Practical Reasoning in Bioethics

James F. Childress is the Edwin B. Kyle Professor of Religious Studies and Professor of Medical Education at the University of Virginia, where he also co-directs the Virginia Health Policy Center. He is the author of over a hundred articles, many of them in biomedical ethics; his several books include Principles of Biomedical Ethics (with Tom L. Beauchamp), Who Should Decide? Paternalism in Health Care, and Priorities in Biomedical Ethics.

"This is a valuable clarification, re-statement and defence of principlism as an approach to applied ethics. It is strongly recommended to many teachers of bioethics ..." - Journal of the American Medical Association "Childress' book deserves careful study by all concerned with the ethical aspect of contemporary biomedical challenges." - Science Books & Films "An ideal supplement for a graduate seminar on bioethics or for upper-division undergraduates needing more information in this area." - Choice

• PrefaceAcknowledgmentsPart One: Principles, Metaphors, and Analogies1. Metaphor and Analogy in Bioethics2. Ethical Theories, Principles, and Casuistry in Bioethics: An Interpretation and Defenseof Principlism3. Metaphors and Models of Doctor-Patient Relationships: Their Implications for Autonomy with Mark SieglerPart Two: Respect for Autonomy: Its Implications and Limitations4. If You Let Them, They'd Stay in Bed All Morning: The Principle of Respect for Autonomy and the Tyranny of Regulation in Nursing Home Life5. How Much Should the Cancer Patient Know and Decide? with Bettina Schoene-Seifert6. Mandatory HIV Screening and TestingPart Three: Termination of Life-Sustaining Treatment7. "Who Is a Doctor to Decide Whether a Person Lives or Dies?": Reflections on Dax's Case with Courtney S. Campbell8. Must Patients Always Be Given Food and Water? with Joanne Lynn9. When Is It Morally Justifiable to Discontinue Medical Nutrition and Hydration?Part Four: Allocation of Health Care10. Who Shall Live When Not All Can Live?11. Triage in Intensive Care: The Possibilities and Limitations of a Metaphor12. Fairness in the Allocation and Delivery of Health Care: A Case Study of OrganTransplantation13. Rights to Health Care in a Democratic SocietyPart Five: Obtaining Organs and Tissues for Transplantation14. Ethical Criteria for Policies to Obtain Organs for Transplantation15. Human Body Parts as Property: An Assessment of Ownership, Sales, and Financial Incentives16. Ethics, Public Policy, and Human Fetal Tissue TransplantationResearchNotesIndex