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Neil Pickering [27]Neil John Pickering [6]
  1.  23
    Harmful Choices, the Case of C, and Decision-Making Competence.Neil Pickering, GIles Newton-Howes & Greg Young - 2021 - American Journal of Bioethics 22 (10):38-50.
    In this paper, we make the case that a person who is considering or has already made a decision that appears seriously harmful to that person should in some cases be judged incapable of making that...
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  2.  22
    Risk-related standards of competence are a nonsense.Neil John Pickering, Giles Newton-Howes & Simon Walker - 2022 - Journal of Medical Ethics 48 (11):893-898.
    If a person is competent to consent to a treatment, is that person necessarily competent to refuse the very same treatment? Risk relativists answer no to this question. If the refusal of a treatment is risky, we may demand a higher level of decision-making capacity to choose this option. The position is known as asymmetry. Risk relativity rests on the possibility of setting variable levels of competence by reference to variable levels of risk. In an excellent 2016 article inJournal of (...)
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  3.  18
    Reformulating Decision-making Capacity.Simon Walker, Otis Williams, Giles Newton-Howes & Neil Pickering - 2022 - American Journal of Bioethics 22 (11):92-94.
    In their article “Three Kinds of Decision-Making Capacity for Refusing Medical Interventions,” Navin et al. (2022) argue that we should recognize two forms of decision-making capacity (DMC) besides...
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  4.  25
    Authentic decision-making capacity in hard medical cases.Giles Newton-Howes, Neil Pickering & Greg Young - 2019 - Clinical Ethics 14 (4):173-177.
    Because autonomy is regarded as central to modern bioethics; there is a considerable focus on the criteria by which autonomy may be judged. The most significant criterion used in day-to-day practic...
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  5. The metaphor of mental illness.Neil Pickering - 2006 - New York: Oxford University Press.
    Introduction : the existence of mental illness -- The likeness argument -- The categorical argument -- Metaphor -- Two metaphors from physical medicine -- The metaphor of mental illness -- Attention deficit hyperactivity disorder, social construction, and metaphor -- Metaphors and models.
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  6.  45
    When Lack of Evidence Is Evidence of Lack.Neil Pickering - 2015 - Journal of Bioethical Inquiry 12 (4):545-547.
    In their recent article “A Gentle Ethical Defence of Homeopathy,” Levy, Gadd, Kerridge, and Komesaroff use the claim that “lack of evidence is not equivalent to evidence of lack” as a component of their ethical defence of homeopathy. In response, this article argues that they cannot use this claim to shore up their ethical arguments. This is because it is false.
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  7.  33
    Disease, variety, disagreement, and typicality: Advantage Roschian Concepts?Neil Pickering - 2016 - Philosophy, Psychiatry, and Psychology 23 (1):17-31.
    Should we be Roschians about the concept of disease, rather than taking a classical approach? A classical concept of disease defines disease in terms of necessary and sufficient conditions; any things and only things which meet this definition are members of the class. In Roschian concepts of disease, it is supposed that degree of similarity to a prototype determines membership in the class of diseases. In this paper, the two approaches are pitched against one another in a series of tests (...)
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  8. The Likeness Argument: Reminders, Roles, and Reasons for Use.Neil Pickering - 2003 - Philosophy, Psychiatry, and Psychology 10 (3):273-275.
    I WOULD LIKE TO respond to the four commentaries in turn. In each case I have started by setting out what I think the commentaries are claiming; in doing so, I may reveal that I have misunderstood or misconstrued, and I apologize where this is the case. My responses in many cases are provisional: the commentaries have given me much to think about. Also, my responses are selective—there are many points not touched upon here that deserve consideration. Finally, the order (...)
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  9.  4
    Providing medically assisted dying in Canada: a qualitative study of emotional and moral impact.Janine Penfield Winters, Chrystal Jaye, Neil John Pickering & Simon Walker - forthcoming - Journal of Medical Ethics.
    PurposeMedical assistance in dying (MAiD) in Canada places the medical provider at the centre of the process. The MAiD provider holds primary responsibility for determining eligibility and becomes acquainted with patients’ inner desires and expressions of suffering. This is followed by the MAiD procedure of administering the lethal agent and being present at the death of eligible patients. We report participants’ perceptions of the emotional and moral impacts of this role.MethodologyTwo years after MAiD was legalised in Canada, 22 early-adopting physician (...)
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  10.  54
    A Random Blend: The Self in Philip Larkin’s Poems “Ambulances” and “The Building”.Neil Pickering - 2014 - Journal of Bioethical Inquiry 11 (2):163-170.
    In two of his great poems, “Ambulances” and “The Building,” Philip Larkin considers a deep fear about human individuality. The fear is that the human self is contingent and disjunctive, lacking any integrity or unity. The arrival of an ambulance on an urban curb and a visit to the hospital are the occasion of reflection on this form of human fragility. But more significant, the ambulance and the hospital are imagined as contexts in which the contingency of the human individual (...)
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  11. Clinical Practice, Science, and the Unconscious.Douglas McConnell & Neil Pickering - 2005 - Philosophy, Psychiatry, and Psychology 12 (1):1-7.
    In lieu of an abstract, here is a brief excerpt of the content:Philosophy, Psychiatry, & Psychology 12.1 (2005) 1-7 [Access article in PDF] Clinical Practice, Science, and the Unconscious Douglas McConnell Neil Pickering Keywords psychotherapy, cognitive science, neuroscience, computational view of mind. This volume of Philosophy, Psychiatry, & Psychology is devoted to questions about the unconscious mind. The philosophical complexities and difficulties associated with the unconscious are many and, despite widespread confusion and disagreement as to the nature of the unconscious (...)
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  12.  17
    Epistemic problems with mental health legislation in the doctor–patient relationship.Giles Newton-Howes, Simon Walker & Neil John Pickering - 2023 - Journal of Medical Ethics 49 (11):727-732.
    Mental health legislation that requires patients to accept ‘care’ has come under increasing scrutiny, prompted primarily by a human rights ethic. Epistemic issues in mental health have received some attention, however, less attention has been paid to the possible epistemic problems of mental health legislation existing. In this manuscript, we examine the epistemic problems that arise from the presence of such legislation, both for patients without a prior experience of being detained under such legislation and for those with this experience. (...)
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  13.  11
    Closing the Gap between Need and Uptake: a Case for Proactive Contraception Provision to Adolescents.Rebecca Duncan, Lynley Anderson & Neil Pickering - 2019 - Asian Bioethics Review 11 (1):95-109.
    In New Zealand, there are adolescents who are at risk of pregnancy and who do not want to become pregnant, but are not using contraception. Cost and other barriers limit access to contraception. To address the gap between contraceptive need and contraceptive access, this paper puts forward the concept of proactive contraception provision, where adolescents are offered contraceptives directly. To strengthen the case for proactive contraception provision, this paper addresses a series of potential objections. One is that such a programme (...)
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  14.  1
    Appreciating Your Interests.John McMillan & Neil Pickering - 2024 - American Journal of Bioethics 24 (8):106-108.
    Volume 24, Issue 8, August 2024, Page 106-108.
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  15.  57
    The Likeness Argument and the Reality of Mental Illness.Neil Pickering - 2003 - Philosophy, Psychiatry, and Psychology 10 (3):243-254.
    A fundamental issue in the philosophy of psychiatry is that of the reality of mental illness: is there any such thing as mental illness? The dominant means of resolving this issue—either for or against—is the likeness argument. This states that mental illness exists, or does not, depending on the extent to which putative mental illnesses (such as alcoholism or schizophrenia) are like universally accepted illnesses (such as pneumonia). To succeed, this argument has to assume (1) that the features of conditions (...)
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  16.  45
    Take Your Pick.Neil Pickering - 2008 - Philosophy, Psychiatry, and Psychology 15 (4):349-351.
    This feature in Philosophy, Psychiatry, & Psychology (PPP) is intended to provide ongoing commentary on main articles previously published in PPP. The essay by Pickering below is a response to Bengt Brülde’s paper in PPP (14, no. 2:93–102).
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  17. A/ew Zealand Bioethics Journal.Neil Pickering, Ken Daniels, Andrew Moore, Warren Brookbanks, John Adams, Shayne Grice, David B. Menkes, Alan A. Woodall & David Woolner - 2000 - New Zealand Bioethics Journal 1:1.
     
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  18.  20
    Conclusion.Neil Pickering - 2013 - Asian Bioethics Review 5 (3):222-223.
    In lieu of an abstract, here is a brief excerpt of the content:ConclusionNeil PickeringAs mentioned in my Introduction, and I am delighted to repeat now, the commentaries provided by Calvin Ho and Chua Hong Choon are both excellent. In reading them, some further thoughts were raised for me, and I briefly reflect on these now.In his legal commentary, Calvin Ho makes a plausible argument that Mr. T has the capacity (and hence the right) to make decisions in his current state (...)
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  19.  53
    Coercive Care Rights, Law and Policy ed. by Bernadette McSherry, Ian Freckleton.Neil Pickering - 2014 - Asian Bioethics Review 6 (3):320-324.
  20.  65
    Call for responses.Neil Pickering - 2005 - Journal of Bioethical Inquiry 2 (3):183-183.
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  21.  18
    Covert medication and patient identity: placing the ethical analysis in a worldwide context.Neil John Pickering - 2021 - Journal of Medical Ethics 47 (12):e59-e59.
    In a recent JME article, Guidry-Grimes, Dean and Victor offer some signal and challenging insights into the ethical analysis of covert medication and in particular when administered via food. They warn of impacts on identity likely to emerge from using food in this way. In particular, they caution against allowing families to be involved in covert medication, in the light of their central role in sustaining identity. Their analysis has particular purchase in resource rich contexts and those contexts where individual (...)
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  22.  38
    Covert Treatment of Violent Patients.Neil Pickering - 2013 - Asian Bioethics Review 5 (3):198-202.
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  23. David Greaves, Martyn Evans, Derek Morgan.Neil Pickering & Hugh Upton - forthcoming - Regional Developments in Bioethics.
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  24.  36
    Doubting Thomas.Neil John Pickering - 2013 - Journal of Medical Ethics 39 (10):658-659.
    Thomas Szasz, the radical critic of state-supported psychiatry, and root and branch sceptic about mental illness, died in September 2012. Based on the obituary1 and editorial comment in The Lancet2 and the response his work commonly elicits, it is evident that there will be mixed reviews of his impact and of the cogency of his position.Certainly, some have seen him as a notable figure from the past. There is a sense in which, as far as Szasz's critique of psychiatry goes, (...)
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  25.  45
    (1 other version)Ethics Commentary.Neil Pickering - 2013 - Asian Bioethics Review 5 (3):212-216.
    In lieu of an abstract, here is a brief excerpt of the content:Ethics CommentaryNeil Pickering, Senior LecturerThe underlying problem for Mr. T’s doctors and his wife is that Mr. T seems unable for much of the time to realise that he is ill. This gives his doctors and other mental health workers, and indeed his wife, very little room for manoeuvre with him. His illness apparently makes him dangerous, because of his beliefs that others are involved in conspiracies against him, (...)
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  26. Healthcare ethics education at the University of Otago and the master of bioethics and health law.Neil Pickering, Lynley Anderson & Peter Skegg - 2019 - In Alastair V. Campbell, Voo Teck Chuan, Richard Huxtable & N. S. Peart (eds.), Healthcare ethics, law and professionalism: essays on the works of Alastair V. Campbell. New York, NY: Routledge, Taylor & Francis Group.
     
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  27.  30
    (1 other version)Not My Problem.Neil Pickering & Paul Billings - 1993 - Hastings Center Report 23 (1):45-46.
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  28.  14
    Risk-relativity is still a nonsense.Neil John Pickering, Giles Newton-Howes & Simon Walker - 2022 - Journal of Medical Ethics 48 (12):1056-1057.
    In this short response to Gray’s article Capacity and Decision Making we double down on our argument that risk-relativity is a nonsense. Risk relativity is the claim that we should set a higher standard of competence for a person to make a risky choice than to make a safe choice. Gray’s response largely involves calling attention to the complexities, ramifications and multiple value implications of decision-making, but we do not deny any of this. Using the notion of quality of care (...)
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  29.  51
    Transcultural ADHD and Bioethics: Reformulating a Doubly Dichotomized Debate.Neil Pickering & Jing-Bao Nie - 2016 - Kennedy Institute of Ethics Journal 26 (3):249-275.
    This paper aims to explore some key methodological issues in comparative and cross-cultural bioethics, through a discussion of a particular example: childhood and adolescent Attention Deficit Hyperactivity Disorder.1 At its heart, this paper makes an argument for a transcultural approach to bioethics. The argument starts with the examination of a conceptually mistaken and empirically unsustainable belief that culture is inevitably a force for difference. This “difference presumption” appears in various guises, for example in the belief that West and East have (...)
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  30.  59
    Who’s a Quack?Neil Pickering - 2010 - Journal of Bioethical Inquiry 7 (1):43-52.
    Are there any characteristics by which we can reliably identify and distinguish quackery from genuine medicine? A commonly offered criterion for the distinction between medicine and quackery is science: genuine medicine is scientific; quackery is non-scientific. But it proves to be the case that at the boundary of science and non-science, there is an entanglement of considerations. Two cases are considered: that of homoeopathy and that of the Quantum Booster. In the first case, the degree to which reported phenomena that (...)
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  31.  67
    (1 other version)Extending disorder: essentialism, family resemblance and secondary sense. [REVIEW]Neil Pickering - 2013 - Medicine, Health Care and Philosophy 16 (2):185-195.
    It is commonly thought that mental disorder is a valid concept only in so far as it is an extension of or continuous with the concept of physical disorder. A valid extension has to meet two criteria: determination and coherence. Essentialists meet these criteria through necessary and sufficient conditions for being a disorder. Two Wittgensteinian alternatives to essentialism are considered and assessed against the two criteria. These are the family resemblance approach and the secondary sense approach. Where the focus is (...)
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