Ruth Macklin
Dados Biográficos
| ID | 3668690 |
|---|---|
| NOME | Ruth Macklin |
| PRENOMES | Ruth |
| SOBRENOME | Macklin |
| ASSINATURA | MACKLIN R |
| AFILIAÇÕES | Albert Einstein College of Medicine |
| ORCID | 0000-0001-9749-2037 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 64 |
| TOTAL DE CITAÇÕES | 25 |
| TOTAL COMO AUTOR | 64 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1967 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2022 |
| ÍNDICE H | 3 |
Another Defense of Common Morality
Robert Baker and Rosamond Rhodes each argue against the universality “common morality,” the approach to ethics that comprises four fundamental principles and their application in various settings. Baker contends that common morality cannot account for cultural diversity in the world and claims that a human rights approach is superior in the context of global health. Rhodes maintains that bioethics is not reducible to common morality because medic…
Plus ça Change, Plus C'est la Même Chose
Plus ça Change, Plus C'est la Même Chose Ruth Macklin (bio) it is striking to see similar themes in articles written 35 years ago about the AIDS epidemic and reports today in the midst of the COVID-19 pandemic. While there are many similarities between the decadeslong AIDS epidemic, which continues to rage in many countries, and the COVID-19 pandemic, differences exist as well. In this brief commentary, I draw on articles in this collection to il…
Challenges Working with Presidential Bioethics Commissions
Presidential commissions come and go by design, and it is reasonable to wonder about the impact of their recommendations. I have been involved in the work of two presidential commissions: as a member of the Advisory Committee on Human Radiation Experiments (from 1994 to 1995) and as senior consultant to the National Bioethics Advisory Commission (from 1999 to 2000) for its report on multinational research. I continue to reflect on and look for th…
Seamus Heaney and the “place of writing”
This article re-examines the significance of redress for Seamus Heaney’s poetry and prose by illustrating that redress is a deeply considered intellectual construct which incites, facilitates and renews creativity throughout Heaney’s career. Redress neither constitutes a project of self-fashioning nor indicates uncertainty in terms of equivocation. Rather, it suggests Heaney’s characteristic uncertainty of how to create a space for himself from a…
Cluster Randomized Trials
Judicial, Legislative, and Professional Attempts to Restrict Pregnant Women's Autonomy
Physicians may and should make recommendations to women for maintaining a healthy pregnancy, but until the time a baby is born, the pregnant woman alone should have the last word in deciding what happens to her fetus
Twelve Years of Fogarty-Funded Bioethics Training in Latin America and the Caribbean
The landscape in research ethics has changed significantly in Latin America and the Caribbean over the past two decades. Research ethics has gone from being a largely foreign concept and unfamiliar practice to an integral and growing feature of regional health research systems. Four bioethics training programs have been funded by the Fogarty International Center (FIC) in this region in the past 12 years. Overall, they have contributed significant…
Aesthetic Enhancement? Or Human Rights Violation
The view that we must respect cultural traditions is a welcome change from the past, when colonial powers ridiculed native customs and often sought to eradicate them. Nevertheless, it is reasonable to ask whether there is a limit to tolerance of a ritual that has been designated a “harmful traditional practice” by the United Nations Office of the High Commissioner for Human Rights, the United Nations Population Fund, and the recently created agen…
Ethics in Global Health
EIGHT Toward a Theory of Vulnerability Part Two Multinational Research NINE Universality of the Nuremberg Code TEN A Defense of Fundamental Principles and Human Rights: A Response to Baker ELEVEN Justice in International Research TWELVE Is Ethics Universal? Gender, Science, and Culture in Reproductive Health Research THIRTEEN After Helsinki: Unresolved Issues in International Research FOURTEEN Four Forward-looking Guidance Points FIFTEEN Avoiding…
A global ethics approach to vulnerability
Ethical challenges in HIV microbicide research
Finding an effective method that can lower women’s risk of HIV infection is an ethical imperative. A vaginal microbicide is a preventive method that can be controlled by women. Well-designed scientific research has already yielded modest success, yet more research is needed in order to develop an even better product. But just as research must be scientifically sound, it must also be ethically sound. Ethical challenges in HIV microbicide research …
Standards and Practices in a Diverse World
Global Health
This article focuses on the access of people in developing countries to medications and medical services that are readily available to inhabitants of industrialized countries. There are, of course, other critical dimensions of public health that require action on a global scale. These include relief for large numbers of people who are starving or living at nearly subsistence levels; provision of a supply of clean, potable water for populations de…
Non-State Actors in the Human Rights Universe
Departing from analyses that focus on the role of the state in the arena of human rights, the authors of this original collection offer conceptually sophisticated, but accessible, discussions of the role and responsibility of nonstate actors with regard to the violation, promotion, and protection of human rights
Yet Another Guideline? The Unesco Draft Declaration
Some people might argue that there are already too many different documents, guidelines, and regulations in bioethics. Some overlap with one another, some are advisory and lack legal force, others are legally binding in countries, and still others are directed at narrow topics within bioethics, such as HIV/AIDS and human genetics. As the latest document to enter the fray, the UNESCO Declaration has the widest scope of any previous document. It em…
Scaling up HIV Testing
H 1IV testing is not an end in itself. It is instead a means to an end, in which the ethically acceptable ends are care and access to treatment for people found to be infected and access to adequate preventive means for those who are uninfected. It is obvious that testing is required in order to know who is eligible for treatment. Critical to the testing process, however, is systematically linking testing with existing or planned treatment or pre…
Rationally Defensible Standards for Research in Developing Countries
D ebates on ethical requirements for conducting international collaborative medical research in developing countries have achieved considerable prominence in recent years. The stark implications of the HIV/AIDS pandemic, major escalation of clinical research in developing countries, and the imbalance of only 10% of world medical research expenditure on diseases causing 90% of the global burden of disease have rekindled concern about relationships…
Dignity is a useless concept
It means no more than respect for persons or their autonomy Appeals to human dignity populate the landscape of medical ethics. Claims that some feature of medical research or practice violates or threatens human dignity abound, often in connection with developments in genetics or reproductive technology. But are such charges coherent? Is dignity a useful concept for an ethical analysis of medical activities? A close inspection of leading examples…
Research ethics for mental health science involving ethnic minority children and youths
In response to U.S. Public Health Service projects promoting attention to disparities in the outcomes of mental health treatments, in July 2001, the American Psychological Association, the National Institute of Mental Health, and the Fordham University Center for Ethics Education convened a group of national leaders in bioethics, multicultural research, and ethnic minority mental health to produce a living document to guide ethical decision makin…
Four Forward‐looking Guidance Points
Four key guidance points in the UNAIDS guidance document, Ethical Considerations in HIV Preventive Vaccine Research, are compared with analogous statements in three other recently issued documents dealing with international research. Those documents are: the Declaration of Helsinki, as revised in 2000; the report of the U.S. National Bioethics Advisory Commission, issued in 2001; and a current (2001) draft revision of the 1993 CIOMS International…
Ethics, politics, and human embryo stem cell research
A Defense of Fundamental Principles and Human Rights
This article seeks to rebut Robert Baker's contention that attempts to ground international bioethics in fundamental principles cannot withstand the challenges posed by multiculturalism and postmodernism. First, several corrections are provided of Baker's account of the conclusions reached by the Advisory Committee on Human Radiation Experiments. Second, a rebuttal is offered to Baker's claim that an unbridgeable moral gap exists between Western …
Debate on the paper by Fernando Zegers-Hochschild
Circumcision Revisited
The Twelve Methods of Bioethics
(To be sung to the tune of “The Twelve Days of Christmas”) In the first wave of ethics, the method sent to me: respect for auto-ho-no-my. In the second wave of ethics, the method sent to me: nonmaleficence, and respect for auto-ho-no-my. In the third wave of ethics, the method sent to me: beneficence, nonmaleficence, and respect for auto-ho-no-my. In the fourth wave of ethics, the method sent to me: four rules of justice, beneficence, nonmalefice…
Mental Health and Mental Illness
In recent years there has been considerable discussion and controversy concerning the concepts of mental health and mental illness. The controversy has centered around the problem of providing criteria for an adequate conception of mental health and illness, as well as difficulties in specifying a clear and workable system for the classification, understanding, and treatment of psychological and emotional disorders. In this paper I shall examine …
Twelve Years of Fogarty-Funded Bioethics Training in Latin America and the Caribbean
The landscape in research ethics has changed significantly in Latin America and the Caribbean over the past two decades. Research ethics has gone from being a largely foreign concept and unfamiliar practice to an integral and growing feature of regional health research systems. Four bioethics training programs have been funded by the Fogarty International Center (FIC) in this region in the past 12 years. Overall, they have contributed significant…
Ethics and Human Reproduction
Three moral principles provide the basis for analyzing ethical issues relating to human reproduction. The principle of liberty guarantees a right to freedom of action. The utilitarian principle defines Tightness for a society or group as the greatest good for the greatest number. And justice requires that everyone have equitable access to necessary goods and services. The principles are applied to family planning services, using demographic data …
Reasons vs. Causes in Explanation of Action
Scaling up HIV Testing
H 1IV testing is not an end in itself. It is instead a means to an end, in which the ethically acceptable ends are care and access to treatment for people found to be infected and access to adequate preventive means for those who are uninfected. It is obvious that testing is required in order to know who is eligible for treatment. Critical to the testing process, however, is systematically linking testing with existing or planned treatment or pre…
The Self and its Brain
A Psychoanalytic Model for Human Freedom and Rationality
The nature and scope of freedom and rationality in man are explored in light of the problems posed by a deterministic framework for understanding and explaining human though, feeling, and behavior. It is argued that the sort of explanation afforded by a psychodynamic theory is fully compatible with attributing freedom and rationality to persons. In particular, psychoanalytic theory is able to account for the existence of causal laws governing all…
Explanation and action
Actions, consequences and ethical theory
A rejoinder
Theoretical biology
Explanation and action
Action, Causality, and Teleology
Mental Health and Mental Illness
In recent years there has been considerable discussion and controversy concerning the concepts of mental health and mental illness. The controversy has centered around the problem of providing criteria for an adequate conception of mental health and illness, as well as difficulties in specifying a clear and workable system for the classification, understanding, and treatment of psychological and emotional disorders. In this paper I shall examine …
Reasons vs. Causes in Explanation of Action
Values in psychoanalysis and psychotherapy
Moral Concerns and Appeals to Rights and Duties
Special Supplement
Daniel Callahan, Leslie Dach, Harold Edgar, Willard Gaylin, Gerald Klerman, Ruth Macklin, Robert Michels, Robert C. Neville, David Rothman, Margaret Steinfels, Judith P. Swazey, George J. Annas, Larry Brown, Albert DiMascio, Daniel X. Freedman, George Hein, Hubert Jones, Melvin H. King, Ronald Lipman, Sheila Rothman, Robert L. Sprague, Special Supplement: MBD, Drug Research and the Schools, The Hastings Center Report, Vol. 6, No. 3 (Jun., 1976), …
Ethics, Sex Research, and Sex Therapy
A Psychoanalytic Model for Human Freedom and Rationality
The nature and scope of freedom and rationality in man are explored in light of the problems posed by a deterministic framework for understanding and explaining human though, feeling, and behavior. It is argued that the sort of explanation afforded by a psychodynamic theory is fully compatible with attributing freedom and rationality to persons. In particular, psychoanalytic theory is able to account for the existence of causal laws governing all…
On the Ethics of Not Doing Scientific Research
ith increasing frequency this complaint is heard: everyone's worried about the ethics of doing scientific research but what about the ethics of not doing scientific research? Isn't there as much possible harm in halting all research as in allowing research to go forward unhindered? Sometimes the question is put more specifically, addressed to a particular area of research or a technological application: is there not as much to be lost in stopping…
Moral Issues in Human Genetics
[T]he question “valuable to what end?” is one of extraordinary complexity. For example, something obviously valuable in terms of the longest possible survival of a race (or of its best adaptation to a given climate, or of the preservation of its greatest numbers) would by no means have the same value if it were a question of developing a more powerful type. The welfare of the many and the welfare of the few are radically opposite ends. There is n…
Medical Ethics Anthologies
Case Studies in Bioethics
Man's "Animal Brains" and Animal Nature
The Self and its Brain
Special Supplement
Due' and 'Undue' Inducements
Expanding Psychiatric Ethics
This is a review of three recent books which attempt to integrate\nphilosophical and ethical perspectives with contemporary thinking about\npsychiatry, medicine, and institutions of social control
The Experience of the National Board of Medical Examiners
The National Board of Medical Examiners (NBME) provides examinations that are used to assess physicians in training. Parts I, II, and III and the FLEX (Federation Licensing Examination) examinations results are used by state licensing boards in licensing individuals on a uniform and reciprocal basis. Most of the medical schools in the United States also use NBME examinations to assess student achievement. The NBME has included questions on law an…
Philosophical conceptions of rationality and psychiatric notions of competency
Violence and the Politics of Research
Man, Mind and Morality
Psychology (37 obras) · Political science (33 obras) · Law (25 obras) · Philosophy (21 obras) · Sociology (21 obras) · Medicine (17 obras) · Ethics in medical practice (15 obras) · Bioethics (13 obras) · Engineering ethics (13 obras) · Epistemology (12 obras)