Toward a theory of process

Article Abstract:

Medical ethics needs to develop a theory of process to conform to its patient-centered substantive values. The procedure of many ethics committees illustrates the gap between substance and practice through a failure to incorporate patient participation. Instead, procedures should be guided by values such as patient autonomy and the need to treat all patients fairly, as well as by independent process values such as symbolic, therapeutic and dignitary values. Process values should also guide the structuring of relations between ethics committees and courts to reflect the difference between ethics and law.

Medical personnel and patient, Medical personnel-patient relations

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Ethics committees and due process

Article Abstract:

Susan Wolf's criticisms and recommendations concerning due process in consultations by institutional ethics committees relate mainly to the secondary stage of conflict resolution, which typically involves the committee as a whole. Wolf's account neglects the primary stage, which involves an individual committee member or smaller group in consultation at the patient's bedside. At this initial stage, due process mainly involves informed consent by the patient and the attending physician. Only when the issue cannot be resolved does the more formal procedure described by Wolf become relevant.

Criticism and interpretation, Due process of law, Wolf, Susan M.

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Germ-line therapy: a new stage of debate

Article Abstract:

The moratorium on federally financed research with human fetal tissue should be ended to advance genetic therapy at the level of the human germ line. Much human suffering could be alleviated if germ line therapy could be accomplished, an d while other research has higher ethical priorities this does not negate the desirability of pursuing germ line therapy. Research should conform to the principles of non-maleficence and beneficence.

Analysis, Gene therapy

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