H.A. Ten Have – författare

The growth of knowledge and its effects on the practice of medicine have been issues of philosophical and ethical interest for several decades and will remain so for many years to come. The outline of the present volume was conceived nearly three years ago. In 1987, a conference on this theme was held in Maastricht, the Netherlands, on the occasion of the founding of the European Society for Philosophy of Medicine and Health Care (ESPMH). Most of the chapters of this book are derived from papers presented at that meeting, and for the purpose of editing the book Stuart Spicker, Ph. D. , joined two founding members of ESPMH, Henk ten Have and Gerrit Kimsma. The three of them successfully brought together a number of interesting contribu­ tions to the theme, and ESPMH is grateful and proud to have initiated the production of this volume. The Society intends that annual meetings be held in different European countries on a rotating basis and to publish volumes related to these meetings whenever feasible. In 1988, the second conference was held in Aarhus, Denmark on "Values in Medical Decision Making and Resource Allocation in Health Care". In 1989, a meeting was held in Czestochowa, Poland, on "European Traditions in Philosophy of Medicine. From Brentano to Bieganski". It is hoped that these conferences and the books to be derived from them, will initiate a new European tradition, lasting well into the 21 st century! P. J.

Consensus is an important topic in bioethics. Approaches to consensus formation developed over the last decade to establish standards of clinical practice are now extended to moral issues. Healthcare ethics committees, ethics advisory boards, and national ethics committees aim at creating and formulating consensus. The essays in this volume analyze the various dimensions of consensus formation. They demonstrate the clinical, institutional and political context of consensus regarding ethical issues. Consensus formation as a dialogic and discursive activity is also deeply influenced by the socio-cultural context, as examples from Europe, Japan and the US illustrate. Specific problems in consensus formation are discussed in regard to genetic counselling, psychiatry, treatment decisions in family medicine, futility, and reproductive technology. The essays in the volume explore the potentials and problems of forming consensus at various levels of health care in modern pluralist societies.

This is a study of healthcare ethics, addressing the moral issues regarding ownership of the human body. Modern medicine increasingly transforms the body and makes use of body parts for diagnostic, therapeutic and preventive purposes. This book analyzes the concept of body ownership. It also reviews the ownership issues arising in clinical care (for example, donation policies, autopsy) and biomedical research. Societies and legal systems also have to deal with issues of body ownership. A comparison is made between specific legal arrangements in the Netherlands and France, as examples of legal approaches. In the final section of the book, different theoretical perspectives on the human body are analyzed - libertarian, personalist, deontological and utilitarian theories of body ownership.

This volume is a multidisciplinary and multinational collection of papers on aspects of genetic screening, with special reference to the situation in Europe. Starting from the situation in practice, the book proceeds to examine what lessons, if any, can be learned from historical precedents and sociological perspectives and concludes by exploring the extent to which theoretical ethical frameworks can assist in addressing the practice and policy issues in screening. This exploration points to ways in which genetics itself affects and challenge those frameworks. This collection will be of interest to practitioners, ethicists and policy-makers alike.

This title, developed by a group of collaborating scholars in bioethics from different European countries, gives an overview of the most salient themes in contemporary bioethics. Introductory chapters aim to guide the reader through the relevant dimensions of a particular area, while subsequent case discussions should help in the application of ethical theories to specific clinical problems and health policy queries. The book focuses on perspectives typical for the European context. This highlights not only particular bioethical themes such as social justice, choices in health care, and health policy (for ecxample, in post-communist countries), it also emphasizes specific approaches in ethical theory, in relation to continental philosophies such as phenomenology and hermeneutics.

Consensus is an important topic in bioethics. Approaches to consensus formation developed over the last decade to establish standards of clinical practice are now extended to moral issues. Healthcare ethics committees, ethics advisory boards, and national ethics committees aim at creating and formulating consensus. The essays in this volume analyse the various dimensions of consensus formation. They demonstrate the clinical, institutional and political context of consensus regarding ethical issues. Consensus formation as a dialogic and discursive activity is also deeply influenced by the socio-cultural context, as examples from Europe, Japan and the U.S. illustrate. Specific problems in consensus formation are discussed in regard to genetic counseling, psychiatry, treatment decisions in family medicine, futility, and reproductive technology. The essays in the volume explore the potentials and problems of forming consensus at various levels of health care in modern pluralist societies.

This is the first book in healthcare ethics addressing the moral issues regarding ownership of the human body. Modern medicine increasingly transforms the body and makes use of body parts for diagnostic, therapeutic and preventive purposes. The book analyzes the concept of body ownership. It also reviews the ownership issues arising in clinical care (for example, donation policies, autopsy) and biomedical research. Societies and legal systems also have to deal with issues of body ownership. A comparison is made between specific legal arrangements in The Netherlands and France, as examples of legal approaches. In the final section of the book, different theoretical perspectives on the human body are analyzed: libertarian, personalist, deontological and utilitarian theories of body ownership.

This volume is a multidisciplinary and multinational collection of papers on aspects of genetic screening, with special reference to the situation in Europe. Starting from the situation in practice, the book proceeds to examine what lessons, if any, can be learned from historical precedents and sociological perspectives and concludes by exploring the extent to which theoretical ethical frameworks can assist in addressing the practice and policy issues in screening. This exploration points to ways in which genetics itself affects and challenge those frameworks. This collection will be of interest to practitioners, ethicists and policy-makers alike.

In this book, developed by a group of collaborating scholars in bioethics from different European countries, an overview is given of the most salient themes in present-day bioethics. The themes are discussed in order to enable the reader to have an in-depth overview of the state of the art in bioethics. Introductory chapters will guide the reader through the relevant dimensions of a particular area, while subsequent case discussions will help the reader to apply the ethical theories to specific clinical problems and health policy queries. The book focuses on perspectives typical for the European context. This highlights not only particular bioethical themes such as social justice, choices in health care, and health policy (e.g., in post-communist countries), it also emphasizes specific approaches in ethical theory, in relation to Continental philosophies such as phenomenology and hermeneutics. Because of its articulation of what is typical for the European health care setting as well as for bioethical debate, this book is unique in comparison to existing textbooks in bioethics. The book is an introductory textbook acquainting the reader with the major issues in present-day health care as well as the various theoretical and practical approaches to clarify these issues.