Results for 'George G. J. Agich'

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  1.  35
    The importance of management for understanding managed care.George G. J. Agich - 1999 - Journal of Medicine and Philosophy 24 (5):518 – 534.
    This paper argues that the concept of management is critically important for understanding managed care. A proper interpretation of management is needed before a positive account of the ethics of managed care can be constructed. The paper discusses three aspects of management: administrative, clinical, and resource management, and compares the central commitments of traditional medical practice with those of managed care for each of these aspects. In so doing, the distinctive conceptual features of the managed care paradigm are discussed. The (...)
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  2.  22
    Until they have faces: the ethics of facial allograft transplantation.G. J. Agich - 2005 - Journal of Medical Ethics 31 (12):707-709.
    The ethical discussion of facial allograft transplantation for severe facial deformity, popularly known as facial transplantation, has been one sided and sensationalistic. It is based on film and fiction rather than science and clinical experience. Based on our experience in developing the first IRB approved protocol for FAT, we critically discuss the problems with this discussion, which overlooks the plight of individuals with severe facial deformities. We discuss why FAT for facial deformity is ethically and surgically justified despite its negative (...)
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  3.  8
    Why Quality is so Rarely Addressed in Clinical Ethics Consultation.G. J. Agich - 2009 - Cambridge Quarterly of Healthcare Ethics 18 (4):339-346.
  4.  36
    Ethics Expert Testimony: Against the Skeptics.G. J. Agich & B. J. Spielman - 1997 - Journal of Medicine and Philosophy 22 (4):381-403.
    There is great skepticism about the admittance of expert normative ethics testimony into evidence. However, a practical analysis of the way ethics testimony has been used in courts of law reveals that the skeptical position is itself based on assumptions that are controversial. We argue for an alternative way to understand such expert testimony. This alternative understanding is based on the practice of clinical ethics.
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  5.  27
    On values in recent american psychiatric classification.J. Agich George - 1994 - Journal of Medicine and Philosophy 19 (3).
    The DSM-IV, like its predecessors, will be a major influence on American psychiatry. As a consequence, continuing analysis of its assumptions is essential. Review of the manuals as well as conceptually-oriented literature on DSM-III, DSM-III-R, and DSM-IV reveals that the authors of these classifications have paid little attention to the explicit and implicit value commitments made by the classifications. The response to DSM criticisms and controversy has often been to incorporate more scientific diversity into the classification, instead of careful inquiry (...)
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  6.  37
    When consent is unbearable: an alternative case analysis.G. J. Agich - 1979 - Journal of Medical Ethics 5 (1):26-28.
    Dr Agich takes up a previous difficult case related by Dr Kottow in an earlier issue of the Journal. He analyses the three ethical problems as presented in the case and offers his own opinion of it as well as his own conclusions with regard to the medical ethical aspects of it. Unlike Dr Kottow, Dr Agich's reading of the case indicates that the application of the principle of informed consent does not rule out ethical decisions for the (...)
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  7.  87
    The Logical Status of Brain Death Criteria.G. J. Agich & R. P. Jones - 1985 - Journal of Medicine and Philosophy 10 (4):387-396.
    This article is an attempt to clarify a confusion in the brain death literature between logical sufficiency/necessity and natural sufficiency/necessity. We focus on arguments that draw conclusions regarding empirical matters of fact from conceptual or ontological definitions. Specifically, we critically analyze arguments by Tom Tomlinson and Michael B. Green and Daniel Wikler. which, respectively, confuse logical and natural sufficiency and logical and natural necessity. Our own conclusion is that it is especially important in discussing the brain death issue to observe (...)
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  8.  18
    Ethics and Society: Original Essays on Contemporary Moral Problems.G. J. Warnock & Richard T. De George - 1970 - Philosophical Quarterly 20 (80):304.
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  9.  21
    Croatian physicians' and nurses' experience with ethical issues in clinical practice.I. Sorta-Bilajac, K. Bazdaric, B. Brozovic & G. J. Agich - 2008 - Journal of Medical Ethics 34 (6):450-455.
    Aim: To assess ethical issues in everyday clinical practice among physicians and nurses of the University Hospital Rijeka, Rijeka, Croatia.Subjects and methods: We surveyed the entire population of internal medicine, oncology and intensive care specialists and associated nurses employed at the University Hospital Rijeka, Rijeka, Croatia . An anonymous questionnaire was used to explore the type and frequency of ethical dilemmas, rank of their difficulty, access to and use of ethics support services, training in ethics and confidence about knowledge in (...)
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  10.  63
    On Values in Recent American Psychiatric Classification.J. Z. Sadler, Y. F. Hulgus & G. J. Agich - 1994 - Journal of Medicine and Philosophy 19 (3):261-277.
    The DSM-IV, like its predecessors, will be a major influence on American psychiatry. As a consequence, continuing analysis of its assumptions is essential. Review of the manuals as well as conceptually-oriented literature on DSM-III, DSM-III-R, and DSM-IV reveals that the authors of these classifications have paid little attention to the explicit and implicit value commitments made by the classifications. The response to DSM criticisms and controversy has often been to incorporate more scientific diversity into the classification, instead of careful inquiry (...)
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  11.  52
    Response to “From Pittsburgh to Cleveland: NHBD Controversies and Bioethics” by George J. Agich (CQ Vol 8, No 3).George J. Agich - 1999 - Cambridge Quarterly of Healthcare Ethics 8 (4):517-523.
    Frank Koughan and Walt Bogdanich's response to my article, reminds me of the Shakespearean line, My article was not about the specifics of the 60Minutes April 13, 1997, story on NHBD at the Cleveland Clinic Foundation (CCF), even though the story formed the basis for the reflection. I did not attack the critics, though I do believe that bioethicists are accountable for their scholarly and public pronouncements. Although I do not see why the 60Minutes' story should be treated with deference, (...)
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  12.  16
    Eastern Wisdome and Learning: The Study of Arabic in Seventeenth-Century England.George Saliba & G. J. Toomer - 1996 - Journal of the American Oriental Society 120 (1):124.
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  13. An Essay on Philosophical Method Revised Edition with 'The Metaphysics of F.H. Bradley', 'The Correspondence with Gilbert Ryle' 'Method and Metaphysics'.Robin George Collingwood, J. Connelly & G. D'oro - 2006 - Tijdschrift Voor Filosofie 68 (3):634-635.
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  14.  6
    A New Philosophy and the Philosophical Sciences.Introduction to Philosophy, Psychology, Logic, Theology, PhilosophyEthics. [REVIEW]J. G., Denver Cummings, Albert George Alexander & Apostolos Makrakis - 1943 - Journal of Philosophy 40 (19):527.
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  15.  12
    VI. Zeitschriftenschau.Georg Merz, J. Schielle, Konrad Schröder & G. Hinsche - 1930 - Archive for the Psychology of Religion 5 (2):298-311.
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  16.  18
    Response to “From Pittsburgh to Cleveland: NHBD Controversies and Bioethics” by George J. Agich (CQ Vol 8, No 3)Say It Ain't So: 60 Minutes on NHBD. [REVIEW]George J. Agich - 1999 - Cambridge Quarterly of Healthcare Ethics 8 (4):517-523.
    Frank Koughan and Walt Bogdanich's response to my article, “From Pittsburgh to Cleveland: NHBD Controversies and Bioethics,” reminds me of the Shakespearean line, “The lady protests too much, methinks.” My article was not about the specifics of the 60 Minutes April 13, 1997, story on NHBD at the Cleveland Clinic Foundation , even though the story formed the basis for the reflection. I did not attack the critics, though I do believe that bioethicists are accountable for their scholarly and public (...)
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  17.  28
    Book Review Section 2. [REVIEW]Andrew J. Bush, George G. Noblit, Arthur W. Anderson, Don Hossler, Michael V. Belok, Harold Kahler, Robert Newton Burger, L. Glenn Smith, Virginia Underwood, Ruth W. Bauer, Joseph M. McCarthy, Albert E. Bender, E. Sidney Vaughan Iii, Joan K. Smith, Spencer J. Maxcy, Jorge Jeria, F. Michael Perko, Robert Craig & James Anasiewicz - 1981 - Educational Studies 12 (4):459-483.
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  18.  98
    Autonomy and Long-Term Care.George J. Agich - 1993 - Oxford University Press.
    The realities and myths of long-term care and the challenges it poses for the ethics of autonomy are analyzed in this perceptive work. The book defends the concept of autonomy, but argues that the standard view of autonomy as non-interference and independence has only a limited applicability for long term care. The treatment of actual autonomy stresses the developmental and social nature of human persons and the priority of identification over autonomous choice. The work balances analysis of the ethical concepts (...)
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  19.  37
    The question of method in ethics consultation.George J. Agich - 2001 - American Journal of Bioethics 1 (4):31 – 41.
    This paper offers an exposition of what the question of method in ethics consultation involves under two conditions: when ethics consultation is regarded as a practice and when the question of method is treated systematically. It discusses the concept of the practice and the importance of rules in constituting the actions, cognition, and perceptions of practitioners. The main body of the paper focuses on three elements of the question of method: canon, discipline, and history, which are treated heuristically to outline (...)
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  20.  58
    For Experts Only? Access to Hospital Ethics Committees.George J. Agich & Stuart J. Youngner - 1991 - Hastings Center Report 21 (5):17-24.
    How closely involved with hospital ethics committees should patients and their families become? Should they routinely have access to committees, or be empowered to initiate consultations? To what extent should they be informed of the content or outcome of committee deliberations? Seeing ethics committees as the locus of competing responsibilities allows us to respond to the questions posed by a patient rights model and to acknowledge more fully the complex moral dynamics of clinical medicine.
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  21.  48
    Reassessing Autonomy in Long‐Term Care.George J. Agich - 1990 - Hastings Center Report 20 (6):12-17.
    The realities of long‐term care call for a refurbished, concrete concept of autonomy that systematically attends to the history and development of persons and takes account of the experiences of daily living.
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  22.  10
    George Berkeley.G. J. Warnock - 1959 - Philosophical Review 68 (1):129.
  23.  19
    De Novis Libris Iudicia.B. A. Van Groningen, J. H. Thiel, W. J. Verdenius, M. H. A. J. H. Van Der Valk, J. C. Kamerbeek, W. J. W. Koster, J. Korver, C. H. E. Haspels, C. J. De Vogel, G. J. De Vries, L. M. De Rijk, A. W. Byvanck, J. H. Waszink, George E. Duckworth, J. W. Ph Borleffs, W. Den Boer, Michiel Van Den Hout & A. Sizoo - 1953 - Mnemosyne 6 (3):231-261.
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  24.  50
    Why Quality Is Addressed So Rarely in Clinical Ethics Consultation.George J. Agich - 2009 - Cambridge Quarterly of Healthcare Ethics 18 (4):339.
    In a practice like ethics consultation, quality and accountability are intertwined. Critics of ethics consultation have complained that clinical ethics consultants exercise power or influence in patient care without sufficient external oversight. Without oversight or external accountability, ethics consultation is seen as more sophistical than philosophical. Although there has been more discussion of accountability, concern for quality in ethics consultation is arguably more important, because it represents a central challenge for the field, namely, how to structure a responsible practice of (...)
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  25.  44
    Authority in Ethics Consultation.George J. Agich - 1995 - Journal of Law, Medicine and Ethics 23 (3):273-283.
    Authority is an uneasy, political notion. Heard with modern ears, it calls forth images of oppression and power. In institutional settings, authority is everywhere present, and its use poses problems for the exercise both of individual autonomy and of responsibility. In medical ethics, the exercise of authority has been located on the side of the physician or the health care institution, and it has usually been opposed by appeal to patient autonomy and rights. So, it is not surprising, though still (...)
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  26.  10
    Quelques réflexions de Georges Bastide.J. -M. G. - forthcoming - Les Etudes Philosophiques.
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  27.  18
    Authority in Ethics Consultation.George J. Agich - 1995 - Journal of Law, Medicine and Ethics 23 (3):273-283.
    Authority is an uneasy, political notion. Heard with modern ears, it calls forth images of oppression and power. In institutional settings, authority is everywhere present, and its use poses problems for the exercise both of individual autonomy and of responsibility. In medical ethics, the exercise of authority has been located on the side of the physician or the health care institution, and it has usually been opposed by appeal to patient autonomy and rights. So, it is not surprising, though still (...)
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  28. Disease and value: A rejection of the value-neutrality thesis.George J. Agich - 1983 - Theoretical Medicine and Bioethics 4 (1).
    Recent philosophical attention to the language of disease has focused primarily on the question of its value-neutrality or non-neutrality. Proponents of the value-neutrality thesis symbolically combine political and other criticisms of medicine in an attack on what they see as value-infected uses of disease language. The present essay argues against two theses associated with this view: a methodological thesis which tends to divorce the analysis of disease language from the context of the practice of medicine and a substantive thesis which (...)
     
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  29. What kind of doing is clinical ethics?George J. Agich - 2004 - Theoretical Medicine and Bioethics 26 (1):7-24.
    This paper discusses the importance of Richard M. Zaners work on clinical ethics for answering the question: what kind of doing is ethics consultation? The paper argues first, that four common approaches to clinical ethics – applied ethics, casuistry, principlism, and conflict resolution – cannot adequately address the nature of the activity that makes up clinical ethics; second, that understanding the practical character of clinical ethics is critically important for the field; and third, that the practice of clinical ethics is (...)
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  30.  4
    Truth and Communication in Ethics Consultation.George J. Agich - 2021 - American Journal of Bioethics 21 (5):31-33.
    In “Deception and the Clinical Ethicist,” Christopher Meyers defends that view that deception practiced by clinical ethicists is legitimate if it satisfies a series of justifying conditions (Meyers...
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  31.  15
    Disease and value: A rejection of the value-neutrality thesis.George J. Agich - 1982 - Theoretical Medicine: An International Journal for the Philosophy and Methodology of Medical Research and Practice 4:27-41.
    RECENT PHILOSOPHICAL ATTENTION TO THE LANGUAGE OF DISEASE HAS FOCUSED PRIMARILY ON THE QUESTION OF ITS VALUE-NEUTRALITY OR NON-NEUTRALITY. PROPONENTS OF THE VALUE-NEUTRALITY THESIS SYMBOLICALLY COMBINE POLITICAL AND OTHER CRITICISMS OF MEDICINE IN AN ATTACK ON WHAT THEY SEE AS VALUE-INFECTED USES OF DISEASE LANGUAGE. THE PRESENT ESSAY ARGUES AGAINST TWO THESES ASSOCIATED WITH THIS VIEW: A METHODOLOGICAL THESIS WHICH TENDS TO DIVORCE THE ANALYSIS OF DISEASE LANGUAGE FROM THE CONTEXT OF THE PRACTICE OF MEDICINE AND A SUBSTANTIVE THESIS WHICH (...)
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  32.  14
    Organization Ethics in Health Care.George J. Agich, Edward M. Spencer, Ann E. Mills, Mary V. Rorty & Patricia H. Werhane - 2000 - Hastings Center Report 30 (6):46.
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  33.  55
    Defense Mechanisms in Ethics Consultation.George J. Agich - 2011 - HEC Forum 23 (4):269-279.
    While there is no denying the relevance of ethical knowledge and analytical and cognitive skills in ethics consultation, such knowledge and skills can be overemphasized. They can be effectively put into practice only by an ethics consultant, who has a broad range of other skills, including interpretive and communicative capacities as well as the capacity effectively to address the psychosocial needs of patients, family members, and healthcare professionals in the context of an ethics consultation case. In this paper, I discuss (...)
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  34.  34
    Ethics and innovation in medicine.George J. Agich - 2001 - Journal of Medical Ethics 27 (5):295-296.
  35.  1
    What Kind of Doing is Clinical Ethics?George J. Agich - 2005 - Theoretical Medicine and Bioethics 26 (1):7-24.
    This paper discusses the importance of Richard M. Zaner’s work on clinical ethics for answering the question: what kind of doing is ethics consultation? The paper argues first, that four common approaches to clinical ethics – applied ethics, casuistry, principlism, and conflict resolution – cannot adequately address the nature of the activity that makes up clinical ethics; second, that understanding the practical character of clinical ethics is critically important for the field; and third, that the practice of clinical ethics is (...)
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  36.  24
    Facing the ethical questions in facial transplantation.George J. Agich & Maria Siemionow - 2004 - American Journal of Bioethics 4 (3):25 – 27.
  37. The Issue of Expertise in Clinical Ethics.George J. Agich - 2009 - Diametros 22:3-20.
    The proliferation of ethics committees and ethics consultation services has engendered a discussion of the issue of the expertise of those who provide clinical ethics consultation services. In this paper, I discuss two aspects of this issue: the cognitive dimension or content knowledge that the clinical ethics consultant should possess and the practical dimension or set of dispositions, skills, and traits that are necessary for effective ethics consultation. I argue that the failure to differentiate and fully explicate these dimensions contributes (...)
     
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  38.  32
    The Moral Philosophy of George Berkeley. [REVIEW]G. J. Warnock - 1972 - Journal of Philosophy 69 (15):460-462.
  39.  98
    Seeking the Everyday Meaning of Autonomy in Neurologic Disorders.George J. Agich - 2004 - Philosophy, Psychiatry, and Psychology 11 (4):295-298.
    In lieu of an abstract, here is a brief excerpt of the content:Seeking the Everyday Meaning of Autonomy in Neurologic DisordersGeorge J. Agich (bio)The Socratic aphorism that the unexamined life is not worth living and dictums like "Know thyself" remind us of the centrality of self-understanding in the history of philosophical reflections on autonomy. These traditional concerns with autonomy may seem far removed from the neurologic impairments to which Joel Anderson and Warren Lux draw our attention. Nonetheless, Anderson and (...)
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  40.  15
    Knowing One’s Way Around: The Challenge of Identifying and Overseeing Innovations in Patient Care.George J. Agich - 2019 - American Journal of Bioethics 19 (6):1-3.
    Volume 19, Issue 6, June 2019, Page 1-3.
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  41.  71
    Reflections on the function of dignity in the context of caring for old people.George J. Agich - 2007 - Journal of Medicine and Philosophy 32 (5):483 – 494.
    This article accepts the proposition that old people want to be treated with dignity and that statements about dignity point to ethical duties that, if not independent of rights, at least enhance rights in ethically important ways. In contexts of policy and law, dignity can certainly have a substantive as well as rhetorical function. However, the article questions whether the concept of dignity can provide practical guidance for choosing among alternative approaches to the care of old people. The article explores (...)
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  42.  20
    Ethics Consultation: Critical Distance/Clinical Competence.George J. Agich - 2018 - American Journal of Bioethics 18 (6):45-47.
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  43.  18
    PUCELLE, J. -Alciphron, ou le Pense-menu by George Berkeley, Introduction et Traduction. [REVIEW]G. J. Warnock - 1954 - Mind 63:282.
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  44.  56
    Expertise in clinical ethics consultation.George J. Agich - 1994 - HEC Forum 6 (6):379-383.
  45.  34
    Incentives and obligations under prospective payment.George J. Agich - 1987 - Journal of Medicine and Philosophy 12 (2):123-144.
    In this paper I analyze the alleged conflict between economic incentives to efficiently utilize health care resources and the obligation to provide patients with the best possible medical care. My analysis is developed in four stages. First, I discuss briefly the nature of prospective payment systems and economic incentives as well as the issue of professional autonomy. Second, I disscuss the notion of an incentive for action both as an economic incentive and as a concept of moral psychology. Third, I (...)
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  46.  77
    The foundation of medical ethics.George J. Agich - 1981 - Theoretical Medicine and Bioethics 2 (1):31-34.
    Thomasma and Pellegrino''s [3] focus on the healing relationship as the way to give medical ethics a philosophical foundation contains a number of difficulties. Most importantly, their approach focuses philosophical analysis on an idealized view of the healing relationship in which the ideal of health is seen as an uncontroversial norm in the individual case. medical ethics is then characterized as an intrinsic part of the medical act itself. Philosophical inquiry seems limited to a description of the practice of medicine (...)
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  47.  9
    The foundation of medical ethics.George J. Agich - 1981 - Metamedicine 2 (1):31-34.
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  48.  66
    From Pittsburgh to Cleveland: NHBD Controversies and Bioethics.George J. Agich - 1999 - Cambridge Quarterly of Healthcare Ethics 8 (3):269-274.
    In March 1997, 60 Minutes, a nationally syndicated news magazine program, featured a story in which it was claimed that The Cleveland Clinic Foundation had in place a non-heart-beating donor protocol that involved killing patients for their organs. These charges were brought by a philosopher from a local university. A student who worked at LifeBanc, the northeastern Ohio organ procurement agency where the organ donation protocol originated, was given the protocol by LifeBanc with the understanding that it was to be (...)
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  49.  19
    Truth in Advertising: Reasonable Versus Unreasonable Claims About Improving Ethics Consultation.George J. Agich - 2016 - American Journal of Bioethics 16 (3):25-26.
  50.  27
    Key concepts: autonomy.George J. Agich - 1994 - Philosophy, Psychiatry, and Psychology 1 (4):267-269.
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