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Emily Walsh 《The American journal of bioethics : AJOB》2020,20(8):54-64
AbstractDementia patients in the moderate-late stage of the disease can, and often do, express different preferences than they did at the onset of their condition. The received view in the philosophical literature argues that advance directives which prioritize the patient’s preferences at onset ought to be given decisive moral weight in medical decision-making. Clinical practice, on the other hand, favors giving moral weight to the preferences expressed by dementia patients after onset. The purpose of this article is to show that the received view in the philosophical literature is inadequate and is out of touch with real clinical practice. I argue that having dementia is a cognitive transformative experience and that preference changes which result from this are legitimate and ought to be given moral weight in medical decision-making. This argument ought to encourage us to reduce our confidence in the moral weight of advance directives for dementia patients. 相似文献
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Richard T. Walsh 《Psychology of women quarterly》1989,13(4):433-444
Core values in feminist approaches to psychological research include attention to the relationship between scientists and citizens. But traditional methodological norms dictate that investigators restrict citizens' participation in research and prescribe an impersonal, decontextualized writing style in journal reports. Content analysis of 228 research articles in two journals associated with feminist psychology—the Psychology of Women Quarterly and Sex Roles, spanning the journals'first decade—showed that authors typically provided minimal or no information about such relationship dimensions as level of participation, informed consent, and feedback. The depersonalized writing style generally employed gives the impression that some feminist psychologists have adopted androcentric standards for the research relationship. Developing appropriate models for both research methods and report writing is essential for feminist researchers to resolve the apparent contradiction between ideals and behavior. But certain institutional obstacles need to be overcome for the resolution to occur. 相似文献
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