62 found
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  1.  94
    In Defense of Broad Consent.Gert Helgesson - 2012 - Cambridge Quarterly of Healthcare Ethics 21 (1):40-50.
    Proper procedures for informed consent are widely recognized as an ethical requirement for biomedical research involving human beings, in particular as a means to respect the autonomy and personal integrity of potential and actual research participants.
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  2.  72
    Criminalization of scientific misconduct.William Bülow & Gert Helgesson - 2019 - Medicine, Health Care and Philosophy 22 (2):245-252.
    This paper discusses the criminalization of scientific misconduct, as discussed and defended in the bioethics literature. In doing so it argues against the claim that fabrication, falsification and plagiarism (FFP) together identify the most serious forms of misconduct, which hence ought to be criminalized, whereas other forms of misconduct should not. Drawing the line strictly at FFP is problematic both in terms of what is included and what is excluded. It is also argued that the criminalization of scientific misconduct, despite (...)
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  3. Paternalism in the Name of Autonomy.Manne Sjöstrand, Stefan Eriksson, Niklas Juth & Gert Helgesson - 2013 - Journal of Medicine and Philosophy 38 (6):jht049.
    Different ideas of the normative relevance of autonomy can give rise to profoundly different action-guiding principles in healthcare. If autonomy is seen as a value rather than as a right, it can be argued that patients’ decisions should sometimes be overruled in order to protect or promote their own autonomy. We refer to this as paternalism in the name of autonomy. In this paper, we discuss different elements of autonomy (decision-making capacity, efficiency, and authenticity) and arguments in favor of paternalism (...)
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  4.  45
    Research Integrity and Hidden Value Conflicts.Gert Helgesson & William Bülow - 2023 - Journal of Academic Ethics 21 (1):113-123.
    Research integrity is a well-established term used to talk and write about ethical issues in research. Part of its success might be its broad applicability. In this paper, we suggest that this might also be its Achilles heel, since it has the potential to conceal important value conflicts. We identify three broad domains upon which research integrity is applied in the literature: (1) the researcher (or research group), (2) research, and (3) research-related institutions and systems. Integrity in relation to researchers (...)
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  5.  33
    Procedures for clinical ethics case reflections: an example from childhood cancer care.Cecilia Bartholdson, Pernilla Pergert & Gert Helgesson - 2014 - Clinical Ethics 9 (2-3):87-95.
    The procedures for structuring clinical ethics case reflections in a childhood cancer care setting are presented, including an eight-step model. Four notable characteristics of the procedures are: members of the inter-professional health care team, not external experts, taking a leading role in the reflections; patients or relatives not being directly involved; the model explicitly addressing values and moral principles instead of focussing exclusively on the interests of involved parties; using a case-based rather than principle-based method. By discusing the advantages and (...)
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  6.  94
    Plagiarism in research.Gert Helgesson & Stefan Eriksson - 2015 - Medicine, Health Care and Philosophy 18 (1):91-101.
    Plagiarism is a major problem for research. There are, however, divergent views on how to define plagiarism and on what makes plagiarism reprehensible. In this paper we explicate the concept of “plagiarism” and discuss plagiarism normatively in relation to research. We suggest that plagiarism should be understood as “someone using someone else’s intellectual product, thereby implying that it is their own” and argue that this is an adequate and fruitful definition. We discuss a number of circumstances that make plagiarism more (...)
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  7.  33
    Hostage authorship and the problem of dirty hands.William Bülow & Gert Helgesson - 2018 - Research Ethics 14 (1):1-9.
    This article discusses gift authorship, the practice where co-authorship is awarded to a person who has not contributed significantly to the study. From an ethical point of view, gift authorship raises concerns about desert, fairness, honesty and transparency, and its prevalence in research is rightly considered a serious ethical concern. We argue that even though misuse of authorship is always bad, there are instances where accepting requests of gift authorship may nevertheless be the right thing to do. More specifically, we (...)
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  8.  40
    Misuse of co-authorship in Medical PhD Theses in Scandinavia: A Questionnaire Survey.Gert Helgesson, Søren Holm, Lone Bredahl, Bjørn Hofmann & Niklas Juth - 2023 - Journal of Academic Ethics 21 (3):393-406.
    Background Several studies suggest that deviations from proper authorship practices are commonplace in medicine. The aim of this study was to explore experiences of and attitudes towards the handling of authorship in PhD theses at medical faculties in Denmark, Norway, and Sweden. Methods Those who defended their PhD thesis at a medical faculty in Scandinavia during the second half of 2020 were offered, by e-mail, to participate in an online survey. Survey questions dealt with experiences of violations of the first (...)
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  9.  22
    Better in theory than in practise? Challenges when applying the luck egalitarian ethos in health care policy.Joar Björk, Gert Helgesson & Niklas Juth - 2020 - Medicine, Health Care and Philosophy 23 (4):735-742.
    Luck egalitarianism, a theory of distributive justice, holds that inequalities which arise due to individuals’ imprudent choices must not, as a matter of justice, be neutralized. This article deals with the possible application of luck egalitarianism to the area of health care. It seeks to investigate whether the ethos of luck egalitarianism can be operationalized to the point of informing health care policy without straying from its own ideals. In the transition from theory to practise, luck egalitarianism encounters several difficulties. (...)
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  10.  32
    Do Ethical Guidelines Give Guidance? A Critical Examination of Eight Ethics Regulations.Stefan Eriksson, Anna T. Höglund & Gert Helgesson - 2008 - Cambridge Quarterly of Healthcare Ethics 17 (1):15-29.
    The number of legal and nonlegal ethical regulations in the biomedical field has increased tremendously, leaving present-day practitioners and researchers in a virtual crossfire of legislations and guidelines. Judging by the production and by the way these regulations are motivated and presented, they are held to be of great importance to ethical practice. This view is shared by many commentators. For instance, Commons and Baldwin write that, within the nursing profession, patient care can be performed unethically or ethically depending on (...)
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  11.  40
    Making researchers moral: Why trustworthiness requires more than ethics guidelines and review.Linus Johnsson, Stefan Eriksson, Gert Helgesson & Mats G. Hansson - 2014 - Research Ethics 10 (1):29-46.
    Research ethics, once a platform for declaring intent, discussing moral issues and providing advice and guidance to researchers, has developed over time into an extra-legal regulatory system, complete with steering documents (ethics guidelines), overseeing bodies (research ethics committees) and formal procedures (informed consent). The process of institutionalizing distrust is usually motivated by reference to past atrocities committed in the name of research and the need to secure the trustworthiness of the research system. This article examines some limitations of this approach. (...)
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  12.  84
    Coercive treatment and autonomy in psychiatry.Manne Sjöstrand & Gert Helgesson - 2008 - Bioethics 22 (2):113–120.
    There are three lines of argument in defence of coercive treatment of patients with mental disorders: arguments regarding (1) societal interests to protect others, (2) the patients' own health interests, and (3) patient autonomy. In this paper, we analyse these arguments in relation to an idealized case, where a person with a mental disorder claims not to want medical treatment for religious reasons. We also discuss who should decide what in situations where patients with mental disorders deny treatment on seemingly (...)
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  13.  34
    Responsibility for scientific misconduct in collaborative papers.Gert Helgesson & Stefan Eriksson - 2018 - Medicine, Health Care and Philosophy 21 (3):423-430.
    This paper concerns the responsibility of co-authors in cases of scientific misconduct. Arguments in research integrity guidelines and in the bioethics literature concerning authorship responsibilities are discussed. It is argued that it is unreasonable to claim that for every case where a research paper is found to be fraudulent, each author is morally responsible for all aspects of that paper, or that one particular author has such a responsibility. It is further argued that it is more constructive to specify what (...)
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  14.  33
    Value-impregnated factual claims may undermine medical decision-making.Niels Lynøe, Gert Helgesson & Niklas Juth - 2018 - Clinical Ethics 13 (3):151-158.
    Clinical decisions are expected to be based on factual evidence and official values derived from healthcare law and soft laws such as regulations and guidelines. But sometimes personal values instead influence clinical decisions. One way in which personal values may influence medical decision-making is by their affecting factual claims or assumptions made by healthcare providers. Such influence, which we call ‘value-impregnation,’ may be concealed to all concerned stakeholders. We suggest as a hypothesis that healthcare providers’ decision making is sometimes affected (...)
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  15.  22
    The role of guidelines in ethical competence-building: perceptions among research nurses and physicians.Anna T. HÖGlund, Stefan Eriksson & Gert Helgesson - 2010 - Clinical Ethics 5 (2):95-102.
    The aim of the present study was to describe and explore the perception of ethical guidelines and their role in ethical competence-building among Swedish physicians and research nurses. Twelve informants were interviewed in depth. The results demonstrated that the informants had a critical attitude towards ethical guidelines and claimed to make little use of them in practical moral judgements. Ethical competence was seen primarily as character-building, related to virtues such as being empathic, honest and loyal to patients. Ethical competence was (...)
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  16.  28
    The false academy: predatory publishing in science and bioethics.Stefan Eriksson & Gert Helgesson - 2017 - Medicine, Health Care and Philosophy 20 (2):163-170.
    This paper describes and discusses the phenomenon ‘predatory publishing’, in relation to both academic journals and books, and suggests a list of characteristics by which to identify predatory journals. It also raises the question whether traditional publishing houses have accompanied rogue publishers upon this path. It is noted that bioethics as a discipline does not stand unaffected by this trend. Towards the end of the paper it is discussed what can and should be done to eliminate or reduce the effects (...)
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  17.  27
    Why unethical papers should be retracted.William Bülow, Tove E. Godskesen, Gert Helgesson & Stefan Eriksson - 2021 - Journal of Medical Ethics 47 (12):e32-e32.
    The purpose of retracting published papers is to maintain the integrity of academic research. Recent work in research ethics has devoted important attention to how to improve the system of paper retraction. In this context, the focus has primarily been on how to handle fraudulent or flawed research papers and how to encourage the retraction of papers based on honest mistakes. Less attention has been paid to whether papers that report unethical research—for example, research performed without appropriate concern for the (...)
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  18.  26
    Skepticism towards the Swedish vision zero for suicide: interviews with 12 psychiatrists.Petter Karlsson, Gert Helgesson, David Titelman, Manne Sjöstrand & Niklas Juth - 2018 - BMC Medical Ethics 19 (1):26.
    The main causes of suicide and how suicide could and should be prevented are ongoing controversies in the scientific literature as well as in public media. In the bill on public health from 2008, the Swedish Parliament adopted an overarching “Vision Zero for Suicide” and nine strategies for suicide prevention. However, how the VZ should be interpreted in healthcare is unclear. The VZ has been criticized both from a philosophical perspective and against the background of clinical experience and alleged empirical (...)
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  19.  47
    Towards a palliative care approach in psychiatry: do we need a new definition?Anna Lindblad, Gert Helgesson & Manne Sjöstrand - 2019 - Journal of Medical Ethics 45 (1):26-30.
    Psychiatry today is mainly practised within a curative framework. However, many mental disorders are persistent and negatively affect quality of life as well as life expectancy. This tension between treatment goals and the actual illness trajectory has evoked a growing academic interest in ‘palliative psychiatry’, namely the application of a palliative care approach in patients with severe persistent mental illness. Recently, Trachsel et al presented a working definition of palliative psychiatry. This first official attempt to capture the concept is based (...)
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  20.  31
    How to reveal disguised paternalism.Niels Lynöe, Niklas Juth & Gert Helgesson - 2010 - Medicine, Health Care and Philosophy 13 (1):59-65.
    In a Swedish setting physicians are unlikely to give explicitly paternalistic reasons when asked about their attitudes towards patients’ involvement in decision-making. There is considerable risk that they will disguise their paternalism by giving ‘socially correct answers’. We suggest that disguised paternalism can be revealed with the help of indexes based on certain responses in postal questionnaires. The indexes were developed using material from a study examining attitudes of Swedish physicians to physician-assisted suicide (PAS). Apart from being asked about their (...)
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  21.  91
    Ethical deliberations about involuntary treatment: interviews with Swedish psychiatrists.Manne Sjöstrand, Lars Sandman, Petter Karlsson, Gert Helgesson, Stefan Eriksson & Niklas Juth - 2015 - BMC Medical Ethics 16 (1):1-12.
    BackgroundInvoluntary treatment is a key issue in healthcare ethics. In this study, ethical issues relating to involuntary psychiatric treatment are investigated through interviews with Swedish psychiatrists.MethodsIn-depth interviews were conducted with eight Swedish psychiatrists, focusing on their experiences of and views on compulsory treatment. In relation to this, issues about patient autonomy were also discussed. The interviews were analysed using a descriptive qualitative approach.ResultsThe answers focus on two main aspects of compulsory treatment. Firstly, deliberations about when and why it was justifiable (...)
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  22.  30
    Notions of just health care at three Swedish hospitals.Carl-Åke Elmersjö & Gert Helgesson - 2008 - Medicine, Health Care and Philosophy 11 (2):145-151.
    This article investigates what notions of “just health care” are found at three Swedish hospitals among health care personnel and whether these notions are relevant to what priorities are actually made. Fieldwork at all three hospitals and 114 in-depth interviews were conducted. Data have been subject to conceptual and ethical analysis and categorisation. According to our findings, justice is an important idea to health care personnel at the studied hospitals. Two main notions of just health care were found. The main (...)
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  23.  13
    Psychiatrists’ motives for compulsory care of patients with borderline personality disorder – a questionnaire study.Antoinette Lundahl, Johan Hellqvist, Gert Helgesson & Niklas Juth - 2022 - Clinical Ethics 17 (4):377-390.
    IntroductionBorderline personality disorder patients are often subjected to inpatient compulsory care due to suicidal behaviour. However, inpatient care is usually advised against as it can have detrimental effects, including increased suicidality.AimTo investigate what motives psychiatrists have for treating borderline personality disorder patients under compulsory care.Materials and MethodsA questionnaire survey was distributed to all psychiatrists and registrars in psychiatry working at mental health emergency units or inpatient wards in Sweden. The questionnaire contained questions with fixed response alternatives, with room for comments, (...)
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  24.  28
    Value-impregnated factual claims and slippery-slope arguments.Gert Helgesson, Niels Lynøe & Niklas Juth - 2017 - Medicine, Health Care and Philosophy 20 (1):147-150.
    Slippery-slope arguments typically question a course of action by estimating that it will end in misery once the first unfortunate step is taken. Previous studies indicate that estimations of the long-term consequences of certain debated actions, such as legalizing physician-assisted suicide, may be strongly influenced by tacit personal values. In this paper, we suggest that to the extent that slippery-slope arguments rest on estimations of future events, they may be mere rationalizations of personal values. This might explain why there are (...)
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  25.  25
    Ulysses contracts regarding compulsory care for patients with borderline personality syndrome.Antoinette Lundahl, Gert Helgesson & Niklas Juth - 2017 - Clinical Ethics 12 (2):82-85.
    Introduction Compulsory care is controversial, since respect for the patient’s autonomy is a standard requirement in health care. Many psychiatrists have experienced that patients with borderline personality syndrome sometimes demand compulsory care for themselves in order not to exert self-harm—like Ulysses contracts. The aim of this study was to examine the possible existence and extent of borderline personality syndrome-patient demands for Ulysses contracts regarding compulsory care in acute psychiatry, and how external influences and demands could affect the caregivers’ decisions about (...)
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  26.  33
    The Right to Withdraw Consent to Research on Biobank Samples.Gert Helgesson & Linus Johnsson - 2005 - Medicine, Health Care and Philosophy 8 (3):315-321.
    Ethical guidelines commonly state that research subjects should have a right to withdraw consent to participate. According to the guidelines we have studied, this right applies also to research on biological samples. However, research conducted on human subjects themselves differs in important respects from research on biological samples. It is therefore not obvious that the same rights should be granted research participants in the two cases. This paper investigates arguments for and against granting a right to withdraw consent to research (...)
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  27.  19
    Hostage authorship and dirty hands: A reply to Tang.William Bülow & Gert Helgesson - 2019 - Research Ethics 15 (2):1-6.
    In a recent paper published in this journal, we discussed a phenomenon that we referred to as ‘hostage authorship’. By this we meant a practice where an undeserving person X is included as author o...
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  28.  25
    Autonomy, the Right Not to Know, and the Right to Know Personal Research Results: What Rights are There, and Who Should Decide about Exceptions?Gert Helgesson - 2014 - Journal of Law, Medicine and Ethics 42 (1):28-37.
    Bioethicists have for quite some time discussed the right to know and the right not to know personal health information, such as genetic information acquired in health care and incidental health-related findings in research. Several international ethical guidelines explicitly defend these rights.My own interest in these matters stems from my participation in ethics-related research tied to a longitudinal screening study on Type I diabetes involving young children. A few of the participating parents did not want to be informed if the (...)
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  29.  13
    Can and should the research–therapy distinction be maintained? Reflections in the light of innovative last-resort treatment.Gert Helgesson - 2019 - Research Ethics 15 (2):1-14.
    It has been debated for quite some time among bioethicists and others whether or not the distinction between therapy and research in healthcare can and should be maintained. This paper tries to clarify what the disagreement is about, and argues that the distinction can be maintained in most, if not all, situations. However, even if it can be maintained, it does not necessarily follow that it should. It is argued here that there are good reasons to maintain the distinction both (...)
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  30.  67
    Does Informed Consent Have an Expiry Date? A Critical Reappraisal of Informed Consent as a Process.Gert Helgesson & Stefan Eriksson - 2011 - Cambridge Quarterly of Healthcare Ethics 20 (1):85-92.
    Informed consent is central to modern research ethics. Informed consent procedures have mainly been justified in terms of respect for autonomy, the core idea being that it should be every competent individual’s right to decide for herself whether or not to participate in scientific studies. A number of conditions are normally raised with regard to morally valid informed consent. These include that potential research subjects get adequate information, understand those aspects that are relevant to them, and, based on that information, (...)
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  31.  15
    Willingness to Share yet Maintain Influence: A Cross-Sectional Study on Attitudes in Sweden to the Use of Electronic Health Data.Sara Belfrage, Niels Lynöe & Gert Helgesson - 2021 - Public Health Ethics 14 (1):23-34.
    We have investigated attitudes towards the use of health data among the Swedish population by analyzing data from a survey answered by 1645 persons. Health data are potentially useful for a variety of purposes. Yet information about health remains sensitive. A balance therefore has to be struck between these opposing considerations in a number of contexts. The attitudes among those whose data is concerned will influence the perceived legitimacy of policies regulating health data use. We aimed to investigate what views (...)
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  32.  38
    Ethical aspects of diagnosis and interventions for children with Fetal Alcohol Spectrum Disorder (FASD) and their families.Gert Helgesson, Göran Bertilsson, Helena Domeij, Gunilla Fahlström, Emelie Heintz, Anders Hjern, Christina Nehlin Gordh, Viviann Nordin, Jenny Rangmar, Ann-Margret Rydell, Viveka Sundelin Wahlsten & Monica Hultcrantz - 2018 - BMC Medical Ethics 19 (1):1.
    Fetal alcohol spectrum disorders is an umbrella term covering several conditions for which alcohol consumption during pregnancy is taken to play a causal role. The benefit of individuals being identified with a condition within FASD remains controversial. The objective of the present study was to identify ethical aspects and consequences of diagnostics, interventions, and family support in relation to FASD. Ethical aspects relating to diagnostics, interventions, and family support regarding FASD were compiled and discussed, drawing on a series of discussions (...)
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  33.  56
    Conceptions of decision-making capacity in psychiatry: interviews with Swedish psychiatrists.Manne Sjöstrand, Petter Karlsson, Lars Sandman, Gert Helgesson, Stefan Eriksson & Niklas Juth - 2015 - BMC Medical Ethics 16 (1):34.
    Decision-making capacity is a key concept in contemporary healthcare ethics. Previous research has mainly focused on philosophical, conceptual issues or on evaluation of different tools for assessing patients’ capacity. The aim of the present study is to investigate how the concept and its normative role are understood in Swedish psychiatric care. Of special interest for present purposes are the relationships between decisional capacity and psychiatric disorders and between health law and practical ethics.
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  34.  24
    Children, Longitudinal Studies, and Informed Consent.Gert Helgesson - 2005 - Medicine, Health Care and Philosophy 8 (3):307-313.
    This paper deals with ethical issues of particular relevance to longitudinal research involving children. First some general problems concerning information and lack of understanding are discussed. Thereafter focus is shifted to issues concerning information and consent procedures in studies that include young children growing up to become autonomous persons while the project still runs. Some of the questions raised are: When is it right to include children in longitudinal studies? Is an approval from the child needed? How should information to (...)
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  35.  45
    Autonomy, the Right Not to Know, and the Right to Know Personal Research Results: What Rights Are There, and Who Should Decide about Exceptions?Gert Helgesson - 2014 - Journal of Law, Medicine and Ethics 42 (1):28-37.
    This paper defends the right not to know personal health information, while it discards the right of research participants to receive individual research results. Disagreement regarding the right not to know stems from two different conceptions of autonomy, leading to opposing normative conclusions. Researchers occasionally have good reason to inform research participants about incidental findings in spite of the absence of a right to know such information. Such decisions have to be made by health care personnel and researchers on a (...)
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  36.  76
    Can the dead be brought into disrepute?Malin Masterton, Mats G. Hansson, Anna T. Höglund & Gert Helgesson - 2007 - Theoretical Medicine and Bioethics 28 (2):137-149.
    Queen Christina of Sweden was unconventional in her time, leading to hypotheses on her gender and possible hermaphroditic nature. If genetic analysis can substantiate the latter claim, could this bring the queen into disrepute 300 years after her death? Joan C. Callahan has argued that if a reputation changes, this constitutes a change only in the group of people changing their views and not in the person whose reputation it is. Is this so? This paper analyses what constitutes change and (...)
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  37. Early Stopping of Clinical Trials: Charting the Ethical Terrain.Erik Malmqvist, Niklas Juth, Niels Lynöe & Gert Helgesson - 2011 - Kennedy Institute of Ethics Journal 21 (1):51-78.
    Randomized and double-blind clinical trials are widely regarded as the most reliable way of studying the effects of medical interventions. According to received wisdom, if a new drug or treatment is to be accepted in clinical practice, its safety and efficacy must first be demonstrated in such trials. For ethical and scientific reasons, it is generally considered necessary to monitor a trial in various ways as it proceeds and to analyze data as they accumulate. Monitoring and interim analyses are often (...)
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  38.  10
    What is a reasonable framework for new non-validated treatments?Gert Helgesson - 2020 - Theoretical Medicine and Bioethics 41 (5):239-245.
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  39.  18
    Against Ulysses contracts for patients with borderline personality disorder.Antoinette Lundahl, Gert Helgesson & Niklas Juth - 2020 - Medicine, Health Care and Philosophy 23 (4):695-703.
    Patients with borderline personality disorder sometimes request to be admitted to hospital under compulsory care, often under the argument that they cannot trust their suicidal impulses if treated voluntarily. Thus, compulsory care is practised as a form of Ulysses contract in such situations. In this normative study we scrutinize the arguments commonly used in favour of such Ulysses contracts: the patient lacking free will, Ulysses contracts as self-paternalism, the patient lacking decision competence, Ulysses contracts as a defence of the authentic (...)
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  40.  18
    Scientific authorship and intellectual involvement in the research: Should they coincide?Gert Helgesson - 2015 - Medicine, Health Care and Philosophy 18 (2):171-175.
    An update of the widely acknowledged recommendations on how to handle authorship in research, issued by the International Committee of Medical Journal Editors, was issued in August, 2013. While the revised recommendations contain several clarifications compared to earlier versions, one arguably important aspect is still not addressed: the relationship between authorship and intellectual involvement in research. In this paper, it is argued that the ICMJE authorship criteria are flawed in this respect: they do not explicitly require of authors of scientific (...)
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  41.  20
    Is compulsory care ethically justified for patients with borderline personality disorder?Antoinette Lundahl, Gert Helgesson & Niklas Juth - 2024 - Clinical Ethics 19 (1):35-46.
    Patients with borderline personality disorder (BPD) are overrepresented in compulsory inpatient care for suicide-protective reasons. Still, much evidence indicates negative effects of such care, including increased suicide risk. Clinical guidelines are contradictory, leaving clinicians with difficult ethical dilemmas when deciding on compulsory care. In this study, we analyse the arguments most commonly used in favour of compulsory care of BPD patients, to find out in what situations such care is ethically justified. The aim is to guide clinicians when deciding on (...)
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  42.  23
    Should the deceased be listed as authors?Gert Helgesson, William Bülow, Stefan Eriksson & Tove E. Godskesen - 2019 - Journal of Medical Ethics 45 (5):331-338.
    Sometimes participants in research collaboration die before the paper is accepted for publication. The question we raise in this paper is how authorship should be handled in such situations. First, the outcome of a literature survey is presented. Taking this as our starting point, we then go on to discuss authorship of the dead in relation to the requirements of the Vancouver rules. We argue that in principle the deceased can meet the requirements laid down in these authorship guidelines. However, (...)
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  43.  29
    Provide expertise or facilitate ethical reflection? A comment on the debate between Cowley and Crosthwaite.Stefan Eriksson, Gert Helgesson & Pär Segerdahl - 2006 - Medicine, Health Care and Philosophy 9 (3):389-392.
  44.  46
    Adequate trust avails, mistaken trust matters: On the moral responsibility of doctors as proxies for patients' trust in biobank research.Linus Johnsson, Gert Helgesson, Mats G. Hansson & Stefan Eriksson - 2012 - Bioethics 27 (9):485-492.
    In Sweden, most patients are recruited into biobank research by non-researcher doctors. Patients' trust in doctors may therefore be important to their willingness to participate. We suggest a model of trust that makes sense of such transitions of trust between domains and distinguishes adequate trust from mistaken trust. The unique position of doctors implies, we argue, a Kantian imperfect duty to compensate for patients' mistaken trust. There are at least three kinds of mistaken trust, each of which requires a different (...)
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  45.  34
    Just implementation of human papillomavirus vaccination.Erik Malmqvist, Kari Natunen, Matti Lehtinen & Gert Helgesson - 2012 - Journal of Medical Ethics 38 (4):247-249.
    Many countries are now implementing human papillomavirus vaccination. There is disagreement about who should receive the vaccine. Some propose vaccinating both boys and girls in order to achieve the largest possible public health impact. Others regard this approach as too costly and claim that only girls should be vaccinated. We question the assumption that decisions about human papillomavirus vaccination policy should rely solely on estimates of overall benefits and costs. There are important social justice aspects that also need to be (...)
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  46.  22
    The moral primacy of the human being: a reply to Parker.Gert Helgesson & Stefan Eriksson - 2011 - Journal of Medical Ethics 37 (1):56-57.
    In a previous paper in the Journal of Medical Ethics, the authors argued that the research ethical principle stating that the individual shall have priority over science, found in many guidelines, is utterly unclear and because of this should be explicated or otherwise deleted. In a recent commentary, Parker argued that this leaves us defending a position that would allow totalitarian regimes to pursue glory at the expense of its citizens. The present response addresses this and similar accusations.
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  47.  48
    The ethics of implementing human papillomavirus vaccination in developed countries.Erik Malmqvist, Gert Helgesson, Johannes Lehtinen, Kari Natunen & Matti Lehtinen - 2010 - Medicine, Health Care and Philosophy 14 (1):19-27.
    Human papillomavirus (HPV) infection is the world’s most common sexually transmitted infection. It is a prerequisite for cervical cancer, the second most common cause of death in cancer among women worldwide, and is also believed to cause other anogenital and head and neck cancers. Vaccines that protect against the most common cancer-causing HPV types have recently become available, and different countries have taken different approaches to implementing vaccination. This paper examines the ethics of alternative HPV vaccination strategies. It devotes particular (...)
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  48.  98
    Parental authority, research interests and children's right to decide in medical research – an uneasy tension?Ulrica Swartling, Gert Helgesson, Mats G. Hansson & Johnny Ludvigsson - 2008 - Clinical Ethics 3 (2):69-74.
    There is an increased focus on, and evidence of, children's capability to both understand and make decisions about issues relating to participation in medical research. At the same time there are divergent ideas of when, how and to what extent children should be allowed to decide for themselves. Furthermore, little is known about parents' views on these matters, an important issue since they often provide the formal consent. In this questionnaire study of 2500 families in south-east Sweden (with and without (...)
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  49.  8
    Informants a potential threat to confidentiality in small studies.Gert Helgesson - 2015 - Medicine, Health Care and Philosophy 18 (1):149-152.
    Providing proper protection of confidentiality, by preventing personal data from falling into the hands of third parties, is one of the core responsibilities of researchers towards research participants. However, even if researchers do their best in this regard, it does not guarantee that breaches of confidentiality will be avoided. This paper addresses the case of small qualitative studies, arguing that researchers cannot guarantee their informants’ confidentiality, since that confidentiality may be compromised by actions taken by the informants themselves. In order (...)
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  50.  33
    Time for a change in the understanding of what constitutes text plagiarism?Gert Helgesson - 2014 - Research Ethics 10 (4):187-195.
    Plagiarism is plaguing research publications in many fields. It is problematic by being misleading about who deserves credit for scientific results, images, text or ideas, by involving scientific fraud and by distorting meta-analyses. However, different research traditions put different emphasis on the originality of text. Traditional rules regarding correct quotation seem to fit the humanities and many social sciences better than the natural and engineering sciences. This article suggests that we should stop applying a common standard regarding plagiarism to all (...)
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