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The Journal of Clinical Ethics, 2019, Volume 30

Spring, Volume 30, Number 1

Summer, Volume 30, Number 2

Fall, Volume 30, Number 3


Current Issue:


The Journal of Clinical Ethics, Volume 30, Number 3, Fall 2019

Entire issue, Fall 2019, Volume 30, Number 3


At the Bedside

Treating Children Maximally: Practical Applications

      Edmund G. Howe


Better than Best (Interest Standard) in Pediatric Decision Making

      Lainie Friedman Ross

Offering the “Reasonable Interests Standard” in Response to Ross’s Analysis of the Best Interests Standard

      D. Micah Hester

Guidance and Intervention Principles in Pediatrics: The Need for Pluralism

      Mark Christopher Navin and Jason Adam Wasserman

Decision Making on Behalf of Children: Understanding the Role of the Harm Principle

      Douglas S. Diekema

When Better Isn’t Good Enough: Commentary on Ross’s “Better than Best (Interest Standard) in Pediatric Decision Making”

      Erica K. Salter

Constrained Parental Autonomy and the Interests of Children in Non-Intimate Families

      Erin Paquette

The Best Interest Standard Is the Best We Have: Why the Harm Principle and Constrained Parental Autonomy Cannot Replace the Best Interest Standard in Pediatric Ethics

      Johan C. Bester

In Further Defense of “Better than Best (Interest)”

      Lainie Friedman Ross

Pediatric Decision Making: Ross, Rawls, and Getting Children and Families Right 

      Norman Quist

A Working Un-Conference

A Working Un-Conference to Advance Innovations Among Clinical Ethics Programs

      Hilary Mabel and Paul J. Ford

Clarifying a Clinical Ethics Service’s Value, the Visible and the Hidden

      Laura Guidry-Grimes, Marika Warren, Hannah I. Lipman, Kelly Kent, Kaarkuzhali Babu Krishnamurthy, Arlene M. Davis, Thomas May,

      Marycon Chin Jiro, and Jane Jankowski

Emerging Roles of Clinical Ethicists

      Jeffrey S. Farroni, Emma Tumilty, Debjani Mukherjee, Susan McCammon, David M. Chooljian, and Margot M. Eves

Pediatric Ethics Consultation: Practical Considerations for the Clinical Ethics Consultant

      Caroline A. Buchanan, Johan C. Bester, Bethany Bruno, Clare Delany, Kerri O. Kennedy, Tracy Koogler, Nneka O. Sederstrom, Jessica A. Moore,

      and Kathryn L. Weise

Comprehensive Quality Assessment in Clinical Ethics

      Thomas V. Cunningham, Andrea Chatburn, Cynthia Coleman, Evan DeRenzo, Kristin Furfari, John Frye, III, Avery C. Glover, Matthew Kenney,

      Nico Nortjé, Janet Malek, Mark Repenshek, Flora Sheppard, and Joshua S. Crites


Letter: Words Matter in the Lives of Transgender Youth: Response to “Family Discordance Regarding Fertility Preservation for a Transgender Teen: An Ethical Case Study”

      Beth A. Clark and Alice Virani

Letter: In Response to “Words Matter in the Lives of Transgender Youth”              

      Gwendolyn P. Quinn, Amani Sampson, Lisa Campo-Engelstein, and Leena Nahata



The Journal of Clinical Ethics, Volume 30, Number 2, Summer 2019

Entire issue, Summer 2019, Volume 30, Number 2


At the Bedside

When Adolescents May Die

Edmund G. Howe


The States as Laboratories: Regulation of Decisions for Incapacitated Patients

Erin S. DeMartino and Joshua A. Rolnick

The Clinician as Clinical Ethics Consultant: An Empirical Method of Study

Donald S. Kornfeld and Kenneth Prager

The ASBH Approach to Certify Clinical Ethics Consultants Is Both Premature and Inadequate

Mark Siegler

Roles of the Clinical Ethics Consultant: A Response to Kornfeld and Prager

David Michael Vaughan, Rebecca Permar, Corisa Rakestraw, Ryan Hart, Leslie C. Griffin, and William J. Winslade

Moving Towards a New Hospital Model of Clinical Ethics

Evan G. DeRenzo

Elements of an Ethics Consultation

John C. Fletcher and Edward M. Spencer

Physicians’ Perspectives on Adolescent and Young Adult Advance Care Planning: The Fallacy of Informed Decision Making

Jennifer S. Needle, Cynthia Peden-McAlpine, and Joan Liaschenko 

Fertility Preservation for a Teenager with Differences (Disorders) of Sex Development: An Ethics Case Study

Lisa Campo-Engelstein, Diane Chen, Arlene B. Baratz, Emilie K. Johnson, and Courtney Finlayson

Perils of the Hidden Curriculum: Emotional Labor and “Bad” Pediatric Proxies

Margaret Waltz, R. Jean Cadigan, Benny Joyner, Paul Ossman, and Arlene Davis

Consent Obtained by Residents: Informed by the Uninformed?

Alan R. Tait



Spring 2019, Volume 30, Number 1

Entire Issue, Spring 2019, Volume 30, Number 1


The Edge-of-the-Field of Clinical Ethics Now, After 30 Years: Does Research Ethics Show Us the Way?

Edmund D. Howe

Clinical Medical Ethics: Its History and Contributions to American Medicine

Mark Siegler

Once and Future Clinical Neuroethics: A History of What Was and What Might Be

Joseph J. Fins

Clinical Ethics in Pediatrics: An International Perspective

John D. Lantos, Sarosh Saleem, Fajar Raza, Janicke Syltern, Erwin J. Khoo, Arpana Iyengar, Priya Pais, Jagdish Chinnappa,

Pablo Lezama-Del Valle, and André Kidszun

Reflection of a Physician-Writer: On Why I Write

Ranjana Srivastava

“Clinical” Surgical Ethics

Peter Angelos

Ethics and Evidence

Daniel P. Sulmasy

Cardiopulmonary Resuscitation, Informed Consent, and Rescue: What Provides Moral Justification for the Provision of CPR?

Johan Bester and Eric Kodish



The Journal of Clinical Ethics, 2018, Volume 29

Spring 2018, Volume 29, Number 1

Summer 2018, Volume 29, Number 2

Fall 2018, Volume 29, Number 3

Winter 2018, Volume 29, Number 4


Winter 2018, Volume 29, Number 4

Entire Issue, Winter 2018, Volume 29, Number 4


At the Bedside

Helping Patients to Achieve What They Find Most Meaningful in Life

Edmund G. Howe 


Familial Discordance Regarding Fertility Preservation for a Transgender Teen: An Ethical Case Study

Gwendolyn P. Quinn, Amani Sampson, and Lisa Campo-Engelstein

Proxy Consent by a Physician When a Patient’s Capacity Is Equivocal: Respecting a Patient’s Autonomy by Overriding the Patient’s Ostensible Treatment Preferences

Abraham Graber, Carolyn April, and Michael D. April

Training to Increase Rater Reliability When Assessing the Quality of Ethics Consultation Records with the Ethics Consultation Quality Assessment Tool (ECQAT)

Robert Allan Pearlman, David Alfandre, Barbara L. Chanko, Mary Beth Foglia, and Kenneth A. Berkowitz

Technical Considerations for Implementation of Tele-Ethics Consultation in the Intensive Care Unit

Laura S. Johnson. David M. Brennan, and Nneka O. Sederstrom

Systematic Review of Typologies Used to Characterize Clinical Ethics Consultations

Jennifer E. deSante-Bertkau, Michelle L. McGowan, and Armand H. Matheny Antommaria

Justice and Respect for Autonomy: Jehovah’s Witnesses and Kidney Transplant

Paul J. Cummins and Federico Nicoli

Cases from the Cleveland Clinic

Discomfort as a Catalyst: An Ethical Analysis of Donation after Cardiac Death in a Patient with Locked-In Syndrome

Bethany Bruno and Margot M. Eves


To Give or Not to Give: The Challenge of Pharmaceutical Coupons

Mihail Zilbermint and Louise Schiavone




Fall 2018, Volume 29, Number 3

Entire issue, Fall 2018, Volume 29, Number 3


At the Bedside

How We May Become Detached from Our Patients and What We Can Do If This Happens

            Edmund G. Howe


Deathbed Confession: When a Dying Patient Confesses to Murder: Clinical, Ethical, and Legal Implications

            Laura Tincknell, Anne O’Callaghan, Joanna Manning, and Phillipa Malpas

Ethical Challenges in Acute Evaluation of Suspected Psychogenic Stroke Mimics

            Alexandra J. Sequeira, Michael G. Fara, and Ariane Lewis

Positive HIV Test Results from Deceased Organ Donors: Should We Disclose to Next of Kin?

            Anne L. Dalle Ave and David M. Shaw

Posthumous HIV Disclosure and Relational Rupture

            Laura K. Guidry-Grimes and D. Micah Hester

Plain Anabaptists and Healthcare Ethics

            James Benedict

Refusal of Vaccination: A Test to Balance Societal and Individual Interests

            Kavita Shah Arora, Jane Morris, and Allan J. Jacobs

Nursing Ethics Huddles to Decrease Moral Distress among Nurses in the Intensive Care Unit

            Marianne C. Chiafery, Patrick Hopkins, Sally A. Norton, and Margie Hodges Shaw

”I Would Do It All Over Again”: Cherishing Time and the Absence of Regret in Continuing a Pregnancy after a Life-Limiting Diagnosis

            Charlotte Wool, Rana Limbo, and Erin M. Denney-Koelsch


The Mission of Safety Net Hospitals: Charity or Equity?

            Thea James      

Scribes, Electronic Health Records, and the Expectation of Confidentiality

            Paul M. Wangenheim



Summer 2018, Volume 29, Number 2

Entire issue, Summer 2018, Volume 29, Number 2


At the Bedside

Edge-of-the-Field Ethics Consulting: What Are We Missing?  

        Edmund G. Howe


Psychiatric Diagnoses and Informed Consent

        Andrew Clark                 

Response to “Psychiatric Diagnoses and Informed Consent”

        David Brendel

TTaPP: Together Take a Pause and Ponder: A Critical Thinking Tool for Exploring the Public/Private Lives of Patients

        Leslie Kuhnel

Medical Futility in Concept, Culture, and Practice

        Grattan T. Brown

Action Guide for Addressing Ethical Challenges of Resource Allocation Within Community-Based Healthcare Organization

        Krista L. Harrison, Holly A. Taylor, and Maria W. Merritt

Treating Vulnerable Populations

Medical Decision Making for Medically Complex Children in Foster Care:  Who Knows the Child’s Best Interests?

        Rebecca R. Seltzer, Rachel A.B. Dodge,  and Renee D. Boss

Medically Complex Children in Foster Care: Do Research “Protections” Make This  “Vulnerable Population” More Vulnerable?

      Rebecca R. Seltzer, Megan Kasimatis Singleton, Erin P. Williams, and Renee D. Boss

Ethics Consultation Practice

The Work of ASBH’s Clinical Ethics Consultation Affairs Committee: Development Processes Behind Our Educational Materials

       Courtenay R. Bruce, Jane Jankowski, Barbara L. Chanko, Anne Cordes, Barrie J. Huberman, Liza-Marie Johnson, Deborah L. Kasman,

Aviva Katz, Ellen M. Robinson, Katherine Wasson, and George E. Hardart

The Development and Rationale for CECA’s Case-Based Study Guide

        George J. Agich


Can Islamic Jurisprudence Justify Procurement of Transplantable Vital Organs in Brain Death?

        Mohamed Y. Rady


Spring 2018, Volume 29, Number 1

Entire issue, Spring 2018, Volume 29, Number 1


At the Bedside

Slowing Down Fast Thinking to Enhance Understanding

Edmund G. Howe


“Buying-In” and “Cashing-Out”: Patients’ Experience and the Refusal of Life-Prolonging Treatment

Nathan Scheiner and Joan Liaschenko

Impact of Cognitive Load on Family Decision Makers’ Recall and Understanding of Donation Requests for the Genotype-Tissue Expression (GTEx) Project

Laura A. Siminoff, Maureen Wilson-Genderson, Maghboeba Mosavel, Laura Barker, Jennifer Trgina, Heather M. Traino, Howard M. Nathan,

Richard D. Hasz, and Gary Walters

An International Legal Review of the Relationship between Brain Death and Organ Transplantation

      Kiarash Aramesh, Hitoshi Arima, Dale Gardiner, and Seema K. Shah

Clinical Practice

The Bedside Capacity Assessment Tool: Further Development of a Clinical Tool to Assist with a Growing Aging Population with Increased Healthcare Complexities

Maria Torrroella Carney, Brian Emmert, and Brian Keefe

Meaningful Use of Electronic Health Records for Quality Assessment and Review of Clinical Ethics Consultation

Susan Sanelli-Russo, Kelly McBride Folkers, William Sakolsky, Joseph J. Fins, and Nancy Neveloff Dubler

The Ethics of Bundled Payments in Total Joint Replacement: ”Cherry Picking” and “Lemon Dropping”

Casey Jo Humbyrd


Colorado’s New Proxy Law: Moving from Statute to Guidelines

Jacqueline J. Glover, Deb Bennett-Woods, and Jean Abbott


The Journal of Clinical Ethics, 2017, Volume 28

Winter 2017, Volume 28, Number 4

Fall 2017, Volume 28, Number 3
Summer 2017, Volume 28, Number 2

Spring 2017, Volume 28, Number 1


Winter 2017, Volume 28, Number 4

Entire Issue, Winter 2017, Volume 28, Number 4


At the Bedside

New Ways to Cut through Ethical Gordian Knots

Edmund G. Howe


Comparativism and the Grounds for Person-Centered Care and Shared Decision Making

Anders Herlitz

Incapacitated Surrogates: A New and Increasing Dilemma in Hospital Care

Karen L. Smith, Patrice Fedel, and Jay Heitman

Measuring Instrument for Ethical Sensitivity in the Therapeutic Sciences

Alida Naudé and Juan Bornman

Make It Plain: Strengthening the Ethical Foundation of First-Person Authorization for Organ Donation

James L. Benedict

Cases from the Cleveland Clinic

Incarcerated Patients and Equitability: The Ethical Obligation to Treat Them Differently

Lisa Fuller and Margot M. Eves

Clinical Ethics Consultation

Ongoing Evaluation of Clinical Ethics Consultations as a Form of Continuous  Quality Improvement

Rebecca L. Volpe

Moral Distress, Ethical Environment, and the Embedded Ethicist

Donna Messutta

Medical Education

The Rise of Hospitalists: An Opportunity for Clinical Ethics

Matthew W. McCarthy, Diego Real de Asua, and Joseph J. Fins


Fall 2017, Volume 28, Number 3

Entire issue, Fall 2017, Volume 28, Number 3


At the Bedside

Nine Lessons from Ashley and Her Parents

Edmund G. Howe


Holding Ashley (X): Bestowing Identity Through Caregiving in Profound Intellectual Disability

Lisa Freitag and Joan Liaschenko

How We Become Who We Are: Ashley, Carla, and the Rest of Us

Jamie Lindemann Nelson

Giving Voice to the Voiceless: The Colorado Response to Unrepresented Patients

Deb Bennett-Woods, Jean Abbott, and Jacqueline J. Glover

Re-Evaluating the Ethics of Uterine Transplantation

Danish Zaidi

May Medical Centers Give Nonresident Patients Priority in Scheduling Outpatient Follow-Up Appointments?

Armand H. Matheny Antommaria

Cases and Analysis

Responding to Moral Distress and Ethical Concerns at the Intersection of Medical Illness and Unmet Mental Health Needs

Donna D. McKlindon, Pamela Nathanson, and Chris Feudtner

At the Intersection of Faith, Culture, and Family Dynamics: A Complex Case of Refusal of Treatment for Childhood Cancer

Amy E. Caruso Brown

The Angry Amish Grandfather: Cultural Competence and Empathy: A Case Commentary

James L. Benedict


The Ethics of Research in Lower Income Countries: Double Standards Are Not the Problem

David S. Wendler


Universal Health Care: The Cost of Being Human

Roger Strair

Vaccine Exemptions and the Church-State Problem

Dena S. Davis



Summer 2017, Volume 28, Number 2

Entire issue, Summer 2017, Volume 28, Number 2


At the Bedside

Going from What Is, to What Should Be, to Care Better for Our Patients and Families

Edmund G. Howe


Controversies in Cardiopulmonary Death

Michael G. Fara, Breehan Chancellor, Aaron S. Lord, and Ariane Lewis

How Do Healthcare Providers Feel About Family Presence During Cardiopulmonary Resuscitation?

Alicia Pérez Blanco

A Patient (Not) Alone

Lauren Sydney Flicker

The Role of Relational Knowing in Advance Care Planning

Kate Robins-Browne, Kelsey Hegarty, Marilys Guillemen, Paul Komesaroff, and Victoria Palmer

Knowing About Others: On “The Role of Relational Knowing in Advance Care Planning”

Jamie Lindemann Nelson

Developing Clinical Ethics Consultation and Committees

Structure, Operation, and Experience of Clinical Ethics Consultation 2007-2013: A Report from the Massachusetts General Hospital Optimum Care Committee

Ellen M. Robinson, Wendy Cadge, Kimberly Erler, Sharon Brackett, Julia Bandini, Alexandra Cist, M. Cornelia Cremens, Eric L. Krakauer,

and Andrew M. Courtwright

Development of a Clinical Ethics Committee De Novo at a Small Community Hospital by Addressing Needs and Potential Barriers

Bonnie H. Arzuaga

Case and Analysis

Do Not Resuscitate, with No Surrogate and No Advance Directive: An Ethics Case Study

Jamie Diamond, Umesh Gidwani, and Rosamond Rhodes


Legal Briefing: Unwanted Cesareans and Obstetric Violence

Thaddeus Mason Pope


Spring 2017, Volume 28, Number 1

Entire issue, Spring 2017, Volume 28, Number 1


At the Bedside

Fourteen Important Concepts Regarding Moral Distress

Edmund G. Howe

Special Section on Moral Distress

Harnessing the Promise of Moral Distress: A Call for Re-Orientation

Alisa Carse and Cynda Hylton Rushton

Focus More on Causes and Less on Symptoms of Moral Distress

Tessy A. Thomas and Laurence B. McCullough    

Using Moral Distress for Organizational Improvement

James E. Sabin

Looking at the Positive Side of Moral Distress: Why It’s a Problem

Elizabeth G. Epstein and Ashley R. Hurst

Moral Distress: Conscious and Unconscious Feelings

William J. Winslade


When Not to Rescue: An Ethical Analysis of Best Practices for Cardiopulmonary Resuscitation and Emergency Cardiac Care

Nancy S. Jecker and Arthur R. Derse

A Framework for Ethical Decision Making in the Rehabilitation of Patients with Anosognosia

Anna Rita Egbert

Case and Analysis

Family Loyalty as a Cultural Obstacle to Good Care: The Case of Mrs. Indira

Shahla Siddiqui

Complexities in Caregiving: Comforts, Cultures, Countries, Conversations, and Contracts

Shenbagam Dewar and Rajan Dewar


Legal Briefing: New Penalties for Ignoring Advance Directives and Do-Not-Resuscitate Orders

Thaddeus Mason Pope



The Journal of Clinical Ethics, 2016, Volume 27


Spring 2016, Volume 27, Number 1

Summer 2016, Volume 27, Number 2

Fall 2016, Volume 27, Number 3

Winter 2016, Volume 27, Number 4


Winter 2016, Volume 27, Number 4

Entire issue, Winter 2016, Volume 27, Number 4

At the Bedside

New Paradigms in Medical Ethics

Edmund G. Howe


A Survey of Physicians’ Attitudes toward Decision-Making Authority for Initiating and Withdrawing VA-ECMO: Results and Ethical Implications for Shared Decision Making

Ellen C. Meltzer, Natalia S. Ivascu, Meredith Stark, Alexander V. Orfanos, Cathleen A. Acres, Paul J. Christos, Thomas Mangione, and

Joseph J. Fins

Covert Administration of Medication to Persons with Dementia: Exploring Ethical Dimensions

Jenny M. Young and David Unger

Covert Medications: Act of Compassion or Conspiracy of Silence?

Robert C. Macauley

Stakeholders’  Views on Barriers to Research on Controversial Controlled Substances

Evelyn Rhodes, Michael Andreae, Tyler Bourgiose, Debbie Indyk, Rosamond Rhodes, and Henry Sacks

The Evolution of American Hospital Ethics Committees: A Systematic Review

Andrew Courtwright and Martha Jurchak

Cultivating Administrative Support for a Clinical Ethics Consultation Service

Courtenay R. Bruce, Mary A. Majumder, Ashley Stephens, Janet Malek, and Amy McGuire

Cases from the Cleveland Clinical Foundation

What’s Knowledge Got to Do with It? Ethics, Epistemology, and Intractable Conflicts in the Medical Setting

Bryan Kibbe and Paul J. Ford


Medical Futility: A Contemporary Review

Ellen Coonan


Fall 2016, Volume 27, Number 3

Entire issue, Fall 2016, Volume 27, Number 3

At the Bedside

      Harmful Emotional Responses that Patients and Physicians May Have When their Values Conflict

      Edmund G. Howe


      Moral Agency, Moral Imagination, and Moral Community: Antidotes to Moral Distress

      Terri Traudt, Joan Liaschenko, and Cynthia Peden-McAlpine

      Towards a New Narrative of Moral Distress: Realizing the Potential of Resilience

      Cynda Hylton Rushton and Alisa Carse

 Special Section: Physicians’ Exercise of Conscience: Commentaries on the AMA’s Code of Medical Ethics

      Report by the American Medical Association’s Council on Ethical and Judicial Affairs on Physicians’ Exercise of Conscience

      BJ Crigger, Patrick W. McCormick, Stephen L. Brotherton, and Valarie Blake

      Accommodating Conscientious Objection in Medicine—Private Ideological Convictions Must Not Trump Professional Obligations

      Udo Schuklenk 

      Professional Ethics, Personal Conscience, and Public Expectations

      Claudia E. Haupt

      Who Judges Harm?

      Nadia N. Sawicki

      Action Steps and Solutions for Physicians’ Exercise of Conscience

      Eliza Blanchard and Lynn Stoller

      Conscientious Objection: Widening the Temporal and Organizational Horizons

      Armand H. Matheny Antommaria

      Thinking about Conscience

      BJ Crigger


      Legal Briefing: Stopping Nonbeneficial Life-Sustaining Treatment without Consent

      Thaddeus Mason Pope and Kristin Kemmerling


Summer 2016, Volume 27, Number 2

Entire issue, Summer 2016, Volume 27, Number 2

At the Bedside

What Do We Owe Medical Students and Medical Colleagues Who Are Impaired?

Edmund G. Howe


Untangling Uncertainty: A Study of the Discourses Shaping Clinical Ethics Consultation as a Professional Practice

Salla Saxén

How Can Clinical Ethics Committees Take on Organizational Ethics? Some Practical Suggestions

James E. Sabin

What Is Everyday Ethics? A Review and a Proposal for an Integrative Concept

Natalie Zizzo, Emily Bell, and Eric Racine

Medical Education and Professionalism

The Medical Ethics Curriculum in Medical Schools: Present and Future

Alberto Giubilini, Sharyn Milnes, and Julian Savulescu

Medical Boards and Fitness to Practice: The Case of Teleka Patrick, MD

Katrina A. Bramstedt

Clinical Ethics Consultation

Gender and Race in the Timing of Requests for Ethics Consultations: A Single-Center Study

Bethany Spielman, Christine Gorka, Keith Miller, Carolyn A. Pointer, and Barbara Hinze

Measuring Quality in Ethics Consultation

Sally E. Bliss, Jane E. Oppenlander, Jacob M. Dahlke, Gordon J. Meyer, Eva M. Williford, and Robert C. Macauley

Defining Patient Advocacy for the Context of Clinical Ethics Consultation: A Review of the Literature and Recommendations for Consultants

Tracy Brazg, Taryn Lindhorst, Denise Dudzinski, and Benjamin Wilfond



Spring 2016, Volume 27, Number 1

Entire issue, Spring 2016, Volume 27, Number 1


At the Bedside

How Clinicians Can Reduce “Bullied Acquiescence”

Edmund G. Howe


The Effectiveness of Standardized Patient Simulation in Training Hospital Ethics Committees

David Y. Harari and Robert C. Macauley

Clinical Recommendations in Medical Practice: A Proposed Framework to Reduce Bias and Improve the Quality of Medical Decisions

David Alfandre

The Role of Communication and Interpersonal Skills in Clinical Ethics Consultation: The Need for a Competency in Advanced Ethics Facilitation

Wayne Shelton, Cynthia Geppert, and Jane Jankowski

A Case of Attempted Suicide in Huntington’s Disease: Ethical and Moral Considerations

Kristin Furfari, Nichole Zehnder, and Jean Abbott


Story of a Mediation in the Clinical Setting

Haavi Morreim

Cases from MedStar Washington Hospital Center

The Case of Ms D: A Family’s Request for Posthumous Procurement of Ovaries

Laura Guidry-Grimes

Analysis: OB/GYN-Genetics

Melissa Fries

Analysis: Fertility Preservation

Veronica Gómez-Lobo

Analysis: A Legal Perspective

Jack Schwartz


Ethical Considerations of Whole-Eye Transplantation

Wesley N. Sivak, Edward H. Davidson, Chiaki Komatsu, Yang Li, Maxine R. Miller, Joel S. Schuman, Mario G. Solari, Gerard Magill, and Kia M. Washington    

Let’s Not Forget about Clinical Ethics Committees!

Franco A. Carnevale

Moving Clinical Deliberations on Administrative Discharge in Drug Addiction Treatment Beyond Moral Rhetoric to Empirical Ethics

Izaak L. Williams


Legal Briefing: Mandated Reporters and Compulsory Reporting Duties

Thaddeus Mason Pope



The Journal of Clinical Ethics, 2015, Volume 26


Spring 2015, Volume 26, Number 1

Summer 2015, Volume 26, Number 2

Fall 2015, Volume 26, Number 3

Winter 2015, Volume 26, Number 4


Winter 2015, Volume 26, Number 4

Entire issue, Winter 2014, Volume 26, Number 4


At the Bedside

Mediation Approaches at the Beginning or End of Life

Edmund G. Howe


The “Commitment Model” for Clinical Ethics Consultations: Society’s Involvement in the Solution of Individual Cases

Véronique Fournier, Marta Spranzi, Nicolas Foureur, and Laurence Brunet

Stakeholders’ Perspectives on Preclinical Testing for Alzheimer’s Disease

Jalayne J. Arias, Jeffrey Cummings, Alexander Rae Grant, and Paul J. Ford

Patient Decision Aids: A Case for Certification at the National Level in the United States

Urbashi Poddar, Shannon Bownlee, Dawn Stacey, Robert J. Volk, John W. Williams, and Glyn Elwyn

Special Section: Mediation Techniques for Managing Clinical Conflict

Teaching and Learning the Techniques of Conflict Resolution for Challenging Ethics Consultations

Edward J. Bergman and Autumn Fiester

Identifying Sources of Clinical Conflict: A Tool for Practice and Training in Bioethics Mediation

Edward J. Bergman

Contentious Conversations: Using Mediation Techniques in Difficult Clinical Ethics Consultations

Autumn Fiester

A Second Opinion: A Case Narrative on Clinical Ethics Mediation

Michael S. Weinstein

Patient-Centered Care and the Mediator’s Skills

Mary K. Walton

In the Ethos of the Safety Net: An Expanded Role for Clinical Ethics Mediation

Jolion McGreevy

Mediation Training for the Physician: Expanding the Communication Toolkit to Manage Conflict

Joshua B. Kayser

Preventing and De-Escalating Ethical Conflict: A Communication-Training Mediation Model

Tomer T. Levin and Patricia A. Parker

Intensive Care, Intense Conflict: A Balanced Approach

Erin Talati Paquette and Irini N. Kolaitis

Cases from the Cleveland Clinic

“She Just Doesn’t Know Him Like We Do”: Illuminating Complexities in Surrogate Decision Making

Margot M. Eves and Bryn S. Esplin


Medical Decision Making for Patients Without Proxies: The Effect of Personal Experience in the Deliberative Process

Allyson L. Robichaud


Legal Briefing: Medicare Coverage of Advance Care Planning

Thaddeus Mason Pope



Fall 2015, Volume 26, Number 3

Entire Issue, Fall 2015, Volume 26, Number 3


At the Bedside

How to Help Parents, Couples, and Clinicians When an Extremely Premature Infant Is Born

Edmund G. Howe


COAST (Coordinating Options for Acute Stroke Therapy): An Advance Directive for Stroke

Ilana Spokoyny, Lynette Cederquist, Brian Clay, and Brett C. Meyer

Assessing Advance Care Planning: Examining Autonomous Selections in an Advance Directive

Craig M. Klugman and Nicole M. Tolwin

Informed Consent, Deaf Culture, and Cochlear Implants

Lauren Pass and Abraham D. Graber

Clinical Ethics Consultation

Case Complexity and Quality Attestation for Clinical Ethics Consultants

Bethany Spielman, Jana Craig, Christine Gorka, and Keith Miller


Prenatal Consultation for Extremely Preterm Neonates: Ethical Pitfalls and Proposed Solutions

Jennifer C. Kett

Case Analysis

Ethical Bargaining and Parental Exclusion: A Clinical Case Analysis

Laura Guidry-Grimes and Elizabeth Victor

The Least Bad Option: Unilateral Extubation after Declaration of Death by Neurological Criteria

Sally E. Bliss and Robert C. Macauley


Clarifying an Expanded Use of Continuous Sedation Until Death: A Reply to the Commentary by McCammon and Piemonte

Samuel H. LiPuma and Joseph P. DeMarco


Response to Stephens and Heitman

Jason Adam Wasserman



Summer 2015, Volume 26, Number 2

Entire Issue, Summer 2015, Volume 26, Number 2


At the Bedside

How to Retain the Trust of Patients and Families When We Will Not Provide the Treatment They Want

Edmund G. Howe


A Justifiable Asymmetry

Daniel Brudney and Mark Siegler

On Not Taking “Yes” for an Answer

Alexander M. Capron

Moral Reasoning among HEC Members: An Empirical Evaluation of the Relationship of Theory and Practice in Clinical Ethics Consultation

Jason Adam Wasserman, Shannon Lindsey Stevenson, Cassandra Claxton, and Ernest F. Krug, III

Reasoning Backwards by Design: Commentary on “Moral Reasoning among HEC Members”

Ashley L. Stephens and Elizabeth Heitman

Expanding the Use of Continuous Sedation Until Death: Moving Beyond the Last Resort for the Terminally Ill

Samuel H. LiPuma and Joseph P. DeMarco

Continuous Sedation Until Death Should Not Be an Option of First Resort

Susan D. McCammon and Nicole M. Piemonte

“Let Me Keep My Dead Husband’s Sperm”: Ethical Issues in Posthumous Reproduction

Nikoletta Panagiotopoulou and Stamatios Karavolos

Case Reports from the Harvard Ethics Consortium

The Value of Virginity

Christine Mitchell

When Bleeding Is Vital: Surgically Ensuring the “Virginal” State

Sohaila Bastami

A Hymen Epiphany

Farrah Jarral

On Hymenoplasty

Mary-Jo DelVecchio Good

Hymen Restoration: “My” Discomfort, “Their” Culture, and Women’s Missing Voice

Sylvie Schuster

The Value of Virginity and the Value of the Law: Accommodating Multiculturalism

Pablo de Lora

Is Hymenoplasty Anti-Feminist?

Gretchen Heinrichs

Doctoring the Genitals: Towards Broadening the Meaning of Social Medicine

Richard A. Shweder


Legal Briefing: Adult Orphans and the Unbefriended: Making Medical Decisions for Unrepresented Patients without Surrogates

Thaddeus Mason Pope


Letter: Possible Unintended Consequences of Including Equal-Priority Surrogates

Steven Perry and Arvind Venkat

Letter: Response to Perry and Venkat

Autumn Fiester


Spring 2015, Volume 26, Number 1

Entire Issue, Spring 2015, Volume 26, Number 1


Professionalism: One Size Does Not Fit All

Edmund G. Howe 

A Quality of Life Quandary: A Framework for Navigating Parental Refusal of Treatment for Co-Morbidities in Infants with Underlying Medical Conditions

Sarah N. Kunz, Ryan M. McAdams, Douglas S. Diekema, and Douglas J. Opel

Witnesses to Mute Suffering:  Quality of Life, Intellectual Disability, and the Harm Standard

Lisa C. Freitag

Home Birth of Infants with Congenital Anomalies: A Case Study and Ethical Analysis of Careproviders’ Obligations

Jane Jankowski and Paul Burcher  

Of Missing Voices and the Obstetric Imaginary: Commentary on Jankowski and Burcher

Melissa Cheyney

Hinduism and Death with Dignity: Historic and Contemporary Case Examples

Rajan Dewar, Nancy Cahners, Christine Mitchell, and Lachlan Forrow

Medical Professionalism in China and the United States: A Transcultural Interpretation

Jing-Bao Nie, Kirk L. Smith, Yali Cong, Linying Hu, and Joseph D. Tucker

Re-Evaluating Ethical Concerns in Planned Emergency Research Involving Critically Ill Patients: An Interpretation of the Guidance Document from the United States Food and Drug Administration

Nathan J. Smischney, James A. Onigkeit, Richard F. Hinds, and Wayne T. Nicholson

The Ethics of Physicians’ Web Searches for Patients’ Information

Nicholas Genes and Jacob Appel

Legal Briefing: Coerced Treatment and Involuntary Confinement for Contagious Disease

Thaddeus Mason Pope and Heather Michelle Bughman


Spring 2014, Volume 25, Number 1

Entire Issue, Spring 2014, Volume 25, Number 1


Ethically Optimal Interventions with Impaired Patients

Edmund G. Howe

DNR and ECMO: A Paradox Worth Exploring

Ellen Cowen Meltzer, Natalia S. Ivascu, and Joseph J. Fins

Defending the Jurisdiction of the Clinical Ethicist

John H. Evans

Can the Social Sciences Save Bioethics?

Daniel Callahan

Clinical Ethicists: Consultants or Professionals?

William J. Winslade

Response to Callahan and Winslade

John H. Evans

The Desire to Die: Making Treatment Decisions for Suicidal Patients Who Have an Advance Directive

Erica K. Salter

Beyond Privacy: Benefits and Burdens of E-Health Technologies in Primary Care

Julie M. Aultman and Erin Dean

The Side-Effects of the "Facebook Effect": Challenging Facebook’s "Organ Donor" Application

Adam M. Peña

Legal Briefing: Voluntarily Stopping Eating and Drinking

Thaddeus Mason Pope and Amanda West


Summer 2014, Volume 25, Number 2

Entire Issue, Summer 2014, Volume 25, Number 2


How to Help Patients and Families Make Better End-of-Life Decisions

Edmund G. Howe

Stumbled, Fumbled, Bumbled, Grumbled, and Humbled: Looking Back at the Future History of Clinical Ethics

Jeffrey T. Berger

A Protocol and Ethical Framework for the Distribution of Rationed Chemotherapy

Andrew Hantel

Detoxifying the Concept of Rationing

James Sabin

Uncharted Terrain: Preference Construction at the End of Life

Mary T. White

Aetna’s Compassionate Care Program and End-of-Life Decisions

Barak Krakauer, Joseph Agostini, and Randall Krakauer

Chinese Physicians’ Attitudes toward and Understanding of Medical Professionalism: Results of a National Survey

Linying Hu, Xiuyun Yin, Xiaolei Bao, and Jing-Bao Nie

Ethics Pocket Cards: An Educational Tool for Busy Clinicians

Rebecca L. Volpe, Benjamin H. Levi, George F. Blackall, and Michael J. Green

Legal Briefing: Informed Consent in the Clinical Context

Thaddeus Mason Pope and Melinda Hexum

Letter: Improving Patient-Doctor Communication about Risk and Choice in Obstetrics and Gynecology through Medical Education: A Call for Action

Macy L. Henderson, Jennifer Chevinsky, Rizwana Biviji-Sharma, and Kathryn Mills


Fall 2014, Volume 25, Number 3

Entire Issue, Fall 2014, Volume 25, Number 3


What Should Careproviders Do When a Patient "Won’t Budge"?

Edmund G. Howe

Empirical Bioethics Research Is a Winner, But Bioethics Mission Creep Is a False Alarm

Anne Lederman Flamm and Eric Kodish

Power and Jurisdiction

John H. Evans

When Should We Not Respect a Patient’s Wish?

Stephen Napier

The Ethical and Clinical Importance of Measuring Consciousness in Continuously Sedated Patients

Kasper Raus, Martine de Laat, Eric Mortier, and Sigrid Sterckx

The Proportionate Value of Proportionality in Palliative Sedation

Jeffrey T. Berger

Family Members’ Requests to Extend Physiologic Support after Declaration of Brain Death: A Case Series Analysis and Proposed Guidelines for Clinical Management

Anne Lederman Flamm, Martin L. Smith, and Patricia A. Mayer

A Survey of Healthcare Industry Representatives’ Participation in Surgery: Some New Ethical Concerns

Jeffrey Bedard, Crystal Dea Moore, and Wayne Shelton

Legal Briefing: Brain Death and Total Brain Failure

Thaddeus Mason Pope



Winter 2014, Volume 25, Number 4

Entire Issue, Winter 2014, Volume 25, Number 4


New Approaches with Surrogate Decision Makers

Edmund G. Howe

Who’s at the Table? Moral Obligations to Equal-Priority Surrogates in Clinical Ethics Consultations

Meghan O’Brien and Autumn Fiester

Developing and Testing a Checklist to Enhance Quality in Clinical Ethics Consultation

Lauren Sydney Flicker, Susannah L. Rose, Margot M. Eves, Anne Lederman Flamm,

Ruchi Sanghani, and Martin L. Smith

Surrogate Decision Making and Intellectual Virtue

Gregory L. Bock

Identifying Challenges to Communicating with Patients about Their Imminent Death

Lena Hoff and Göran Hermerén

Medical Missions to Ghana: The Ethics of Choosing Children for Cardiac Surgery

Christine Mitchell           

How Do We Choose?

Beverly M. Small, Judith Hurley, and Christine Placidi

Great Need, Scarce Resources, and Choice: Reflections on Ethical Issues Following a Medical Mission

Ravi R. Thiagarajan, Mark A. Scheurer, and Joshua W. Salvin       

Ethical Aspects of Arranging Local Medical Collaboration and Care

Samuel Blay Nguah

Pediatric Heart Surgery in Ghana: Three Ethical Questions

Nir Eyal

Epilogue: Ethical Goals for the Future

Edmund G. Howe



The Journal of Clinical Ethics, 2013, Volume 24

Spring 2013, Volume 24, Number 1

Entire issue, Spring 2013, Volume 24, Number 1


The Best Place for Bare-Knuckled Ethics

Edmund G. Howe

Surmounting Elusive Barriers: The Case for Bioethics Mediation

Edward J. Bergman

Commentary on Bergman: "Yes . . . But"

Nancy Neveloff Dubler

The Chiaroscuro of Accountability in the Second Edition of the Core Competencies for Healthcare Ethics Consultation

Lisa Rasmussen

Prescribing for Coworkers: Practices and Attitudes of Faculty and Residents

Carson Strong, Stephanie Connelly, and Laura R. Sprabery

The Ethics of Reality Medical Television

Thalia Margalit Krakower, Martha Montello, Christine Mitchell, and Robert D. Truog

Not a "Reality" Show

Terence Wrong and Erica Baumgart

First, Do No Harm

Neal Baer

Watching Boston Med

Walter M. Robinson

Legal Briefing: Shared Decision Making and Patient Decision Aids

Thaddeus Mason Pope and Melinda Hexum


Summer 2013, Volume 24, Number 2

Entire issue, Summer 2013, Volume 24, Number 2


Why Careproviders May Conclude that Treating a Patient Is Futile

Edmund G. Howe

Repetitive Foreign Body Ingestion: Ethical Considerations

Sarah Lytle, Susan J. Stagno, and Barb Daly
The Intensity and Frequency of Moral Distress among Different Healthcare Disciplines

Susan Houston, Mark A. Casanova, Marygrace Leveille, Kathryn L. Schmidt, Sunni A. Barnes, Kelli R. Trungale, and Robert L. Fine
“He Got His Last Wishes”: Ways of Knowing a Loved One’s End-of-Life Preferences and Whether Those Preferences Were Honored

Angelina R. Wittich, Beverly Rosa Williams, F. Amos Bailey, Lesa L. Woodby, and Kathryn L. Burgio
Making Decisions for Hospitalized Older Adults: Ethical Factors Considered by Family Surrogates

Jenna Fritsch, Sandra Petronio, Paul R. Helft, and Alexia M. Torke

The Threshold Moment: Ethical Tensions Surrounding Decision Making on Tracheostomy for Patients in the Intensive Care Unit

Arvind Venkat
A Response to Dubler’s Commentary on “Surmounting Elusive Barriers: The Case for Bioethics Consultation”

Edward J. Bergman

The Art of the Chart Note in Clinical Ethics Consultation and Bioethics Mediation: Conveying Information that Can Be Understood and Evaluated

Nancy Neveloff Dubler

Legal Briefing: The New Patient Self-Determination Act

Thaddeus Mason Pope


Fall 2013, Volume 24, number 3

Entire issue, Fall 2013, Volume 24, Number 3


When a Mother Wants to Deliver with a Midwife at Home

Edmund G. Howe   

Planned Home Birth in the United States and Professionalism: A Critical Assessment

Frank A. Chervenak, Laurence B. McCullough, Amos Grünebaum, Birgit Arabin, Malcolm I. Levene, and Robert L. Brent

Ethics and the Architecture of Choice for Home and Hospital Birth

Elizabeth Bogdan-Lovis and Raymond G. de Vries

Revisiting “The Maximin Strategy in Modern Obstetrics”

Howard Brody and Carol Sakala

A Reconsideration of Home Birth in the United States

Howard Minkoff and Jeffrey Ecker

The Absolute Power of Relative Risk in Debates on Repeat Cesareans and Home Birth in the United States

Eugene Declercq   

Moral Science: Ethical Argument and the Production of Knowledge about Place of Birth

Raymond G. de Vries, Yasaswi Paruchuri, Kathleen Lorenz, and Saraswathi Vedam

Women’s Perceptions of Childbirth Risk and Place of Birth

Mary Regan and Katie McElroy

Exceptional Deliveries: Home Births as Ethical Anomalies in American Obstetrics

Claire L. Wendland    

Being Safe: Making the Decision to Have a Planned Home Birth in the United States

Judith A. Lothian

Facilitating Women’s Choice in Maternity Care

Marianne Nieuwenhuijze and Lisa Kane Low    

Personal Perspective: One Obstetrician’s Look at a Polarizing Birth Arena

Annette E. Fineberg    

Personal Perspective: Seeking an Alternative Baseline for Birth

Darcia Narváez   

Personal Perspective: Individual versus Professional Preferences

Julie Sharon-Wagschal   

Personal Perspective: The Industry Take-Over of Home Birth and Death

Merilynne Rush

Personal Perspective: On the Need for a Real Choice

Steve Calvin    

Legal Briefing: Home Birth and Midwifery

Thaddeus Mason Pope and Deborah Fisch


Winter 2013, Volume 24, Number 4

Entire Issue, Winter 2013, Volume 24, Number 4


Families, Strangers, and Those Most Alone: Insights from Cultures, Including Our Own

Edmund G. Howe     

On the Lingua Franca of Clinical Ethics

Joseph J. Fins     

Surrogates and Extra-Familial Interests

Ralph Baergen and William Woodhouse           

Familiar Interests and Strange Analogies: Baergen and Woodhouse on Extra-Familial Interests

James Lindemann Nelson 

Challenges to Culturally Sensitive Care for Elderly Chinese Patients: A First-Generation Chinese-American Perspective

Karen C. Chan   

Patients’ Experiences with Disclosure of a Large-Scale Adverse Event

Carolyn D. Prouty, Mary Beth Foglia, and Thomas H. Gallagher 

Organ Donation among Undocumented Hispanic Immigrants: An Assessment of Knowledge and Attitudes

Joshua S. Baru, Brian P. Lucas, Carmen Martinez, and Daniel Brauner

Ethically Informed Pragmatic Conditions for Organ Donation after Cardiocirculatory Death: Could They Assist in Policy Development?

Jeffrey Kirby

Why We Should Continue to Worry about the Therapeutic Misconception

Larry R. Churchill, Nancy M.P. King, and Gail E. Henderson   

Problems with the Consensus Definition of the Therapeutic Misconception

David S. Wendler     

Modern Clinical Research: Guidelines for the Practicing Clinician or Source of Confusion?

Ilia Volkov



The Journal of Clinical Ethics, 2012, Volume 23

Spring 2012, Volume 23, Number 1

Entire issue, Spring 2012, Volume 23, Number 1


How Careproviders Can Acquire and Apply Greater Wisdom

Edmund G. Howe

Clinical Wisdom in Psychoanalysis and Psychodynamic Psychotherapy: A Philosophical and Qualitative Analysis

Cynthia Baum-Baicker and Dominic A. Sisti

Response: Clinical Wisdom and Evidence-Based Medicine Are Complementary

Julian De Freitas, Omar S. Haque, Abilash A. Gopal, and Harold J. Bursztajn

Clinical Wisdom and Evidence-Based Medicine Are (Indeed) Complementary: A Reply to Bursztajn and Colleagues

Cynthia Baum-Baicker and Dominic A. Sisti

Attending to Clinical Wisdom

Jodi Halpern

Her Own Decision: Impairment and Authenticity in Adolescence

Amy T. Campbell, Sabrina F. Derrington, D. Micah Hester, and Cheryl D. Lew

Supporting Her Autonomy: The Obligations of Guardians and Physicians in Adolescents’ Refusals of Care

Jennifer K. Walter

Intraoperative Conversion to Open Technique: Is Informed Consent Implied?

Chirag B. Patel and Davide Cattano

Anesthesiological Ethics: Can Informed Consent Be Implied?

Jeffrey P. Spike

Surrogate Medical Decision Making on Behalf of a Never-Competent, Profoundly Intellectually Disabled Patient Who Is Acutely Ill

Arvind Venkat

Care versus Treatment at the End of Life for Profoundly Disabled Persons

Jeffrey P. Spike

Legal Briefing: The Unbefriended: Making Healthcare Decisions for Patients without Surrogates (Part 1)

Thaddeus Mason Pope and Tanya Sellers


Summer 2012, Volume 23, Number 2

Entire issue, Summer 2012, Volume 23, Number 2

How Should Careproviders Respond to Patients’ Requests That May Be Refused?
Edmund G. Howe
Living Donation and Cosmetic Surgery: A Double Standard in Medical Ethics?
Giuliano Testa, Erica Carlisle, Mary Simmerling, and Peter Angelos
Different Standards Are Not Double Standards: All Elective Surgical Patients Are Not Alike
Lainie Friedman Ross, Walter Glannon, Lawrence J. Gottlieb, and J. Richard Thistlethwaite, Jr.
The Effect of Completing a Surrogacy Information and Decision-Making Tool upon Admission to an Intensive Care Unit on Length of Stay and Charges
Carol W. Hatler, Charlene Grove, Stephanie Strickland, Starr Barron, and Bruce D. White
Training in Clinical Ethics: Launching the Clinical Ethics Immersion Course at the Center for Ethics at the Washington Hospital Center
Nneka O. Mokwunye, Evan G. DeRenzo, Virginia A. Brown, and John J. Lynch
Training in Clinical Ethics Consultation: The Washington Hospital Center Course
Jeffrey P. Spike
Truly Intensive Clinical Ethics Immersion at the Washington Hospital Center
Christopher L. Church and Thalia Arawi
Credentialing the Clinical Ethics Consultant: An Academic Medical Center Affirms Professionalism and Practice
Cathleen A. Acres, Kenneth Prager, George E. Hardart, and Joseph J. Fins
Ethics Been Very Good to Us
Giles R. Scofield
Inside Baseball and Ethics Consultation: A Comment on “Ethics Been Very Good to Us”
Norman Quist
Credentialing and Certification in Ethics Consultation: Lessons from Palliative Care
David Schiedermayer and John La Puma
Personal Perspective: Always on Call: Thoughts from a Neophyte Physician
Jonathan R. Scarff and David W. Musick
Legal Briefing: The Unbefriended: Making Healthcare Decisions for Patients Without Surrogates (Part 2)
Thaddeus Mason Pope and Tanya Sellers


Fall 2012, Volume 23, Number 3

Entire issue, Fall 2012, volume 23, number 3


An Ethical Priority Greater than Life Itself

Edmund G. Howe

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, and P. David Charles

Regulatory Misconception Muddies the Ethical Waters: Challenges to a Qualitative Study

Kimberly M. Yee and Paul J. Ford

Fortitude and Community: Response to Yee and Ford

Stuart G. Finder and Mark J. Bliton

Stories and the Longitudinal Patient Relationship: What Can Clinical Ethics Consultants Learn from Palliative Care?

Wynne Morrison and Sabrina F. Derrington

The Rose of Sharon: What Is the Ideal Timing for Palliative Care Consultation versus Ethics Consultation?

Jennifer La Via and David Schiedermayer

HCEC Pearls and Pitfalls: Suggested Do’s and Don’t’s for Healthcare Ethics Consultants

Joseph A. Carrese and Members of the American Society for Bioethics and Humanities Clinical Ethics Consultation Affairs Standing Committee

Elective Delivery Before 39 Weeks’ Gestation: Reconciling Maternal, Fetal, and Family Interests in Challenging Circumstances

S. Van McCrary, Shetal I. Shah, Adriann Combs, and J. Gerald Quirk

Quality of Life and Elective C-Sections: Defining Limits to Maternal and Family Interests

Jeffrey P. Spike

Which Patient Groups Should Be Asked to Participate in First-in-Human Trials of Stem-Cell-Based Therapies?

Kristina Hug and Göran Hermerén

Time to Stop Worrying about the Therapeutic Misconception

David S. Wendler

Letter: Providing More Reasons for Individuals to Register as Organ Donors

Macey Leigh Henderson


Winter 2012, Volume 23, Number 4

Entire issue, Winter 2012, Volume 23, Number 4


A Different Approach to Patients and Loved Ones Who Request "Futile" Treatments

Edmund G. Howe

Complex Discharges and Undocumented  Patients: Growing Ethical Concerns

Kayhan Parsi and Nina Hossa

When Negative Rights Become Positive Entitlements: Complicity, Conscience, and Caregiving

Andrew G. Shuman, Adam A. Khan, Jeffrey S. Moyer, Mark E. Prince, and Joseph J. Fins

A New Standard for Incapacitated Patient Decision Making: The Clinical Standard of Surrogate Empowerment

Marc Tunzi

Bedside Resource Stewardship in  Disasters: A Provider’s Dilemma Practicing in an Ethical Gap

Michelle Daniel

Resource Stewardship in Disasters: Alone at the Bedside

Jeffrey T. Berger

Tragic Choices in Humanitarian Health Work

Matthew R. Hunt, Christina Sinding, and Lisa Schwartz

Endoscopy During a Missile Attack: A Military Dilemma for Physicians

Stephen Malnick, Orit Faraj, and Alan Jotkowitz

Making “Social” Safer: Are Facebook and Other Online Networks Becoming Less Hazardous for Health Professionals?

Daniel R. George

Legal Briefing: POLST: Physician Orders for Life-Sustaining Treatment

Thaddeus Mason Pope and Melinda Hexum



The Journal of Clinical Ethics, 2011, Volume 22

Spring 2011, Volume 22, Number 1

Entire issue, Spring 2011, Volume 21, Number 1


How Can Careproviders Most Help Patients during a Disaster?

Edmund G. Howe

Imagining the Unthinkable, Illuminating the Present

Jeffrey T. Berger, Guest Editor, Special Section: Clinical Ethics in Catastrophic Situations: Mapping a Standard of Care—Imagining the Unthinkable

An Ethical Framework for the Responsible Management of Pregnant Patients in a Medical Disaster

Frank A. Chervenak and Laurence B. McCullough 

Non-Pharmaceutical Interventions to Limit the Transmission of a Pandemic Virus: The Need for Complementary Programs to Address Children’s Diverse Needs

Armand H. Matheny Antommaria and Emily A. Thorell

Unaltered Ethical Standards for Individual Physicians in the Face of Drastically Reduced Resources Resulting from an Improvised Nuclear Device Threat

J. Jaime Caro, C. Norman Coleman, Ann Knebel, and Evan G. DeRenzo

Attending to Social Vulnerability When  Rationing Pandemic Resources

Dorothy E. Vawter, J. Eline Garrett, Karen G. Gervais, Angela Witt Prehn, and Debra DeBruin 

Ethical Care for Infants with Conditions Not Curable with Intensive Care

Bethan J. Everett and Susan G. Albersheim 

Priority Setting Up Close

Barbara Russell and Deb deVlaming 

Personal Perspective: “Evidence-Debased Medicine” and the Integrity of the Medical Profession

Richard L. Elliott

Legal Briefing: Healthcare Ethics Committees

Thaddeus Mason Pope

Letter: Ethical Issues Related to Direct Nursing Care Time, Compared to Time Spent Charting in Intensive Care Units

Peter Roffey and Duraiyah Thangathurai

Letter: Esprit de Corps

Evan G. DeRenzo and Jack Schwartz


Summer 2011, Volume 22, Number 2

Entire issue, Summer 2011, Volume 22, Number 2


Helping Patients by Involving Their Families

Edmund G. Howe

Responsive Care Management: Family Decision Makers in Advanced Cancer

Mary Ann Meeker

Trusting Families: Responding to Mary Ann Meeker, “Responsive Care Management: Family Decision Makers in Advanced Cancer”

James Lindemann Nelson

Revisiting the Best Interest Standard: Uses and Misuses

Douglas S. Diekema

The Best Interest Standard: Both Guide and Limit to Medical Decision Making on Behalf of Incapacitated Patients

Thaddeus Mason Pope

Between Uncertainty and Certainty

Lena Hoff and Göran Hermerén

A Systematic Review of Activities at a High-Volume Ethics Consultation Service

Courtenay R. Bruce, Martin L. Smith, Sabahat Hizlan, and Richard R. Sharp

Report of the AMA Council on Ethical and Judicial Affairs: Professionalism in the Use of Social Media

Rebecca Shore, Julia Halsey, Kavita Shah, Bette-Jane Crigger, and Sharon P. Douglas

Online Professionalism: Social Media, Social Contracts, Trust, and Medicine

Lois Snyder

Medical Professionalism: A Tale of Two Doctors

Tristan Gorrindo and James E. Groves

Nonclinical Use of Online Social Networking Sites: New and Old Challenges to Medical Professionalism

Lindsay A. Thompson and Erik W. Black

Blurring Boundaries and Online Opportunities

Jeanne M. Farnan and Vineet M. Arora

Physician, Monitor Thyself: Professionalism and Accountability in the Use of Social Media

Tara Lagu and S. Ryan Greysen

Social Media and Interpersonal Relationships: For Better or Worse?

Norman Quist

Certifying Clinical Ethics Consultants: Who Pays?

Marianne Burda


Fall 2011, Volume 22, Number 3

Entire issue, Fall 2011, Volume 22, Number 3


Ethical Challenges When Patients Have Dementia

Edmund G. Howe

Incapable Sex: A Case Study

Bethan J. Everett

Training Currently Practicing Members of the Ethics Consultation Service: One Institution’s Experience

Rebecca L. Volpe

Accuracy of a Decision Aid for Advance Care Planning: Simulated End-of-Life Decision Making

Benjamin H. Levi, Steven R. Heverley, and Michael J. Green

Advance Care Directives: Realities and Challenges in Central California

Marc Tunzi

Introduction to “Exemplary Cases in Clinical Ethics”

Leslie LeBlanc

Clinical Ethics Case Report: Questionable Capacity and the Guidance of Living Wills

Ari VanderWalde   

Exemplary Cases in Clinical Ethics: Commentary on the Case of Mr. A.

Jeffrey Spike

Mind the Gap: The Lack of Common Language in Healthcare Ethics

Michael A. Kekewich, Dorothyann Curran, Jennifer L. Cornick, and Thomas C. Foreman

Perspective: The Findings of the Dartmouth Atlas Project: A Challenge to Clinical and Ethical Excellence in End-of-Life Care

John J. Mitchell, Jr.

Legal Briefing: Futile or Non-Beneficial Treatment

Thaddeus Mason Pope


Winter 2011, Volume 22, Number 4

Entire Issue, Winter 2011, Volume 22, Number 4


How Mediation (and Other) Approaches May Improve Ethics Consultants’ Outcomes
Edmund G. Howe
Consensus, Clinical Decision Making, and Unsettled Cases
David M. Adams and William J. Winslade
The Role of the Clinical Ethics Consultant in “Unsettled” Cases
David M. Adams
The Roles of the Ethics Consultant
William J. Winslade
Confronting Ambiguity: Identifying Options for Infants with Trisomy 18
Sabrina F. Derrington and April R. Dworetz
“Facilitated Consensus,” “Ethics Facilitation,” and Unsettled Cases
Mark P. Aulisio
Commentary on “Consensus, Clinical Decision Making, and Unsettled Cases”
Albert R. Jonsen
Final Comments
David M. Adams and William J. Winslade
Ill-Placed Democracy: Ethics Consultations and the Moral Status of Voting
Autumn M. Fiester
Commentary on Fiester’s “Ill-Placed Democracy: Ethics Consultations and the Moral Status of Voting”
Nancy Neveloff Dubler
Clinical Ethics Consultation’s Dilemma, and a Solution
Lisa M. Rasmussen



The Journal of Clinical Ethics, 2010, Volume 21

Spring 2010, Volume 21, Number 1

Entire Issue, Volume 21, Number 1, Spring 2010


"Third Generation" Ethics: What Careproviders Should Do Before They Do Ethics

    Edmund G. Howe

Toward Competency-Based Certification of Clinical Ethics Consultants: A Four-Step Process

    Martin L. Smith, Richard R. Sharp, Kathryn Weise, and Eric Kodish

Accounting for Vulnerability to Illness and Social Disadvantage in Pandemic Critical Care Triage

    Chris Kaposy

A Physician’s Role Following a Breach of Electronic Health Information

    Daniel Kim, Kristin Schleiter, Bette-Jane Crigger, John W. McMahon, Regina M. Benjamin, and Sharon P. Douglas, for the Council on Ethical and Judicial Affairs, American Medical Association

Practicing Preventive Ethics, Protecting Patients: Challenges of the Electronic Health Record

    Valerie B. Satkoske and Lisa S. Parker

Breaches of Health Information: Are Electronic Records Different from Paper Records?

    Robert M. Sade

Breach Notification and the Law

    Sharona Hoffman

Therapeutic Privilege

    S. Van McCrary

Patients’ Expressed and Unexpressed Needs for Information for Informed Consent

    Rebecca L. Volpe

Reasoning in the Capacity to Make Medical Decisions: The Consideration of Values

    Michele J. Karel, Ronald J. Gurrera, Bret Hicken, and Jennifer Moye

Legal Briefing: Informed Consent

    Thaddeus Mason Pope

Legal Update

    Thaddeus Mason Pope

Correspondence: Where Is the Voice of the Man the Child Will Become?

    John V. Geisheker


Summer 2010, Volume 21, Number 2

Entire Issue, Summer 2010, Volume 21, Number 2


Sliding "Off" the Sliding Scale: Allowing Hope, Determining Capacity, and Providing Meaning When an Illness Is Becoming Worse But a Treatment May Help

    Edmund G. Howe

Deep Brain Stimulation, Ethics, and Society

    Emily Bell and Eric Racine

Consent to Deep Brain Stimulation for Neurological and Psychiatric Disorders

    Walter Glannon

Hope and Patients’ Expectations in Deep Brain Stimulation: Healthcare Providers’ Perspectives and Approaches

    Emily Bell, Bruce Maxwell, Mary Pat McAndrews, Abbas Sadikot, and Eric Racine

Conflicts of Interest in Deep Brain Stimulation Research and the Ethics of Transparency

    Joseph J. Fins and Nicholas D. Schiff

Philosophical Reflections on Narrative and Deep Brain Stimulation

    Marya Schechtman

Consenting to the Ineffable: The Problem of Neuromodulation and Altered Consciousness

    T. Forcht Dagi

Infants and Children with Hearing Loss Need Early Language Access

    Poorna Kushalnagar, Gaurav Mathur, Christopher J. Moreland, Donna Jo Napoli, Wendy Osterling, Carol Padden, and Christian Rathmann

In Addition to Benefits and Harms: The Relevance of the Political

    Barbara Russell

Language, Identity, and Belonging: Deaf Cultural and Narrative Perspectives

    Rebecca Garden

Legal Briefing: Conscience Clauses and Conscientious Refusal

    Thaddeus Mason Pope


Fall 2010, Volume 21, Number 3

Entire Issue, Fall 2010, Volume 21, Number 3


All Careproviders Need More Opportunities to Share their Ethical Concerns with Others

Edmund G. Howe

The Rational Choice Model in Family Decision Making at the End of Life

Alison Karasz, Galit Sacajiu, Misha Kogan, and Liza Watkins

"Broken Covenant": Healthcare Aides’ "Experience of the Ethical" in Caring for Dying Seniors in a Personal Care Home

Susan McClement, Michelle Lobchuk, Harvey Max Chochinov, and Ruth Dean

Characterizing the Risk in Pediatric Research: An Ethical Examination of the Federal Regulations

Maynard Dyson and Kayhan Parsi

Protection of Children in Research: Beyond Pediatric Risk Levels: The Emergence of the Research Subject Advocate

Tomas J. Silber

Infant Heart Transplantation after Cardiac Death: Ethical and Legal Problems

Michael Potts, Paul A. Byrne, and David W. Evans

Dying But Not Killing: Donation after Cardiac Death Donors and the Recovery of Vital Organs

Armand H. Matheny Antommaria

Building Esprit de Corps: Learning to Better Navigate between "My" Patient and "Our" Patient

Evan G. DeRenzo and Jack Schwartz

Esprit de Corps: The Possibility for the Best Care a Hospital Can Provide

Norman Quist

Legal Briefing: Organ Donation and Allocation

Thaddeus Mason Pope

The Ambiguous Effects of Tort Law on Bioethics: The Case of Doctor-Patient Communication

Dena S. Davis

Letter: Business Interests versus Informed Consent

Duraiyah Thangathurai and Peter Roffey



Winter 2010, Volume 21, Number 4

Entire Issue, Volume 21, Number 4


A Possible Application of Care-Based Ethics to People with Disabilities during a Pandemic
Edmund G. Howe
Bedside Ethics and Health System Catastrophe: Imagine If You Will . . .
Jeffrey T. Berger, Guest Editor
Family Participation in the Care of Patients in Public Health Disasters
Tia Powell
Sufficiency of Care in Disasters: Ventilation, Ventilator Triage, and the Misconception of Guideline-Driven Treatment
Griffin Trotter
Pandemic Preparedness Planning: Will Provisions for Involuntary Termination of Life Support Invite Active Euthanasia?
Jeffrey T. Berger
Should Palliative Care Be a Necessity or a Luxury during an Overwhelming Health Catastrophe?
Philip M. Rosoff
Taking Seriously the “What Then?” Question: An Ethical Framework for the Responsible Management of Medical Disasters
Laurence B. McCullough
The Elephant in the Room: Collaboration and Competition among Relief Organizations during High-Profile Disasters
Italo Subbarao, Matthew K. Wynia, and Frederick M. Burkle, Jr.
Medical School Oath-Taking: The Moral Controversy
Robert M. Veatch and Cheryl C. Macpherson
Allocating Scarce Medical Resources to the Overweight
Adrian Furnham, Niroosha Loganathan, and Alastair McClelland
Legal Briefings: Crisis Standards of Care and Legal Protection during Disasters and Emergencies
Thaddeus Mason Pope and Mitchell F. Palazzo



The Journal of Clinical Ethics, 2009, Volume 20

Spring 2009, Volume 20, Number 1

Entire Issue, Volume 20, Number 1, Spring 2009


Increasing Consensus with Patients and their Loved Ones

    Edmund G. Howe

Increasing Rates of Organ Donation: Exploring the Institute of Medicine’s Boldest Recommendation

    James M. DuBois

Translating the IOM’s “Boldest Recommendation” into Accepted Practice

    Stephen P. Wall, Nancy N. Dubler, and Lewis R. Goldfrank, on Behalf of the New York City Uncontrolled Donation after Cardiac Death Study Group

Public Policy Should Facilitate Organ Donation for Transplantation: A Commentary on “Increasing Rates of Organ Donation: Exploring the IOM’s Boldest Recommendation”
    Ronald B. Miller

Commentary on DuBois
    Nneka O. Mokwunye, Evan G. DeRenzo, Virginia A. Brown, and John J. Lynch

Comment on DuBois’s Article, “Increasing Rates of Organ Donation: Exploring the IOM’s Boldest Recommendation”
    Sigrid Fry-Revere and Bahar Bastani

Response to Commentaries on “Increasing Rates of Organ Donation”
    James M. DuBois

Ethics Consultation and “Facilitated” Consensus
    David M. Adams

Consensus and Independent Judgment in Clinical Ethics: Or What Can an Eighteenth-Century French Mathematician Teach Us about Ethics Consultation?
    Lynn A. Jansen

Difficult Patients, Overmedication, and Groupthink
    Francis Dominic Degnin

Groupthink and Caregivers’ Projections: Addressing Barriers to Empathy
    Jodi Halpern

A Process and Format for Clinical Ethics Consultation
    Robert D. Orr and Wayne Shelton

Seeking Excellence in Hospital Care: Evolving Toward a Systems Approach
    Evan G. DeRenzo

Legal Trends in Bioethics
    Sigrid Fry-Revere, Alison Mathey, Deborah Chen, and Nathaniel B. Revere


Summer 2009, Volume 20, Number 2

Entire Issue, Volume 20, Number 2, Summer 2009


Paradigms for Choosing Paradigms
    Edmund G. Howe
The 10-Year Experience of Oregon’s Death with Dignity Act: 1998-2007
    Katrina Hedberg, David Hopkins, Richard Leman, and Melvin Kohn
Putting Oregon’s Death with Dignity Act in Perspective: Characteristics of Decedents Who Did Not Participate
    Katrina Hedberg and Susan Tolle
Must Physicians Report Impaired Driving? Rethinking a Duty on a Collision Course with Itself
    Jacob Appel
Is There Coercion or Undue Inducement to Participate in Health Research in Developing Countries? An Example from Rakai, Uganda
    Fred Nalugoda, Jennifer Wagman, Mohammed Kiddugavu, Noah Kiwanuka, Elizabeth Garrett, Ron H. Gray, David Serwadda, Maria J. Wawer, and Ezekiel J. Emanuel
Patients’ Perceptions on Healthcare Decision Making in Rural India: A Qualitative Study and Ethical Analysis
    Sridevi Seetharam and Renzo Zanotti
Patients’ Concerns for Family Burden: A Nonconforming Preference in Standards for Surrogate Decision Making
    Jeffrey T. Berger
Berger on Burdens
    James Lindemann Nelson
Commentary on “Patients’ Concerns for Family Burden”
    Carol Levine
Commentary on Berger’s “Patients’ Concerns for Family Burden”
    Evan G. DeRenzo
When I Lay My Burden Down: Commentary on Berger
    Arthur R. Derse
What Really Is in a Child’s Best Interest? Toward a More Precise Picture of the Interests of Children
    Janet Malek
Accommodating Religious and Moral Objections to Neurological Death
    Robert S. Olick, Eli A. Braun, and Joel Potash
Religious Belief and Surrogate Medical Decision Making
    Stewart Eskew and Christopher Meyers


Fall 2009, Volume 20, Number 3

Entire Issue, Volume 20, Number 3, Fall 2009


Beyond the State of the Art in Ethics Consultation

    Edmund G. Howe

Physician Orders to Supplement Advance Directives: Rescuing Patient Autonomy

    Ronald B. Miller

Integrating Ethics and Patient Safety: The Role of Ethics Consultants in Quality Improvement

    Douglas J. Opel, Dena Brownstein, Douglas S. Diekema, Benjamin S. Wilfond, and Robert A. Pearlman

When Humor in the Hospital Is No Laughing Matter

    Julie M. Aultman

Non-Adherence to Instructions to Cancel a Cycle in a Patient Overstimulated with Gonadotropins in a Planned Intrauterine Insemination Cycle

    Awoniyi Olumide Awonuga, Mauro H. Schenone, Mazen E. Abdallah, Frank D. Yelian, Michael P. Diamond, and Elizabeth E. Puscheck

Preventive Ethics and Subsequent Care of Patients Self-Administering Ovarian Stimulation for the Management of Infertility

    Frank A. Chervenak and Laurence B. McCullough

Boldt v. Boldt

    Dena S. Davis

Where Is the Child? Circumcision and Custody in Boldt v. Boldt

    Janet L. Dolgin

Boldt v. Boldt: A Pediatric Ethics Perspective

    Douglas S. Diekema

Circumcision, Conversion, and Deciding for a Minor: Some Jewish Perspectives

    Noam Zohar

The Diagnosis of Dying

    George F. Davis

As Prickly as a Porcupine: Reflections on a Systems-Based "Experiential Sculpting Exercise"

    Thomas C. Foreman

Substituted Judgment Surrogates Have Not Been Shown to Make Inaccurate Substituted Judgments

    Linus Broström and Mats Johansson

Legal Briefing: Medical Futility and Assisted Suicide

    Thaddeus Mason Pope

Legal Update

    Thaddeus Mason Pope


Winter 2009, Volume 20, Number 4

Entire Issue, Volume 20, Number 4, Winter 2009


Should Careproviders Go Ethically"Off Label"?

    Edmund G. Howe

The Just Distance: Narrative, Singularity, and Relationality as the Source of a New Bioethical Principle

    Paul Qualtere-Burcher

Patients Don’t Consider End-Stage Medical Conditions the Same as Being Permanently Unconscious When Filling Out a Living Will

    Kelli M. Manippo and Jack L. DePriest

Variability in the Pediatric Intensivists’ Threshold for Withdrawal/Limitation of Life Support as Perceived by Bedside Nurses

    Colleen Gresiuk and Ari Joffe

Variability in the Limitation of Life Support in Pediatrics Continues

    Anita J. Catlin

Moral Distress, Moral Residue, and the Crescendo Effect

    Elizabeth Gingell Epstein and Ann Baile Hamric

A Quality Improvement Approach to Improving Informed Consent Practices in Pediatric Research

    Mary Beth Foglia, Halle Showalter Salas, and Douglas S. Diekema

A Descriptive and Moral Evaluation of Providing Informal Medical Care to One’s Own Children

    Jennifer K. Walter, Elizabeth Pappano, and Lainie Friedman Ross

Legal Briefing: Advance Care Planning

    Thaddeus Mason Pope



The Journal of Clinical Ethics, 2008, Volume 19

Volume 19, Number 1, Spring 2008

Entire Issue, Volume 19, Number 1, Spring 2008


When, If Ever, Should Careproviders Give Moral Advice?
    Edmund G. Howe

Of More than One Mind: Obstetrician-Gynecologists’ Approaches to Morally Controversial Decisions in Sexual and Reproductive Healthcare
    Farr A. Curlin, Shira N. Dinner, and Stacy Tessler Lindau

Commentary on “Of More than One Mind”
    Edmund D. Pellegrino

Professional Responsibility and Individual Conscience: Protecting the Informed Consent Process from Impermissible Bias
    Frank A. Chervenak and Laurence B. McCullough
Beliefs, Boundaries, and Self-Knowledge in Professional Practice
    David Kozishek and Elizabeth Bogdan-Lovis

Ethical Issues Concerning Disclosures of HIV Diagnoses to Perinatally Infected Children and Adolescents
    Robert Klitzman, Stephanie Marhefka, Claude Mellins, and Lori Wiener

Disclosure of HIV Status to an Infected Child: Medical, Psychological, Ethical, and Legal Perspectives in an Era of “Super-Vertical” Transmission
    Charles D. Mitchell, F. Daniel Armstrong, Kenneth W. Goodman, and Anita Cava

Disclosure of HIV Status to an Infected Child: Confidentiality, Duty to Warn, and Ethical Practice
    James R. Corbin
Placebo Use in Clinical Practice: Report of the American Medical Association Council on Ethical and Judicial Affairs
    Nathan A. Bostick, Robert Sade, Mark A. Levine, and Dudley M. Stewart, Jr.
Placebos: Current Clinical Realities
    Rachel Sherman and John Hickner
Clinical Placebo Interventions Are Unethical, Unnecessary, and Unprofessional
    Asbjørn Hróbjartsson
Commentary on “The Case of Mr. A.B.”: Dilemmas for a Reason
    G. Caleb Alexander
Legal Trends in Bioethics
    Sigrid Fry-Revere, Sheeba Koshy, Greyson C. Ruback, and John Leppard, IV

Volume 19, Number 2, Summer 2008

Entire Issue, Volume 19, Number 2, Summer 2008


Red Towels: Maximizing the Care of Patients Who Are Dying
    Edmund G. Howe

Rethinking the Ethical Framework for Surrogate Decision Making: A Qualitative Study of Physicians
    Alexia M. Torke, Mary Simmerling, Mark Siegler, Danit Kaya, and G. Caleb Alexander
Deciding in the Best Interest of Clients with Dementia: The Experience of Public Guardians
    Holly A. Taylor, Betty S. Black, and Peter V. Rabins

A Forced Choice: The Value of Requiring Advance Directives
    Elmer D. Abbo and Angelo E. Volandes The Ethics of Solicited Organ Donations
    Richard H. Dees and Eric A. Singer

Last Hours of Life: Encouraging End-of-Life Conversations
    Benjamin F. Stump, Craig M. Klugman, and Barbara Thornton
Spiritual Issues as an Essential Element of Quality Palliative Care: A Commentary
    Christina M. Puchalski

End-of-Life Care: Conversations and Opportunities
    Margaret M. Mahon
Commentary on “Last Hours of Life: Encouraging End-of-Life Conversations”
    Craig D. Blinderman
Legal Trends in Bioethics
    Sigrid Fry-Revere, Sheeba Koshy, Greyson C. Ruback, Rex L. Wessel, and Nathaniel B. Revere


Volume 19, Number 3, Fall 2008

Entire Issue, Volume 19, Number 3, Fall 2008


Three Keys to Treating Inmates and their Application in Ethics Consultation
    Edmund G. Howe and Chelsea Howe
A Qualitative Report of Dual Palliative Care/Ethics Consultations: Intersecting Dilemmas and Paradigmatic Cases
    Julie W. Childers, Richard Demme, Jane Greenlaw, Deborah A. King, and Timothy Quill
Dignity Matters: Advance Care Planning for People Experiencing Homelessness
    Dianne M. Bartels, Nancy Ulvestad, Edward Ratner, Melanie Wall, Mari M. Uutala, and John Song

Using Family Members as Interpreters in the Clinical Setting
    Anita Ho
Medical Ethics in Correctional Healthcare: An International Comparison of Guidelines
    Bernice S. Elger
When Prisoners Are Patients
    Sharon Douglas and Susan Dorr Goold

Commentary on Elger’s “Medical Ethics in Correctional Healthcare”
    Robert W. Keisling
Commentary on Elger’s “Medical Ethics in Correctional Healthcare”
    Joel A. Dvoskin
Physicians, Mass Incarceration, and Medical Ethics
    Scott A. Allen
Cruel and Unusual Punishment: Distinguishing Distributive and Retributive Justice
    Felicia Cohn
Medical Ethics and Competence for Execution
    David M. Adams
Response to Douglas and Goold
    Bernice S. Elger

Legal Trends in Bioethics
    Sigrid Fry-Revere, Nathaniel B. Revere, Deborah Chen, and Sheeba Koshy

Letters: Response to Stump, Klugman, and Thornton, “Last Hours of Life: Encouraging End-of-Life Conversations”
    Henry S. Perkins, Josie D. Cortez, and Helen P. Hazuda


Volume 19, Number 4, Winter 2008

Entire Issue, Volume 19, Number 4, Winter 2008


Child Abuse: How Society and Careproviders Should Respond
    Edmund G. Howe

Clinical Ethics and Domestic Violence: An Introduction
    Norman Quist
The Veil of Silence around Family Violence: Is Protecting Patients’ Privacy Bad for Health?
    Felicia Cohn
State Codes on Intimate Partner Violence: Victimization Reporting Requirements for Healthcare Providers

    Family Violence Prevention Fund

Deadly Sins and Cardinal Virtues in the Clinical Management of Intimate Partner Violence
    Gregory Luke Larkin
A Health-Based Child Protection System: Studying a Change in Paradigm
    Richard D. Krugman, Stephanie Stronks-Knapp, Mischa Haroutunian, and Jessica M. Yeatermeyer

Social Problem or Medical Condition? A Response to Krugman’s Proposal
    Barbara Katz Rothman and Rebecca Tiger

Ethical Dilemmas in Coding Domestic Violence
    William Rudman, Susan Hart-Hester, C. Andrew Brown, Shannon Pittman, Esther Choo, and Felicia Cohn

The Spectrum of Religion and Science in Clinical Encounters
Mark F. Carr
Ethical Challenges of Research on and Care for Victims of Intimate Partner Violence
    Jennifer Wagman, Leilani Francisco, Nancy Glass, Phyllis W. Sharps, and Jacquelyn C. Campbell

Legal Trends in Bioethics
    Sigrid Fry-Revere, Alison Mathey, Nathaniel B. Revere, Deborah Chen, and Devon Zebrovious


The Journal of Clinical Ethics, 2007, Volume 18

Volume 18, Number 1, Spring 2007

Entire Issue, Volume 18, Number 1, Spring 2007


Taking Patients’ Values Seriously
    Edmund G. Howe

How Much Risk Can Medicine Allow a Willing Altruist?
    David Steinberg
Living Donor Transplantation: The Perfect Balance of Public Oversight and Medical Responsibility
    Maryam Valapour
Reply to Valapour, “Living Donor Transplantation: The Perfect Balance of Public Oversight and Medical Responsibility”
    David Steinberg
What Should We Do with Patients Who Buy a Kidney Overseas?
    Marie-Chantal Fortin, Delphine Roigt, and Hubert Doucet
As Sure As Eggs? Responses to an Ethical Question Posed by Abramov, Elchalal, and Schenker
    Deborah Sarah Ferber
Is Subfertility a Medical Condition?
    Jeroen D. Kok

Some Reflections on IVF, Emotions, and Patient Autonomy
    Deborah Sarah Ferber

Ethical Considerations in Clinical Care of the “VIP”
    Thomas Schenkenberg, Neil K. Kochenour, and Jeffrey R. Botkin

Ethics Consultants’ Recommendations for Life-Prolonging Treatment of Patients in Persistent Vegetative State: A Follow-up Study
    Ellen Fox, Frona C. Daskal, and Carol Stocking
Legal Trends in Bioethics
    Sigrid Fry-Revere


Volume 18, Number 2, Summer 2007

Entire Issue, Volume 18, Number 2, Summer 2007


“I’m Still Glad You Were Born” — Careproviders and Genetic Counseling
    Edmund G. Howe

The Role of Substituted Judgment in the Aftermath of a Suicide Attempt
    Robert C. Macauley
Commentary: Support for Case-Based Analysis in Decision Making after a Suicide Attempt
    Tia Powell
Flipping the Default: A Novel Approach to Cardiopulmonary Resuscitation in End-Stage Dementia
    Angelo E. Volandes and Elmer D. Abbo
Proactive Ethics Consultation in the ICU: A Comparison of Value Perceived by Healthcare Professionals and Recipients
    Felicia Cohn, Paula Goodman-Crews, William Rudman, Lawrence J. Schneiderman, and Ellen Waldman

Uncertainty and Moral Judgment: The Limits of Reason in Genetic Decision Making
    Mary Terrell White
Pride and Prejudice: Avoiding Genetic Gossip in the Age of Genetic Testing
    Darlyn Pirakitikulr and Harold J. Bursztajn
Legal Trends in Bioethics
    Sigrid Fry-Revere, with the research assistance of John Joseph Leppard, IV, Molly Elgin, William Bryce Hankins, III, and Scott Ryan Grandt

Volume 18, Number 3, Fall 2007

Entire Issue, Volume 18, Number 3, Fall 2007


How Should Careproviders Respond When the Medical System Leaves a Patient Short?
    Edmund G. Howe
Autonomy and the Family as Surrogates for DNR Decisions: A Qualitative Analysis of Dying Cancer Patients’ Talk
    Jaklin Eliott and Ian Olver
What Families Say about Surrogacy: A Response to “Autonomy and the Family as (In)appropriate Surrogates for DNR Decisions”
    James L. Nelson and Hilde Lindemann
The Armchair Ethicist: It’s All about Location
    Douglas S. Diekema
Response from Eliott and Olver
    Jaklin Eliott and Ian Olver
Ethics Consultation: Continuing its Analysis
    Barbara J. Russell and Deborah A. Pape
Professional Clinical Ethicist: Knowing Why and Limits
    Paul J. Ford
Memento . . . Life Imitates Art: The Request for an Ethics Consultation
    Sheila Otto
Memory Identity and Capacity
    Jeffrey P. Spike
Decision-Making Capacity, Memory and Informed Consent, and Judgment at the Boundaries of the Self
    Omar Sultan Haque and Harold Bursztajn
The Challenges of Amnesia in Assessing Capacity, Assigning a Proxy, and Deciding to Forego Life-Prolonging Medical Treatment
    Catherine Myser
Harvard Medical School Public Forum: Insuring the Uninsured: Does Massachusetts Have the Right Model? 17 May 2007
    Lisa Lehmann
Legal Trends in Bioethics
    Sigrid Fry-Revere and Sheeba Koshy


Volume 18, Number 4, Winter 2007

Entire Issue, Volume 18, Number 4, Winter 2007


When Family Members Disagree
    Edmund G. Howe
Beyond Schiavo
    Arthur L. Caplan and Edward J. Bergman
Commentary on “Beyond Schiavo”: Beyond Theory
    Nancy Neveloff Dubler
A Commentary on Caplan and Bergman: Ethics Mediation — Questions for the Future
    Robert Arnold, Mark Aulisio, Ann Begler, and Deborah Seltzer
Mediation and Moral Aporia
    Autumn Fiester
Hope, Uncertainty, and Lacking Mechanisms
    Norman Quist
How Much Emotion Is Enough?
    Annie Janvier
Real Life Informs Consent
    Felicia Cohn
What Parents Face with Their Child’s Life-Threatening Illness: Comment on “How Much Emotion Is Enough?” and “Real Life Informs Consent”
    Edward J. Krill
Reflections on Love, Fear, and Specializing in the Impossible
    David M. Browning, Elaine C. Meyer, Dara Brodsky, and Robert D. Truog
Emotion, Suffering, and Hope: Commentary on “How Much Emotion Is Enough?”
    Jason D. Higginson
Let’s Value, But Not Idealize, Emotions
    Jodi Halpern
Jewish Law and End-of-Life Decision Making: A Case Report
    Craig D. Blinderman
When Surrogates’ Responsibilities and Religious Concerns Intersect
    Jeffrey T. Berger
A Tale of Two Daughters: Jewish Law and End-of-Life Decision Making
    Dena S. Davis
Commentary on “Jewish Law and End-of-Life Decision Making”
    Fred Rosner
The Case of Mr. A.B.
    Peter Sloane and Evan G. DeRenzo
Comment on the Case of Mr. A.B.
    Paul S. Appelbaum
Legal Trends in Bioethics
    Sigrid Fry-Revere, Sheeba Koshy, and John Leppard, IV



The Journal of Clinical Ethics, 2006, Volume 17

Volume 17, Number 1, Spring 2006

Entire Issue, Volume 17, Number 1, Spring 2006


Throwing Jello: A Primer on Helping Patients
    Edmund G. Howe
Physicians’ Legal Defensiveness in End-of-Life Treatment Decisions: Comparing Attitudes and Knowledge in States with Different Laws
    S. Van McCrary, Jeffrey W. Swanson, Jack Coulehan, K. Faber-Langendoen, Robert S. Olick, and Catherine Belling
Interest in Physician-Assisted Suicide among Oregon Cancer Patients

    Linda Ganzini, Tomasz M. Beer, Matthew Brouns, Motomi Mori, and Yi-Ching Hsieh
“Physician-Assisted Suicide among Oregon Cancer Patients”: A Fading Issue
    Colleen C. Denny and Ezekiel J. Emanuel
Response to Denny and Emanuel
    Linda Ganzini
The Duty to Re-Contact for Newly Appreciated Risk Factors: Fragile X Premutation
    Gregory F. Guzauskas and Robert Roger Lebel
Child-to-Parent Bone Marrow Donation for Treatment of Sickle Cell Disease
    Lisa Anderson-Shaw and Kristina Orfali
Diagnosing PVS and Minimally Conscious State: The Role of Tacit Knowledge and Intuition
    Mary Terrell White
Advance Health Planning and Treatment Preferences among Recipients of Implantable Cardioverter Defibrillators: An Exploratory Study
    Jeffrey T. Berger, Matthew Gorski, and Todd Cohen
When a Village is Not Enough
    Christine Mitchell and Robert Truog
Sick to Death
    Grace Good
The Case Manager’s View
    Suzanne M. Burke
“We Need to Meet”
    Jennifer Repper-DeLisi and Susan M. Kilroy
Was My Patient Fortunate or Forsaken?
    Robin Dauterive
Talking with Lorraine’s Mother and Sister, Five Months after Her Death
    Ellen M. Robinson, Grace Good, and Suzanne Burke


Volume 17, Number 2, Summer 2006
Entire Issue, Volume 17, Number 2, Summer 2006


Patients May Benefit from Postponing Assessment of Mental Capacity
    Edmund G. Howe
An Intimate Collaboration: Prognostic Communication with Advanced Cancer Patients
    Paul R. Helft
Are Organ Donors after Cardiac Death Really Dead?
    James L. Bernat
The Truth about “Donation after Cardiac Death”
    Robert D. Truog and Thomas I. Cochrane
Donation after Cardiac Death: Consent Is the Issue, Not Death
    Maryam Valapour
How a Model Based on Linguistic Theory Can Improve the Assessment of Decision-Making Capacity for Persons with Dementia
    Daniel J. Brauner and Susan E. Merel
How Can Medical Training and Informed Consent Be Reconciled with Volume-Outcome Data?
    David S. Wendler and Seema Shah
Religious and Spiritual Concerns in Genetic Testing and Decision Making: An Introduction for Pastoral and Genetic Counselors
    Mary Terrell White
Evaluating the Outcomes of Ethics Consultation
    J.M. Craig and Thomas May
Clinical Ethics and the Managerial Revolution in American Healthcare

    Ann E. Mills, Mary V. Rorty, and Patricia H. Werhane
A Part of Life, A Part of Me, and “The Quality of Life”
    Ilia Volkov


Volume 17, Number 3, Fall 2006

Entire Issue, Volume 17, Number 3, Fall 2006


Beyond Respect for Autonomy
    Edmund G. Howe
The Case of A.R.: The Ethics of Sibling Donor Bone Marrow Transplantation Revisited
    Douglas J. Opel and Douglas S. Diekema
A Compounding of Errors: The Case of Bone Marrow Donation between Non-Intimate Siblings
    Lainie Friedman Ross and Walter Glannon
Duty and Altruism: Alternative Analyses of the Ethics of Sibling Bone Marrow Donation
    Rebecca Pentz
The Courage to Stand Up: The Cultural Politics of Nurses’ Access to Ethics Consultation
    Elisa J. Gordon and Ann B. Hamric
Healthcare Organizations as Moral Communities
    Mila Ann Aroskar
Nurses and Ethics Consultation: Growing Beyond a Rock and a Hard Place
    Kathy Mayle
Physician-Nurse Relationships and their Effect on Ethical Nursing Practice
    Teresa A. Savage
Supporting Pregnant Women through Difficult Decisions: A Case of Prenatal Diagnosis of Osteogenesis Imperfecta
    Marilyn E. Coors and Susan F. Townsend
Individuals, Systems, and Professional Behavior
    Evan G. DeRenzo


Volume 17, Number 4, Winter 2006

Entire Issue, Volume 17, Number 4, Winter 2006


Do We Undervalue Feelings in Patients Who Are Cognitively Impaired?
    Edmund G. Howe
Report of the American Medical Association Council on Ethical and Judicial Affairs: Withholding Information from Patients: Rethinking the Propriety of  “Therapeutic Privilege”
    Nathan A. Bostick, Robert Sade, John W. McMahon, and Regina Benjamin
The Grand Inquisitor’s Choice: Comment on the CEJA Report on Withholding Information from Patients
    Darlyn Pirakitikulr and Harold J. Bursztajn
The End of Therapeutic Privilege?
    Nicole Sirotin and Bernard Lo
Comment on the CEJA Guidelines: Treating Patients Who Deny Reality
    Edmund G. Howe
When Patients Do Not Have a Proxy: A Procedure for Medical Decision Making When There Is No One to Speak for the Patient
    Isoo Hyun, Cynthia Griggins, Margaret Weiss, Dorothy Robbins, Allyson Robichaud, and

    Barbara Daly
A Mother’s Death: The Story of “Margaret’s” Children
    Christine Mitchell
The Ethics of Palliative Care in Psychiatry
    Julieta Bleichmar Holman and David H. Brendel
A Letter from the Children

    Interview of the Children of the Patient "Margaret"
Medicating “Margaret”
    Coleen Reid
Palliative Care for “Margaret”
    Rosemary Ryan
“Margaret’s” Children Remember
    Interview by Christine Mitchell
Attention to Caregivers and Hope: Overlooked Aspects of Ethics Consultation
    Ruth B. Purtilo
Suffering and Advanced Dementia: Diagnostic and Treatment Challenges and Questions about Palliative Sedation
    Jeffrey T. Berger
What Is False Hope?
    Daniel K. Sokol



The Journal of Clinical Ethics, 2005, Volume 16

Volume 16, Number 1, Spring 2005

Entire Issue, Volume 16, Number 1, Spring 2005


Patients’ Interests in their Family Members’ Well-Being: An Overlooked, Fundamental Consideration within Substituted Judgments
    Jeffrey T. Berger
Autonomy and the Role of the Family in Making Decisions at the End of Life
    Jonathan M. Breslin
Application of Systems Principles to Resolving Ethical Dilemmas in Medicine
    George F. Blackall, Michael J. Green, and Steve Sims
Dawning of Awareness: The Experience of Surrogate Decision Making at the End of Life
    Jane Chambers-Evans and Franco A. Carnavale
Evolution of a Living Donor Liver Transplantation Advocacy Program
    Lisa Anderson-Shaw, Mary Lou Schmidt, Jeanine Elkin, William Chamberlin, Enrico Benedetti, and Guiliano Testa
Wanted Dead or Alive? Kidney Transplantation in Inmates Awaiting Execution
    Jacob M. Appel
Recommendations for the Ethical Conduct of Quality Improvement
    Ellen Fox and James A. Tulsky
Ethical Evaluation of “Retainer Fee” Medical Practice
    Mervin H. Needell and John S. Kenyon
Urine Trouble: Practical, Legal, and Ethical Issues Surrounding Mandated Drug Testing of Physicians
    Martin Donohoe


Volume 16, Number 2, Summer 2005

Entire Issue, Volume 16, Number 2, Summer 2005


Why Are They Boxing Us in Like This?
    Edmund G. Howe

Do Elderly Persons’ Concerns for Family Burden Influence their Preferences for Future Participation in Dementia Research?
    Jeffrey T. Berger and S. Deborah Majerovitz
The Politics of Care: Dementia and Accounting versus Caring for Mortification
    Alice Stollmeyer
Deciding for Others at the End of Life: Storytelling and Moral Agency
    Mark Yarborough
Emancipation, Capacity, and the Difference Between Law and Ethics
    Evan G. DeRenzo, Philip Panzarella, Steve Selinger, and Jack Schwartz
Proactive Bioethics Screening: A Prelude to Bioethics Consultation
    Leon Morgenstern
Readability Level of HIPAA Notices of Privacy Practices Used by Physical Rehabilitation Centers
    Steven Walfish and Sean P. Sharp
Physicians, Medical Ethics, and Capital Punishment
    Timothy F. Murphy

Saying “Good-Bye”: Ethical Issues in the Stewardship of Bed Spaces
    Katrina A. Bramstedt and Paul L. Schneider
A Response to Shalowitz and Emanuel
    Gerrit Kimsma, Keith L. Obstein, and Tod Chambers


Volume 16, Number 3, Fall 2005

Entire Issue, Volume 16, Number 3, Fall 2005


When Should Ethics Consultants Risk Giving their Personal Views?
    Edmund G. Howe
Specters, Traces, and Regret in Ethics Consultation
    Paul J. Ford and Denise M. Dudzinski
“Amputate My Arm Please — I Don’t Want It Anymore”
    Denise M. Dudzinski
Helping Staff Help a “Hateful” Patient: The Case of TJ
    Joy D. Skeel and Kristi S. Williams
Misjudging Needs: A Messy Spiral of Complexity
    Paul J. Ford
The Sound of Chains: A Tragedy
    Jeffrey Spike
“But How Can We Choose?”
    Richard M. Zaner
Ethics First Aid: Reframing the Role of “Principlism” in Clinical Ethics Education and Practice
    Daryl Pullman
Confidence and Knowledge of Medical Ethics among Interns Entering Residency in Different Specialties
    Daniel P. Sulmasy, Robert E. Ferris, and Wayne A. Ury

In Defense of Tongue Splitting
    Jacob M. Appel
Cochlear Implants in Children: Ethics, Informed Consent, and Parental Decision Making
    Abby L. Berg, Alice Herb, and Marsha Hurst
Dying While Homeless: Is It a Concern When Life Itself Is Such a Struggle?
    John Song, Edward R. Ratner, and Dianne M. Bartels
Raging Against the Night: Dying Homeless and Alone
    James J. O’Connell
Ethical Issues Encountered by Clinical Researchers
    Gordon DuVal, Gary Gensler, and Marion Danis


Volume 16, Number 4, Winter 2005

Entire Issue, Volume 16, Number 4, Winter 2005

Shame, Slap Jack, and Families that Should Lie
    Edmund G. Howe
The District of Columbia Amends its Health-Care Decisions Act: Bioethics Committees in the Arena of Public Policy
    Douglas B. Mishkin and Gail Povar
Families and Bioethics: Old Problems, New Themes
    James Lindemann Nelson
Voice: Cognitive Impairment and Medical Decision Making
    Tia Powell
On the Mend: Alzheimer’s and Family Caregiving
    Hilde Lindemann
Imaginary Fathers: A Sentimental Perspective on the Question of Identifying Sperm Donors
    Catherine Belling
Like a Motherless Child: Fetal Eggs and Families
    Laura Purdy
Families and Futility: Forestalling Demands for Futile Treatment
    John Hardwig
Practicing Physicians and the Role of Family Surrogate Decision Making
    George E. Hardart and Robert D. Truog
The State of Research Ethics: A Tribute to John C. Fletcher
    Franklin G. Miller and Jonathan D. Moreno
Informed Consent: An End or a Means? A Response to Miller and Moreno
    Robert D. Truog
Informed Consent and the Therapeutic Misconception: Clarifying the Challenge
    Gopal Sreenivasan
Response to F.G. Miller and J.D. Moreno, “The State of Research Ethics: A Tribute to John C. Fletcher”
    H.M. Evans
Informed Consent and the Ethics of Clinical Research: Reply to Commentaries
    Franklin G. Miller and Jonathan D. Moreno



The Journal of Clinical Ethics, 2004, Volume 15

Volume 15, Number 1, Spring 2004


What Research Practices in China May Teach the U.S.

      Edmund G. Howe

Introductory Comments

      M. Roy Schwarz and David T. Stern

Tests Involving Humans: Old and New in China

      Zhen Cheng

Ethical Principles for the Conduct of Research Involving Human Subjects: Historical Considerations

      Robert J. Levine

When Experiments Go Wrong: The U.S. Perspective

      Alexander M. Capron

Clinical Trials in China: Protection of Subjects’ Rights and Interests

      Lü Yuan

Informed Consent in Research Involving Human Subjects

      Ben-Fu Li

Special Challenges to the Informed Consent Doctrine in the U.S.

      Mark Siegler, Megan E. Collins, and David C. Cronin

Conflict of Interests in Research Ethics: A Chinese Perspective

      Ren-Zong Qiu

Clinical Trials in Traditional Chinese Medicine

      Zhufan Xie

Research with Vulnerable Participants

      Bernard Lo

Evaluation of the Informed Consent Process in a Randomized Controlled Clinical Trial in China: The Sino-U.S. NTD Project

      Hong Wang, J. David Erickson, Zhu Li, and Robert J. Berry

The Individual and the Community in International Genetic Research

      Patricia A. Marshall

Future Challenges from the U.S. Perspective: Trust as the Key to Clinical Research

      David T. Stern

Closing Remarks

      M. Roy Schwarz


Volume 15, Number 2, Summer 2004


Criteria for Deceit

      Edmund G. Howe

Characteristics and Proportion of Dying Oregonians Who Personally Consider Physician-Assisted Suicide

      Susan W. Tolle, Virginia P. Tilden,    Linda L. Drach, Erik K. Fromme, Nancy A. Perrin, and Katrina Hedberg

Clarifying Distinctions between Contemplating and Completing Physician-Assisted Suicide

      Linda Ganzini and Steven K. Dobscha

The Role of the Family in Resolving Bioethical Dilemmas: Clinical Insights from a Family Systems Perspective

      David B. Seaburn, Susan H. McDaniel, Scott Kim, and Daisy Bassen

On “The Role of the Family in Resolving Bioethical Dilemmas: Clinical Insights from  a Family Systems Perspective”

      James Lindemann Nelson

Falling into Line: The Impact of Utilization Review Hassles on Physicians’ Adherence to Insurance Contracts

      Saul J. Weiner, Jonathan B. VanGeest, Matthew K. Wynia, Deborah S. Cummins, and Ira B. Wilson

Chemical Terrorism and the Ethics of Decontamination

      Griffin Trotter

Parents, Lies, and Videotape: Covert Video Surveillance in Pediatric Care

      Wayne Vaught

Covert Video Surveillance in Pediatric Care: The Fiduciary Relationship with a Child

      Steven R. Leuthner

Care and Justice: The Impact of Gender and Profession on Ethical Decision Making in the Healthcare Arena

      Susan L. Zickmund

Culture and Medical Intervention

      Michael Boylan

Use of Videos by Directors of Medical Ethics Courses

      Delaney Ruston, Jesse Canchola, and Bernard Lo


Volume 15, Number 3, Fall 2004


Some New Paradigms for Ethics Consultants

      Edmund G. Howe

Practicing Euthanasia: The Perspective of Physicians

      Keith L. Obstein, Gerrit Kimsma, and Tod Chambers

Euthanasia and Physician-Assisted Suicide: Implications for Physicians

      David Shalowitz and Ezekiel Emanuel

Do Potential Recipients of Cardiopulmonary Resuscitation Want their Family Members to Attend? A Survey of Public Preferences

      Jeffrey T. Berger, Gerald Brody, Lawrence Eisenstein, and Simcha Pollack

Should a Loved One Be Allowed in the Resuscitation Room? The Times They Are A-Changin’

      Guy Micco

Golden Rule Reasoning in Clinical Medicine: Theoretical and Empirical Aspects

      James N. Kirkpatrick and Mary B. Mahowald

Geriatric Assent

      Victor Molinari, Laurence B. McCollough, Richard Workman, and John Coverdale

Deciding How to Decide: What Processes Do Patients Use When Making Medical Decisions?

      Maria J. Silveira, Lorna Rhodes, and Chris Feudtner

Withdrawing Ventilator Support for a Home-Based Amyotrophic Lateral Sclerosis Patient

      Judith Kennedy Schwarz and Maura L. Del Bene

Baby Michael’s Short Story: Infant Nutrition and Hydration Discussed with the Ethics Committee—Twice

      Christine Mitchell and Robert D. Truog

Decisions for a Baby in Foster Care

      Nedda Hobbs

The Experience of a Community Representative on an Ethics Consult Team

      Michelle Mello

Excerpts from the Ethics Consult Report: MT

      Christine Mitchell, Robert D. Truog, and the Ethics Advisory Committee at Children’s Hospital Boston

Withdrawal of Medically Administered Nutrition and Hydration: The Role of Benefits and Burdens, and of Parents and Ethics Committees

      Judith A. Johnson


Volume 15, Number 4, Winter 2004



      Edmund G. Howe

Introduction to a Special Section on Disability Ethics

      Teresa A. Savage, Carol J. Gill, and Kristi L. Kirschner

Brain Trauma and Surrogate Decision Making: Dogmas, Challenges, and Response

      James Lindemann Nelson and Joel Frader

Depolarizing and Complicating the Ethics of Treatment Decision Making in Brain Injury: A Disability Rights Response to Nelson and Frader

      Carol J. Gill

A Response to Gill

      James Lindemann Nelson and Joel Frader

Ethical Issues in Rehabilitation in the Home-Care Setting

      Marilyn Martone

Clinical (Mis)Judgments of Quality of Life after Disability

      Sunil Kothari

Acquired Brain Injury: Reflections of Two Professionals with ABI

      Judy Panko Reis and Bill Baumann

The Trauma of Discharge Planning following Brain Injury

      Rebecca Brashler

Hypothetical Autonomy and Actual Autonomy: Some Problem Cases Involving Advance Directives

      Michael J. Wreen

Surrogates’ Decisions regarding CPR and the Fallacy of Substituted Judgment

      Gwen M. Sayers, Nigel Beckett, Helen Waters, and Caroline Turner

Feeding Patients with Advanced Dementia: A Jewish Ethical Perspective

      Alan Jotkowitz

Cadaver Dissection and the Limits of Simulation

      Bryan R. Warnick

Comment on Ganzini and Dobscha regarding Comparing Rates of Physician-Assisted Suicide in Oregon with that of Other States

      Kenneth R. Stevens, Jr., and William L. Toffler

Response to Stevens and Toffler regarding Rates of Physician-Assisted Suicide in Oregon

      Linda Ganzini and Steven Dobscha



The Journal of Clinical Ethics, 2003, Volume 14

Volume 14, Number 1-2, Spring-Summer 2003


When Careproviders Should Give Advice, Disclose Personal Information, and Reveal Their Feelings

      Edmund G. Howe                                                                           

The Antemortem Use of Heparin in Non-Heart-Beating Organ Transplantation: A Justification Based on the Paradigm of Altruism

      David Steinberg                 

Does the Public Support Organ Donation Using Higher Brain-Death Criteria?

      James M. DuBois and Tracy Schmidt

Asking for Organs: Different Needs and Different Values

      Ann Freeman Cook, Helena Hoas, and Carla Grayson

The Moral Irrelevance of Proximity to Death

      Lynn A. Jansen

Why “Doctor, if this Were your Child, What Would You Do?” Deserves an Answer

      Lainie Friedman Ross

Revisiting “Doctor, if this Were your Child, What Would You Do?”

      Robert Truog

Answering Parents’ Questions   

      William Ruddick

Responding to the Need Behind the Question, “Doctor, if this Were your Child, What Would You Do?”  

      Jodi Halpern

The Paradox of Questions and Answers: Possibilities for a Doctor-Patient Relationship

      Norman Quist

Seeking Blinded Consent  

      Christine Mitchell and Robert Truog

Complications to Consent

      David Brendel

Looking into a Distorted Mirror

      “Jay Carter”

Public Dialogue and the Boundaries of Moral Community

      Steven Joffe

Lessons from “Jay Carter”

      Edmund G. Howe

Beyond Wishful Thinking: Facing the Harm that Psychotherapists Can Do by Writing about their Patients

      Jodi Halpern

Legal Trends in Bioethics

      Deborah K. Cruze and Anne L. Flamm


Volume 14, Number 3, Fall 2003


Overcoming the Downside of Asymmetry

      Edmund G. Howe

Correlates of Children’s Competence to Make Healthcare Decisions

      Janet A. Deatrick, Susan B. Dickey, Ron Wright, Susan M. Beidler, Mary Emily Cameron, Haley Shimizu, and Kim Mason

Making Wishes Known: The Role of Acquired Speech and Language Disorders in Clinical Ethics

      Walter S. Davis and Alesia Ross

Opportunities for Advance Directives to Influence Acute Medical Care

      Paul R. Dexter, Fredric D. Wolinsky, Gregory P. Gramelspacher, George J. Eckert,    and William M. Tierney

Exploring Asymmetry in the Relationship between Patients and Physicians

      Antonella Surbone and Jerome Lowenstein

A Bridge to Nowhere

      Christine Mitchell and Robert D. Troug, Editors

Mrs. T’s Story: An Interview

      Rebecca Horr, Lauren Kattany, and Ellen M. Robinson

The Nurses’ Story about Mr. T

      Lauren Kattany and Rebecca Horr

Comments from the Optimum Care Committee Consultant

      Ned Cassem

Ethical Issues Raised by LVADs and Mr. T’s Story

      Ellen M. Robinson and Martha Jurchak

Hope or Truth: Commentary on the Case of Mr. T

      Edmund G. Howe

Legal Trends in Bioethics

      Anne Lederman Flamm


Volume 14, Number 4, Winter 2003


Death-Defying Empathy

      Edmund G. Howe

At the Interface of Cultures

      Farhat Moazam and Riffat Moazam Zaman

A Defense of the Philosopher-Ethicist as Moral Expert

      Christopher Meyers

Moral Reasoning of Members of Hospital Ethics Committees: A Pilot Study

      Arthur Dobrin

Ethics Consultation: In the Service of Practice

      Mark P. Aulisio and Robert M. Arnold

Introduction: The Case of Ms G

      The Editor

The Challenge of Clinical Empathy

      Maria Merritt

Reading Experience: Jodi Halpern’s From Detached Concern to Empathy

      Martha Montello

Empathy as Epistemological Tool: Commentary on Jodi Halpern’s From Detached Concern to Empathy

      Mary B. Mahowald

Catastrophic Emotions and Respect for Autonomy        

      Agnieska Jaworska

Practicing Medicine in the Real World: Challenges to Empathy and Respect for Patients

      Jodi Halpern

Dear Bonzo

      Carl Elliot, Tod Chambers, and Britt Elliot

Peter Singer and Beastiality

      Edmund G. Howe

On Judicial Obstruction of Sound Surrogate Decision Making: A Comment on California’s Wendland Case

      Norman L. Cantor 



The Journal of Clinical Ethics, 2002, Volume 13

Volume 13, Number 1, Spring 2002


The Paradox of Paternalism and Three Steps Careproviders Can Take to Help All Patients

      Edmund G. Howe

An Assessment of Ethical Climate in Three Healthcare Organizations

      Carolyn Ells, Jocelyn Downie, and Nuala Kenny

The Healthcare Organization: New Efficiency Endeavors and the Organization Ethics Program

      Ann E. Mills and Edward M. Spencer

Fair Distribution and Patients Who Receive More than One Organ Transplant

      Barbara J. Russell

Case Reports from the Harvard Ethics Consortium

      Christine Mitchell and Robert Truog

Carl Schneider’s The Practice of Autonomy: A Précis

      James Lindemann Nelson

Patient Autonomy: Imperfect, Insufficient, but Still Quite Necessary

      Lainie Friedman Ross

The Alchemy of Informed Consent

      Richard T. Hull

Good-Bye to All that . . . Autonomy

      Bruce Jennings

The Practice of Autonomy and the Practice of Bioethics

      Carl E. Schneider

Reluctant Patients: Autonomy and Delegating Medical Decisions

      Jodi Halpern

Legal Trends in Bioethics

      Anne L. Flamm


Volume 13, Number 2, Summer 2002


Degloved Patients, Torture Victims, and "Bi-Phasic” Ethics

      Edmund G. Howe

Caring for Patients within a Budget: Physicians’ Tales from the Front Lines of Managed Care

      Steven D. Pearson, James E. Sabin, and Tracey Hyams

Secrecy, Integrity, Agency: Nurses and Genetic Terminations

      Catherine Swanson, Deidre Robert, and Elisabeth Boetzkes

Searching for Effectiveness: The Functioning of Connecticut Clinical Ethics Committees

 Kathleen Berchelmann and Barbara Blechner

Cases from the Harvard Ethics Consortium

      Christine Mitchell and Robert Truog, Editors

Jamie’s Story: The Man who Lost his Face

      Pamela DiMack


      Christine Mitchell

The Moral of the Story

      Christine Mitchell

Assessing the Competence Assessment Tool

      Ralph Baergen

In Response to “The Development and Piloting of a Capacity Assessment Tool”

      Helen M. Sharp and Karen Mills

Legal Trends in Bioethics

      Anne L. Flamm


Volume 13, Number 3, Fall 2002


Allowing Patients to Find Meaning Where They Can

      Edmund G. Howe

A Mediation/Medical Advisory Panel Model for Resolving Disputes about End-of-Life Care

      Susan Fox Buchanan, Jeanne M. Desrochers, Desmond Brian Henry,George Thomassen, and Paul H. Barrett, Jr.

Extramural Ethics Consultation: Reflections on the Mediation/Medical Advisory Panel Model and a Further Proposal

      Ronald B. Miller

Perceptions of Case Managers’ Professional Obligations in a Tertiary Acute Care Hospital

      Anita J. Tarzian and Henry J. Silverman

Irene’s Story

      Christine Mitchell and Robert Truog

Irene’s View

      An Interview by Sigal Klipstein

Irene’s Physician’s View

      An Interview by Sigal Klipstein

The Social Worker’s View

      An Interview by Stephen O’Neill

An Ethicist’s View

      An Interview by Lachlan Forrow

New Reproductive Options and the Incest Taboo

      Sigal Klipstein

Moving from Moral Judgment to Ethical Reasoning

      Lachlan Forrow

Legal Trends in Bioethics

      Anne L. Flamm


Volume 13, Number 4, Winter 2002


Challenging Patients’ Personal, Cultural, and Religious Beliefs

      Edmund G. Howe

Bringing Moral Order to the Ordinary: Outpatient Ethics Takes Shape

      Robert Lyman Potter and Christy Kaiser

Outpatient Ethics: “And the Walls Came Tumbling Down”

      Michael Felder

Medical Ethics in the Outpatient Setting: Ethics in Practice

      Thomas H. Gallagher

Keeping the Patient in the Loop: Ethical Issues in Outpatient Referral and Consultation

      Jay A. Jacobson

Doubling the Guard: Ethics and Law at the Privacy Gate

      Mary Beth Blake

Ethical Considerations of Genetic Testing

      David A. Fleming

Ethical Considerations of Electronic Communication in the Clinical Outpatient Setting

      Perry A. Pugno

Moral Distress and the Nurse Practitioner

      Nelda S. Godfrey and Katharine V. Smith

Enhanced Listening Skills: Gifts from the Hmong

      Charles Numrich, Gregory Plotnikoff, Deu Yang, Chu Yongyuan Wu, and Phua Xiong

Factors that Predict Better Informed Consent

      Clarence H. Braddock, III, Mark A. Micek, Kelly Fryer-Edwards, and Wendy Levinson

Quality Improvement and Ethics: Performance Improvement in an Oncology Practice

      John E. Hennessy and Marcus Neubauer

Practicing Accountability in Professional Ethics

      Joseph d’Oronzio

Outside Outpatient Ethics: Is It Ethical for Physicians to Serve Ringside?

      Griffin Trotter

Legal Trends in Bioethics

      Anne L. Flamm 



The Journal of Clinical Ethics, 2001, Volume 12

Volume 12, Number 1, Spring 2001


How to Determine Competency

      Edmund G. Howe

The Development and Piloting of a Capacity Assessment Tool

      Maria Torroella Carney, Judith Neugroschl, R. Sean Morrison, Deborah Marin, and Albert L. Siu

Too Much Ethics, Not Enough Medicine: Clarifying the Role of Clinical Expertise for the Clinical Ethics Consultant

      Clarence H. Braddock III and Mark R. Tonelli

Referral and Decision Making among Advanced Cancer Patients Participating in Phase I Trials at a Single Institution

      Elisa J. Gordon and Christopher K. Daugherty

The Use of E-Mail in Clinical Ethics Case Consultation

      Lisa Anderson Shaw

Active Voluntary Euthanasia, Terminal Sedation, and Assisted Suicide

      Candace Cummins Gauthier

Physician-Assisted Suicide or Voluntary Euthanasia: A Meaningless Distinction for Practicing Physicians?

      Harold I. Schwartz, Leslie Curry, Karen Blank, and Cindy Gruman

Telemedicine and End-of-Life Care: What’s Wrong with This Picture?

      Peter J. Pronovost and Michael A. Williams

Telethics and the Virtual Intensivist—A Comment on Pronovost and Williams

      Tom Tomlinson

Should Ethics Consultants Use Telemedicine? A Comment on Pronovost and Williams

      Edmund G. Howe

Legal Trends in Bioethics

      Heidi P. Forster


Volume 12, Number 2, Summer 2001


To Teach Ethics Better­—Lie

      Edmund G. Howe

Medical Student Involvement in Patient Care

      Karine Morin, Herbert Rakatansky, Frank A. Riddick, Jr., Leonard J. Morse, John M. O’Bannon, III, Michael S. Goldrich, Priscilla Ray, Matthew Weiss, Robert M. Sade, and Monique A. Spillman

Comment: For Healthcare Providers, Just Discerning What’s Right Isn’t Enough

      Bruce E. Zawacki

Comment: Dealing Ethically with an Inevitable Tension

      Martha Montello

Narrative, Thick Description, and Bioethics: Cases, Stories, and Simone de Beauvior’s “A Very Easy Death”

      Leigh Turner

Comment: Toward Thick Reading

      Tod Chambers

Informing a Recipient of Blood from a Donor Who Subsequently Developed Creutzfelt-Jakob Disease: Characteristics of Information that Warrants Its Disclosure

      David Steinberg

Comment: Dilemmas of Dementia

      Roger Y. Dodd

Comment: Limiting Toxic Information

      Edmund G. Howe

Disclosing the Diagnosis of HIV in Pediatrics

      Erin Flanagan-Klygis, Lainie Friedman Ross, John Lantos, Joel Frader, and Ram Yogev

Comment: Disclosing a Diagnosis of HIV to Children: Providing the Best Possible Care

      Steven Hirschfeld   

Preliminary Study of a “Values History” Advance Directive Interview in a Pediatric HIV Clinic

      Lawrence S. Wissow, Nancy Hutton, and Nancy Kass

Comment: Getting the Most Value Out of a Values History

      O.J. Sahler

Legal Trends in Bioethics

      Heidi P. Forster


Volume 12, Number 3, Fall 2001


Helping Infants by Seeing the Invisible

      Edmund G. Howe

Introduction to Ethics in Neonatology

      Anita Catlin

From the Johns Hopkins Baby to Baby Miller: What Have We Learned from Four Decades of Reflection on Neonatal Cases?

      John J. Paris, Jeffrey Ferranti, and Frank Reardon

Reflections on Neonatal Intensive Care in the U.S.: Limited Success or Success with Limits?

      Brian S. Carter and Mildred Stahlman

Infertility Treatment and Neonatal Care: The Ethical Obligation to Transcend Specialty Practice in the Interest of Reducing Multiple Births

      Gladys B. White and Steven R. Leuthner

Uncharted Terrain: Dilemmas Born in the NICU Grow Up in the PICU

      Karen Smith and Mary Ellen Uphoff

Making Lemonade: A Parent’s View of “Quality of Life” Studies

      Helen Harrison

Creation and Use of You Are Not Alone, a Video for Parents Facing Difficult Decisions

      Peter Hulac

Crisis within Crisis: Recommendations for Defining, Preventing, and Coping with Stressors in the NICU

      Brad H. Reddick, Elizabeth Catlin, and Michael Jellinek

The Oregon Health Plan and the Ethics of Care for Marginally Viable Newborns

      Mark J. Merkens and Michael J. Garland

For Crying Out Loud: The Ethical Treatment of Infants’ Pain

      Linda Franck and Linda Lefrak

International Practices in Neonatology

      Edmund G. Howe

The European Union Collaborative Project on Ethical Decision Making in Neonatal Intensive Care (EURONIC): Findings from 11 Countries

      Marina Cuttini and the Euronic Study Group

Canada, the U.S., and the NICU: Cultural Differences and Ethical Consequences

      Eike-Henner W. Kluge

Neonatal Issues in Hungary

      Bela Blasszauer, Karoly Schultz, and Karoly Adamovich

Ethics and Neonatology in Israel

      Ehud Zmora

Neonatal Medicine in Norway

      Berit Støre Brinchmann

Ethical Dilemmas in Swedish Neonatal Intensive Care

      Mats Eriksson and Magnus Lindroth

Neonatology and Ethics: A Word from Turkey

      Hicran Cavusoglu

Creation of a Neonatal End-of-Life Palliative-Care Protocol

      Anita Catlin and Brian S. Carter

Legal Trends in Bioethics

      Heidi P. Forster and Seema Shah


Volume 12, Number 4, Winter 2001


Unicorns, Carravaggio, and Fetal Surgery

      Edmund G. Howe

How Open-Uterine Fetal Repair of Spina Bifida Illuminates the Moral Complexity of Ethics Consultation and Patients’ Decision Making

      Mark J. Bliton

Genetic Testing for Hereditary Disease:  Attending to Relational Responsibility

      Michael M. Burgess

Comment on Burgess

      Charles MacKay

Multi-Cultural Considerations and the American College of Physicians Ethics Manual

      Jeffrey T. Berger

Moral Obligations to Families When There Is a Sudden Death

      David Bishai and Andrew Siegel

An Ethical Voice in the Silence of  Aphasia: Judging Understanding and Consent in People with Aphasia

      A. Braunack-Mayer

Implications of Impaired Executive Control Functions for Patient Autonomy and Surrogate Decision Making

      Laurence B. McCullough, Victor Molinar, and Richard H. Workman

Shared Decision Making in Dialysis: A New Clinical Practice Guideline to Assist with Dialysis-Related Ethics Consultations

      Alvin H. Moss

Legal Trends in Bioethics

      Anne L. Flamm 



The Journal of Clinical Ethics, 2000, Volume 11

Volume 11, Number 1, Spring 2000


Leaving Laputa: What Doctors Aren’t Taught about Informed Consent

      Edmund G. Howe

Iatrogenic Cardiopulmonary Arrests in DNR Patients

      James A. Christensen and James P. Orlowski

The Role of the Clinical Ethicist in Conflict Resolution

      Robert D. Orr and Dennis M. deLeon

The Effect of Clinical Medical Ethics Consultation on Healthcare Costs

      Bernard J. Heilicser, David Meltzer, and Mark Siegler

Residents’ and Patients’ Perspectives on Informed Consent in Primary Care Clinics

      Douglas G. Kondo, F. Marian Bishop, and Jay A. Jacobson

Report of a Study to Examine the Process of Ethics Case Consultation

      Martha Jurchak

Thoughts of Hastening Death Among Hospice Patients

      Barbara J. Daly, Jennifer Hooks, Stuart J. Youngner, Barbara Drew, and MaryJo Prince-Paul

Respecting the Autonomy of the Biologically Driven

      Jeffrey D. Tiemstra

“The Aesthetics of Dementia Care”: Some Final Thoughts from Tom Kitwood

      Leonard D. Ferenz  

Controlled NHBD Protocol for a Fully Conscious Person: When Death Is Intended as an End in Itself and It Has Its Own End

      Jeffrey Spike

Intention, Action, and the Dead Donor Rule: Commentary on Spike

      James M. DuBois

Decisions by Conscious Persons about Controlled NHBD after Death: Eyes Wide Open

      Michael A. DeVita and Thomas May

Meaningful Life and Respecting Brute Autonomy: Commentary on Spike

      Reginald Peniston

Author’s Response: The Limits of Persuasion

      Jeffrey Spike

Legal Trends in Bioethics

      Dena S. Davis


Volume 11, Number 2, Summer 2000


Pediatricians’ Most Difficult Decision

      Edmund G. Howe

From the Files of a Pediatric Ethics Committee

      Christine Mitchell and Robert D. Truog

Loving Noncompliance: Determining Medical Neglect by Parents of HIV-Positive Children

      Rick Bourne

Comment: Collaborative Decision Making with HIV-Infected Mothers

      Verle Headings

Responding to Parental Requests to Forgo Pediatric Nutrition and Hydration

      Judith Johnson and Christine Mitchell

Futility in Pediatrics: From Case to Policy

      Robert D. Truog

Comment: Will Futility Policies Make a Difference?

      Robert D. Orr

Ethical Issues in Pediatric Research

      Walter M. Robinson

Comment: Research Involving Children: Clarifying Roles and Authority

      Nuala Kenny and Paul Miller

Suffering in Children at the End of Life: Recognizing an Ethical Duty to Palliate

      Joanne Wolfe

Including the Family’s Interests in Medical Decision Making in Pediatrics

      George Hardart

Comment: Supporting the Child within the Family

      Paula Rauch

The Hazards of “Hanging Crepe” or Stating Overly Pessimistic Prognoses

      David B. Waisel

From Case to Policy: Institutional Ethics at a Children’s Hospital

      Jeffrey P. Burns

Comment: Should All Ethics Committee Members Be Institutionalized?

      O.J. Sahler

Legal Trends in Bioethics

      Dena S. Davis


Volume 11, Number 3, Fall 2000


Doing Ethics Consultations Better

      Edmund G. Howe

Why Ethicists Should Stop Writing Cases

      Tod Chambers

Patient Vignettes in Bioethics Literature

      Christopher D. Herrera

Should Children with Severe Cognitive Impairment Receive Solid Organ Transplants?

      Robert D. Orr, Joyce K. Johnston, Stephen Ashwal, and Leonard L. Bailey

Are Patients Willing to Participate in Medical Education?

      Peter A. Ubel and Ari Silver-Isenstadt

Living Poorly or Dying Well: Culture and Decisions about Life-Supporting Treatment for American and Japanese Patients

      Susan O. Long

Revisiting the Truth-Telling Debate: A Study of Disclosure Practices at a Major Cancer Center

      Mary R. Anderlik, Rebecca D. Pentz, Kenneth R. Hess

Assisted Suicide and the Duty to Die

      Griffin Trotter

Feeding the Moral Sense: The Case of Jim Blair

      Jack Coulehan

Legal Trends in Bioethics

      Dena S. Davis and Heidi Forster


      Robert M. Veatch; Edward V. Spudis


Volume 11, Number 4, Winter 2000


Improving Treatment for Patients Who Are Elderly and Have Dementia

      Edmund G. Howe

Ethical Challenges Posed by Dementia and Driving

      Jeffrey T. Berger and Fred Rosner

Sexuality and Intimacy in the Nursing Home: A Romantic Couple of Mixed Cognitive Capacities

      Jeffrey T. Berger

Commentary on “Sexuality and Intimacy in the Nursing Home”

      Stephen G. Post

The Myth of Home and the Medicalization of the Care of the Elderly

      Jacqueline J. Glover and Anne Harman

Physicians’ Responses to Clinical Scenarios Involving Life-Threatening Illness Vary by Patients’ Age

      Marie F. Johnson and Andrew M. Kramer

Commentary: Medical Decision Making Based on Chronological Age—Cause for Concern

      Win Tadd and Antony Bayer

Actual and Perceived Stability of Preferences for Life-Sustaining Treatment

      R. Mitchell Gready, Peter H. Ditto, Joseph H. Danks, Kristen M. Coppola, Lisa K. Lockhart, and William D. Smucker

Are Non-Heart-Beating Cadaver Donors Acceptable to the Public?

      Deborah L. Seltzer, Robert M. Arnold, and Laura A. Siminoff

Can Assisted Suicide Be Regulated?

      David Orentlicher and Lois Snyder

Narrative Unity and the Unraveling of Personal Identity: Dialysis, Dementia, Stroke, and Advance Directives

      Jeffrey Spike

Legal Trends in Bioethics

      Heidi P. Forster



The Journal of Clinical Ethics, 1999, Volume 10

Volume 10, Number 1, Spring 1999


An Ongoing Conversation: The Task Force Report and Bioethics Consultation

      Mark P. Aulisio, Robert M. Arnold, and Stuart J. Youngner

Clinical Ethics Consultations: Some Reflections on the Report of the SHHV-SBC

      Edmund D. Pellegrino

Ethics Consultants: Could They Do Better?

      Edmund G. Howe

The Task Force Report: Comprehensible Forest or Unknown Beetles?

      Judith Wilson Ross

Beyond Case Consultation: An Expanded Model for Organizational Ethics

      Rebecca D. Pentz

The Application of the Task Force Report in Rural and Frontier Settings

      Alvin H. Moss

Moving the Conversation Forward

      Mark P. Aulisio, Robert M. Arnold, and Stuart J. Youngner

Brain Death, Pregnancy, and Posthumous Motherhood

      Jeffrey Spike

Legal Trends in Bioethics

      Heidi P. Forster


Volume 10, Number 2, Summer 1999


“Sacred” Research Practices We May Want to Change

      Edmund G. Howe

Assessing Quality of Care: New Twists from Managed Care

      E. Haavi Morreim

Why Should We Include Women and Minorities in Randomized Controlled Trials?

      Charles Weijer and Robert A. Crouch

The Epidemiology of Bioethics

      Michael D. Fetters and Howard Brody

Why Don’t Physicians Use Ethics Consultation?

      Louise Davies and Leonard D. Hudson

Family Decision Making for End-of-Life Treatment: The SUPPORT Nurse Narratives

    Elizabeth F. Hiltunen, Cynthia Medich, Susan Chase, Lynn Peterson, and Lachlan Forrow

Community Assessment and Education in Preventive Clinical Ethics

      Marc Tunzi and Mary Croughan-Minihane

A Pedophilic Physician: The Conflicting Obligations

      John Song and Peter Terry

Commentary on “A Pedophilic Physician”: Should Careproviders Deceive Some Patients to Benefit Others?

      Edmund G. Howe

Legal Trends in Bioethics

      Heidi P. Forster


      Simon Auster; Michael Kottow


Volume 10, Number 3, Fall 1999


On Our Way to Integrated Bioethics: Clinical/Organizational/Communal

      Robert Lyman Potter

The Postmodern Prescription: An Antidote to Hard Boundaries and Closed Systems in Healthcare Organizations

      Robert J. Olson

Organizational Ethics: Creating Structural and Cultural Change in Healthcare Organizations

      David C. Blake

Making the Most of Disequilibrium: Bridging the Gap Between Clinical and Organizational Ethics in a Newly Merged Healthcare Organization

      Catherine Myser, Patricia Donehower, and Cathy Frank

Integrated Ethics: Synecdoche in Healthcare

      Catherine R. Seeley and Sara L. Goldberger

All in the Family—Siblings But Not Twins: The Relationship of Clinical and Organizational Ethics Analysis

      Norma J. Hirsch

Linking Professional and Economic Values in Healthcare Organizations

      Leslie N. Ray, Jerry Goodstein, and Michael Garland

Actively Engaging Organizational Ethics in Healthcare: Four Essential Elements

      Jerry D. Goodstein and Bridget Carney

Confidentiality as an Organizational Ethics Issue

      Robert Hall

Organizational Ethics and Sentinel Events: Doing the Right Thing When the Worst Thing Happens

      Kristin M. Johnson and Kathleen Roebuck-Colgan

The “Impossible” Patient: Organizational Response to a Clinical Problem

      Pamela S. Harris, Martha Duermeyer, Christopher Ehly, Sonja Hartig-Toth, Sharon Hayes, Lynaia Holsapple, and Daniel Peters

Legal Trends in Bioethics

      Heidi P. Forster


Volume 10, Number 4, Winter 1999


Organizational Ethics’ Greatest Challenge: Factoring in Less-Reachable Patients

      Edmund G. Howe

Dementia and Advance-Care Planning: Perspectives from Three Countries on Ethics and Epidemiology

      Joanne Lynn, Joan Teno, Rebecca Dresser,Dan Brock, Hilde Lindemann Nelson, James Lindemann Nelson, Rita Kielstein, Yoshinosuke Fukuchi, Dan Lu, and Haruka Itakura

End-of-Life Decision Making: When Patients and Surrogates Disagree

      Peter B. Terry, Margaret Vettese, John Song, Jane Forman, Karen B. Haller, Deborah J. Miller, Rebecca Stallings, and Daniel P. Sulmasy

Optimizing Ethics Services and Education in a Teaching Hospital: Rounds Versus Consultation

      Eugene V. Boisaubin and Michele A. Carter

Death and Remembrance: Addressing the Costs of Learning Anatomy through the Memorialization of Donors

      Kathleen Marie Dixon

Attitudes of Healthcare Professionals Toward Clinical Decisions in Palliative Care: A Cross-Cultural Comparison

      Raymond Voltz, Akira Akabayashi, Carol Reese, Gen Ohi, and Hans-Martin Sass

Rational Suicide and Predictive Genetic Testing

      Dena S. Davis

Organ Donation and the Anguish of Failure

      John Portmann

The Limits of Reproductive Technology: Who Decides?

      Ellen S. Agard and Edward E. Wallach

The Need for Original Ethical Analyses for Women

      Edmund G. Howe

Legal Trends in Bioethics

      Dena S. Davis



The Journal of Clinical Ethics, 1998, Volume 9

Volume 9, Number 1, Spring 1998


Caring for Patients with Dementia: An Indication for “Emotional Communism”

      Edmund G. Howe

Ethics and Alzheimer’s Disease: Widening the Lens

        Martha B. Holstein

Toward a Theory of Demetia Care: Ethics and Interaction

        Tom Kitwood

Voices of Alzheimer’s Disease Sufferers: Treatment Based on Personhood

        Steven R. Sabat

Living with Alzheimer’s Disease: The Creation of Meaning among Persons with Dementia

        Karen A. Lyman

Reasons and Feelings, Duty and Dementia

        James Lindemann Nelson

Persons with Dementia as “Liability Magnets”: Ethical Implications

        Marshall B. Kapp

The Fear of Forgetfulness: A Grassroots Approach to an Ethics of Alzheimer’s Disease

        Stephen G. Post

Personhood, Spirituality, and Hope in the Care of Human Beings with Dementia

        David B. McCurdy

Legal Trends in Bioethics

        Dena S. Davis


Volume 9, Number 2, Summer 1998


Deconstructing Equity, Autonomy, and Ethical Analysis

        Edmund G. Howe

Cultural Differences among Health Professionals: A Case Illustration

        Henry S. Perkins, Josie D. Supik, and Helen P. Hazuda

Barriers to Completion of Healthcare Proxy Forms: A Qualitative Analysis of Ethnic Differences

        R. Sean Morrison, Luis H. Zayas, Michael Mulvihill, Shari A. Baskin, and Diane E. Meier

Cultural Discrimination in Mechanisms for Health Decisions: A View from New York

        Jeffrey T. Berger

The Family in Medical Decision Making: Japanese Perspectives

        Michael D. Fetters

Heart Transplantation Selection Criteria: Attitudes of Ethnically Diverse Medical Students

        Michael S. Wilkes and Stuart Slavin

The Ethics of Placebo-Controlled Trials for Perinatal Transmission of HIV in Developing Countries

        Peter A. Clark

The “Best Proven Therapeutic Method” Standard in Clinical Trials in Technologically Developing Countries

        Robert J. Levine

Cultural Diversity and Informed Consent

        Ellen Agard, Daniel Finkelstein, and Edward Wallach

Respect for Autonomy and a Couple’s Decision

        Monica d’Agostino

A Study of Healthcare Professionals’ Perspectives about a Cross-Cultural Ethical Conflict Involving a Hmong Patient and Her Family

        Kathleen A. Culhane-Pera and Dorothy E. Vawter

Commentary: “Missing” Patients by Seeing Only Their Cultures

        Edmund G. Howe

Futility and the Goals of Medicine

        Rosamond Rhodes

Non-Simultaneous Deaths of Parallel Personhoods Crashing through a Denver S & L

        Edward V. Spudis

Resisting the Siren: Commentary

        Edmund G. Howe

Legal Trends in Bioethics

        Dena S. Davis


Volume 9, Number 3, Fall 1998


Treating Infants Who May Die

        Edmund G. Howe

Emotions, Ethics, and Decisions in Primary Care

        Julia Connelly

Toward an Ethical Standard for Coerced Mental Health Treatment: Least Restrictive or Most Therapeutic?

        Douglas P. Olsen

Assessing Competency Without Judging Merit

        Thomas May

Do Patients’ Treatment Decisions Match Advance Statements of Their Preferences?

        Melinda A. Lee, David M. Smith, Darien S. Fenn, and Linda Ganzini

Optimizing Discussions about Resuscitation: Development of a Guide Based on Patients’ Recommendations

        Mary S. Carlsen, Clair Pomeroy, and D. Gay Moldow

Avoiding Conflicts of Interest in Surrogate Decision Making: Why Ethics Committees Should Assign Surrogacy to a Separate Committee

        Richard Steven Levine

Disclosure of Operating Practices by Managed-Care Organizations to Consumers of Healthcare: Obligations of Informed Consent

        Vikram Khanna, Henry Silverman, and Jack Schwartz

Ethics by the Numbers: Monitoring Physicians’ Integrity in Managed Care

        Elizabeth Alexander and Howard Brody

Physicians’ Responsibilities in the Care of Suicidal Patients: Three Case Studies

        Jeffrey Spike

Decision Making in the Nursery: An Ethical Dilemma

        Charlotte Jones and John M. Freeman

Legal Trends in Bioethics

        Dena S. Davis and Heide P. Forster


Volume 9, Number 4, Winter 1998


Intersexuality: What Should Careproviders Do Now

        Edmund G. Howe

A History of Intersexuality: From the Age of Gonads to the Age of Consent

        Alice Domurat Dreger

The Hanukkah Bush: Ethical Implications in the Clinical Management of Intersex

        Sherri A. Groveman

Management of Intersex: A Shifting Paradigm

        Bruce E. Wilson and William G. Reiner

10 Commandments

        Helena Harmon-Smith

Betwixt and Between: The Past and Future of Intersexuality

        Robert A. Crouch

Surgical Progress Is Not the Answer to Intersexuality

        Cheryl Chase

A Surgeon’s Response to the Intersex Controversy

        Justine Marut Schober

Pediatric Ethics and the Surgical Assignment of Sex

        Kenneth Kipnis and Milton Diamond

For the Sake of the Children: Destigmatizing Intersexuality

        Sharon E. Preves

Legal Trends in Bioethics

        Heide Forster



The Journal of Clinical Ethics, 1997, Volume 8

Volume 8, Number 1, Spring 1997


When Some Careproviders Have More Power than Others

        Edmund G. Howe

Relationships, Relationships, Relationships . . .

        Linda L. Emanuel and Jeremy Sugarman

John Gregory (1724-1773) and the Invention of Professional Relationships in Medicine

        Laurence B. McCullough

A Manual on Manners and Courtesies for the Shared Care of Patients

        John D. Stoeckle, Laurence J. Ronan, Linda L. Emanuel, and Carol M. Ehrlich

Ethical Issues and Relationships Between House Staff and Attending Physicians: A Case Study

        Aaron Beckerman, Martin Doerfler, Elsbeth  Couch, and Jerome Lowenstein

Who Plays What Role in Decisions about Withholding and Withdrawing Life-Sustaining Treatment?

        JoAnn Bell Reckling

Thoughts about the End-of-Life Decision-Making Process

        Peter B. Terry and Karen A. Korzick

Ethics Consultants and Surrogates: Can We Do Better?

        John C. Fletcher

Relationships Between Primary Care Physicians and Consultants in Managed Care

        Allan S. Brett

The Quality of Primary Care/Consultant Relationships in Managed Care: Have We Gone Forward or Backward?

        Gail J. Povar

Communication through Interpreters in Healthcare: Ethical Dilemmas Arising from Differences in Class, Culture, Language, and Power

        Joseph M. Kaufert and Robert W. Putsch

From What’s Neutral to What’s Meaningful: Reflections on a Study of Medical Interpreters

        Mildred Z. Solomon

Physicians’ Collaboration with Chaplains: Difficulties and Benefits

        Mary Martha Thiel and Mary Redner Robinson

Legal Trends in Bioethics

        Dena S. Davis


Volume 8, Number 2, Summer 1997


Everyday Heroes, Part 2: Should Careproviders Ever Be Quintilian?

        Edmund G. Howe

Stability of Treatment Preferences: Although Most Preferences Do Not Change, Most People Change Some of Their Preferences

        Nitsa Kohut, Mehran Sam, Keith O’Rourke, Douglas K. MacFadden, Irving Salit, and Peter A. Singer

Understanding the Practice of Ethics Consultation: Results of an Ethnographic Multi-Site Study

        Susan E. Kelly, Patricia A. Marshall, Lee M. Sanders, Thomas A. Raffin, and Barbara A. Koenig

The Effect of Ethnicity on ICU Use and DNR Orders in Hospitalized AIDS Patients

        James A. Tulsky, Barrie R. Cassileth, and  Charles L. Bennett

Children’s Refusal of Gynecologic Examinations for Suspected Sexual Abuse

        David Muram, Margaret M. Aiken, and Carson Strong

What’s Love Got to Do with It? The Altruistic Giving of Organs

        Jeffrey Spike

The Role of Emotions in Decisional Competence, Standards of Competency, and Altruistic Acts

        Henry Silverman

A Noncompliant Patient?

        Kathryn L. Moseley and Sandra Truesdell

Care, Support, and Concern for Noncompliant Patients

        Philip R. Muskin

Max Weber on Ethics Case Consultation: A Methodological Critique of the Conference on Evaluation of Ethics Consultation

        Francis Dominic Degnin

Goals of Ethics Consultation: Toward Clarity, Utility, and Fidelity

        Judith Andre

Speaking Truth to Employers

        Judith Andre

Legal Trends in Bioethics

        Dena S. Davis


    Howard L. Field


Volume 8, Number 3, Fall 1997


Deceiving Patients for Their Own Good

        Edmund G. Howe

Induction Procedures for Pyschogenic Seizures: Ethical and Clinical Considerations

        Martin L. Smith, Susan J. Stagno, Michelle Dolske, Joanne Kosalko, Carolyn McConnell, Larita Kasper, and Richard Lederman

Managed Care: A House of Mirrors

        Nancy S. Jecker and Albert R. Jonsen

Semantic and Moral Debates about Hastening Death: A Survey of Bioethicists

        Peter A. Ubel and David A. Asch

Patients with DNR Orders in the Operating Room: Surgery, Resuscitation, and Outcomes

        Neil S. Wenger, Nancy L. Greengold, Robert K. Oye, Peter Kussin, Russell S. Phillips, Norman A. Desbeins, Honghu Liu, Jonathan R. Hiatt, Joan M. Teno, and Alfred F. Connors, Jr., for the SUPPORT Investigators

A Computerized System for Entering Orders to Limit Treatment: Implementation and Evaluation

        Daniel P. Sulmasy and Eric S. Marx

Ethical and Legal Aspects of Teratogenic Medications: The Case of Isotretinoin

        John C. Moskop, Michael L. Smith, and Kenneth De Ville

Attitudes of Women from Vulnerable Populations toward Physician-Assisted Death: A Qualitative Approach

        Elizabeth Morrow

The Quality of Mercy: Reflections on Provider-Assisted Suicide

        Kathleen Marie Dixon

A Paradox about Capacity, Alcoholism, and Noncompliance

        Jeffrey Spike

Biological Drivenness: A Relative Indication for Paternalism

        Edmund G. Howe

Legal Trends in Bioethics

        Dena S. Davis


Volume 8, Number 4, Winter 1997


“Possible Mistakes”

        Edmund G. Howe

When a Physician Harms a Patient by a Medical Error: Ethical, Legal, and Risk-Management Considerations

        Daniel Finkelstein, Albert W. Wu, Neil A. Holtzman, and Melanie K. Smith

Errors in Medicine: Nurturing Truthfulness

        Françoise Baylis

A Study of the Ethical Duty of Physicians to Disclose Errors

        Matthew P. Sweet and James L. Bernat

Holding Owen

        David Schiedermayer

Musings on Medical Mistakes: A Four-Piece Ensemble in Search of an Orchestra

        Paul J. Reitemeier

Dialogue to Action: Lessons Learned from Some Family Members of Deceased Patients at an Interactive Program in Seven Utah Hospitals

        Jay A. Jacobson, L.P. Francis, Margaret P. Battin, David J. Green, C. Grammes, J. VanRiper, and J. Gully

A New Role for Institutional Ethics Committees: Organizational Ethics

        Edward M. Spencer

Use of the Hippocratic Oath: A Review of Twentieth Century Practice and a Content Analysis of Oaths Administered in Medical Schools in Medical Schools in the U.S. and Canada in 1993

        Robert D. Orr, Norman Pang, Edmund D. Pellegrino, and Mark Siegler

Humanistic Problem Solving: The Case of Mr. T

        William J. Winslade

Ethics Consultation: Iatrogenic Liver Failure, Transplantation, and Prisoners

        Jeffrey Spike

Legal Trends in Bioethics

        Dena S. Davis 



The Journal of Clinical Ethics, 1996, Volume 7

Volume 7, Number 1, Spring 1996


Implementing Feminist Perspectives in Clinical Care

      Edmund G. Howe

An Introduction to Feminist Approaches to Bioethics: Unity in Diversity  

      Rosemarie Tong

Knowledge at the Bedside: A Feminist View of What’s Happening with This Patient

      Hilde Lindemann Nelson

Partiality and the Pediatrician  

      Rosalind Ekman Ladd

Aging as Death Rehearsal: The Oppressiveness of Reason 

      Sally Gadow

Care-Based Reasoning, Caring, and the Ethic of Care: A Need for Clarity 

      Sara T. Fry, Aileen R. Killen, and Ellen M. Robinson

The Stability of DNR Orders on Hospital Readmission 

      The Support Investigators

Public Awareness of the Nature of CPR: A Case for Values-Centered Advance Directives

      Charles F. Thurber

Do You Understand? An Ethical Assessment of Researchers’ Description of the Consenting Process 

      Sandra L. Titus and Moira A. Keane

Conflicts of Interest, Conflicting Interests, and Interesting Conflicts, Part 2

      Sue Shevlin Edwards, Janicemarie K. Vinicky, and James P. Orlowski

The Ethics of Mandatory HIV Testing in Newborns

      Jeffrey T. Berger, Fred Rosner, and Peter Farnsworth

Rethinking the Testing of Babies and Pregnant Women for HIV Infection 

      Ronald Bayer

Is “Informed Right of Refusal” the Same as “Informed Consent”? 

      Robert D. Truog

Legal Trends in Bioethics 

      Dena S. Davis


      Arnold Golodetz; Lawrence J. Schneiderman


Volume 7, Number 2, Summer 1996


The Three Deadly Sins of Ethics Consultation

        Edmund G. Howe

Evaluating Ethics Consultation: Framing the Questions

        James A. Tulsky and Ellen Fox

Concepts in Evaluation Applied to Ethics Consultation Research

        Ellen Fox

What Are the Goals of Ethics Consultation? A Consensus Statement

        John C. Fletcher and Mark Siegler

Evaluating Outcomes in Ethics Consultation Research

        Ellen Fox and Robert M. Arnold

Obstacles and Opportunities in the Design of Ethics Consultation Evaluation

        James A. Tulsky and Carol B. Stocking

Evaluation Research and the Future of Ethics Consultation

        Ellen Fox and James A. Tulsky

Introduction to Section: Feminist Approaches to Bioethics

        Rosemarie Tong

Working within Contradiction: The Possibility of Feminist Cosmetic Surgery

        Anna Kirkland and Rosemarie Tong

Philosophy, Gender Politics, and In Vitro Fertilization: A Feminist Ethics of  Reproductive Healthcare

        Linda LeMoncheck

Bioethics Committees and JCAHO Patients’ Rights Standards: A Question of Balance

        Bruce V. Corsino

Responding to JCAHO Standards: Everybody’s Business

        John C. Fletcher

Conflicts of Interest, Conflicting Interests, and Interesting Conflicts, Part 3

        James P. Orlowski, Janicemarie K. Vinicky, and Sue Shevlin Edwards

Legal Trends in Bioethics

        Dena S. Davis

Mandatory HIV Testing in Newborns: Not Yet, Maybe Never

        Dena S. Davis


        Elisa J. Gordon


Volume 7, Number 3, Fall 1996


Deadly Sins, Continued: Treating Patients with Addictions

      Edmund G. Howe

Putting Advance-Care Planning into Action

      Joan M. Teno and Joanne Lynn

Death with Kantian Dignity

      Hilde Lindemann Nelson

Professional Healthcare Workers’ Attitudes Toward Treating Patients with Multidrug-Resistant Tuberculosis

      Jeremy Sugarman, Peter Terry, Ruth R. Faden, Denise E. Holmes, Linda Fogarty, and Reed E. Pyeritz

Introduction to Section: Feminist Approaches to Bioethics

      Rosemarie Tong

Women and Health Research: Working for Change

      Françoise Baylis

The Interrelationship of Ethical Issues in the Transition from Old Paradigms to New Technologies

      Timothy R. Cooper, William D. Caplan, Joseph A. Garcia-Prats, and Baruch A. Brody

Clinical Practice Guidelines: Toward Attributes for Ethical Validity

      Barbara K. Redman

Should a Patient Who Attempted Suicide Receive a Liver Transplant?

      Jameson Forster, William G. Bartholome, and Romano Delcore

Anubis and the Feather of Truth: Judging Transplant Candidates Who Engage in Self-Damaging Behavior

      Colin E. Atterbury

Exclusionary Criteria and Suicidal Behavior: Comment on “Should a Patient Who Attempted Suicide Receive a Liver Transplant?”

      Mark P. Aulisio and Robert M. Arnold

Legal Trends in Bioethics

      Dena S. Davis


Volume 7, Number 4, Winter 1996


Everyday Heroes in Bioethics: Part I

         Edmund G. Howe

Where Are the Heroes of Bioethics?

         Benjamin Freedman

Heroes, Martyrs, and Other Choices

         John C. Fletcher and Maxwell Boverman

Perhaps We All Be Heroes

         Paul J. Reitemeier

Reflections on My Father’s Experience with Doctors during the Shoah (1939-1945)

         Harold J. Bursztajn

Introduction: Feminist Approaches to Bioethics

         Rosemarie Tong

She Said/He Said: Ethics Consultation and the Gendered Discourse

         Susan Rubin and Laurie Zoloth-Dorfman

A Feminist Standpoint for Genetics

         Mary B. Mahowald

A Model Policy Addressing Mistreatment of Medical Students

         Carson Strong, Hershel P. Wall, Valerie Jameson, Howard R. Horn, Paul N. Black, Stephanie Scott, and Shannon C. Brown

Commentary on “A Model Policy Addressing Mistreatment of Medical Students”

         Donald S. Kornfeld

Family Dynamics and Children in Medical Research

         Valery M. Gordon and Frederick O. Bonkovsky

Audience and Authority: The Story in Front of the Story

         Laurie Zoloth-Dorfman

Commentary on “Family Dynamics and Children in Medical Research”

         Walter Robinson

Legal Trends in Bioethics

         Dena S. Davis



The Journal of Clinical Ethics, 1995, Volume 6

Volume 6, Number 1, Spring 1995


Impossible Choices: When Patients and Careproviders Face Impossible Decisions

        Edmund G. Howe

Should People Do unto Others as They Would Not Want Done unto Themselves?

        Christine Harrison, D. William Molloy, Peteris Darzins, and Michel Bédard

The Best-Interest Standard: Surrogate Decision Making and Quality of Life

        James F. Drane and John L. Coulehan

Revising the Substituted Judgment Standard

        Ralph Baergen

Time and Language in Bioethics: When Patient and Proxy Appear to Disagree

        John Arthur McClung

Futility and Bargaining Power

        Bethany Spielman

Pain Relief for Dying Persons: Dealing with Physicians’ Fears and Concerns

        Melissa L. Buchan and Susan W. Tolle

Physician Aid in Dying and the Relief of Patients’ Suffering: Physicians’ Attitudes Regarding Patients’ Suffering and End-of-Life Decisions

        Frederick Y. Huang and Linda L. Emanuel

Physicians’ Ethical Responsibilities under Co-Pay Insurance: Should Potential Fiscal Liability Become Part of Informed Consent?

        J.F. Turner, T. Mason, D. Anderson, A. Gulati, and J.A. Sbarbaro

Religion, Race, and Reason: The Case of LJ

        Tia Powell

LJ’s Religous Craziness

        Annette Dula

The Fiction of Neutrality

        Marian Gray Secundy and Colleen Sundstrom

An Algorithm for Determining Best Interest?

        Muriel R. Gillick

Recognizing and Respecting Family Judgment

        Valerie Swigart

The Hermeneutical Project and Clinical Ethics

        Robert Lyman Potter

Some Thoughts on AIDS and Death

        Alvin Novick

Legal Trends in Bioethics

        Dena S. Davis


        Laurence J. Schneiderman, Richard Kronick, Robert D. Langer, Robert M. Kaplan,

        and John P. Anderson


Volume 6, Number 2, Summer 1995


Transforming or Vampiric? When Careproviders Share Their Subjective Realities with Their Patients

        Edmund G. Howe

The “Futility Debate” and the Management of Gordian Knots

        Bruce E. Zawacki

Progress in the Futility Debate

        Robert D. Truog

Is Refusal of Futile Treatment Unjustified Paternalism?

        Nancy S. Jecker

The Problem of Medically Futile Treatment: Falling Back on a Preventive Ethics Approach

        Stephen Wear and Gerald Logue

Decedents’ Reported Preferences for Physician-Assisted Death: A Survey of Informants Listed on Death Certificates in Utah

        Jay A. Jacobson, Evelyn M. Kasworm, Margaret P. Battin, Jeffrey R. Botkin, Leslie P. Francis, and David Green

Empirical Studies on Euthanasia and Assisted Suicide

        Ezekiel J. Emanuel

The Limitation of Empirical Research in Ethics

        Edmund D. Pellegrino

Circular Questioning by Ethics Committees: Who’s Asking the Doctors?

        Jeffrey D. Tiemstra

Of Circles and Lines, Metaphors and Narratives: Toward a Systems Theory of Ethics Consultation

        Jan Marta

The Ghost Walks Again: Unpacking the Assumption of Circular Questioning

        Ellen W. Bernal and Guillermo Argueta-Bernal

Incidental Findings: Patients’ Knowledge, Rights, and Preferences

        Lisa S. Parker and Rachel Ankeny Majeske

Genetic Counseling, Non-Directiveness, and Clients’ Values: Is What Clients Say, What They Mean?

        Benjamin S. Wilfond and Diane Baker

Genetic Counseling: Making Room for Beneficence

        Jeffrey R. Botkin

Substituted Judgment: In Search of a Foolproof Method; A Response to Baergen

        David Gary Smith and Sally Nunn

Legal Trends in Bioethics

        Dena Davis


Volume 6, Number 3, Fall 1995


Influencing a Patient’s Religious Beliefs: Mandate or No-Man’s Land?

        Edmund G. Howe

Jewish Medical Ethics

        Fred Rosner

Halakhic Dilemmas in Modern Medicine

        Michael A. Grodin

Face to Face, Not Eye to Eye: Further Conversations on Jewish Medical Ethics

        Laurie Zoloth-Dorfman

A Question of Context: A Response to Fred Rosner

        Dena Davis

Religious Leaders’ Attitudes and Beliefs about Genetics Research and the Human Genome Project

        Kinh Luan Dinh Phan, David John Doukas, and Michael D. Fetters

Religious Attitudes Toward Genetics: Opening a Larger Debate

        Michael A. Grodin

Ethical Reasoning in Clinical Genetics: A Survey of Cases and Methods

        Timothy C. Callahan, Sharon J. Durfy, and Albert R. Jonsen

Ensuring a Stillborn: The Ethics of Fetal Lethal Injection in Late Abortion

        Joan C. Callahan

On Learning from Mistakes

        John C. Fletcher

Certainty and Agnosticism about Lethal Injection in Late Abortion

        Bethany Spielman

Is It Appropriate to Pray in the Operating Room?

        H. Phil Gross

Prayer, Piety, and Professional Propriety: Limits on Religious Expression in Hospitals

        Teo Forcht Dagi

Dialogue between Faith and Science: The Role of the Hospital Chaplain

        William J. O’Brien, III

Legal Trends in Bioethics

        Dena Davis


Volume 6, Number 4, Winter 1995


Managed  Care:  “New Moves,”  Moral Uncertainty, and a Radical Attitude  

        Edmund G. Howe

Comments on the AMA Report “Ethical Issues in Managed Care”

        Steven H. Miles and Robert Koepp

Interests, Obligations, and Justice: Some Notes Toward an Ethic of Managed Care

        Edmund D. Pellegrino

A Response to “Comments on the AMA Report ‘Ethical Issues in Managed Care’ ”

        Charles W. Plows

The Threat of the New Managed Practice of Medicine to Patients’ Autonomy

        Frank A. Chervenak and Laurence B. McCullough

Managed Care and the New Medical Paternalism

        Daniel P. Sulmasy

Disposable Doctors: Incentives to Abuse Physician Peer Review           

        John H. Fielder

Physician  Advocacy for Patients Under Managed Care

        David Orentlicher

Medical Ethics in the Era of Managed Care: The Need for Institutional Structures Instead of Principles for Individual Cases

        Ezekiel J. Emanuel

The Patient as Commodity: Managed Care and the Question of Ethics

        Laurie Zoloth-Dorfman and Susan Rubin

Conflicts of Interest, Conflicting Interests, and Interesting Conflicts

        Janicemarie K. Vinicky, Sue Shevlin Edwards, and James P. Orlowski

Inner Turmoil: An Important Consideration in Conflicts of Interest

        Edmund G. Howe

Surrogates and Uncertainty

        Ralph Baergen

More Regarding “Circular Questioning”

        Jeffrey D. Tiemstra

Legal Trends in Bioethics

        Dena S. Davis



The Journal of Clinical Ethics, 1994, Volume 5

Volume 5, Number 1, Spring 1994


Clinical Dilemmas When Patients Want Assistance in Dying

        Edmund G. Howe

When Abstract Moralizing Runs Amok

        John Lachs

Ad Hominem Run Amok: A Response to John Lachs

        Daniel Callahan

The Skilled Specialist’s Ethical Duty to Treat

        Frederick A. Paola and Israel Freeman

Ethics Committees and Family Ghosts: Case Studies

        Timothy J. Keay

Do Formal Advance Directives Affect Resuscitation Decisions and the Use of Resources for Seriously Ill Patients?

        Joan M. Teno, Joanne Lynn, Russell S. Phillips, Donald Murphy, Stuart J. Youngner, Paul Bellamy, Alfred F. Connors, Jr., Norman A. Desbiens, William Fulkerson, and William A. Knaus

Nurses’ Perspectives on Implementation of the Patient Self-Determination Act

        Henry J. Silverman, Sara T. Fry, and Niti Armistead

Neuromuscular Paralysis and Withdrawal of Mechanical Ventilation

        Lisa Kirkland

To Breathe or Not to Breathe

        Robert D. Truog and Jeffrey P. Burns

Distinguishing between Effect and Benefit

        Carl A. Riddick and Lawrence J. Schneiderman

The Physician’s Duty to Treat in Emergencies: Accepting Patients in Transfer

        Ellen Fox

Commentary on “The Skilled Specialist’s Ethical Duty to Treat”

        Reginald L. Peniston

Ethics Consultation Is Not Therapy

        Ellen W. Bernal

First-Person Plural: Community and Method in Ethics Consultation

        Susan Rubin and Laurie Zoloth-Dorfman

Confronting the “Near Irrelevance” of Advance Directives

        Rebecca Dresser

Advance Directives: What Is It Reasonable to Expect from Them?

        Dan W. Brock

Outcomes Research and Advance Directives

        Jeremy Sugarman

Legal Trends in Bioethics

        Dena S. Davis

Feminism’s Healing Effect: A Review of Feminist Perspectives in Medical Ethics

        Leslie Bender

A Feminist Challenge to Practices of Medicine: A Review of No Longer Patient: Feminist Ethics and Health Care

        K.A. Wallace

Feminism and Reproductive Technologies: A Review of Living Laboratories: Women and Reproductive Technologies

        Joan C. Callahan


        George L. Spaeth; Charles H. Kite


Volume 5, Number 2, Summer 1994


Discussing Futility

        Edmund G. Howe

Physicians’ Quantitative Assessments of Medical Futility

        S. Van McCrary, Jeffrey W. Swanson, Stuart J. Youngner, Henry S. Perkins, and William J. Winslade

Informed Consent to Amnestics, or: What Sound Does a Tree Make in the Forest When It Falls on Your Head?

        Maxwell J. Mehlman, George A. Kanoti, and James P. Orlowski

Attitudes of Seriously Ill Patients toward Treatment that Involves High Costs and Burdens on Others

        Lawrence J. Schneiderman, Richard Kronick, Robert M. Kaplan, John P. Anderson, and

        Robert D. Langer

Obligations of Physicians to Patients and Third-Party Payers

        Warren L. Holleman, David C. Edwards, and Christine C. Matson

Should Hospital Ethics Committees Do Research?

        Jeremy Sugarman

Helping Ken and Marie Pines

        Frederick O. Bonkovsky

Commentary on “Helping Ken and Marie Pines”

        Michael A. Grodin

Deciding Whether to Intervene

        Edmund G. Howe

Veatch and Brain Death: A Plea for Soul

        Rebecca D. Pentz

Letter from Abroad: Leaves from a Research Diary

        Dena S. Davis

Calling It Quits: Stopping Futile Treatment and Caring for Patients

        Nancy S. Jecker

The Multiple Facets of Futility

        Howard Brody

The Role of Empirical Research in Medical Ethics: Asking Questions or Answering Them?

        Clarence H. Braddock III

The Quantifiability of Medical Futility

        Janicemarie K. Vinicky and James P. Orlowski

Trees and Heads: The Objective and the Subjective in Painful Procedures

        Henry L. Bennett

Conscious Forgetting and Subconscious Remembering of Pain

        Louis Tinnin

Amnesia Instead of Anesthesia: Not Always a Question of Consent

        Robert D. Truog and David Waisel

The Euthanasia Debate and Empirical Evidence: Separating Burdens to Others from One’s Own Quality of Life

        Peter A. Ubel and Robert M. Arnold

To Save the Logic, the Facts Must Fit

        Edmund D. Pellegrino

Should Ethics Committees Study Themselves?

        Marion Danis

Book Review of Life Before Birth: The Moral and Legal Status of Embryos and Fetuses

        Baruch A. Brody

Book Review of The Culture of Pain

        Elizabeth Lipton Cobbs

Book Review of When Others Must Choose: Deciding for Patients without Capacity

        M. Rose Gasner

Book Review of Birth, Suffering, and Death: Catholic Perspectives at the Edges of Life

        Lonnie D. Kliever

Book Review of Trials, Tribulations, and Celebrations: African-American Perspectives on Health, Illness, Aging, and Loss

        Elena O. Nightingale

Book Review of Spare Parts: Organ Replacement in American Society

        Peter A. Ubel

Book Review of If I Were a Rich Man Could I Buy a Pancreas? and other essays on the ethics of health care

        Paul A. Menzel


        Howard Brody; Edward P. Lewis; Martha Jurchak; Thomas A. Preston


Volume 5, Number 3, Fall 1994


Approaches (and Possible Contraindications) to Enhancing Patients’ Autonomy

        Edmund G. Howe

Patients’ Perceptions of the Quality of Informed Consent for Common Medical Procedures

        Daniel P. Sulmasy, Lisa S. Lehmann, David M. Levine, and Ruth R. Faden

Discussions about the Use of Life-Sustaining Treatments: A Literature Review of Physicians’ and Patients’ Attitudes and Practices

        Rita T. Layson, Harold M. Adelman, Paul M. Wallach, Mark P. Pfeifer, Sarah Johnston, Robert A. McNutt, and the End Of Life Study Group

Should Hospital Policy Require Consent for Practicing Invasive Procedures on Cadavers? The Arguments, Conclusions, and Lessons from One Ethics Committee’s Deliberations

        Henry S. Perkins and Anna M. Gordon

Issues of Consent: The Use of the Recently Deceased for Endotracheal Intubation Training

        Gregory J. Hayes

Reconsidering “Psychosurgery”: Issues of Informed Consent and Physician Responsibility

        Susan J. Stagno, Martin L. Smith, and Samuel J. Hassenbusch

Hawkeye Pierce and the Questionable Relevance of Medical Etiquette to Contemporary Medical Ethics and Practice

        Jeremy Sugarman

Can a Patient Refuse a Psychiatric Consultation to Evaluate Decision­Making Capacity?

        Neil S. Wenger and Jodi Halpern

Iatrogenic Ethical Problems: A Commentary on “Can a Patient Refuse a Psychiatric Consultation to Evaluate Decision­Making Capacity?”

        Alan A. Stone

Authenticity and Autonomy in the Managed-Care Era: Forensic Psychiatric Perspectives

        Harold J. Bursztajn and Archie Brodsky

Patients’ Perceptions of Consent

        Ian Shenk

Informed Consent: Pondering a New Piece of the Puzzle

        Jay A. Jacobson

Changing the Paradigm for Informed Consent

        Teo Forcht Dagi

Commentary on Discussions About Life-Sustaining Treatments

        Ezekiel J. Emanuel

“How Do You Catch a Cloud and Pin It Down?” (with apologies to Rogers and Hammerstein): A Commentary on Layson and Colleagues

        Gail J. Povar

Politically Correct Ethical Thinking and Intubation Practice on Cadavers

        James P. Orlowski

Life versus Death: Exposing a Misapplication of Ethical Reasoning

        Kenneth V. Iserson

Autonomy, Informed Consent, and Psychosurgery

        Edward M. Hundert

Legal Trends in Bioethics

        Dena S. Davis


        Jeffrey Berger


Volume 5, Number 4, Winter 1994


Some Prices of Epiphany and the Occasional Need to Stigmatize Patients to Offset Them

        Edmund G. Howe

Literature, Medical Ethics, and “Epiphanic Knowledge”

        Ann Hunsaker Hawkins

Healthcare Rationing through Global Budgeting: The Ethical Choices

        Robert M.Veatch

What’s Missing from Current Clinical Trial Guidelines? A Framework for Integrating Science, Ethics, and  the Community  Context

        Heather J. Sutherland, Eric M. Meslin, and James E. Till

Clinical Practice Guidelines as Tools of Public Policy: Conflicts among Purpose, Issues of Autonomy, and Justice

        Barbara K. Redman

Make My Case: Ethics Teaching and Case Presentations

        Mark Kuczewski, Mark R. Wicclair, Robert M. Arnold, Rosa Lynn Pinkus, and Gretchen M.E. Aumann

It Ain’t Necessarily So: Clinicians, Bioethics, and Religious Studies

        Dena S. Davis

The Physicians’ Role in Completing Advance Directives: Ensuring Patients’ Capacity to Make Healthcare Decisions in Advance

        Neil S. Wenger and Jodi Halpern

Clinical Ethics Consultations with Children

        Robert  D. Orr and Ronald M. Perkin

The Physician-Assisted Suicide and Euthanasia Debate: An Annotated Bibliography of Representative Articles

        Joseph J. Fins and Matthew D. Bacchetta

Literature as Mirror or Lamp? Commentary on “Literature, Medical Ethics, and ‘Epiphanic Knowledge’ ”

        Ann Hudson Jones

Global Budgeting in the Real World

        Jay A. Gold

The Ethics of Global Budgeting: Some Historically Based Observations

        Robert Baker

Thinking about Cases as Stories

        Ronald A. Carson

One of These Mornings I’m Going to Rise Up Singing: The Necessity of the Prophetic Voice in Jewish Bioethics

        Laurie Zoloth-Dorfman

Bioethics and the Old-Time Religion: Response to Dena Davis

        Benjamin Freedman

Setting Up a Straw Man: Commentary on Dena Davis

        Fred Rosner

Appropriate and Inappropriate Use of Advance Directives

        Linda Emanuel

The Capacity to Make Decisions in Advance and Borderline Personality Disorder

        Linda Ganzini, Melinda A. Lee, and Ronald T. Heintz

Clear, Convincing, and Authentic Advance Directives in the Context of Managed Care?

        Harold Bursztajn and Archie Brodsky

Legal Trends in Bioethics

        Dena S. Davis



The Journal of Clinical Ethics, 1993, Volume 4

Volume 4, Number 1, Spring 1993


The Vagaries of Patients’ and Families’ Discussing Advance Directives

      Edmund G. Howe

Advance Directives: What Have We Learned So Far?

      Linda Emanuel

Being a Burden on Others

      Nancy S. Jecker

The Problem of Proxies with Interests of Their Own: Toward a Better Theory of Proxy Decisions

      John Hardwig

Do Physicians' Own Preferences for Life-­Sustaining Treatment Influence Their Perceptions of Patients' Preferences?

      Lawrence J. Schneiderman, Robert M. Kaplan, Robert A. Pearlman, and Holly Teetzel

Insights Pertaining to Patient Assessments of States Worse than Death

      Robert A. Pearlman, Kevin C. Cain, Donald L. Patrick, Malka Appelbaum-Maizel, Helene E. Starks, Nancy S. Jecker, and Richard F. Uhlmann

Analyzing the Values History: An Evaluation of Patient Medical Values and Advance Directives

      David John Doukas and Daniel W. Gorenflo

Is the Patient Self-Determination Act Appropriate for Elderly Persons Hospitalized for Depression?

      Linda Ganzini, Melinda A. Lee, Ronald T. Heintz, and Joseph D. Bloom

Establishing Advance Medical Directives with Demented Patients: A Pilot Study

      Thomas E. Finucane, Brock A. Beamer, Robert P. Roca, and Claudia H. Kawas

Decision Making in an Incapacitated Patient

      Jack P. Freer

Authenticity, Autonomy, and Mental Disorders

      Linda Ganzini and Melinda A. Lee

Meaning What You Say

      Carl Elliott

Patients Should Not Always Come First in Treatment Decisions

      Carson Strong

Hardwig on Proxy Decision Making

      Baruch A. Brody

Justice within Intimate Spheres

      Alisa L. Carse

From PSDA to PTSD: The Patient Self-Determination Act and Post-Traumatic Stress Disorder

      Harold J. Bursztajn

The PSDA and the Depressed Elderly: “Intermittent Competency” Revisited

      Adil E. Shamoo and Dianne N. Irving

The PSDA and Geriatric Psychiatry: A Cautionary Tale

      Jan Marta

The Contract Motherhood Debate: Review of Surrogate Motherhood: Politics and Privacy

      Joan C. Callahan

Bioethics and the Liberal State: Review of Just Doctoring: Medical Ethics in the Liberal State

      John Douard

Book Review of Concepts and Cases in Nursing Ethics

      Joy Curtis

Book Review of Ministry  to  Outpatients:  A  New Challenge  in  Pastoral Care

      J. Vincent Guss, Jr.

Book Review of Ethics at the Bedside

      Robert Lyman Potter

Book Review of The Shape of the Good: Christian Reflections on the Foundations of Ethics

      Harry Yeide, Jr.

Book Review of A Time to Be Born and a Time to Die: The Ethics of Choice

      Sarah Chaffee

Book Review of AIDS and Ethics

      Kathleen Sazama


Volume 4, Number 2, Summer 1993


On Expanding the Parameters of Assisted Suicide, Directive Counseling, and Overriding Patients’ Cultural Beliefs

      Edmund G. Howe

Causing, Intending, and Assisting Death

      Howard Brody

Prolonged Grieving after Abortion: A Descriptive Study

      Douglas Brown, Thomas E. Elkins, and David B. Larson

The Courtship of the Paying Patient

      Susan S. Braithwaite

Limitation of Medical Care: An Ethnographic Analysis

      William Ventres, Mark Nichter, Richard Reed, and Richard Frankel

Autopsy Decisions: The Possibility of Conflicting Cultural Attitudes

      Henry S. Perkins, Josie D. Supik, and Helen P. Hazuda

The Influence of Ethnicity and Race on Attitudes toward Advance Directives, Life-Prolonging Treatments, and Euthanasia

      P.V. Caralis, Bobbi Davis, Karen Wright, and Eileen Marcial

Questionable Competency of a Surrogate Decision Maker under a Durable Power of Attorney

      S. Van McCrary, William L. Allen, and Clarence L. Young

Second Guessing the Patient’s Trust: Facing the Challenge of the Difficult Surrogate

      Gail J. Povar

Improving Advance Directives: More Dialogue, Not More Laws

      Greg A. Sachs

Health-Care Agents: Decisional Capacity and Legal Compliance

      Jonathan D. Moreno

Doesn’t Everyone Grieve in the Abortion Choice?

      Jo Ann Rosenfeld and Tom Townsend

Realistic Reflections on an Emotional Subject

      Nada L. Stotland

Some Real Issues Surrounding Abortion, or, the Current Practice of Abortion is Unscientific

      Philip G. Ney

Discussing Resuscitation Status with Patients and Families

      Alvin H. Moss

Should Medical Encounters Be Studied Using Ethnographic Techniques?

      Cynthia J. Stolman

Balancing Communication Skills and Clinical ­Assessment

      Marian Gray Secundy

Getting the CPR You Want: DNR and Alice’s Restaurant

      Paul P. Chiang and David Schiedermayer

Interpreting Cultural Differences in Medical Intervention: The Use of Wittgenstein’s “Forms of Life”

      Carol Nash

The Influence of Culture in the Authorization of an Autopsy

      Clicerio González-Villalpando

Conflicting Cultural Attitudes about Autopsies

      James P. Orlowski and Janicemarie K. Vinicky

An Important Beginning

      Marian Gray Secundy


       Howard Brody; David J. Doukas; Shimon Glick


Volume 4, Number 3, Fall 1993


The Relevance of Suffering and Identifying with Others When Allocating Resources, and Clinical Implications of the Elasticity of the Law

      Edmund G. Howe

Outcome Predictors in the Early Withdrawal of Life Support: Issues of Justice and Allocation for the Severely Brain Injured

      Steven A. Toms

Conflict  in Medical Ethics Cases: Seeking Patterns of  Resolution

      Bethany J. Spielman

Phone Fees: A Justification of Physician Charges

      Susan S. Braithwaite and Nancy O. Unferth

Requirements for Ethics, Socioeconomic, and Legal Education in Postgraduate Medical Programs

      Kenneth V. Iserson and Carol Stocking

Clinical Ethics Training for Staff Physicians: Designing and Evaluating a Model Program

      Bruce David White and Richard M. Zaner

Confidentiality in the Age of AIDS: A Case Study in Clinical Ethics

      Martin L. Smith and Kevin P. Martin

Gathering Information and Casuistic Analysis

      Athena Beldecos and Robert M. Arnold

The Legal Dilemma of Partner Notification during the HIV Epidemic

      Raymond C. O’Brien

U.S. Catholic Bishops on Nutrition and Hydration: A Second Opinion

      Russell B. Connors, Jr.

Clinical Ethics and Reform of Access to Health Care

      Steven H. Miles

Justice and Outcomes Research: The Ethical Limits

      Robert M. Veatch

Ethics, Outcomes, and Epistemology: How Should Imprecise Data Figure into Health-Policy Formulation?

      Teo Forcht Dagi

Cutting to the Bone in Conflict Resolution: “Getting to Yes” with Hormonal-Replacement Therapy

      Helen M. Wood

Medical Ethics Cases: Moral Conflict or Confusion?

      George A. Kanoti

Telephone Fees: Are They Worth It?

      Daniel J. Isaacman

Medical Ethics in Medical Education: Finding and Keeping a Place at the Table

      Thomas K. McElhinney

Legal Trends in Bioethics

      Dena S. Davis


Volume 4, Number 4, Winter 1993


Preventive Ethics and Alleviating Care Providers’ Stress

      Edmund G. Howe

Preventive Ethics: Expanding the Horizons of Clinical Ethics

      Lachlan Forrow, Robert M. Arnold, and Lisa S. Parker

Impairments and Impediments in Patients’ Decision Making: Reframing the Competence Question

      E. Haavi Morreim

Brain Death in Pregnant Women

      Jay E. Kantor and Iffath Abbasi Hoskins

The Psychiatric Admission Index: Deciding When to Admit a Patient

      H. Tristram Engelhardt, Jr., and John H. Coverdale

The Effect on Researchers of Handling Human Fetal Tissue

      Bernard E. Tuch, Stewart M. Dunn, and Vivianne de Vahl Davis

Case 1: Rational Suicide or Involuntary Commitment of a Patient Who Is Terminally Ill

      Virginia L. Byer, Evan G. DeRenzo, and Edward J. Matricardi

The Case of Ms. A and Her Nurse Therapist

      David J. Mayo

A Model System Works: Looking Deeper than Suicide

      Stuart J. Youngner

On Promoting Rational Treatment, Not Rational Suicide

      Tia Powell and Donald B. Kornfeld

Case 2: Decisions to Refuse Treatment by Depressed, Medically Ill Patients

      Richard C. Christensen and S. Van McCrary

Depression,  Suicide,  and  the  Right  to  Refuse  Life-Sustaining Treatment

      Linda Ganzini, Melinda A. Lee, Ronald T. Heintz, and Joseph D. Bloom

Commentary on “Impairments and Impediments in Patients’ Decision Making”

      Thomas G. Gutheil

Incubators and Organ Donors

      Jacqueline J. Glover

Have We Lost Our Senses? Problems with Maintaining Brain-Dead Bodies Carrying Fetuses

      Joel E. Frader

Clinical Management of Brain Death during Pregnancy

      Frank A. Chervenak and Laurence B. McCullough

Commentary on “The Psychiatric Admission Index”

      Paul Chodoff

An Algorithm in a Different World

      Alan A. Stone

Is Admission to a Psychiatric Hospital an Ethical Alternative to Home-Based Treatment?

      Ian R.H. Falloon

Cases and Social Reality: Making the Decision to Admit

      H. Tristram Engelhardt, Jr., and John H. Coverdale

The Psychological and Moral Consequences of Participating in Human Fetal-Tissue Research

      Stuart J. Youngner

Legal Trends in Bioethics

      Dena S. Davis

Book Review of Rationing America’s Medical Care: The Oregon Plan and Beyond

      Leonard M. Fleck

Book Review of Balancing Act: The New Medical Ethics of Medicine's New Economics

      Mary Ann Baily

Book Review of Ethics in Nursing

      Mila Ann Aroskar

Book Review of The Patient’s Ordeal

      Hugh Mullan

Book Reviews of Suffering and Beneficent Community: Beyond Libertarianism and The Nature of Suffering and the Goals of Medicine

      Ian Shenk

Book Review of Doctors’ Stories: The Narrative Structure of Medical Knowledge

      Marian Gray Secundy

Book Review of Psychiatric Ethics

      Elissa P. Benedek


      Anne Hunsaker Hawkins; William L. Allen and S. Van McCrary; Robert M. Veatch; Shimon Glick



The Journal of Clinical Ethics, 1992, Volume 3

Volume 3, Number 1, Spring 1992


From the Editor 

        Edmund G. Howe

Against Caring

        Hilde L. Nelson

In Defense of Caring

        Nel Noddings

Caring: From Philosophical Concerns to Practice

        Toni M. Vezeau

How Much of the Brain Must Die in Brain Death?

        James L. Bernat

Commentary on “How Much of the Brain Must Die in Brain Death?”

        Teo Forcht Dagi

Healing and Killing, Harming and Not Harming: Physician Participation in Euthanasia and Capital Punishment

        Erich H. Loewy

Physician-Assisted Dying: Theory and Reality

        Diane E. Meier

Imagining Ethics: Literature and the Practice of Ethics

        Charles Radey

A Libertarian Critique of H. Tristram Engelhardt, Jr.'s The Foundations of Bioethics

        Sigrid Fry-Revere

The Social Individual in Clinical Ethics

        Jonathan D. Moreno

Perinatal Technology: Answers and Questions

        Alfred N. Krauss, Valerie Miké, and Gail S. Ross

Ethics and Evidence

        Jeffrey R. Botkin

The “Ethics of Evidence” and Randomized Controlled Trials

        Robert D. Truog and John H. Arnold

Sedating Women with Mental Retardation for Routine Gynecologic Examination: An Ethical Analysis

        Douglas Brown, David Rosen, and Thomas E. ­Elkins

The Autonomy of Adult Women Should Be Paramount, Not the Exam

        Dohn Hoyle

Family Refusal to Accept Brain Death and Termination of Life Support: To Whom Is the Physician Responsible? 

        Lisa L. Kirkland

Discussion of Brain-Death Case

        Jack P. Freer

It Is Reasonable to Reject the Diagnosis of Brain Death

        Robert D. Truog and James C. Fackler

Discussion of Brain-Death Case

        William G. Bartholme

Discussion of Brain-Death Case

        Howard Morgan

Legal Trends in Bioethics

        Suzan Onel and Sigrid Fry-Revere


        Dan W. Brock


Volume 3, Number 2, Summer 1992


From the Editor

        Edmund G. Howe

Doctors Must Not Kill

        Edmund D. Pellegrino

Quantifying the Value of Human Life for Cost Accounting of Safeguards: Clarifying Formulas Applied to the Clopazine Controversy

        L. Eugene Arnold

Some Problems with Cost-Benefit Analysis in Health Care

        Alain Leplège

Can We Measure Out a Life in Coffee Spoons?

        Tia Powell and Donald S. Kornfeld

Commentary on “Quantifying the Value of Human Life”

        William L. Webb, Jr.

Spousal Understanding of Patient Quality of Life: Implications for Surrogate Decisions

        Robert A. Pearlman, Richard F. Uhlmann, and Nancy S. Jecker

What Is the Moral Basis of the Authority of Family Members to Act as Surrogates for Incompetent Patients?

        Dan W. Brock

The Development of a Clinical Ethics Consultation Service in a Community Hospital

        Kenneth H. Simpson

Cultivating Ethics Consultation: Commentary on “The Development of a Clinical Ethics Consultation Service in a Community Hospital”

        Daniel J. Anzia and John La Puma

Clinical Ethics Consultations: Reasons for ­Optimism, But Problems Exist

        Henry S. Perkins

Being on Time for Appointments

        Sharon Schwarze

Commentary on “Being on Time for Appointments”

        Ian M. Shenk

Decision Making in the NICU: The Question of Medical Futility

        Brian S. Carter and Julie Sandling

Beyond Futility

        Robert D. Truog

What Should Be Done When a Proxy Is Reluctant to Carry Out the Wishes of an Incompetent Patient?

        M. Rose Gasner and C. David Finley

Legal Trends in Bioethics

        Suzan Onel and Sigrid Fry-Revere

Ethical Issues Described by NICU Nurses Arise from Three Areas

        Joy Curtis


        Mark Rosenberg


Volume 3, Number 3, Fall 1992


Attributing Preferences and Violating Neutrality

        Edmund G. Howe

The Boundaries of the Persistent Vegetative State

        James L. Bernat

Brain Death and Slippery Slopes

        Robert M. Veatch

Obtaining Consent from the Family: A Horizon for Clinical Ethics

        Sandro Spinsanti

Ethical Difficulties with Randomized Clinical Trials Involving Cancer ­Patients: Examples from the Field of Gynecologic Oncology

        Maurie Markman

A Perinatal Ethics Committee on ­Abortion: Process and Outcome in Thirty-One Cases

        John La Puma, Cheryl M. Darling, Carol B. Stocking, and Katy Schiller

Awakening: Bad News and Good News

        Robert D. Orr

Permanently Locked-In Syndrome in the Neurologically Impaired Neonate: Report of a Case of Werdnig-Hoffmann Disease

        Robert J. Echenberg

Locked-In Syndrome and Ethics Committee Deliberation

        Robert D. Truog

Abating Treatment in the NICU

        Robert F. Weir

Compassion, Consensus, and Conflict: Should Caregivers’ Needs Influence the Ethical Dialectic?

        Teo Forcht Dagi

The Physician, the Family, and the Truth

        Paolo Cattorini and Massimo Reichlin

On Grinding Axes and Examining Practices

        John C. Fletcher

Consent, Ethics, and Community

        Erich H. Loewy

Ignorance and Altruism

        Richard M. Royall

A Response to a Purported Ethical Difficulty with Randomized Clinical Trials Involving Cancer Patients

        Benjamin Freedman

The Microethics and Macroethics of Hospital Abortion Committees

        Hyman Rodman

Abortion: Doomed Only to an Immoderate Response?

        James F. Drane

Commentary on “A Perinatal Ethics Committee on Abortion”

        Jerry Edelwich

Legal Trends in Bioethics

        Suzan Onel and Sigrid Fry-Revere

“Cost Accounting of Safeguards in Life Equivalents” Is a Better Title

        L. Eugene Arnold

Euthanasia: Still Open for Debate

        Franklin G. Miller


Volume 3, Number 4, Winter 1992


Caveats Regarding Slippery Slopes and Physicians' Moral Conscience

        Edmund G. Howe

The Slippery-Slope Argument

        Wibren van der Burg

The Many Faces of Autonomy

        Harry Yeide, Jr.

The Seductive Beauty of Physiology

        Jeffrey R. Botkin

The Institutional Review Board: An Evolving Ethics Committee

        Stuart E. Lind

Providing and Forgoing Resuscitative Therapy for Babies of Very Low Birth Weight

        John D. Lantos, William Meadow, Steven H. Miles, Edem Ekwo, John Paton, Joseph R. Hageman, and Mark Siegler

Learning the Patient's Narrative to Determine Decision-Making Capacity: The Role of Ethics Consultation

        Kristina A. Maciunas and Alvin H. Moss

Ethics Committees, Decision-Making Quality Assurance, and Conflict Resolution

        Edward E. Waldron

Mediation and Communication Techniques in Ethics Consultation

        Mary Beth West

The Slippery-Slope Argument Reconstructed: Response to van der Burg

        Benjamin Freedman

Slippery Slopes and Moral Reasoning

        Raymond J. Devettere

The Characteristics of a Valid “Empirical” Slippery-Slope Argument

        David Ozar

Surrogate Decision Makers and Respect: Commentary on “The Many Faces of Autonomy”

        Murray M. Pollack

Rogue Approaches in Medical Education

        Lois LaCivita Nixon and Delese Wear

Knowing Souls

        Charles Radey

Researcher as Witness

        Troyen A. Brennan

An Ethics Issue for Cadaver Renal Transplantation

        John B. Dossetor

The Need for Consistency in NICUs

        Robert F. Weir

Can Empirical Data Establish Futility?

        Robert D. Truog

Legal Trends in Bioethics

        Suzan Onel and Sigrid Fry-Revere



The Journal of Clinical Ethics, 1991, Volume 2

Volume 2, Number 1, Spring 1991


From the Editor

         Edmund G. Howe

Future Directions in Clinical Ethics

         Edmund D. Pellegrino, Mark Siegler, and Peter A. Singer

Ethical Counseling for House Staff Considering a Strike

         Bruce E. Zawacki, Richard Kravitz, and Lawrence Linn

Philosophical Methodology and Strikes

            David C. Thomasma

Notes on the Morality of Strike within the Medical Profession

         R. Linn and S. Linn

An Analysis of the ACOG and AAP Ethics Statements on Conflicts in Maternal-Fetal Care

         Douglas Brown, H. Frank Andersen, and Thomas E. Elkins

Inadequacies with the ACOG and AAP Statements on Managing Ethical Conflict During the Intrapartum Period

         Frank A. Chervenak and Laurence B. McCullough

Confidentiality: A Survey in a Research Hospital

         Christine Grady, Joan Jacob, and Carol Romano

Ethics Is Everybody’s Business, Especially in Regard to Confidentiality

         John C. Fletcher

Validity Concerns: Commentary in Response to “Confidentiality”

         Sandra Graham McClowry

Guarding Secrets and Keeping Counsel in the Computer Age

         David L. Schiedermayer

Patients as “Subjects” or “Objects” in Residency Education?

         Janicemarie K. Vinicky, Russell B. Connors, Jr., Richard Leader, and John D. Nash

Commentary on “Patients as ‘Subjects’ or ‘Objects’ ”

         W. Sterling Edwards

Is Health-Care Delivery by Partially Trained Professionals Ever Morally Justified?

         Sara T. Fry

In Whose Voice? Composing a Lifesong Collaboratively

         Gretchen M.-E. Aumann and Thomas R. Cole

Commentary on “In Whose Voice?”

         Joanne Lynn

Medical Treatment after Brain Death: A Case Report and Ethical Analysis

         Felicia Miedema

Treating the Brain Dead for the Benefit of the Family

         John Hardwig

Personal Choices: Communication Between Physicians and Patients When Confronting Critical Illness

         Robert L. Fine

Confidentiality in Cases of Rape: A Concept Reconsidered

         Margaret Marx Aiken and Patricia M. Speck

Confidentiality and the Rape Victim: Ethical Intent Versus Political Reality

         Deanna Nass

Legal Trends in Bioethics

         Sigrid Fry-Revere


        Ross Kessel; John La Puma 


Volume 2, Number 2, Summer 1991


From the Editor

        Edmund G. Howe

The Importance of Understanding Suffering for Clinical Ethics

        Eric J. Cassell

The Role of Suffering and Community in Clinical Ethics

        Erich H. Loewy

Response to Erich Loewy

        David C. Thomasma

Natural Resources for Morality

        Friedrich Heubel

Why We Need a Theory of Suffering, and Lots of Other Theories as Well

        Larry R. Churchill

Anticruelty Care

        Susan S. Braithwaite

Suffering and Interpersonal Meaning

        Georg Gadow

An Ethics of Suffering: Does it Solve the Problems We Want It to Solve?

        Barbara Springer Edwards

High-Tech Comfort: Ethical Issues in Cancer Pain Management for the 1990s

        Betty R. Ferrell and Michelle Rhiner

An Appraisal of the Ethical Issues Involved in High-Technology Cancer Pain Relief

        Daniel P. Stoltzfus and John M. Stamatos

Should Newborns Receive Analgesics for Pain?

        Robert D. Truog and Paul R. Hickey

Sedation Before Ventilator Withdrawal

        Barbara Springer Edwards and Winston M. Ueno

Sedation Before Ventilator Withdrawal: Can It Be Justified by Double Effect and Called “Allowing a Patient to Die”?

         Raymond J. Devettere

Death: The Final Stage of Confusion

          Benjamin Freedman

Commentary on “Sedation Before Ventilator Withdrawal”

          Tia Powell and Donald S. Kornfeld

Sedation Before Ventilator Withdrawal: Medical and Ethical Considerations

          Robert D. Truog, John H. Arnold, and Mark A. Rockoff

Is It Morally Justifiable Not to Sedate This Patient Before Ventilator Withdrawal?

           Lawrence J. Schneiderman

Is Active Killing of Patients Always Wrong?

        Franklin G. Miller

Whisper Down the Lane: AIDS, Privacy, and the Hospital “Grapevine”

        Claire C. Obade

Legal Trends in Bioethics

        Sigrid Fry-Revere


Volume 2, Number 3, Fall 1991


From the Editor

        Edmund G. Howe

Autonomy and Beneficence in the Family: Describing the Family Covenant

              David J. Doukas

      A Breakdown in the Family Unit

               Fred Rosner

      Families, Communities, and Making Medical Decisions

               Erich H. Loewy

Chronic Illness: A Problem of Passive Injustice

               John Douard

      The Injustice of It All:  Caring for the Chronically Ill

               Richard M. Zaner and Mark J. Bliton

      Chronic Illness: Not-So-Passive Injustice?

               Norman Daniels

Ethics Education for Psychiatry

         H. Steven Moffic, John Coverdale, and Timothy Bayer

Ethics Education or Moral Persuasion?

         Robert Michels

Competence as Accountability

            Carol Elliott

Family Refusal to Accept Brain Death and Termination of Life Support: To Whom Is the Physician Responsible?

         Lisa L. Kirkland

Hopes for PSDA

         Elizabeth Leibold McCloskey

The PSDA: A Logical Next Step

         M. Rose Gasner

Getting Ready for the PSDA: What Are Hospitals and Nursing Homes Doing?

         Rebecca Jackson and Andrea Carlos

Approximating Informed Consent and Fostering Communication: The Anatomy of an Advance Directive

         Robert S. Olick

The PSDA: A Long-Term Care View

         Suzanne M. Weiss

Implementing the PSDA for Psychiatric Patients: A Common Sense Approach

         Karen N. Swisher

The PSDA of 1991: What Does It Mean for Health-Care Organizations?

         Alexandra Gekas

Legal Trends in Bioethics

         Sigrid Fry-Revere


         Dena S. Davis; Fred Rosner


Volume 2, Number 4, Winter 1991


From the Editor

         Edmund G. Howe

The Ethical Justification for Minimal Paternalism in the Use of the Predictive Test for Huntington's Disease

         David DeGrazia

The Physician as Fortune Teller: A Commentary on “The Ethical Justification for Minimal Paternalism”

         Charles R. MacKay

Predictive Testing for HD: Maximizing Patient Autonomy

         Kimberly A. Quaid

The Interpretation of Laboratory Results: The Paradoxical Effect of Medical Training

         Neil A. Holtzman

The Effect of Education on Physicians' Knowledge of a Laboratory Test: The Case of Maternal Serum Alpha-Fetoprotein Screening

         Neil A. Holtzman, Ruth R. Faden, Claire O. Leonard, Gary A. Chase, and Sharon Richmond Ulrich

The Effects of Uncertainty on the Physician-Patient Relationship in Predictive Genetic Testing

         Charles R. MacKay

Screening for Tay-Sachs Disease: A Note of Caution

         Fred Rosner

Ethical Issues Described by NICU Nurses

         Pamela A. Miya, Karen K. Boardman, Kathleen L. Harr, and Annabelle Keene

Introduction: Genetics Research and Social Roles: On a Collision Course?

         David J. Doukas

Medical and Ethical Consequences of the Human Genome Project

         Francis S. Collins

Ethical Issues in Human Gene Therapy

         LeRoy Walters

The History of Eugenics and the Future of Gene Therapy

          Joel D. Howell

Ethics, Technology, and the Human Genome Project

         Howard Brody

The Next Wanglie Case: The Problems of Litigating Medical Ethics

         Douglas B. Mishkin

Legal Procedures in Wanglie: A Two-Step, Not a Sidestep

         Steven H. Miles

Legal Trends in Bioethics

         Suzan Onel and Sigrid Fry-Revere


         Franklin G. Miller



Journal of Clinical Ethics, 1990, Volume 1

Volume 1, Number 1, Spring 1990


The Journal of Clinical Ethics:  Genesis, Purposes, and Scope

    Edmund G. Howe

Clinical Medical Ethics

    Mark Siegler, Edmund D. Pellegrino, and Peter A. Singer

Living Wills:  Past, Present, and Future

    Ezekiel J. Emanuel and Linda Emanuel

Is There a Right to Futile Treatment?  The Case of a Dying Patient with AIDS

    Jay Alexander Gold, Daniel F. Jablonski, Paul J. Christensen, Robyn S. Shapiro, and David L. Schiedermayer

Medical Ethics and Personal Doctors:  Conflicts Between What We Teach and What We Want

    Robert J. Levine

Case Study:  Conjoined Twins and Anencephaly

    Roger A. Williamson, Robert T. Soper, John A. Widness, and Robert F. Weir

Commentary:  The Moral Status of Patients Who Are Not Strict Persons

    Nancy S. Jecker

What Means This Consensus?  Ethics Committees and Philosophic Tradition

    Jonathan D. Moreno

Commentary:  Consensus--Real or Imaginary

    Dorothy Rasinski Gregory

Commentary:  A Response to Jonathan Moreno

    Ian Shenk

An Analysis of Some Social Issues Related to HIV Disease from the Perspective of Jewish Law and Values

    Benjamin Freedman

Withdrawing and Withholding Therapy:  Putting Ethics into Practice

    Gail Povar

Must the Ethics Consultant See the Patient?

    John La Puma and David L. Schiedermayer

The Story of Mr. and Mrs. Doe: “You can’t tell my husband he’s dying; it will kill him.”

    Margot L. White and John C. Fletcher

Case Analysis in Clinical Ethics

    Albert R. Jonsen

The Jehovah’s Witness and Blood:  New Perspectives on an Old Dilemma

    Janicemarie K. Vinicky, Martin L. Smith, Russell B. Connors, Jr., and Walter E. Kozachuk

Commentary:  Jehovah’s Witnesses and Blood

    Albert R. Jonsen

Commentary:  Response from Jehovah’s Witnesses

    Nathanael Reed

Withdrawal of Life Support Aganist Family Wishes:  Is It Justified?

    Barbara Springer Edwards

Role Responsibilities in Clinical Bioethics:  The Dialectic of Consultation:  Comments on the Case Presented by Barbara Edwards

    T. Forcht Dagi

Missing the Point: Comments on the Case Presented by Barbara Edwards

    Laurence J. O’Connell

Commentary: The Many Styles of Clinical Ethics

    Harry Yeide, Jr.

Compelling Treatment of the Mother to Protect the Fetus:  The Limits of Personal Privacy and Paternalism

    Claire C. Obade

Legal Trends in Bioethics

    Sigrid Fry-Revere


Volume 1, Number 2, Summer 1990


From the Editor 

    Edmund G. Howe

Research in Clinical Ethics 

    Peter A. Singer, Mark Siegler, and Edmund D. Pellegrino

Conceiving a Child to Save a Child: Reproductive and Filial Ethics 

    Nancy S. Jecker

To What Extent Should We Think of Our Intimates as Persons? Commentary on “Conceiving a Child”

    Virginia A. Sharpe

Advance-Treatment Planning Discussions with Nursing Home Residents: Pilot Experience with Simulated Interviews 

    Steven H. Miles, Susan Bannick­-Mohrland, and Nicole Lurie

Active Euthanasia 

    John Lachs

The Ethics of Surreptitious Diagnostics for Factitious Hypoglycemia 

    Susan S. Braithwaite, Jan Eatherton, William Ellos, Mary Ann Emanuele, Marilynn Morrissey, and Glen W. Sizemore

Commentary on “The Ethics of Surreptitious Diagnostics” 

    Michael G. Wise

An Ethical Dilemma in Clinical Practice: Termination versus Continuation of Life-Sustaining Treatment

    Patricia Ann Cady

Another Ethics Consultant Looks at Mr. B’s Case: Commentary on “An Ethical Dilemma”

    Henry S. Perkins

Clinical and Ethical Dilemmas in the Elderly: Commentary on “An Ethical Dilemma”

    Nancy Boucot Cummings

Birth Penalty: Societal Responses to Perinatal­Chemical Dependence  

    Sandra Anderson Garcia

Jennifer Johnson’s Sentence: Commentary on “Birth Penalty” 

    Wendy Chavkin

Beyond Schizophrenia: Commentary on “Birth Penalty”

    Marian G. Secundy

House of Cards: Commentary on “Birth Penalty” 

    Robert E. Fullilove and Mindy Thompson Fullilove

Perinatal Drug Use--A Different Perspective: Commentary on “Birth Penalty”

    Toni M. Vezeau

Sex, Drugs, and Pregnant Addicts: An Ethical and Legal Critique of Societal Responses to Pregnant Addicts  

    Michelle Oberman

Expanding the Role of Physicians in Drug Abuse Treatment: Problems and  Perspectives 

    Carol Levine and David M. Novick

Genetic Counseling for Addicted Obstetric Patients 

    Judith Benkendorf and Kevin FitzGerald

Preventive Ethics Strategies for Drug Abuse During Pregnancy 

    Frank A. Chervenak and Laurence B. McCullough

A “Right to Die” Case in Practical Perspective

    Claire C. Obade

Legal Trends in Bioethics 

    Sigrid Fry-Revere


    Steven L. Taube; Ren-Zong Qui; Paul B. Hofmann; Carl Junkerman; Reed E. Pyeritz


Volume 1, Number 3, Fall 1990


From the Editor

    Edmund G. Howe

Teaching Clinical Ethics  

    Edmund D. Pellegrino, Mark Siegler, and Peter A. Singer

Pregnancy Reduction in Jewish Law

    Fred Rosner

Practical Reasoning in Medicine and the Rise of Clinical Ethics 

    Jane Kelley Rodeheffer

Right Action: Commentary on “Practical Reasoning in Medicine”  

    Daniel J. Anzia and John La Puma

Computer Searches of the Medical Ethics Literature

    Peter A. Singer, Steven H. Miles, and Mark Siegler

Commentary: Computer Searches of the Medical  Ethics Literature

    Tamar Joy Kahn and Mary Carrington Coutts

The Ethical Dilemma of Permitting the Teaching and Perfecting of Resuscitation Techniques on Recently Expired Patients   

    James P. Orlowsky, George A. Kanoti, and Maxwell J. Mehlman

Truth Telling in the Case of an Infant with Multiple Congenital Anomalies 

    Kathleen Stevens

Medical Ethics and Medical Injuries: Taking Our Duties Seriously  

    Lynn M. Peterson and Troyen Brennan

The Quasimodo Complex: Deformity Reconsidered

    Jonathan Sinclair Carey

Self-Help for the Facially Disfigured: Commentary on “The Quasimodo Complex”

    Elisabeth A. Bednar

A Brief Response to “The Quasimodo Complex”

    Harry Yeide, Jr.

A Response to “The Quasimodo Complex”

    Frances  Cooke MacGregor

Commentary on “The Quasimodo Complex”

    Arlette Lefebvre

Literature as a Clinical Capacity: Commentary on “The Quasimodo Complex”

    Joanne Trautmann Banks

Quasimodo and Medicine: What Role for the Clinician in Treating Deformity?

    Ronald P. Strauss

Deformity and the Humane Ideal of Medicine

    Robert  M. Goldwyn

Cruzan: It’s Not Over, Nancy?  

    Evelyn Shuster

Cruzan and Its Sequelae: The Supreme Court Decides Its First “Right-to-Die” Case 

    Claire C.  Obade

Lessons from Cruzan  

    Alan Meisel

In re A.C. Reversed: Judicial Recognition of the Rights of Pregnant Women 

    Claire C. Obade

Legal Trends in Bioethics

    Sigrid Frye-Revere


    Donald T. Ridley; Teo Forcht Dagi


Volume 1, Number 4, Winter 1990


From the Editor

    Edmund G. Howe

Ethics Committees and Consultants

    Peter A. Singer, Edmund D. Pellegrino, and Mark Siegler

The Imprecise Language of Euthanasia and Causing Death 

    Raymond J. Devettere

Titration of Death: A New Sin

    Benjamin Freedman

Ethical Aspects of Research Involving Elderly Subjects: Are We Doing More than We Say? 

    Laura Weiss Lane, Christine K. Cassel, and Woodward Bennett

Ethical Aspects of Research Involving Elderly Subjects

    John C. Fletcher

The Hippocratic Oath and Clinical Ethics 

    H. Steven Moffic, John Coverdale, and Timothy Bayer

The Question Is: What Is Medicine Supposed To Be All About? 

    Linda Emanuel

The Hippocratic Oath 

    Edmund D. Pellegrino

Should We Study the Hippocratic Oath? 

    Robert M. Veatch

The Value of an Oath of Professional Conduct: Process, Content, or Both? 

    Robert Allan Pearlman

Ethics and Medical Humanities Education 

    George A. Kanoti

Air-Support Treatment: A Case Study in the Ethics of Allocating an Expensive Treatment 

    Benjamin Freedman, James Gilbert, and Lois A. Kaltsounakis

Pressure Sores: More Than Meets the Eye

    Robert J. Moss and John La Puma

Delivery Room Decisions for Tiny Infants: An Ethical Analysis 

    Jeffrey R. Botkin

Caring Approaches to Clinical Decision Making: Mothering and Drugs 

    Toni M. Vezeau

Maternal-Fetal Conflict: A Survey of Physicians’ Concerns in Court-Ordered Cesarian Section 

    Thomas E. Elkins, Douglas Brown, Mel Barclay, and H. Frank Anderson

The Patient Self-Determination Act: Right Church, Wrong Pew

    Claire C. Obade

Legal Trends in Bioethics  

    Sigrid Fry Revere


    Howard Morgan; Gershon Grunfeld; Franklin G. Miller; William G. Bartholome