| 1. |
- Ahlin, Jesper
(författare)
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Personal Autonomy and Informed Consent : Conceptual and Normative Analyses
- 2017
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Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This licentiate thesis is comprised of a “kappa” and two articles. The kappa includes an account of personal autonomy and informed consent, an explanation of how the concepts and articles relate to each other, and a summary in Swedish.Article 1 treats one problem with the argument that a patient’s consent to treatment is valid only if it is authentic, i.e., if it is “genuine,” “truly her own,” “not out of character,” or similar. As interventions with a patient’s life and liberties must be justified, the argument presupposes that the authenticity of desires can be reliably determined. If the status of a desire in terms of authenticity cannot be reliably determined, discarding the desire-holder’s treatment decision on the basis that it is inauthentic is morally unjustified. In the article, I argue that no theory of authenticity that is present in the relevant literature can render reliably observable consequences. Therefore, the concept of authenticity, as it is understood in those theories, should not be part of informed consent practices.Article 2 discusses the problem of what it is to consent or refuse voluntarily. In it, I argue that voluntariness should be more narrowly understood than what is common. My main point is that a conceptualization of voluntariness should be agent-centered, i.e., take into account the agent’s view of her actions. Among other things, I argue that an action is non-voluntary only if the agent thinks of it as such when being coerced. This notion, which at first look may seem uncontroversial, entails the counterintuitive conclusion that an action can be voluntary although the agent has been manipulated or coerced into doing it. In defense of the notion, I argue that if the agent’s point of view is not considered accordingly, describing her actions as non-voluntary can be alien to how she leads her life. There are other moral concepts available to describe what is wrong with manipulation and coercion, i.e., to make sense of the counterintuitive conclusion. Voluntariness should be reserved to fewer cases than what is commonly assumed.
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| 2. |
- Atry, Ashkan, et al.
(författare)
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Beyond the Individual : Sources of Attitudes Towards Rule Violation in Sport
- 2012
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Ingår i: Sport, Ethics and Philosophy. - : Informa UK Limited. - 1751-1321 .- 1751-133X. ; 6:4, s. 467-479
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Tidskriftsartikel (refereegranskat)abstract
- Today, certain rule-violating behaviours, such as doping, are considered to be an issue of concern for the sport community. This paper underlines and examines the affective dimensions involved in moral responses to, and attitudes towards, rule-violating behaviours in sport. The key role played by affective processes underlying individual-level moral judgement has already been implicated by recent developments in moral psychological theories, and by neurophysiological studies. However, we propose and discuss the possibility of affective processes operating on a social level which may influence athletes’ individual-level attitudes. We conclude that one-sided focus on individual rule- violating behaviour and individual sanctions may prove to be ineffective in coming to terms with the issue. In this regard we recommend a twofold approach by addressing underlying social dimensions, along with preventive measures through affect-oriented education.
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| 3. |
- Atry, Ashkan, et al.
(författare)
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Cheating is the name of the game : Conventional cheating arguments fail to articulate moral responses to doping
- 2013
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Ingår i: Physical Culture and Sport. Studies and Research. - : Walter de Gruyter GmbH. - 2081-2221 .- 1899-4849. ; 59:1, s. 21-32
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Tidskriftsartikel (refereegranskat)abstract
- One of the most common arguments in the discussion on doping is that it represents a form of cheating. In this paper, it is argued that common doping-is-cheating arguments based on notions of rule-violation and unfair advantage are inadequate, since they treat cheating as distinct from the structure and the logic of competitive sport. An alternative approach to cheating in sport as regards performance enhancement will be offered based on the ethics of participation in interpersonal relationships. This participatory perspective points towards the need to broaden our conception of agency and moral responsibility in relation to doping, beyond the notion of the individual “drug-cheat” who acts in a vacuum.
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| 4. |
- Atry, Ashkan, et al.
(författare)
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Doping and The Participatory Responsibility of Sports Physicians
- 2013
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- In this paper it will be argued that notwithstanding the need for more clear regulative measures in relation to sports physicians’ doping behaviour, the predominant medical/legalistic approach in/by itself is not sufficient, and fails in doing what sports anti-doping authorities whish it to do, i.e., to define and to assign sports physicians’ responsibility in an adequate way. High-performance sport is a form of social practice and sports physicians are an integrated part of the practice. In dealing with such a large-scale social process as high-performance sport, the above approach is lacking since it (a) proceeds from a conception of responsibility which limits the scope of responsibility in athletic settings, and (b) overlooks social aspects of responsibility and responsibility-attributing processes. Furthermore, it will be maintained that responsibility is relational, and as such, it is chiefly created and assigned within the social practice, rather than imposed from authoritative sources that are external to the practice itself. It will be concluded that sports physicians, given their position in relation to athletes and sports management, should actively assume prospective responsibilities beyond those pre- defined responsibilities that are expressed in rules, regulations and policies issued by sports’ governing bodies.
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| 5. |
- Atry, Ashkan, et al.
(författare)
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Gene Doping and the Responsibility of Bioethicists
- 2011
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Ingår i: Sport, Ethics and Philosophy. - : Informa UK Limited. - 1751-1321 .- 1751-133X. ; 5:2, s. 149-160
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Tidskriftsartikel (refereegranskat)abstract
- In this paper we will argue: (1) that scholars, regardless of their normative stand against or for genetic enhancement indeed have a moral/professional obligation to hold on to a realistic and up-to-date conception of genetic enhancement; (2) that there is an unwarranted hype surrounding the issue of genetic enhancement in general, and gene doping in particular; and (3) that this hype is, at least partly, created due to a simplistic and reductionist conception of genetics often adopted by bioethicists.
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| 6. |
- Atry, Ashkan
(författare)
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Transforming the Doping Culture : Whose responsibility, what responsibility?
- 2013
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The doping culture represents an issue for sport and for society. Normative debates on doping have been mainly concerned with questions of the justifiability of doping. The practice of assigning responsibility for doping behaviour has chiefly been individual-based, focusing mainly on the individual athlete’s doping behaviour. The overarching aim of this thesis is to investigate the relevance and the importance of the ideas of responsibility in relation to ethical debates on doping. The more specific aim is to examine the possibility of broadening the scope of responsibility beyond the individual athlete, and to sketch a theoretical framework within which this expansion could be accommodated. In the first study, it is argued that bioethicists have a moral/professional responsibility to start out from a realistic and up-to-date view of genetics in ethical debates on gene doping, and that good bioethics requires good empirics. In study 2, the role played by affective processes in influencing athletes’ attitudes towards doping behaviour is investigated, both on an individual and on a collective level. It is concluded that an exclusive focus on individual-level rule violation and sanctions may entail overlooking the greater social picture and would prove to be ineffective in the long term. In study 3, the common doping-is-cheating arguments are examined and it is argued that they fail to capture vital features of people’s moral responses to doping behaviour. An alternative account of cheating in sport is presented in terms of failure to manifest good will and respect. It is concluded that putting cheating in the broader context of human interpersonal relationships makes evident the need to broaden the scope of moral responsibility and agency beyond the individual athlete. In study 4, the particular case of assigning responsibility for doping to sports physicians is used to examine the current individual-based approach to responsibility. This approach underestimates the scope of the responsibility by leaving out a range of other actors from the discourse of responsibility. The central conclusion of the thesis is that transforming the current doping culture requires broadening the scope of responsibility to include individuals and groups of individuals other than the athletes themselves.
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| 7. |
- Björnsson, Gunnar, 1969-, et al.
(författare)
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Argumentationsanalys : Färdigheter för kritiskt tänkande
- 2009. - 2
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Bok (övrigt vetenskapligt/konstnärligt)abstract
- Ny reviderad utgåva.Att tänka kritiskt är att självständigt ta ställning till rimligheten i påståenden och argument. Det är en ovärderlig förmåga när vi ställs inför frågor där svaren är många och motstridiga och argumentationen pekar i olika riktningar. I sådana situationer kan det vara svårt att skaffa sig överblick över argumenten, ta ställning till deras styrka och göra en samlad bedömning av alternativen. Lyckligtvis är detta svårigheter som går att hantera med just sådana verktyg som Argumentationsanalys erbjuder. Genom att använda dem förbättrar vi vår förmåga att både identifiera argument i text och tal och bedöma deras beviskraft. Den som själv behöver skriva en argumenterande text eller göra ett argumenterande framförande har dessutom god hjälp av bokens metod att åskådliggöra hur olika argument i en viss fråga förhåller sig till varandra. Argumentationsanalys är en teoretisk och praktisk handledning med övningar. Boken riktar sig till studenter i humanistiska och samhällsvetenskapliga ämnen, men också till alla andra som konfronteras med komplicerade argumentationer.
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| 8. |
- Dawson, Angus, et al.
(författare)
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An Ethics Framework for Making Resource Allocation Decisions Within Clinical Care: Responding to COVID-19
- 2020
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Ingår i: Journal of Bioethical Inquiry. - : Springer Science and Business Media LLC. - 1176-7529 .- 1872-4353. ; 17:4, s. 749-755
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Tidskriftsartikel (refereegranskat)abstract
- On March, 24, 2020, 818 cases of COVID-19 had been reported in New South Wales, Australia, and new cases were increasing at an exponential rate. In anticipation of resource constraints arising in clinical settings as a result of the COVID-19 pandemic, a working party of ten ethicists (seven clinicians and three full-time academics) was convened at the University of Sydney to draft an ethics framework to support resource allocation decisions. The framework guides decision-makers using a question-and-answer format, in language that avoids philosophical and medical technicality. The working party met five times over the following week and then submitted a draft Framework for consideration by two groups of intensivists and one group of academic ethicists. It was also presented to a panel on a national current affairs programme. The Framework was then revised on the basis of feedback from these sources and made publicly available online on April 3, ten days after the initial meeting. The framework is published here in full to stimulate ongoing discussion about rapid development of user-friendly clinical ethics resources in ongoing and future pandemics.
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| 9. |
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| 10. |
- Dufva, Ylva Eriksson, et al.
(författare)
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Swedish large-scale schizophrenia study : Why do patients and healthy controls participate?
- 2021
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Ingår i: Schizophrenia Research. - : Elsevier BV. - 0920-9964 .- 1573-2509. ; 228, s. 360-366
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Tidskriftsartikel (refereegranskat)abstract
- Insights into determination of study participation are useful for researchers, clinicians and for ethical considerations. Few large-scale genomic studies have involved motives for enrollment, in schizophrenia patients and unaffected controls. In a case-control study with participants recruited nation-wide in Sweden between 2005 and 2010, semi-structured interviews on motives and attitudes towards future studies were explored in 2767 schizophrenia cases and 4466 controls. In qualitative and quantitative analyses, we identified altruism as a major determinant in 84% of the cases and in 97% of the controls. Among pre-defined subcategories of altruism, cases with schizophrenia were more often referring to science for example, 'I want to help science move forward' or 'I want better medications for future generations' in relation to unaffected controls that were more often referring to common humanity such as 'It is my duty and responsibility to help'. In schizophrenia, motives related to personal benefit and social influence were reported by 9% and 5%. We conclude that individuals with schizophrenia frequently report altruistic motives for study participation, almost to the same extent as unaffected controls. In contrast to unfortunate stereotypes, people with schizophrenia wish others to benefit from their experiences with severe mental illness and should not be refrained from participating in genomic research.
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