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Joseph J. Fins [148]Joseph Fins [10]Joseph Jack Fins [1]
  1.  53
    Recommendations for Responsible Development and Application of Neurotechnologies.Sara Goering, Eran Klein, Laura Specker Sullivan, Anna Wexler, Blaise Agüera Y. Arcas, Guoqiang Bi, Jose M. Carmena, Joseph J. Fins, Phoebe Friesen, Jack Gallant, Jane E. Huggins, Philipp Kellmeyer, Adam Marblestone, Christine Mitchell, Erik Parens, Michelle Pham, Alan Rubel, Norihiro Sadato, Mina Teicher, David Wasserman, Meredith Whittaker, Jonathan Wolpaw & Rafael Yuste - 2021 - Neuroethics 14 (3):365-386.
    Advancements in novel neurotechnologies, such as brain computer interfaces and neuromodulatory devices such as deep brain stimulators, will have profound implications for society and human rights. While these technologies are improving the diagnosis and treatment of mental and neurological diseases, they can also alter individual agency and estrange those using neurotechnologies from their sense of self, challenging basic notions of what it means to be human. As an international coalition of interdisciplinary scholars and practitioners, we examine these challenges and make (...)
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  2.  82
    Towards a Governance Framework for Brain Data.Marcello Ienca, Joseph J. Fins, Ralf J. Jox, Fabrice Jotterand, Silja Voeneky, Roberto Andorno, Tonio Ball, Claude Castelluccia, Ricardo Chavarriaga, Hervé Chneiweiss, Agata Ferretti, Orsolya Friedrich, Samia Hurst, Grischa Merkel, Fruzsina Molnár-Gábor, Jean-Marc Rickli, James Scheibner, Effy Vayena, Rafael Yuste & Philipp Kellmeyer - 2022 - Neuroethics 15 (2):1-14.
    The increasing availability of brain data within and outside the biomedical field, combined with the application of artificial intelligence (AI) to brain data analysis, poses a challenge for ethics and governance. We identify distinctive ethical implications of brain data acquisition and processing, and outline a multi-level governance framework. This framework is aimed at maximizing the benefits of facilitated brain data collection and further processing for science and medicine whilst minimizing risks and preventing harmful use. The framework consists of four primary (...)
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  3.  59
    The Effects of Closed-Loop Medical Devices on the Autonomy and Accountability of Persons and Systems.Philipp Kellmeyer, Thomas Cochrane, Oliver Müller, Christine Mitchell, Tonio Ball, Joseph J. Fins & Nikola Biller-Andorno - 2016 - Cambridge Quarterly of Healthcare Ethics 25 (4):623-633.
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  4.  73
    Quality Attestation for Clinical Ethics Consultants: A Two‐Step Model from the American Society for Bioethics and Humanities.Eric Kodish, Joseph J. Fins, Clarence Braddock, Felicia Cohn, Nancy Neveloff Dubler, Marion Danis, Arthur R. Derse, Robert A. Pearlman, Martin Smith, Anita Tarzian, Stuart Youngner & Mark G. Kuczewski - 2013 - Hastings Center Report 43 (5):26-36.
    Clinical ethics consultation is largely outside the scope of regulation and oversight, despite its importance. For decades, the bioethics community has been unable to reach a consensus on whether there should be accountability in this work, as there is for other clinical activities that influence the care of patients. The American Society for Bioethics and Humanities, the primary society of bioethicists and scholars in the medical humanities and the organizational home for individuals who perform CEC in the United States, has (...)
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  5. Disability Rights as a Necessary Framework for Crisis Standards of Care and the Future of Health Care.Laura Guidry-Grimes, Katie Savin, Joseph A. Stramondo, Joel Michael Reynolds, Marina Tsaplina, Teresa Blankmeyer Burke, Angela Ballantyne, Eva Feder Kittay, Devan Stahl, Jackie Leach Scully, Rosemarie Garland-Thomson, Anita Tarzian, Doron Dorfman & Joseph J. Fins - 2020 - Hastings Center Report 50 (3):28-32.
    In this essay, we suggest practical ways to shift the framing of crisis standards of care toward disability justice. We elaborate on the vision statement provided in the 2010 Institute of Medicine (National Academy of Medicine) “Summary of Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations,” which emphasizes fairness; equitable processes; community and provider engagement, education, and communication; and the rule of law. We argue that interpreting these elements through disability justice entails a commitment to both (...)
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  6.  62
    Minding Rights: Mapping Ethical and Legal Foundations of ‘Neurorights’.Sjors Ligthart, Marcello Ienca, Gerben Meynen, Fruzsina Molnar-Gabor, Roberto Andorno, Christoph Bublitz, Paul Catley, Lisa Claydon, Thomas Douglas, Nita Farahany, Joseph J. Fins, Sara Goering, Pim Haselager, Fabrice Jotterand, Andrea Lavazza, Allan McCay, Abel Wajnerman Paz, Stephen Rainey, Jesper Ryberg & Philipp Kellmeyer - 2023 - Cambridge Quarterly of Healthcare Ethics 32 (4):461-481.
    The rise of neurotechnologies, especially in combination with artificial intelligence (AI)-based methods for brain data analytics, has given rise to concerns around the protection of mental privacy, mental integrity and cognitive liberty – often framed as “neurorights” in ethical, legal, and policy discussions. Several states are now looking at including neurorights into their constitutional legal frameworks, and international institutions and organizations, such as UNESCO and the Council of Europe, are taking an active interest in developing international policy and governance guidelines (...)
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  7.  67
    A Pilot Evaluation of Portfolios for Quality Attestation of Clinical Ethics Consultants.Joseph J. Fins, Eric Kodish, Felicia Cohn, Marion Danis, Arthur R. Derse, Nancy Neveloff Dubler, Barbara Goulden, Mark Kuczewski, Mary Beth Mercer, Robert A. Pearlman, Martin L. Smith, Anita Tarzian & Stuart J. Youngner - 2016 - American Journal of Bioethics 16 (3):15-24.
    Although clinical ethics consultation is a high-stakes endeavor with an increasing prominence in health care systems, progress in developing standards for quality is challenging. In this article, we describe the results of a pilot project utilizing portfolios as an evaluation tool. We found that this approach is feasible and resulted in a reasonably wide distribution of scores among the 23 submitted portfolios that we evaluated. We discuss limitations and implications of these results, and suggest that this is a significant step (...)
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  8.  48
    The Unintended Consequences of Chile’s Neurorights Constitutional Reform: Moving beyond Negative Rights to Capabilities.Joseph J. Fins - 2022 - Neuroethics 15 (3):1-11.
    As scholars envision a new regulatory or statutory neurorights schema it is important to imagine unintended consequences if reforms are implemented before their implications are fully understood. This paper critically evaluates provisions proposed for a new Chilean Constitution and evaluates this movement against efforts to improve the diagnosis of, and treatment for, individuals with disorders of consciousness within the broader context of disability law, international human rights, and a capabilities approach to health justice as advanced by Amartya Sen and Martha (...)
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  9.  24
    Mosaic Decisionmaking and Reemergent Agency after Severe Brain Injury.Joseph J. Fins - 2018 - Cambridge Quarterly of Healthcare Ethics 27 (1):163-174.
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  10.  95
    Clinical pragmatism: A method of moral problem solving.Joseph J. Fins, Matthew D. Bacchetta & Franklin G. Miller - 1997 - Kennedy Institute of Ethics Journal 7 (2):129-143.
    : This paper presents a method of moral problem solving in clinical practice that is inspired by the philosophy of John Dewey. This method, called "clinical pragmatism," integrates clinical and ethical decision making. Clinical pragmatism focuses on the interpersonal processes of assessment and consensus formation as well as the ethical analysis of relevant moral considerations. The steps in this method are delineated and then illustrated through a detailed case study. The implications of clinical pragmatism for the use of principles in (...)
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  11. Neuroimaging and disorders of consciousness: Envisioning an ethical research agenda.Joseph J. Fins, Judy Illes, James L. Bernat, Joy Hirsch, Steven Laureys & Emily Murphy - 2008 - American Journal of Bioethics 8 (9):3 – 12.
    The application of neuroimaging technology to the study of the injured brain has transformed how neuroscientists understand disorders of consciousness, such as the vegetative and minimally conscious states, and deepened our understanding of mechanisms of recovery. This scientific progress, and its potential clinical translation, provides an opportunity for ethical reflection. It was against this scientific backdrop that we convened a conference of leading investigators in neuroimaging, disorders of consciousness and neuroethics. Our goal was to develop an ethical frame to move (...)
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  12.  11
    Rights come to mind: brain injury, ethics, and the struggle for consciousness.Joseph Fins - 2015 - New York, NY: Cambridge University Press.
    Joseph J. Fins calls for a reconsideration of severe brain injury treatment, including discussion of public policy and physician advocacy.
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  13.  87
    Beyond Consent in Research.Emily Bell, Eric Racine, Paula Chiasson, Maya Dufourcq-Brana, Laura B. Dunn, Joseph J. Fins, Paul J. Ford, Walter Glannon, Nir Lipsman, Mary Ellen Macdonald, Debra J. H. Mathews & Mary Pat Mcandrews - 2014 - Cambridge Quarterly of Healthcare Ethics 23 (3):361-368.
    Abstract:Vulnerability is an important criterion to assess the ethical justification of the inclusion of participants in research trials. Currently, vulnerability is often understood as an attribute inherent to a participant by nature of a diagnosed condition. Accordingly, a common ethical concern relates to the participant’s decisionmaking capacity and ability to provide free and informed consent. We propose an expanded view of vulnerability that moves beyond a focus on consent and the intrinsic attributes of participants. We offer specific suggestions for how (...)
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  14.  11
    Dignity of Risk, Reemergent Agency, and the Central Thalamic Stimulation Trial for Moderate to Severe Brain Injury.Joseph J. Fins & Megan S. Wright - 2022 - Perspectives in Biology and Medicine 65 (2):307-315.
  15.  11
    The COVID-19 Crisis and Clinical Ethics in New York City.Kenneth M. Prager & Joseph J. Fins - 2020 - Journal of Clinical Ethics 31 (3):228-232.
    The COVID-19 pandemic that struck New York City in the spring of 2020 was a natural experiment for the clinical ethics services of NewYork-Presbyterian (NYP). Two distinct teams at NYP’s flagship academic medical centers—at NYP/ Columbia University Medical Center (Columbia) and NYP/ Weill Cornell Medical Center (Weill Cornell)—were faced with the same pandemic and operated under the same institutional rules. Each campus used time as an heuristic to analyze our collective response. The Columbia team compares consults during the pandemic with (...)
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  16.  5
    Identity Theft, Deep Brain Stimulation, and the Primacy of Post‐trial Obligations.Joseph J. Fins, Amanda R. Merner, Megan S. Wright & Gabriel Lázaro-Muñoz - 2024 - Hastings Center Report 54 (1):34-41.
    Patient narratives from two investigational deep brain stimulation trials for traumatic brain injury and obsessive‐compulsive disorder reveal that injury and illness rob individuals of personal identity and that neuromodulation can restore it. The early success of these interventions makes a compelling case for continued post‐trial access to these technologies. Given the centrality of personal identity to respect for persons, a failure to provide continued access can be understood to represent a metaphorical identity theft. Such a loss recapitulates the pain of (...)
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  17.  56
    A leg to stand on: Sir William Osler and Wilder penfield's "neuroethics".Joseph J. Fins - 2008 - American Journal of Bioethics 8 (1):37 – 46.
    If ever I summon before me my highest ideals of men and medicine, I find them sprung from the spirit of Osler. —Wilder Penfield, M.D. Neuroethics is a recently coined term that is shaping our cultu...
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  18.  9
    Once and Future Clinical Neuroethics: A History of What Was and What Might Be.Joseph J. Fins - 2019 - Journal of Clinical Ethics 30 (1):27-34.
    While neuroethics is generally thought to be a modern addition to the broader field of bioethics, this subdiscipline has existed in clinical practice throughout the course of the 20th century. In this essay, Fins describes an older tradition of clinical neuroethics that featured such physician-humanists as Sir William Osler, Wilder Penfield, and Fred Plum, whose work and legacy exploring disorders of consciousness is highlighted. Their normative work was clinically grounded and focused on the needs of patients, in contrast to modern (...)
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  19.  8
    Phases of a Pandemic Surge: The Experience of an Ethics Service in New York City during COVID-19.Joseph J. Fins, Inmaculada de Melo-Martín, C. Ronald MacKenzie, Seth A. Waldman, Mary F. Chisholm, Jennifer E. Hersh, Zachary E. Shapiro, Joan M. Walker, Nicole Meredyth, Nekee Pandya, Douglas S. T. Green, Samantha F. Knowlton, Ezra Gabbay, Debjani Mukherjee & Barrie J. Huberman - 2020 - Journal of Clinical Ethics 31 (3):219-227.
    When the COVID-19 surge hit New York City hospitals, the Division of Medical Ethics at Weill Cornell Medical College, and our affiliated ethics consultation services, faced waves of ethical issues sweeping forward with intensity and urgency. In this article, we describe our experience over an eight-week period (16 March through 10 May 2020), and describe three types of services: clinical ethics consultation (CEC); service practice communications/interventions (SPCI); and organizational ethics advisement (OEA). We tell this narrative through the prism of time, (...)
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  20.  28
    Toward a Social Bioethics Through Interpretivism: A Framework for Healthcare Ethics.Ryan J. Dougherty & Joseph J. Fins - 2024 - Cambridge Quarterly of Healthcare Ethics 33 (1):6-16.
    Recent global events demonstrate that analytical frameworks to aid professionals in healthcare ethics must consider the pervasive role of social structures in the emergence of bioethical issues. To address this, the authors propose a new sociologically informed approach to healthcare ethics that they term “social bioethics.” Their approach is animated by the interpretive social sciences to highlight how social structures operate vis-à-vis the everyday practices and moral reasoning of individuals, a phenomenon known as social discourse. As an exemplar, the authors (...)
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  21.  36
    Clinical pragmatism: Bridging theory and practice.Joseph Fins, Franklin G. Miller & Matthew D. Bacchetta - 1998 - Kennedy Institute of Ethics Journal 8 (1):37-42.
    : This response to Lynn Jansen's critique of clinical pragmatism concentrates on two themes: (1) contrasting approaches to moral epistemology and (2) the connection between theory and practice in clinical ethics. Particular attention is paid to the status of principles and the role of consensus, with some closing speculations on how Dewey might view the current state of bioethics.
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  22. International Legal Approaches to Neurosurgery for Psychiatric Disorders.Jennifer A. Chandler, Laura Y. Cabrera, Paresh Doshi, Shirley Fecteau, Joseph J. Fins, Salvador Guinjoan, Clement Hamani, Karen Herrera-Ferrá, C. Michael Honey, Judy Illes, Brian H. Kopell, Nir Lipsman, Patrick J. McDonald, Helen S. Mayberg, Roland Nadler, Bart Nuttin, Albino J. Oliveira-Maia, Cristian Rangel, Raphael Ribeiro, Arleen Salles & Hemmings Wu - 2021 - Frontiers in Human Neuroscience 14.
    Neurosurgery for psychiatric disorders, also sometimes referred to as psychosurgery, is rapidly evolving, with new techniques and indications being investigated actively. Many within the field have suggested that some form of guidelines or regulations are needed to help ensure that a promising field develops safely. Multiple countries have enacted specific laws regulating NPD. This article reviews NPD-specific laws drawn from North and South America, Asia and Europe, in order to identify the typical form and contents of these laws and to (...)
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  23.  12
    Brain Organoids and Consciousness: Late Night Musings Inspired by Lewis Thomas.Joseph J. Fins - 2021 - Cambridge Quarterly of Healthcare Ethics 30 (4):557-560.
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  24.  44
    In the Blink of the Mind's Eye.Joseph J. Fins & Nicholas D. Schiff - 2010 - Hastings Center Report 40 (3):21-23.
  25.  11
    Subject and Family Perspectives from the Central Thalamic Deep Brain Stimulation for Traumatic Brain Injury Study: Part I.Joseph J. Fins, Megan S. Wright, Jaimie M. Henderson & Nicholas D. Schiff - 2022 - Cambridge Quarterly of Healthcare Ethics 31 (4):419-443.
    This is the first article in a two-part series describing subject and family perspectives from the central thalamic deep brain stimulation for the treatment of traumatic brain injury using the Medtronic PC + S first-in-human invasive neurological device trial to achieve cognitive restoration in moderate to severe traumatic brain injury, with subjects who were deemed capable of providing voluntary informed consent. In this article, we report on interviews conducted prior to surgery wherein we asked participants about their experiences recovering from (...)
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  26.  15
    Subject and Family Perspectives from the Central Thalamic Deep Brain Stimulation Trial for Traumatic Brain Injury: Part II.Joseph J. Fins, Megan S. Wright, Kaiulani S. Shulman, Jaimie M. Henderson & Nicholas D. Schiff - forthcoming - Cambridge Quarterly of Healthcare Ethics:1-24.
    This is the second paper in a two-part series describing subject and family perspectives from the CENTURY-S (CENtral Thalamic Deep Brain Stimulation for the Treatment of Traumatic Brain InjURY-Safety) first-in-human invasive neurological device trial to achieve cognitive restoration in moderate to severe traumatic brain injury (msTBI). To participate, subjects were independently assessed to formally establish decision-making capacity to provide voluntary informed consent. Here, we report on post-operative interviews conducted after a successful trial of thalamic stimulation. All five msTBI subjects met (...)
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  27.  32
    Neuroethics: A Philosophical Challenge.Fritz Allhoff, Françoise Baylis, Richard Glen Boire, Christopher Buford, Tom Buller, Raymond DeVries, Hubert Doucet, Kathinka Evers, Joseph Fins & Ruth L. Fischbach - 2005 - American Journal of Bioethics 5 (2):31-33.
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  28.  12
    How We Die.Joseph J. Fins & Sherwin B. Nuland - 1995 - Hastings Center Report 25 (2):38.
    Book reviewed in this article: How We Die. By Sherwin B. Nuland. New York: Alfred A. Knopf.
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  29.  19
    Bioethics, Ukraine, and the Peril of Silence.Joseph J. Fins - 2023 - Cambridge Quarterly of Healthcare Ethics 32 (1):1-3.
    By considering the history of bioethics and international humanitarian law, Joseph J. Fins contends that bioethics as an academic and moral community should stand in solidarity with Ukraine as it defends freedom and civility.
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  30.  79
    Rethinking disorders of consciousness: New research and its implications.Joseph J. Fins - 2005 - Hastings Center Report 35 (2):22-24.
  31.  30
    Credentialing the Clinical Ethics Consultant: An Academic Medical Center Affirms Professionalism and Practice.Cathleen A. Acres, Kenneth Prager, George E. Hardart & Joseph J. Fins - 2012 - Journal of Clinical Ethics 23 (2):156-164.
    In response to national trends calling for increasing accountability and an emerging dialogue within bioethics, we describe an effort to credential clinical ethicists at a major academic medical center. This effort is placed within the historical context of prior calls for credentialing and certification and efforts currently underway within organized bioethics to engage this issue. The specific details, and conceptual rationale, behind the New York-Presbyterian Hospital’s graduated credentialing plan are shared as is their evolution and ratification within the context of (...)
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  32.  25
    Resuscitating Patient Rights during the Pandemic: COVID-19 and the Risk of Resurgent Paternalism.Joseph J. Fins - 2021 - Cambridge Quarterly of Healthcare Ethics 30 (2):215-221.
    The COVID-19 Pandemic a stress test for clinical medicine and medical ethics, with a confluence over questions of the proportionality of resuscitation. Drawing upon his experience as a clinical ethicist during the surge in New York City during the Spring of 2020, the author considers how attitudes regarding resuscitation have evolved since the inception of do-not-resuscitate orders decades ago. Sharing a personal narrative about a DNR quandry he encountered as a medical intern, the author considers the balance of patient rights (...)
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  33.  29
    The Therapeutic “Mis”conception: An Examination of its Normative Assumptions and a Call for its Revision.Debra J. H. Mathews, Joseph J. Fins & Eric Racine - 2018 - Cambridge Quarterly of Healthcare Ethics 27 (1):154-162.
    Dissecting Bioethics, edited by Tuija Takala and Matti Hayry, welcomes contributions on the conceptual and theoretical dimensions of bioethics. The department is dedicated to the idea that words defined by bioethicists and others should not be allowed to imprison people’s actual concerns, emotions, and thoughts. Papers that expose the many meanings of a concept, describe the different readings of a moral doctrine, or provide an alternative angle to seemingly self-evident issues are particularly appreciated. To submit a paper or to discuss (...)
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  34.  15
    Rethinking Disorders of Consciousness: New Research and Its Implications.Joseph J. Fins - 2005 - Hastings Center Report 35 (2):22.
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  35.  40
    Shades of Gray: New Insights into the Vegetative State.Joseph J. Fins & Nicholas D. Schiff - 2006 - Hastings Center Report 36 (6):8-8.
  36.  12
    Mosaic Decisionmaking and Severe Brain Injury: Adding Another Piece to the Argument.Joseph J. Fins - 2019 - Cambridge Quarterly of Healthcare Ethics 28 (4):737-743.
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  37.  28
    Conflicts of Interest in Deep Brain Stimulation Research and the Ethics of Transparency.Joseph J. Fins & Nicholas D. Schiff - 2010 - Journal of Clinical Ethics 21 (2):125-132.
    In this article we will draw on experiences from our own research on deep brain stimulation of the central thalamus in the minimally conscious state. We describe ethical challenges faced in clinical research involving medical devices and offer several cautionary notes about its funding and the interplay of market forces and scientific inquiry and suggest some reforms.
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  38.  28
    My Time in Medicine.Joseph J. Fins - 2017 - Perspectives in Biology and Medicine 60 (1):19-32.
    Autobiographical essays can be an indulgence. Often self-congratulatory and low on self-reflection, they seldom serve a purpose other than to stoke nostalgia. So when given this opportunity to write about my life in medicine and bioethics, I decided I would take stock, and not simply celebrate whatever accomplishments I might have had. Rather, I would use this opportunity to look for themes that linked the decades together. My hope was that the process might assemble the mosaic that has been my (...)
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  39.  76
    Neuroethics and neuroimaging: Moving toward transparency.Joseph J. Fins - 2008 - American Journal of Bioethics 8 (9):46 – 52.
    Without exaggeration, it could be said that we are entering a golden age of neuroscience. Informed by recent developments in neuroimaging that allow us to peer into the working brain at both a structural and functional level, neuroscientists are beginning to untangle mechanisms of recovery after brain injury and grapple with age-old questions about brain and mind and their correlates neural mechanisms and consciousness. Neuroimaging, coupled with new diagnostic categories and assessment scales are helping us develop a new diagnostic nosology (...)
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  40.  5
    Meeting the Challenge of COVID-19: The Response of Two Ethics Consultation Services in New York City.Joseph J. Fins & Kenneth M. Prager - 2020 - Journal of Clinical Ethics 31 (3):209-211.
    From mid-March through May 2020, New York City was the world’s epicenter of the COVID-19 pandemic, and its hospitals faced an unparalleled surge of patients who were critically ill with the virus. In addition to putting an enormous strain on medical resources, the pandemic presented many ethical issues to emotionally and physically stressed clinicians and hospital administrators. Analyses of the challenges faced by the ethics consultation services of the two campuses of New York Presbyterian Hospital, and how they assisted their (...)
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  41.  51
    The Humanities and the Future of Bioethics Education.Joseph J. Fins - 2010 - Cambridge Quarterly of Healthcare Ethics 19 (4):518-521.
    Let’s face it, the humanities are in trouble. Last year, in The Chronicle of Higher Education, Thomas H. Benton warned prospective graduate students to avoid doctoral studies in the humanities. His rationale: a job market down 40%, the improbability of tenure, the more certain prospect of life as an adjunct, and eventual outright exile from one’s chosen field. Benton, the pen name of William Pannapacker, an associate professor of English at Hope College in Holland, Michigan, pulled no punches. His piece (...)
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  42.  7
    Brain Device Research and the Underappreciated Role of Care Partners before, during, and Post-Trial.Amanda R. Merner, Joseph J. Fins & Gabriel Lázaro-Muñoz - 2022 - American Journal of Bioethics Neuroscience 13 (4):236-239.
    The number of clinical trials for experimental brain implants continues to grow, and with this growth comes an increased reliance upon patients with treatment-refractory conditions to volunteer as...
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  43.  12
    Before The Birth of Bioethics: James M. Gustafson at Yale.Kaiulani S. Shulman & Joseph J. Fins - 2022 - Hastings Center Report 52 (2):21-31.
    Hastings Center Report, Volume 52, Issue 2, Page 21-31, March‐April 2022.
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  44.  81
    Islam and Informed Consent: Notes from Doha.Pablo Rodríguez Del Pozo & Joseph J. Fins - 2008 - Cambridge Quarterly of Healthcare Ethics 17 (3):273-279.
    Informed consent is a perennial topic in bioethics. It has given the field a place in clinical practice and the law and is often the starting point for introductory instruction in medical ethics. One would think that nearly everything has been said and done on this well-worn topic.
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  45.  39
    The Patient's Work.Leonard C. Groopman, Franklin G. Miller & Joseph J. Fins - 2007 - Cambridge Quarterly of Healthcare Ethics 16 (1):44-52.
    In The Healer's Power, Howard Brody placed the concept of power at the heart of medicine's moral discourse. Struck by the absence of “power” in the prevailing vocabulary of medical ethics, yet aware of peripheral allusions to power in the writings of some medical ethicists, he intuited the importance of power from the silence surrounding it. He formulated the problem of the healer's power and its responsible use as “the central ethical problem in medicine.” Through the prism of power he (...)
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  46.  22
    When No One Notices: Disorders of Consciousness and the Chronic Vegetative State.Joseph J. Fins - 2019 - Hastings Center Report 49 (4):14-17.
    On January 5, 2019, the Associated Press reported that a woman thought to have been in the vegetative state for over a decade gave birth at a Hacienda HealthCare facility. Until she delivered, the staff at the Phoenix center had not noticed that their patient was pregnant. The patient was also misdiagnosed.Misdiagnosis of patients with disorders of consciousness in institutional settings is more the norm than the exception. Misdiagnosis is also connected to a broad and extremely significant change in the (...)
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  47. Clinical pragmatism and the care of brain damaged patients: Towards a palliative neuroethics for disorders of consciousness.Joseph J. Fins - 2006 - In Steven Laureys (ed.), Boundaries of Consciousness. Elsevier.
  48.  26
    “Humanities are the Hormones:” Osler, Penfield and “Neuroethics” Revisited.Joseph J. Fins - 2008 - American Journal of Bioethics 8 (1):5-8.
    If ever I summon before me my highest ideals of men and medicine, I find them sprung from the spirit of Osler. —Wilder Penfield, M.D. Neuroethics is a recently coined term that is shaping our cultu...
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  49.  26
    Whither the “Improvement Standard”? Coverage for Severe Brain Injury after Jimmo v. Sebelius.Joseph J. Fins, Megan S. Wright, Claudia Kraft, Alix Rogers, Marina B. Romani, Samantha Godwin & Michael R. Ulrich - 2016 - Journal of Law, Medicine and Ethics 44 (1):182-193.
    As improvements in neuroscience have enabled a better understanding of disorders of consciousness as well as methods to treat them, a hurdle that has become all too prevalent is the denial of coverage for treatment and rehabilitation services. In 2011, a settlement emerged from a Vermont District Court case, Jimmo v. Sebelius, which was brought to stop the use of an “improvement standard” that required tangible progress over an identifiable period of time for Medicare coverage of services. While the use (...)
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    Ethics Consultation in Surgical Specialties.Nicole A. Meredyth, Joseph J. Fins & Inmaculada de Melo-Martin - 2021 - HEC Forum 34 (1):89-102.
    Multiple studies have been performed to identify the most common ethical dilemmas encountered by ethics consultation services. However, limited data exists comparing the content of ethics consultations requested by specific hospital specialties. It remains unclear whether the scope of ethical dilemmas prompting an ethics consultation differ between specialties and if there are types of ethics consultations that are more or less frequently called based on the specialty initiating the ethics consult. This study retrospectively assessed the incidence and content of ethics (...)
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