32 found
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  1.  2
    Consents (and Contents) Under Pressure: Maintaining Space for Moral Engagement in Research Protocols.Stuart G. Finder, Mark J. Bliton & Virginia L. Bartlett - 2022 - American Journal of Bioethics 22 (3):68-70.
    Furthermore, adults with decision-making capacity, including pregnant women, can currently accept interventions with moderate net risks for themselves in other settings (e.g., open f...
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  2.  62
    Of goals and goods and floundering about: A dissensus report on clinical ethics consultation.Jeffrey P. Bishop, Joseph B. Fanning & Mark J. Bliton - 2009 - HEC Forum 21 (3):275-291.
    Of Goals and Goods and Floundering About: A Dissensus Report on Clinical Ethics Consultation Content Type Journal Article Pages 275-291 DOI 10.1007/s10730-009-9101-1 Authors Jeffrey P. Bishop, Vanderbilt University Center for Biomedical Ethics and Society 2525 West End Avenue, Suite 400 Nashville Tennessee 37203 USA Joseph B. Fanning, Vanderbilt University Center for Biomedical Ethics and Society 2525 West End Avenue, Suite 400 Nashville Tennessee 37203 USA Mark J. Bliton, Vanderbilt University Center for Biomedical Ethics and Society 2525 West End Avenue, Suite (...)
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  3.  33
    Echo Calling Narcissus: What Exceeds the Gaze of Clinical Ethics Consultation?Jeffrey P. Bishop, Joseph B. Fanning & Mark J. Bliton - 2010 - HEC Forum 22 (1):73-84.
    Guiding our response in this essay is our view that current efforts to demarcate the role of the clinical ethicist risk reducing its complex network of authorizations to sites of power and payment. In turn, the role becomes susceptible to various ideologies—individualisms, proceduralisms, secularisms—that further divide the body from the web of significances that matter to that body, where only she, the patient, is located. The security of policy, standards, and employment will pull against and eventually sever the authorization secured (...)
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  4.  46
    Responsibility after the apparent end: 'Following-up' in clinical ethics consultation.Stuart G. Finder & Mark J. Bliton - 2011 - Bioethics 25 (7):413-424.
    Clinical ethics literature typically presents ethics consultations as having clear beginnings and clear ends. Experience in actual clinical ethics practice, however, reflects a different characterization, particularly when the moral experiences of ethics consultants are included in the discussion. In response, this article emphasizes listening and learning about moral experience as core activities associated with clinical ethics consultation. This focus reveals that responsibility in actual clinical ethics practice is generated within the moral scope of an ethics consultant's activities as she or (...)
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  5.  64
    Traversing boundaries: Clinical ethics, moral experience, and the withdrawal of life supports.Mark J. Bliton & Stuart G. Finder - 2002 - Theoretical Medicine and Bioethics 23 (3):233-258.
    While many have suggested that to withdraw medical interventions is ethically equivalent to withholding them, the moral complexity of actually withdrawing life supportive interventions from a patient cannot be ignored. Utilizing interplay between expository and narrative styles, and drawing upon our experiences with patients, families, nurses, and physicians when life supports have been withdrawn, we explore the changeable character of boundaries in end-of-life situations. We consider ways in which boundaries imply differences – for example, between cognition and performance – and (...)
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  6.  3
    Peer Review, Peer Education, and Modeling in the Practice of Clinical Ethics Consultation: The Zadeh Project.Stuart G. Finder & Mark J. Bliton (eds.) - 2018 - Cham: Springer Verlag.
    This Open Access book about the Zadeh Project demonstrates and explores a core question in clinical ethics: how can ethics consultants be accountable in the face of a robust plurality of ethical standpoints, especially those that underwrite practices and methods for doing ethics consultation as well as those viewpoints and values encountered in daily clinical ethics practice? Underscoring this question is the recognition that the field of clinical ethics consultation has arrived at a crucial point in its maturation. Many efforts (...)
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  7. Echo calling narcissus: What exceeds the gaze of clinical ethics consultation?Jeffrey P. Bishop, Joseph B. Fanning & Mark J. Bliton - 2010 - HEC Forum 22 (1):171-171.
    Erratum to: Echo Calling Narcissus: What Exceeds the Gaze of Clinical Ethics Consultation? Content Type Journal Article Pages 171-171 DOI 10.1007/s10730-010-9132-7 Authors Jeffrey P. Bishop, Saint Louis University Tenet Chair of Health Care Ethics, Albert Gnaegi Center for Health Care Ethics Salus Center, Room 527, 3545 Lafayette Ave St. Louis MO 63104-1314 USA Joseph B. Fanning, Vanderbilt University Center for Biomedical Ethics and Society 2525 West End Ave., 4th Floor, Suite 400 Nashville TN 37203 USA Mark J. Bliton, Vanderbilt University (...)
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  8.  18
    Experience and Ethics at the “Cutting Edge”: Lessons From Maternal–Fetal Surgery for Uterine Transplantation.Virginia L. Bartlett, Mark J. Bliton & Stuart G. Finder - 2018 - American Journal of Bioethics 18 (7):29-31.
    Bruno and Arora (2018) present a range of important ethical issues emerging from the development of procedures for uterine transplant (UT). They approach those issues by drawing on parallels to oth...
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  9.  27
    Activities, Not Rules: The Need for Responsive Practice (On the Way Toward Responsibility).Stuart G. Finder & Mark J. Bliton - 2001 - American Journal of Bioethics 1 (4):52-54.
    (2001). Activities, Not Rules: The Need for Responsive Practice (On the Way Toward Responsibility) The American Journal of Bioethics: Vol. 1, No. 4, pp. 52-54.
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  10.  23
    Just a Collection of Recollections: Clinical Ethics Consultation and the Interplay of Evaluating Voices.Virginia L. Bartlett, Mark J. Bliton & Stuart G. Finder - 2016 - HEC Forum 28 (4):301-320.
    Despite increased attention to the question of how best to evaluate clinical ethics consultations and emphasis on external evaluation, there has been little sustained focus on how we, as clinicians, make sense of and learn from our own experiences in the midst of any one consultation. Questions of how we evaluate the request for, unfolding of, and conclusion of any specific ethics consultation are often overlooked, along with the underlying question of whether it is possible to give an accurate account (...)
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  11.  7
    Retrieving the Moral in the Ethics of Maternal-Fetal Surgery.Virginia L. Bartlett & Mark J. Bliton - 2020 - Cambridge Quarterly of Healthcare Ethics 29 (3):480-493.
    Open-uterine surgery to repair spina bifida, or ‘fetal surgery of open neural tube defects,’ has generated questions throughout its history—and continues to do so in a variety of contexts. As clinical ethics consultants who worked (Mark J. Bliton) and trained (Virginia L. Bartlett) at Vanderbilt University—where the first successful cases of open-uterine repair of spina bifida were carried out—we lived with these questions for nearly two decades. We worked with clinicians as they were developing and offering the procedure, with researchers (...)
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  12.  14
    Responsibility in Actual Practice.Stuart G. Finder & Mark J. Bliton - 2008 - In D. Micah Hester (ed.), Ethics by Committee: A Textbook on Consultation, Organization, and Education for Hospital Ethics Committees. Rowman & Littlefield. pp. 79.
  13.  38
    The Eclipse of the Individual in Policy.Mark J. Bliton & Stuart G. Finder - 1996 - Cambridge Quarterly of Healthcare Ethics 5 (4):519.
    Several inquires about healthcare over the past several decades have shown that the evolution of healthcare practices exhibit their own microcosm of local and political influences. Likewise, other studies have shown clearly the ways in which both external and internal institutional factors establish the sectors within which healthcare is delivered. Although restrictions have always been present in some form, it seems obvious that whatever the precise form of healthcare delivery that results from current changes in its organization, there are going (...)
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  14.  11
    Allocating Remdesivir Under Scarcity: Social Justice or More Systemic Racism.Eli Weber & Mark J. Bliton - 2020 - American Journal of Bioethics 20 (9):31-33.
    Volume 20, Issue 9, September 2020, Page 31-33.
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  15.  12
    Exploring Layers of Meaning with Deep Brain Stimulation Patients.Daniel R. Morrison & Mark J. Bliton - 2011 - American Journal of Bioethics Neuroscience 2 (1):26-28.
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  16.  17
    Interplays of Reflection and Text: Telling the Case.Stuart G. Finder & Mark J. Bliton - 2001 - American Journal of Bioethics 1 (1):56-57.
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  17. The Ethics of Clinical Ethics Consultation: On the Way to Clinical Philosophy.Mark J. Bliton - 1993 - Dissertation, Vanderbilt University
    The question I investigate concerns the ethics of clinical ethics consultation. To begin, I reconstruct and critically assess a widespread understanding of clinical medical ethics, one most prominently advanced by Mark Siegler. That examination reveals an overtly political strategy designed to reinforce physician authority. Next, John La Puma's work is discussed. Arguably the most prominent of Siegler's students, and certainly the most prolific, La Puma appears attentive to the problems in Siegler's view regarding clinical judgment. I conclude, however, that La (...)
     
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  18.  13
    Exploring Clinical Ethics' Past to Imagine Its Possible Future.Mark J. Bliton & Virginia L. Bartlett - 2018 - American Journal of Bioethics 18 (6):55-57.
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  19.  44
    Potential Subjects’ Responses to an Ethics Questionnaire in a Phase I Study of Deep Brain Stimulation in Early Parkinson’s Disease.Stuart G. Finder, Mark J. Bliton, Chandler E. Gill, Thomas L. Davis, Peter E. Konrad & P. D. Charles - 2012 - Journal of Clinical Ethics 23 (3):207-216.
    BackgroundCentral to ethically justified clinical trial design is the need for an informed consent process responsive to how potential subjects actually comprehend study participation, especially study goals, risks, and potential benefits. This will be particularly challenging when studying deep brain stimulation and whether it impedes symptom progression in Parkinson’s disease, since potential subjects will be Parkinson’s patients for whom deep brain stimulation will likely have therapeutic value in the future as their disease progresses.MethodAs part of an expanded informed consent process (...)
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  20.  34
    Over the Cutting Edge: How Ethics Consultation Illuminates the Moral Complexity of Open-Uterine Fetal Repair of Spina Bifida and Patients’ Decision Making.Mark J. Bliton & Richard M. Zaner - 2001 - Journal of Clinical Ethics 12 (4):346-360.
  21.  6
    Philosophizing Still: A Brief Reintroduction to Clinical Philosophy.Virginia L. Bartlett & Mark J. Bliton - 2022 - American Journal of Bioethics 22 (12):43-46.
    “If philosophy is essentially this activity of questioning and responding, that is, dialogue…” ∼ R.M. Zaner (The Way of Phenomenology)“Not to philosophize is to philosophize still.” E. Lévinas (“Go...
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  22.  25
    Erratum to: Echo Calling Narcissus: What Exceeds the Gaze of Clinical Ethics Consultation?Jeffrey P. Bishop, Joseph B. Fanning & Mark J. Bliton - 2010 - HEC Forum 22 (2):171-171.
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  23.  12
    Imagining a Fetus: Insights from talking with pregnant women about their decisions to undergo open-uterine fetal surgery.Mark J. Bliton - 2001 - In Kay Toombs (ed.), Handbook of Phenomenology and Medicine. Kluwer Academic Publishers. pp. 393--415.
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  24.  50
    Richard Zaner’s “Troubled” Voice In Troubled Voices: Poseur, Posing, Possibilizing?Mark J. Bliton - 2004 - Theoretical Medicine and Bioethics 26 (1):25-53.
    This essay considers Richard Zaners storytelling in Troubled Voices as a form of possibilizing which uses the stories to exemplify important moral themes such as contingency and freedom. Distinguishing between activities of moral discovery through the telling of a story and posing in the sense of writing to tell the moral of the story, I suggest that something crucial goes on for Zaner in his own tellings. Several of the more insistent implications Zaner reveals about the moral relationships encountered in (...)
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  25.  1
    The Zadeh Project – A Frame for Understanding the Generative Ideas, Formation, and Design.Mark J. Bliton & Stuart G. Finder - 2018 - In Stuart G. Finder & Mark J. Bliton (eds.), Peer Review, Peer Education, and Modeling in the Practice of Clinical Ethics Consultation: The Zadeh Project. Springer Verlag. pp. 1-18.
    This book represents a unique contribution to the field of clinical ethics consultation. What might seem at first glance to be an anthology, that is, a collection of independent essays, is actually more akin to a conversation, a shared engagement, a mutual undertaking. At the center of this conversation is a steadfastness, abiding and serious in its orientation – exemplified in these voices and contributions collected from colleagues – to explore, identify, and examine the actual conduct of individuals who engage (...)
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  26.  25
    Accountability and the Clinical Practice of Ethics Consultation: Roles, Activities, and the Experience of Doing.Stuart G. Finder & Mark J. Bliton - 2014 - American Journal of Bioethics 14 (6):52-53.
    The past few years have seen greater attention directed toward important procedural elements associated with ethics consultation. Examples include considerations about how best to document consulta...
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  27.  4
    Fortitude and Community: Response to Yee and Ford.Stuart G. Finder & Mark J. Bliton - 2012 - Journal of Clinical Ethics 23 (3):221-223.
    We revisit questions about the scientific status of the pilot Phase I study of deep brain stimulation (DBS) in early stage Parkinson’s disease (PD), as well as questions about enrolling and retaining subjects. In doing so, we highlight a compelling ethical dimension reported to us by patients thinking about becoming research subjects in that study.
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  28.  1
    Peer Review and Responsibility in/as/for/to Practice.Stuart G. Finder & Mark J. Bliton - 2018 - In Stuart G. Finder & Mark J. Bliton (eds.), Peer Review, Peer Education, and Modeling in the Practice of Clinical Ethics Consultation: The Zadeh Project. Springer Verlag. pp. 207-228.
    This chapter critically reflects on the critiques, reviews, and many proposals presented in Parts Two, Three, and Four, and provides a summary conclusion for the entire Zadeh Project. Obvious differences between experience and reporting on experience are highlighted, with particular attention to the ways such differences are detailed by the Zadeh Scenario and in our colleagues’ responses to it. In addition, we discuss a key challenge associated with clinical ethics practice and the peer review of such practice: identifying what actually (...)
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  29.  46
    Guest Editorial.Richard M. Zaner, Mark J. Bliton & Stuart G. Finder - 1996 - Cambridge Quarterly of Healthcare Ethics 5 (4):480.
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  30.  11
    In This Together: Navigating Ethical Challenges Posed by Family Clustering during the Covid‐19 Pandemic.Nicole R. Van Buren, Elijah Weber, Mark J. Bliton & Thomas V. Cunningham - 2021 - Hastings Center Report 51 (2):16-21.
    Harrowing stories reported in the media describe Covid‐19 ravaging through families. This essay reports professional experiences of this phenomenon, family clustering, as encountered during the pandemic's spread across Southern California. We identify three ethical challenges following from it: Family clustering impedes shared decision‐making by reducing available surrogate decision‐makers for incapacitated patients, increases the emotional burdens of surrogate decision‐makers, and exacerbates health disparities for and the suffering of people of color at increased likelihood of experiencing family clustering. We propose that, in (...)
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  31.  43
    Ethics talk; talking ethics: An example of clinical ethics consultation. [REVIEW]Mark J. Bliton - 1999 - Human Studies 22 (1):7-24.
    This written account of a clinical encounter - depicting fragments of a more extensive array of events - attempts to exemplify many facets and associated complexities of clinical ethics consultation. Within the general telling, I provide more detailed portrayals of several key events. In secion 1, I document briefly my initial interactions at the beginning of the consultation, focusing on the information gained - in the context of those interactions - as I read the medical chart of Mrs. Rose. Next (...)
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  32.  37
    Strange, but not stranger: The peculiar visage of philosophy in clinical ethics consultation. [REVIEW]Mark J. Bliton & Stuart G. Finder - 1999 - Human Studies 22 (1):69-97.
    Baylis, Tomlinson, and Hoffmaster each raise a number of critiques in response to Bliton's manuscript. In response, we focus on three themes we believe run through each of their critiques. The first is the ambiguity between the role of ethics consultation within an institution and the role of the actual ethics consultant in a particular situation, as well as the resulting confusion when these roles are conflated. We explore this theme by revisiting the question of What's going on? in clinical (...)
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