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Simona Giordano [30]S. Giordano [9]Sara Giordano [3]Stephen McAdams & Giordano [1]
  1.  29
    Anorexia Nervosa: A Case for Exceptionalism in Ethical Decision Making.Simona Giordano - 2019 - Philosophy, Psychiatry, and Psychology 26 (4):315-331.
    The principles that usually direct ethical decision making are not easily or straightforwardly applicable to the care and treatment of anorexia nervosa, particularly the care and treatment of severe and enduring anorexia nervosa, where the sufferer seems to be recalcitrant to treatment and where the condition has become life-threatening.There are exceptional circumstances that characterize this puzzling and still scarcely understood condition; I suggest that these exceptional circumstances provide moral reasons for partial derogation from the usual principles of ethical decision making.In (...)
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  2.  17
    Gender Dysphoria in Adolescents: Can Adolescents or Parents Give Valid Consent to Puberty Blockers?Simona Giordano, Fae Garland & Soren Holm - 2021 - Journal of Medical Ethics 47 (5):324-328.
    This article considers the claim that gender diverse minors and their families should not be able to consent to hormonal treatment for gender dysphoria. The claim refers particularly to hormonal treatment with so-called ‘blockers’, analogues that suspend temporarily pubertal development. We discuss particularly four reasons why consent may be deemed invalid in these cases: the decision is too complex; the decision-makers are too emotionally involved; the decision-makers are on a ‘conveyor belt’; the possibility of detransitioning. We examine each of these (...)
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  3.  11
    Understanding Eating Disorders: Conceptual and Ethical Issues in the Treatment of Anorexia and Bulimia Nervosa.Simona Giordano - 2005 - Oxford University Press.
    Simona Giordano presents the first full philosophical study of ethical issues in the treatment of anorexia and bulimia nervosa. Beginning with a comprehensive analysis of these conditions and an exploration of their complex causes, she then proceeds to address legal and ethical dilemmas such as a patient's refusal of life-saving treatment. Illustrated with many case-studies, Understanding Eating Disorders is an essential tool for anyone working with sufferers of these much misunderstood conditions, and for all those ethicists, lawyers, and medical practitioners (...)
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  4.  64
    Lives in a Chiaroscuro. Should We Suspend the Puberty of Children with Gender Identity Disorder?S. Giordano - 2008 - Journal of Medical Ethics 34 (8):580-584.
    Transgender children who are not treated for their condition are at high risk of violence and suicide. As a matter of survival, many are willing to take whatever help is available, even if this is offered by illegal sources, and this often traps them into the juvenile criminal system and exposes them to various threats. Endocrinology offers a revolutionary instrument to help children /adolescents with gender identity disorder: suspension of puberty. Suspension of puberty raises many ethical issues, and experts dissent (...)
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  5. Anorexia and Refusal of Life-Saving Treatment: The Moral Place of Competence, Suffering, and the Family.Simona Giordano - 2010 - Philosophy, Psychiatry, and Psychology 17 (2):143-154.
    A large part of the debate around the right to refuse life-prolonging treatment of anorexia nervosa sufferers centers on the issue of competence. Whether or not the anorexic should be allowed to refuse life-saving treatment does not depend solely or primarily on competence. It also depends on whether the anorexic’s suffering is bearable or tractable, and on the degree of involvement of the family in the therapeutic process. Anorexics could be competent to refuse lifesaving treatment (Giordano 2008). However, the anorexic’s (...)
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  6.  10
    Secret Hunger: The Case of Anorexia Nervosa.Simona Giordano - 2020 - Topoi 40 (3):545-554.
    Anorexia nervosa is currently classed as a mental disorder. It is considered as a puzzling condition, scarcely understood and recalcitrant to treatment. This paper reviews the main hypotheses relating to the aetiology of anorexia nervosa. In particular, it focuses on family and sociological studies of anorexia. By reflecting on the hypotheses provided within these domains, and on the questions that these studies leave unanswered, this paper suggests that anorexic behaviour is understandable and rational, if seen in light of ordinary moral (...)
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  7.  3
    Understanding Eating Disorders: Conceptual and Ethical Issues in the Treatment.Simona Giordano - 2005 - Oxford University Press UK.
    Simona Giordano presents the first full philosophical study of ethical issues in the treatment of anorexia and bulimia nervosa. Beginning with a comprehensive analysis of these conditions and an exploration of their complex causes, she then proceeds to address legal and ethical dilemmas such as a patient's refusal of life-saving treatment. Illustrated with many case-studies, Understanding Eating Disorders is an essential tool for anyone working with sufferers of these much misunderstood conditions, and for all those ethicists, lawyers, and medical practitioners (...)
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  8. 18 What is Gender Equality in Sports?Simona Giordano & John Harris - 2005 - In Claudio Marcello Tamburrini & Torbjörn Tännsjö (eds.), Genetic Technology and Sport: Ethical Questions. Routledge. pp. 209.
     
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  9.  37
    Respect for Equality and the Treatment of the Elderly: Declarations of Human Rights and Age-Based Rationing.Simona Giordano - 2005 - Cambridge Quarterly of Healthcare Ethics 14 (1):83-92.
    A demographic revolution is taking place in Europe and worldwide. According to World Health Organization estimates, the number of people aged 60 and over is growing faster than any other age group. This change in the population structure affects disease patterns and is deemed to cause an increase in the demands on healthcare systems. This raises concerns about the ethics of healthcare delivery . What criteria should direct healthcare distribution? Is it right to meet the demands of an ageing population, (...)
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  10.  38
    Medical Humanities: An E-Module at the University of Manchester.Simona Giordano - 2010 - Cambridge Quarterly of Healthcare Ethics 19 (4):446-457.
    The importance of humanities in the medical curriculum is increasingly recognized. For example, in the United Kingdom, The General Medical Council, which is an independent body established under the Medical Act 1858 and responsible, among other things, for fostering good medical practice and promoting high standards of medical education, in its publication Tomorrow’s Doctors, encouraged inclusion of humanities in the medical curriculum. Literature, arts, poetry, and philosophy are thought to foster the doctors’ ability to “communicate with patients, to penetrate more (...)
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  11.  92
    Scientific Reforms, Feminist Interventions, and the Politics of Knowing: An Auto‐Ethnography of a Feminist Neuroscientist.Sara Giordano - 2014 - Hypatia 29 (4):755-773.
    Feminist science studies scholars have documented the historical and cultural contingency of scientific knowledge production. It follows that political and social activism has impacted the practice of science today; however, little has been done to examine the current cultures of science in light of feminist critiques and activism. In this article, I argue that, although critiques have changed the cultures of science both directly and indirectly, fundamental epistemological questions have largely been ignored and neutralized through these policy reforms. I provide (...)
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  12.  27
    Understanding the Emotion of Shame in Transgender Individuals – Some Insight From Kafka.Simona Giordano - 2018 - Life Sciences, Society and Policy 14 (1):1-22.
    Both clinical literature and biographical accounts suggest that many transgender individuals experience shame or have experienced shame at some point in their life for reasons related to their gender identity. In clinical psychology, at least until the 1960s, shame has not received much attention; focus was on guilt and shame was regarded mainly as a ‘by-product’ of guilt. From the 1960s shame has been identified as an emotion not necessarily related to guilt and with unique features, and has been studied (...)
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  13.  18
    Qu'un Souffle de Vent: An Exploration of Anorexia Nervosa.S. Giordano - 2002 - Medical Humanities 28 (1):3-8.
    The spread of anorexia nervosa, especially in Western developed countries, is reaching alarming proportions. According to the International Classification of Diseases, the central feature of anorexia nervosa is “deliberate weight loss”. This means that anorexia nervosa is a progressive pursuit of lightness. Moving from this observation, I ask why so many people want to lose weight, why some would die, rather than put on weight. In order to understand what value these people attach to lightness, I look at contexts where (...)
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  14.  57
    Anorexia Nervosa and Refusal of Naso-Gastric Treatment: A Response to Heather Draper.Simona Giordano - 2003 - Bioethics 17 (3):261–278.
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  15.  14
    Where Christ Did Not Go: Men, Women and Frusculicchi: Gender Identity Disorder : Epistemological and Ethical Issues Relating to the Psychiatric Diagnosis.Simona Giordano - 2011 - Monash Bioethics Review 29 (4):1-22.
    Gender Identity Disorder is classified as a mental illness and included in the DSM-IV and ICD-10. It will also be included in the DSM-V. The psychiatric diagnosis, in spite of some apparent advantages, has significant psychological and social adverse implications. This paper discusses some of the main epistemological reasons to consider gender variance as a mental disorder. It will also evaluate whether reasons of other kinds may justify the inclusion of gender variance amongst mental illnesses.
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  16.  15
    Is the Body a Republic?S. Giordano - 2005 - Journal of Medical Ethics 31 (8):470-475.
    The ethics of post-mortem organ retention and use is widely debated in bioethics and law. However, the fundamental ethical issues have often been inadequately treated. According to one argument, dead bodies are no longer “persons”. Given the great benefits dead bodies offer to human kind, they should be automatically treated as public property: when the person dies, the body becomes a public thing . This paper articulates the ethical issues involved in organ and tissue retention and use, both in the (...)
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  17.  43
    Sliding Doors: Should Treatment of Gender Identity Disorder and Other Body Modifications Be Privately Funded? [REVIEW]Simona Giordano - 2012 - Medicine, Health Care and Philosophy 15 (1):31-40.
    Gender Identity Disorder (GID) is regarded as a mental illness and included in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). It will also appear in the DSM-V, due to be published in 2013. The classification of GID as a mental illness is contentious. But what would happen to sufferers if it were removed from the diagnostic manuals? Would people lose their entitlement to funded medical care, or to reimbursement under insurance schemes? On what basis should medical treatment for (...)
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  18. The Confused Stork: Gender Identity Development, Parental and Social Responsibilities.Simona Giordano - 2017 - In Kristien Hens, Daniela Cutas & Dorothee Horstkötter (eds.), Parental Responsibility in the Context of Neuroscience and Genetics. Springer.
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  19.  7
    Respect for Equality and the Treatment of the Elderly: Declarations of Human Rights and Age-Based Rationing.Simona Giordano - 2005 - Cambridge Quarterly of Healthcare Ethics 14 (1):83-92.
    A demographic revolution is taking place in Europe and worldwide. According to World Health Organization estimates, the number of people aged 60 and over is growing faster than any other age group. This change in the population structure affects disease patterns and is deemed to cause an increase in the demands on healthcare systems. This raises concerns about the ethics of healthcare delivery. What criteria should direct healthcare distribution? Is it right to meet the demands of an ageing population, to (...)
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  20.  27
    The 2008 Declaration of Helsinki: Some Reflections.S. Giordano - 2010 - Journal of Medical Ethics 36 (10):598-603.
    This paper reflects on some amendments to the Declaration of Helsinki in 2008. It focuses on former paragraphs 5 (now 6) and 19 (now 17). Paragraph 5 suggested that the wellbeing of research participants should take precedence over the interests of science and society. Paragraph 6 now proposes that it should take precedence over all other interests. Paragraph 19, and the new paragraph 17, suggest that research involving the members of a disadvantaged population is only justified if the clinical trial (...)
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  21.  18
    Ethics of Management of Gender Atypical Organisation in Children and Adolescents.Simona Giordano - 2008 - In Michael Boylan (ed.), International Public Health Policy & Ethics. Dordrecht. pp. 249--272.
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  22.  21
    A Heaven Without Giants or Dwarfs.Simona Giordano - 2014 - Cambridge Quarterly of Healthcare Ethics 23 (1):22-29.
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  23. Exercise and Eating Disorders: An Ethical and Legal Analysis.Simona Giordano - 2010 - Routledge.
    The book offers an accessible account of EDs and closely examines the concept of addiction, Drawing on a wide range of medical, psychological, physiological, sociological and philosophical sources, the book examines the benefits and risks of exercise for the ED population, explores the links between EDs and other abuses of the body in the sports environment and addresses the issue of athletes with disordered eating behaviour. Importantly, the book also surveys current legislation and professional codes of conduct that guide the (...)
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  24. Do We Need (Bio)Ethical Principles?Simona Giordano - 2010 - In Matti Häyry (ed.), Arguments and Analysis in Bioethics. Rodopi.
     
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  25.  22
    Importance of Being Persistent. Should Transgender Children Be Allowed to Transition Socially?Simona Giordano - 2019 - Journal of Medical Ethics 45 (10):654-661.
    Studies suggest that the majority of gender diverse children revert to the gender congruent with the sex assigned at birth when they reach puberty. These children are now known in the literature as ‘desisters’. Those who continue in the path of gender transition are known as ‘persisters’. Based on the high desistence rates, some advise being cautious in allowing young children to present in their affirmed gender. The worry is that social transition may make it difficult for children to de-transition (...)
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  26.  30
    Understanding Anorexia Nervosa: A Phenomenological Analysis of the Body and the Mirror.Simona Giordano - 2012 - Philosophy, Psychiatry, and Psychology 19 (3):247-249.
  27. Editorial: Scientific Freedom.Simona Giordano & Marco Cappato - forthcoming - Journal of Medical Ethics.
     
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  28. Gender and Sex Development.Simona Giordano - 2011 - In Michael Boylan (ed.), The Morality and Global Justice Reader. Westview Press.
     
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  29. Part Three.Rosemarie Tong & Simona Giordano - 2011 - In Michael Boylan (ed.), The Morality and Global Justice Reader. Westview Press. pp. 343.
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  30.  55
    The Fisherman and the Assassin: Reflections on Anorexia Nervosa.Simona Giordano - 2010 - Philosophy, Psychiatry, and Psychology 17 (2):163-167.
    A short story of an assassin and a sleeping old Fisherman: Before I explain the rationale of this anecdote, let me begin my response by saying how grateful I am to Bratton and Tomasini for engaging with me over such a thorny and unpleasant topic. Many of us have either suffered eating disorders, or have a relative or a friend who has had an eating disorder, or who has died with anorexia. I still remember giving a talk on anorexia nervosa, (...)
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  31.  48
    Anorexia, Authenticity, and the Expert Perspective.Simona Giordano - 2011 - Hastings Center Report 41 (6):3-3.
    In this issue of the Hastings Center Report, Tony Hope, Jacinta Tan, Anne Stewart, and Ray Fitzpatrick, reporting on twenty-nine interviews they conducted with women with so-called anorexia nervosa, note that the participants recurrently raised issues of authenticity. The paper reflects on the way their behaviors, experiences, and choices can be considered authentic , or inauthentic . The authors also pose a question about the normative implications of their analysis—if some choices are inauthentic, then is it ethical to override them? (...)
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  32. The Perception of Musical Timbre.Stephen McAdams & Giordano & L. Bruno - 2008 - In Susan Hallam, Ian Cross & Michael Thaut (eds.), Oxford Handbook of Music Psychology. Oxford University Press.
     
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  33.  34
    Is It a Boy or a Girl? Who Should (Not) Know Children's Sex and Why?Daniela E. Cutas & Simona Giordano - 2013 - Journal of Medical Ethics 39 (6):374-377.
    In this paper, we present the case of a couple who refused to disclose the sex of their child to others, and some of the responses that this case prompted in the international media. We outline the ethical issues that this case raises, and we place it into the more general context of parental preferences regarding the gender (development) of their children and of the impact on children of parental choices in the matter. Based on current knowledge of gender identity (...)
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  34.  18
    Building New Bioethical Practices Through Feminist Pedagogies.Sara Giordano - 2016 - International Journal of Feminist Approaches to Bioethics 9 (1):81-103.
    In this paper, I describe a collaborative project involving two feminist trained scientists1 in consultation with a bioethicist, a policy analyst, and a research scientist funded by the National Academies Keck Futures Initiative for the design and implementation of a training program for ethics in synthetic biology. In spring 2011, the project culminated in our coteaching an experimental graduate seminar on ethics and synthetic biology.Synthetic biology most commonly refers to an interdisciplinary field that aims to merge engineering and biology methods (...)
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  35.  30
    Persecutors or Victims? The Moral Logic at the Heart of Eating Disorders.Simona Giordano - 2003 - Health Care Analysis 11 (3):219-228.
    Eating Disorders, particularly anorexia and bulimia, are of immense contemporary importance and interest. News stories depicting the tragic effects of eating disorders command wide attention. Almost everybody in society has been touched by eating disorders in one way or another, and contemporary obsession with body image and diet fuels fascination with this problem. It is unclear why people develop eating disorders. Clinical and sociological studies have provided important information relating to the relational systems in which eating disorders are mainly found. (...)
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  36.  13
    Eating Yourself Away: Reflections on the ‘Comorbidity’ of Eating Disorders and Gender Dysphoria.Simona Giordano - 2017 - Clinical Ethics 12 (1):45-53.
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  37.  23
    Should We Force the Obese to Diet?S. Giordano - 2008 - Journal of Medical Ethics 34 (5):319-319.
    There are around 94 000 000 obese people in the US alone, where 30% of the population is classified as obese.1 In industrialised countries, cardio-vascular diseases, associated with obesity and lack of physical activity, are the leading causes of death.Many millions of people affected by obesity expose themselves to stroke, heart attack, atherosclerosis, type-2 diabetes, osteoarthritis and other joint problems, sleeping problems , cancer, and psychological illnesses such as depression.While both in the United States and in the United ….
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  38.  22
    For the Protection of Others.Simona Giordano - 2000 - Health Care Analysis 8 (3):309-319.
    This paper investigates legal and moral justificationsof coerced treatment for psychiatric patients who aredetained on the grounds that they may harm others.While the general issues concerning compulsorytreatment and detention have been widely canvassed, ithas seldom, if ever, been noticed that the moralreasons that we may have to detain a person whoappears to be dangerous to others are different fromthe moral reasons we may have to treat him or her. For example, it has not been noticed that compulsorydetention and compulsory treatment (...)
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  39.  18
    Risk and Supervised Exercise: The Example of Anorexia to Illustrate a New Ethical Issue in the Traditional Debates of Medical Ethics.S. Giordano - 2005 - Journal of Medical Ethics 31 (1):15-20.
    Sport and physical activity is an area that remains relatively unexplored by contemporary bioethics. It is, however, an area in which important ethical issues arise. This paper explores the case of the participation of people with anorexia nervosa in exercise. Exercise is one of the central features of anorexia. The presence of anorexics in exercise classes is becoming an increasingly sensitive issue for instructors and fitness professionals. The ethics of teaching exercise to anorexics has, however, seldom, if ever, been addressed. (...)
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  40.  18
    Crimes and Misdemeanours: The Case of Child Abandonment.S. Giordano - 2007 - Journal of Medical Ethics 33 (1):28-34.
    In 2002, a child was abandoned in a Burger King restaurant in Amsterdam by a Chinese woman, who hoped that the baby would be picked up by someone able to give the child a better life. She was convicted for child abandonment and imprisoned. Whereas some forms of child abandonment are criminalised, others are socially accepted and not even on the ethics agenda. This paper is an invitation to reflect on the inconsistency in the ways in which we prosecute, punish (...)
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  41.  14
    Scientific Freedom.S. Giordano & M. Cappato - 2007 - Journal of Medical Ethics 33 (6):311-312.
    Stem cell research represents the most promising field of investigation for treatment of many degenerative diseases. The veto against this research condemns millions of people to a life with little hope of cureO vous, les boutefeux, ô vous les bons apôtres, Mourez donc les premiers, nous vous cédons le pas, Mais de grâce, morbleu! laissez vivre les autres!Last year, Rome hosted the first meeting of the World Congress For Freedom of Scientific Research.The Congress was organised by the Luca Coscioni Association, (...)
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  42.  6
    Economic Impacts of Pesticide Use.V. Lipner Nelson, S. Giordano, A. Horowitz & M. D'Amore - 1997 - In Kristin Shrader-Frechette & Laura Westra (eds.), Technology and Values. Rowman & Littlefield.
  43.  1
    New Democratic Sciences, Ethics, and Proper Publics.Sara Giordano - 2018 - Science, Technology, and Human Values 43 (3):401-430.
    In this article, I examine the rhetoric of democratic science within the field of synthetic biology. The still emerging field of synthetic biology claims to be a new kind of science based on the promises of affordable medicines, environmental bioremediation, and democratic, do-it-yourself science practices. I argue that the formation of a more democratic, DIY portion of this field represents an intervention into ethics debates by becoming “the proper informed public.” Through an analysis of twelve DIY and community-based synthetic biology (...)
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