptance that futility may apply in certain cases of psychiatric illness. In this paper, we explore the literature surrounding futility and argue that its connotation within medicine is to describe situations where patients believe that (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   8 citations  
  4.  30
    Evidence, ethics and the promise of artificial intelligence in psychiatry.Melissa McCradden, Katrina Hui & Daniel Z. Buchman - 2023 - Journal of Medical Ethics 49 (8):573-579.
    Researchers are studying how artificial intelligence (AI) can be used to better detect, prognosticate and subgroup diseases. The idea that AI might advance medicine’s understanding of biological categories of psychiatric disorders, as well as provide better treatments, is appealing given the historical challenges with prediction, diagnosis and treatment in psychiatry. Given the power of AI to analyse vast amounts of information, some clinicians may feel obligated to align their clinical judgements with the outputs of the AI system. However, a potential (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   5 citations  
  5.  77
    Clinical ethics consultations: a scoping review of reported outcomes.Ann M. Heesters, Ruby R. Shanker, Kevin Rodrigues, Daniel Z. Buchman, Andria Bianchi, Claudia Barned, Erica Nekolaichuk, Eryn Tong, Marina Salis & Jennifer A. H. Bell - 2022 - BMC Medical Ethics 23 (1):1-65.
    BackgroundClinical ethics consultations can be complex interventions, involving multiple methods, stakeholders, and competing ethical values. Despite longstanding calls for rigorous evaluation in the field, progress has been limited. The Medical Research Council proposed guidelines for evaluating the effectiveness of complex interventions. The evaluation of CEC may benefit from application of the MRC framework to advance the transparency and methodological rigor of this field. A first step is to understand the outcomes measured in evaluations of CEC in healthcare settings. ObjectiveThe primary (...)
    No categories
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   3 citations  
  6.  34
    The Influence of Using Novel Predictive Technologies on Judgments of Stigma, Empathy, and Compassion among Healthcare Professionals.Daniel Z. Buchman, Daphne Imahori, Christopher Lo, Katrina Hui, Caroline Walker, James Shaw & Karen D. Davis - 2024 - American Journal of Bioethics Neuroscience 15 (1):32-45.
    Background Our objective was to evaluate whether the description of a machine learning (ML) app or brain imaging technology to predict the onset of schizophrenia or alcohol use disorder (AUD) influences healthcare professionals’ judgments of stigma, empathy, and compassion. Methods We randomized healthcare professionals (N = 310) to one vignette about a person whose clinician seeks to predict schizophrenia or an AUD, using a ML app, brain imaging, or a psychosocial assessment. Participants used scales to measure their judgments of stigma, (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   3 citations  
  7.  23
    Medical assistance in dying legislation: Hospice palliative care providers’ perspectives.Soodabeh Joolaee, Anita Ho, Kristie Serota, Matthieu Hubert & Daniel Z. Buchman - 2022 - Nursing Ethics 29 (1):231-244.
    Background: After over 4 years since medical assistance in dying legalization in Canada, there is still much uncertainty about how this ruling has affected Canadian society. Objective: To describe the positive aspects of medical assistance in dying legalization from the perspectives of hospice palliative care providers engaging in medical assistance in dying. Design: In this qualitative descriptive study, we conducted an inductive thematic analysis of semi-structured interviews with hospice palliative care providers. Participants and setting: Multi-disciplinary hospice palliative care providers in (...)
    Direct download  
     
    Export citation  
     
    Bookmark   3 citations  
  8.  47
    The Epidemic as Stigma: The Bioethics of Opioids.Daniel Z. Buchman, Pamela Leece & Aaron Orkin - 2017 - Journal of Law, Medicine and Ethics 45 (4):607-620.
    In this paper, we claim that we can only seek to eradicate the stigma associated with the contemporary opioid overdose epidemic when we understand how opioid stigma and the epidemic have co-evolved. Rather than conceptualizing stigma as a parallel social process alongside the epidemiologically and physiologically defined harms of the epidemic, we argue that the stigmatized history of opioids and their use defines the epidemic. We conclude by offering recommendations for disrupting the burden of opioid stigma.
    No categories
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   7 citations  
  9.  84
    What's trust got to do with it? Revisiting opioid contracts.Daniel Z. Buchman & Anita Ho - 2014 - Journal of Medical Ethics 40 (10):673-677.
    Prescription opioid abuse (POA) is an escalating clinical and public health problem. Physician worries about iatrogenic addiction and whether patients are ‘drug seeking’, ‘abusing’ and ‘diverting’ prescription opioids exist against a backdrop of professional and legal consequences of prescribing that have created a climate of distrust in chronic pain management. One attempt to circumvent these worries is the use of opioid contracts that outline conditions patients must agree to in order to receive opioids. Opioid contracts have received some scholarly attention, (...)
    Direct download (6 more)  
     
    Export citation  
     
    Bookmark   9 citations  
  10.  30
    Negotiating the Relationship Between Addiction, Ethics, and Brain Science.Daniel Z. Buchman, Wayne Skinner & Judy Illes - 2010 - American Journal of Bioethics Neuroscience 1 (1):36-45.
    Advances in neuroscience are changing how mental health issues such as addiction are understood and addressed as a brain disease. Although a brain disease model legitimizes addiction as a medical condition, it promotes neuro-essentialist thinking and categorical ideas of responsibility and free choice, and undermines the complexity involved in its emergence. We propose a “biopsychosocial systems” model where psychosocial factors complement and interact with neurogenetics. A systems approach addresses the complexity of addiction and approaches free choice and moral responsibility within (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   11 citations  
  11.  26
    Ethical Considerations at the Intersection Between Psychedelic-Assisted Psychotherapy and Medical Assistance in Dying.Daniel Rosenbaum, Matthew Cho, Evan Schneider, Sarah Hales & Daniel Z. Buchman - 2023 - American Journal of Bioethics Neuroscience 14 (2):139-141.
    Peterson et al. (2023) identify important ethical issues that are relevant to psychedelic therapy and research in various clinical populations and contexts. This is certainly the case in palliative...
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  12.  33
    An Ethical Bone to PICC: Considering a Harm Reduction Approach for a Second Valve Replacement for a Person Who Uses Drugs.Daniel Z. Buchman & Marie-Josee Lynch - 2018 - American Journal of Bioethics 18 (1):79-81.
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark   4 citations  
  13.  14
    Ethical issues associated with solid organ transplantation and substance use: a scoping review.Daniel Z. Buchman, Ani Orchanian-Cheff, Denitsa Vasileva & Lauren Notini - 2019 - Monash Bioethics Review 37 (3-4):111-135.
    While solid organ transplantation for patients with substance use issues has attracted ethical discussion, a typology of the ethics themes has not been articulated in the literature. We conducted a scoping review of peer-reviewed literature on solid organ transplantation and substance use published between January 1997 and April 2016. We aimed to identify and develop a typology of the main ethical themes discussed in this literature and to identify gaps worthy of future research. Seventy articles met inclusion criteria and underwent (...)
    No categories
    Direct download  
     
    Export citation  
     
    Bookmark   3 citations  
  14.  24
    Identifying the Presence of Ethics Concepts in Chronic Pain Research: A Scoping Review of Neuroscience Journals.Rajita Sharma, Samuel A. Dale, Sapna Wadhawan, Melanie Anderson & Daniel Z. Buchman - 2022 - Neuroethics 15 (2):1-17.
    Background Chronic pain is a pervasive and invisible condition which affects people in a myriad of ways including but not limited to their quality of life, autonomy, mental and physical health, social mobility, and productivity. There are many ethical implications of neuroscience research on chronic pain, given its potential to reduce suffering and improve the lived experience of people in pain. While a growing body of research studies the etiology, neurophysiology, and management of chronic pain, it is unknown to what (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  15.  22
    Trauma-Informed Approaches in Healthcare Ethics Consultation: A Missing Element in Healthcare for People Who Use Drugs during the Overdose Crisis?Adrian Guta, Daniel Z. Buchman, Rose A. Schmidt, Melissa Perri & Carol Strike - 2022 - American Journal of Bioethics 22 (5):68-70.
    Bioethics has received important criticisms for its perceived privileging of biomedical authority with longstanding calls for greater recognition of the social, political, economic, historical, and...
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  16.  63
    “This is Why you’ve Been Suffering”: Reflections of Providers on Neuroimaging in Mental Health Care.Emily Borgelt, Daniel Z. Buchman & Judy Illes - 2011 - Journal of Bioethical Inquiry 8 (1):15-25.
    Mental health care providers increasingly confront challenges posed by the introduction of new neurotechnology into the clinic, but little is known about the impact of such capabilities on practice patterns and relationships with patients. To address this important gap, we sought providers’ perspectives on the potential clinical translation of functional neuroimaging for prediction and diagnosis of mental illness. We conducted 32 semi-structured telephone interviews with mental health care providers representing psychiatry, psychology, family medicine, and allied mental health. Our results suggest (...)
    Direct download (14 more)  
     
    Export citation  
     
    Bookmark   5 citations  
  17.  18
    A Global Vision for Neuroethics Needs More Social Justice: Brain Imaging, Chronic Pain, and Population Health Inequalities.Daniel Z. Buchman & Sapna Wadhawan - 2019 - American Journal of Bioethics Neuroscience 10 (3):130-132.
  18.  40
    Overdose Education and Naloxone Distribution Programmes and the Ethics of Task Shifting.Daniel Z. Buchman, Aaron M. Orkin, Carol Strike & Ross E. G. Upshur - 2018 - Public Health Ethics 11 (2):151-164.
    North America is in the grips of an epidemic of opioid-related poisonings. Overdose education and naloxone distribution programmes emerged as an option for structurally vulnerable populations who could not or would not access mainstream emergency medical services in the event of an overdose. These task shifting programmes utilize lay persons to deliver opioid resuscitation in the context of longstanding stigmatization and marginalization from mainstream healthcare services. OEND programmes exist at the intersection of harm reduction and emergency services. One goal of (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  19.  12
    Humanizing Patients and Their Needs Might Affect Psychiatrists’ Thinking about Futility.Rachel B. Cooper, Sarah E. Levitt & Daniel Z. Buchman - 2024 - American Journal of Bioethics Neuroscience 15 (1):64-67.
    Dorfman et al. (2024) make a significant empirical contribution to a growing body of literature pertaining to issues of futility in psychiatry. The authors acknowledge that their survey methodologi...
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  20.  6
    Resisting Inadequate Care is Not Irrational, and Coercive Treatment is Not an Appropriate Response to the Drug Toxicity Crises.Carol J. Strike, Daniel Z. Buchman, Danielle German, Marilou Gagnon & Adrian Guta - 2024 - American Journal of Bioethics 24 (5):42-45.
    We read Marshall et al.’s paper with great interest but were left with many questions and concerns (Marshall et al., in press). As a group of public health researchers and practitioners (nursing, s...
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  21.  17
    Why Neuroethical Analyses of Invasiveness in Psychiatry Should Engage with Mental Health Service User Movement Knowledges and Considerations of Social In/Justice.A. Lee de Bie & Daniel Z. Buchman - 2023 - American Journal of Bioethics Neuroscience 14 (1):25-28.
    Bluhm et al.’s (2023) qualitative study on psychiatric electroceutical interventions describes several types and characteristics of invasiveness identified by psychiatrists and people living with a...
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  22.  33
    Brain Computer Interfaces and Communication Disabilities: Ethical, Legal, and Social Aspects of Decoding Speech From the Brain.Jennifer A. Chandler, Kiah I. Van der Loos, Susan Boehnke, Jonas S. Beaudry, Daniel Z. Buchman & Judy Illes - 2022 - Frontiers in Human Neuroscience 16:841035.
    A brain-computer interface technology that can decode the neural signals associated with attempted but unarticulated speech could offer a future efficient means of communication for people with severe motor impairments. Recent demonstrations have validated this approach. Here we assume that it will be possible in future to decode imagined (i.e., attempted but unarticulated) speech in people with severe motor impairments, and we consider the characteristics that could maximize the social utility of a BCI for communication. As a social interaction, communication (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  23.  21
    Integration Under Negotiation.Daniel Z. Buchman, Wayne Skinner & Judy Illes - 2010 - American Journal of Bioethics Neuroscience 1 (3):W1-W2.
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  24. Neglecting the social system: clinical neuroimaging and the biological reductionism of addiction.Daniel Z. Buchman - 2007 - Journal of Ethics in Mental Health 2 (2):1-5.
    A main strength of neuroimaging and neuroscience is its reductionist focus on the brain. A limitation is that it runs the possibility of ignoring larger social factors. The brain image may not necessarily indicate the brain’s neuroplastic ‘rewiring’ over time from genomic, epigenetic, environmental and social conditions. These factors are all necessary to understand the diverse nature of our brains, especially complex concerns such as addiction. For addiction to emerge it requires an intersection of genetic, environmental and social influences. It (...)
     
    Export citation  
     
    Bookmark  
  25.  49
    Power of Attorney for Research: The Need for a Clear Legal Mechanism.Ann M. Heesters, Daniel Z. Buchman, Kyle W. Anstey, Jennifer A. H. Bell, Barbara J. Russell & Linda Wright - 2017 - Public Health Ethics 10 (1).
    A recent article in this journal described practical and conceptual difficulties faced by public health researchers studying scabies outbreaks in British residential care facilities. Their study population was elderly, decisionally incapacitated residents, many of whom lacked a legally appropriate decision-maker for healthcare decisions. The researchers reported difficulties securing Research Ethics Committee approval. As practicing healthcare ethicists working in a large Canadian research hospital, we are familiar with this challenge and welcomed the authors’ invitation to join the discussion of the ‘outstanding (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  26.  15
    Palliative Psychiatry for Severe and Enduring Anorexia Nervosa Includes but Goes beyond Harm Reduction.Anna L. Westermair, Daniel Z. Buchman, Sarah Levitt & Manuel Trachsel - 2021 - American Journal of Bioethics 21 (7):60-62.
    Bianchi et al. argue that for some patients with severe and enduring anorexia nervosa approaches that do not aim for complete clinical recovery are ethically warranted. We believe tha...
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark