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Moral reasoning

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https://www.readbyqxmd.com/read/29316504/health-behind-bars-can-exploring-the-history-of-prison-health-systems-impact-future-policy
#1
Kathryn M Weston, Louella R McCarthy, Isobelle Barrett Meyering, Stephen Hampton, Tobias Mackinnon
The value of history is, indeed, not scientific but moral … it prepares us to live more humanely in the present, and to meet rather than to foretell, the future - Carl Becker. Becker's quote reminds us of the importance of revealing and understanding historical practices in order to influence actions in the future. There are compelling reasons for uncovering this history, in particular to better inform government policy makers and health advocates, and to address the impacts of growing community expectations to 'make the punishment fit the crime'...
January 2, 2018: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/29304845/testing-decision-making-competency-of-schizophrenia-participants-in-clinical-trials-a-meta-analysis-and-meta-regression
#2
Sorin Hostiuc, Mugurel Constantin Rusu, Ionut Negoi, Eduard Drima
BACKGROUND: The process of assessing the decision-making capacity of potential subjects before their inclusion in clinical trials is a legal requirement and a moral obligation, as it is essential for respecting their autonomy. This issue is especially important in psychiatry patients (such as those diagnosed with schizophrenia). The primary purpose of this article was to evaluate the degree of impairment in each dimension of decision-making capacity in schizophrenia patients compared to non-mentally-ill controls, as quantified by the (MacCAT-CR) instrument...
January 5, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29299378/moral-processing-deficit-in-behavioral-variant-frontotemporal-dementia-is-associated-with-facial-emotion-recognition-and-brain-changes-in-default-mode-and-salience-network-areas
#3
Jan Van den Stock, Daphne Stam, François-Laurent De Winter, Dante Mantini, Benedikt Szmrecsanyi, Koen Van Laere, Rik Vandenberghe, Mathieu Vandenbulcke
Introduction: Behavioral variant frontotemporal dementia (bvFTD) is associated with abnormal emotion recognition and moral processing. Methods: We assessed emotion detection, discrimination, matching, selection, and categorization as well as judgments of nonmoral, moral impersonal, moral personal low- and high-conflict scenarios. Results: bvFTD patients gave more utilitarian responses on low-conflict personal moral dilemmas. There was a significant correlation between a facial emotion processing measure derived through principal component analysis and utilitarian responses on low-conflict personal scenarios in the bvFTD group (controlling for MMSE-score and syntactic abilities)...
December 2017: Brain and Behavior
https://www.readbyqxmd.com/read/29294935/intervening-in-a-sketchy-situation-exploring-the-moral-motivations-of-college-bystanders-of-sexual-assault
#4
Samuel C Gable, Sharon Lamb, Madeline Brodt, Leah Atwell
This mixed-methods research explored the moral motivations of undergraduates who identified as bystanders in a situation of potential sexual assault. In the quantitative analysis, we examined the difference between interveners and noninterveners with regard to their scores on the Moral Foundations Questionnaire-30 Item (MFQ-30), which considers five moral foundations from Moral Foundations Theory (MFT) of care/harm, fairness/cheating, loyalty/betrayal, authority/subversion, and sanctity/degradation, as well as measures of bystander attitudes (BAS-R) and rape-myth acceptance (IRMA, modified)...
September 1, 2017: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29280167/from-applied-ethics-to-empirical-ethics-to-contextual-ethics
#5
Barry Hoffmaster
Bioethics became applied ethics when it was assimilated to moral philosophy. Because deduction is the rationality of moral philosophy, subsuming facts under moral principles to deduce conclusions about what ought to be done became the prescribed reasoning of bioethics, and bioethics became a theory comprised of moral principles. Bioethicists now realize that applied ethics is too abstract and spare to apprehend the specificity, particularity, complexity and contingency of real moral issues. Empirical ethics and contextual ethics are needed to incorporate these features into morality, not just bioethics...
December 27, 2017: Bioethics
https://www.readbyqxmd.com/read/29280164/the-epistemic-costs-of-compromise-in-bioethics
#6
Katrien Devolder, Thomas Douglas
Bioethicists sometimes defend compromise positions, particularly when they enter debates on applied topics that have traditionally been highly polarised, such as those regarding abortion, euthanasia and embryonic stem cell research. However, defending compromise positions is often regarded with a degree of disdain. Many are intuitively attracted to the view that it is almost always problematic to defend compromise positions, in the sense that we have a significant moral reason not to do so. In this paper, we consider whether this common sense view can be given a principled basis...
December 27, 2017: Bioethics
https://www.readbyqxmd.com/read/29274918/caring-for-migrants-and-refugees-with-end-stage-kidney-disease-in-europe
#7
Wim Van Biesen, Raymond Vanholder, Thomas Ernandez, Daniel Drewniak, Valerie Luyckx
With the number of migrants and refugees increasing globally, the nephrology community is increasingly confronted with issues relating to the management of end-stage kidney disease in this population, including medical, logistical, financial, and moral-ethical questions. Beginning with data for the state of affairs regarding refugees in Europe and grounded in moral reasoning theory, this Policy Forum Perspective contends that to improve care for this specific population, there is a need for: (1) clear demarcations of responsibilities across the societal (macro), local (meso), and individual (micro) levels, such that individual providers are aware of available resources and able to provide essential medical care while societies and local communities determine the general approach to dialysis care for refugees; (2) additional data and evidence to facilitate decision making based on facts rather than emotions; and (3) better information and education in a broad sense (cultural sensitivity, legal rights and obligations, and medical knowledge) to address specific needs in this population...
December 20, 2017: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/29246213/the-role-of-emotion-in-clinical-decision-making-an-integrative-literature-review
#8
Desirée Kozlowski, Marie Hutchinson, John Hurley, Joanne Rowley, Joanna Sutherland
BACKGROUND: Traditionally, clinical decision making has been perceived as a purely rational and cognitive process. Recently, a number of authors have linked emotional intelligence (EI) to clinical decision making (CDM) and calls have been made for an increased focus on EI skills for clinicians. The objective of this integrative literature review was to identify and synthesise the empirical evidence for a role of emotion in CDM. METHODS: A systematic search of the bibliographic databases PubMed, PsychINFO, and CINAHL (EBSCO) was conducted to identify empirical studies of clinician populations...
December 15, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29243472/preliminary-ethical-appraisal-of-a-trial-what-s-it-all-about
#9
Helena Siipi
Preliminary ethical appraisal of medical trials is often based on the following four principles: respect for autonomy, beneficence, non-maleficence, and justice. Preliminary ethical appraisal should, however, not be understood solely as application of these four principles to practice. Ethical committees will inevitably interpret the principles and make decisions about their reciprocal importance in connection with each trial. Reasoning does not always proceed from above towards practical recommendations of action, but can instead also be based on a moral rule or practice relating to a certain action...
2017: Duodecim; Lääketieteellinen Aikakauskirja
https://www.readbyqxmd.com/read/29243015/relational-autonomy-in-the-care-of-the-vulnerable-health-care-professionals-reasoning-in-moral-case-deliberation-mcd
#10
Kaja Heidenreich, Anders Bremer, Lars Johan Materstvedt, Ulf Tidefelt, Mia Svantesson
In Moral Case Deliberation (MCD), healthcare professionals discuss ethically difficult patient situations in their daily practice. There is a lack of knowledge regarding the content of MCD and there is a need to shed light on this ethical reflection in the midst of clinical practice. Thus, the aim of the study was to describe the content of healthcare professionals' moral reasoning during MCD. The design was qualitative and descriptive, and data consisted of 22 audio-recorded inter-professional MCDs, analysed with content analysis...
December 14, 2017: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/29233439/an-investigation-of-final-year-pharmacy-students-moral-reasoning-ability-and-their-views-on-professionalism-and-fitness-to-practice-panel-determinations-a-questionnaire-study
#11
Lezley-Anne Hanna, John Gillen, Maurice Hall
BACKGROUND AND PURPOSE: The aim was to establish pharmacy students' moral reasoning ability and obtain their views on professionalism and fitness to practice (FtP) determinations involving pharmacists. EDUCATIONAL ACTIVITY AND SETTING: Following ethical approval and piloting, final year pharmacy students at Queen's University Belfast (QUB) (n=119) were invited to participate in a questionnaire study. Section A was a validated moral reasoning assessment tool [Defining Issues Test (DIT2); five moral dilemmas], Section B was FtP cases and professionalism...
July 2017: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29233397/assessment-of-student-pharmacists-ethical-decision-making
#12
Jaclyn R Myers, Mary E Kiersma, Kimberly S Plake
INTRODUCTION: In previous research, investigators have expressed concern about the ethical ambivalence of pharmacists in decision-making. The objectives of this study were to examine student pharmacists': 1) attitudes and responses regarding specific common ethical situations and 2) perceived level of difficulty in making ethical decisions. METHODS: A self-administered 38-item survey was given to second and third year student pharmacists at Purdue University. The survey comprised five sections, including: 1) attitudes towards common ethical situations, 2) responses to specific ethical scenarios, 3) emergency lending, 4) perceived level of difficulty in resolving ethical dilemmas, and 5) demographics...
November 2017: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29223070/trusting-others-shared-reality-in-testimonial-learning
#13
REVIEW
Annelise Pesch, Sarah Suárez, Melissa A Koenig
Much of early learning depends on others, and the transmission of testimony presents children with a range of opportunities to learn about and from other people. Much work has focused on children's ability to select or prefer particular sources of information based on various epistemic (e.g. accuracy, reliability, perceptual access, expertise) and moral (e.g. benevolence, group membership, honesty) characteristics. Understanding the mechanisms by which such selective preferences emerge has been couched primarily in frameworks that treat testimony as a source of inductive evidence, and that treat children's trust as an evidence-based inference...
November 28, 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/29214513/hyper-response-to-novelty-increases-c-fos-expression-in-the-hippocampus-and-prefrontal-cortex-in-a-rat-model-of-schizophrenia
#14
Tomas Monfil, Rubén Antonio Vázquez Roque, Israel Camacho-Abrego, Hiram Tendilla-Beltran, Tommaso Ianniti, Ivan Meneses-Morales, Patricia Aguilar-Alonso, Gonzalo Flores, Julio Cesar Morales-Medina
Schizophrenia is a debilitating disorder that may have a neurodevelopmental origin. For this reason, animal models based on neonatal insults or manipulations have been extensively used to demonstrate schizophrenia-related behaviors. Among those, the neonatal ventral hippocampus lesion (nVHL) is largely used as a model of schizophrenia-related behavior as it mimics behavioral and neurochemical abnormalities often seen in schizophrenic patients including hyperlocomotion in a novel environment. To investigate the neuroanatomical basis of coding novelty in the nVHL rat, we assessed the behavioral locomotor activity paradigm in a novel environment and measured expression of c-Fos, a marker of neural activation, in brain regions involved in the process of coding novelty or locomotion...
December 6, 2017: Neurochemical Research
https://www.readbyqxmd.com/read/29208492/resting-state-connectivity-mediates-the-relationship-between-collectivism-and-social-cognition
#15
Gennady G Knyazev, Alexander N Savostyanov, Andrey V Bocharov, Ekaterina A Merkulova
Humans are intrinsically social beings and it is natural that self-processing is associated with social cognition. The degree to which the self is perceived as a part of social environment is modulated by cultural stereotypes, such as collectivism and individualism. Here, we tested the hypothesis that individuals who endorse collectivist values would spontaneously think more about their relationships with other people and this association would be mediated by connectivity between the medial prefrontal cortex (MPFC) and the rest of the brain...
December 5, 2017: International Journal of Psychophysiology
https://www.readbyqxmd.com/read/29200446/insights-from-the-defining-issues-test-on-moral-reasoning-competencies-development-in-community-pharmacists
#16
Cicely Roche, Steve Thoma
Objective. To investigate whether a profession-specific educational intervention affected the development of moral reasoning competencies in community pharmacists, as measured by the Defining Issues Test (DIT2). Methods. This research used a repeated measures pre-post educational intervention design as a quasi-randomized, controlled, crossover study to evaluate changes in the moral reasoning scores of 27 volunteer community pharmacists in Ireland. Results. Changes in pharmacists' moral reasoning competencies development, as reported by P-Scores and N2-Scores, were found to be significant...
October 2017: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/29197236/the-roles-of-parenting-practices-sociocognitive-emotive-traits-and-prosocial-behaviors-in-low-income-adolescents
#17
Alexandra N Davis, Gustavo Carlo
The goal of the current study was to examine the links among parenting practices (i.e., use of social and material rewards), sociocognitive and socioemotive traits (i.e., perspective taking, prosocial moral reasoning, and empathic concern), and prosocial behaviors among adolescents in a low-income, Midwestern community. Participants were 311 adolescents (M age = 16.10 years; range = 14-19 years; 58.7% girls; 82.7% White; 13.6% Latino). The results demonstrated that social rewards were positively associated with perspective taking, empathic concern, and prosocial moral reasoning, which were each associated with multiple forms of prosocial behaviors...
November 29, 2017: Journal of Adolescence
https://www.readbyqxmd.com/read/29193938/-knowledge-behavior-and-perception-of-oral-health-in-patients-with-type-2-diabetes
#18
Gabriela García-Morales, Denny Kennia Barrera-Lagunas
BACKGROUND: Periodontal disease occurs severely in patients with diabetes, also causes high blood glucose. The objective of this article was to determine knowledge, behavior and perception of oral health in patients with type 2 diabetes. METHODS: Cross-sectional study performed at the Unidad de Medicina Familiar No. 26 in Acapulco, Guerrero, México; 376 patients with type 2 diabetes were included. Sociodemographic questionnaire, knowledge, behavior and perception of oral health was applied...
September 2017: Revista Médica del Instituto Mexicano del Seguro Social
https://www.readbyqxmd.com/read/29184515/the-influence-of-empathy-and-morality-of-violent-video-game-characters-on-gamers-aggression
#19
Xuemei Gao, Lei Weng, Yuhong Zhou, Hongling Yu
According to the General Aggression Model, situational factors (such as the game characters) and personal factors both affect a gamer's acquisition of aggressive behavior. Previous studies have found not only that the surface features of game characters, such as appearance and clothing, but also that their inherent characteristics, such as morality and identity, can influence a gamer's attitude and behavior. Research has also shown that empathy, as a personal factor, can protect gamers from the impact of media violence...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/29171657/the-parenthood-argument
#20
William Simkulet
Don Marquis is well known for his future like ours theory (FLO), according to which the killing beings like us is seriously morally wrong because it deprives us of a future we can value. According to Marquis, human fetuses possess a future they can come to value, and thus according to FLO have a right to life. Recently Mark Brown has argued that even if FLO shows fetuses have a right to life, it fails to show that fetuses have a right to use their mother's body, evoking Judith Jarvis Thomson's famous violinist case...
November 24, 2017: Bioethics
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