Medicine, Health Care and Philosophy

ISSNs: 1386-7423, 1572-8633

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  1.  20
    Borderline personality disorder and moral responsibility.Agnès Baehni - 2025 - Medicine, Health Care and Philosophy 28 (1):3-16.
    This paper seeks to determine the extent to which individuals with borderline personality disorders can be held morally responsible for a particular subset of their actions: disproportionate anger, aggressions and displays of temper. The rationale for focusing on these aspects lies in their widespread acknowledgment in the literature and their plausible primary association with blame directed at BPD patients. BPD individuals are indeed typically perceived as “difficult patients” (Sulzer 2015:82; Bodner et al. 2011), significantly more so than schizophrenic or depressive (...)
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  2.  13
    The focus account of false hope.Christopher Bobier - 2025 - Medicine, Health Care and Philosophy 28 (1):93-102.
    False hope is costly for individuals, their loved ones, and society. Scholars have defined false hope as one that involves an epistemically unjustified belief. In this paper, I argue that this account of false hope is incomplete and that false hope should be conceptualized in terms of the way in which the agent attends to or focuses on a highly desired but unlikely outcome. I explain how this account better captures the distinctiveness of false hope.
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  3.  9
    Correction: Tracking ambivalence: an existential critique of datafication in the context of chronic pain.Michelle Charette - 2025 - Medicine, Health Care and Philosophy 28 (1):171-171.
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  4.  5
    Applied humanities as the antidote for the malaise of bioethics.Monica Consolandi & Renzo Pegoraro - 2025 - Medicine, Health Care and Philosophy 28 (1):121-124.
    The present paper highlights the urgency for a revitalization of the field of bioethics. The authors have identified the “malaise” present in contemporary bioethics, and they claim that it has become a boring way to approach medicine and life sciences instead of challenging them. Starting from a brief explanation of the origin of bioethics, this paper analyzes the main issues at the core of its malaise, i.e., its depersonalization and extreme specialization which exclude of a holistic view of the patient. (...)
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  5.  9
    Why we should talk about institutional (dis)trustworthiness and medical machine learning.Michiel De Proost & Giorgia Pozzi - 2025 - Medicine, Health Care and Philosophy 28 (1):83-92.
    The principle of trust has been placed at the centre as an attitude for engaging with clinical machine learning systems. However, the notions of trust and distrust remain fiercely debated in the philosophical and ethical literature. In this article, we proceed on a structural level ex negativo as we aim to analyse the concept of “institutional distrustworthiness” to achieve a proper diagnosis of how we should not engage with medical machine learning. First, we begin with several examples that hint at (...)
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  6.  5
    Ethical and epistemological considerations in applying moral injury (MI) concepts to refugee populations.Roghieh Dehghan - 2025 - Medicine, Health Care and Philosophy 28 (1):103-112.
    Empirical research on moral injury (MI) has rapidly evolved since 2009. Originally developed to address the moral dimensions of traumatic experiences among US veterans, MI has also found application in the context of traumatized refugees. This paper delves into the ethical and epistemological questions that arise when applying a concept originally rooted in a qualitatively distinct experience and a demographically different population to refugees. It is argued that the prevailing clinical and psychological conceptualization of MI may not adequately accommodate the (...)
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  7. Mental Health Pluralism.Craig French - 2025 - Medicine, Health Care and Philosophy 28 (1):65-81.
    In addressing the question of what mental health is we might proceed as if there is a single phenomenon – mental health – denoted by a single overarching concept. The task, then, is to provide an informative analysis of this concept which applies to all and only instances of mental health, and which illuminates what it is to be mentally healthy. In contrast, mental health pluralism is the idea that there are multiple mental health phenomena denoted by multiple concepts of (...)
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  8.  7
    Mental health pluralism.Craig French - 2025 - Medicine, Health Care and Philosophy 28 (1):65-81.
    In addressing the question of what mental health is we might proceed as if there is a single phenomenon—mental health—denoted by a single overarching concept. The task, then, is to provide an informative analysis of this concept which applies to all and only instances of mental health, and which illuminates what it is to be mentally healthy. In contrast, mental health pluralism is the idea that there are multiple mental health phenomena denoted by multiple concepts of mental health. Analysis and (...)
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  9.  2
    Correction: Conceptual scaffolding for the philosophy of medicine.Yael Friedman - 2025 - Medicine, Health Care and Philosophy 28 (1):173-173.
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  10.  9
    Conceptual scaffolding for the philosophy of medicine.Yael Friedman - 2025 - Medicine, Health Care and Philosophy 28 (1):45-64.
    This paper consists of two parts. In the first part, I will introduce a philosophical toolbox that I call ‘conceptual scaffolding,’ which helps to reflect holistically on phenomena and concepts. I situate this framework within the landscape of conceptual analysis and conceptual engineering, exemplified by the debate about the concept of disease. Within the framework of conceptual scaffolding, I develop the main idea of the paper, which is ‘the binocular model of plural medicine’, a holistic framework for analyzing medical concepts (...)
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  11.  3
    New frontiers in the moral responsibility debate.Bert Gordijn & Henk ten Have - 2025 - Medicine, Health Care and Philosophy 28 (1):1-2.
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  12.  11
    The role of social justice in triage revisited: a threshold conception.Felicitas Holzer, Nikola Biller-Andorno & Holger Baumann - 2025 - Medicine, Health Care and Philosophy 28 (1):161-169.
    Saving as many lives as possible while ensuring equity for vulnerable groups through access to triage resources has been the dominant position since the onset of the COVID-19 pandemic in 2020. However, the exact relationship between the principles of social justice and efficiency remains a controversial and unresolved issue. In this paper, we aim to systematically distinguish between different models of this relationship and show that conceptualizing social justice as a ‘moral side-constraint’ or adopting a ‘balancing approach’ that attempt to (...)
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  13.  6
    Bodies as communication systems. The relevance of Michel Serres’s philosophy of science for health care.Aldo Houterman - 2025 - Medicine, Health Care and Philosophy 28 (1):139-150.
    This article demonstrates the value of French philosophy of science for medical practice through an exposition of Michel Serres’s philosophy of the body. It explores how Serres’s examination of the similarity between scientific models and works of art can provide insight into different conceptions of the human body. What makes Serres’s method of unique is that it does not see art and literature as subordinate to the natural sciences: they are both involved in mapping the communication lines of the body. (...)
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  14.  4
    Clouds on the horizon: clinical decision support systems, the control problem, and physician-patient dialogue.Mahmut Alpertunga Kara - 2025 - Medicine, Health Care and Philosophy 28 (1):125-137.
    Artificial intelligence-based clinical decision support systems have a potential to improve clinical practice, but they may have a negative impact on the physician-patient dialogue, because of the control problem. Physician-patient dialogue depends on human qualities such as compassion, trust, and empathy, which are shared by both parties. These qualities are necessary for the parties to reach a shared understanding -the merging of horizons- about clinical decisions. The patient attends the clinical encounter not only with a malfunctioning body, but also with (...)
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  15.  3
    Endometriosis in later life: an intersectional analysis from the perspective of epistemic injustice.Elisabeth Langmann, Anna-Christina Kainradl, Merle Weßel & Alekszandra Rokvity - 2025 - Medicine, Health Care and Philosophy 28 (1):151-159.
    Endometriosis, a chronic inflammatory condition affecting 10% of biological women, is widely understudied and particularly overlooked in later life. Discussions surrounding endometriosis predominantly centre on medical gender bias during reproductive years, with limited attention to intersecting factors of discrimination and the impact of ageism on affected individuals. As endometriosis is framed as a disease of reproductive age, research is lacking when it comes to the effects of the illness on the older population. Symptoms in (post)menopausal individuals are frequently misattributed to (...)
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  16.  10
    The impact of digital health technologies on moral responsibility: a scoping review.E. Meier, T. Rigter, M. P. Schijven, M. van den Hoven & M. A. R. Bak - 2025 - Medicine, Health Care and Philosophy 28 (1):17-31.
    Recent publications on digital health technologies highlight the importance of ‘responsible’ use. References to the concept of responsibility are, however, frequently made without providing clear definitions of responsibility, thus leaving room for ambiguities. Addressing these uncertainties is critical since they might lead to misunderstandings, impacting the quality and safety of healthcare delivery. Therefore, this study investigates how responsibility is interpreted in the context of using digital health technologies, including artificial intelligence (AI), telemonitoring, wearables and mobile apps. We conducted a scoping (...)
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  17.  6
    Ontology of doctor and patient relationship and bioethics: from Aristotle’s teleology to Pellegrino’s philosophy of medicine.Nuno Ribeiro Ferreira, Américo Pereira & Rui Nunes - 2025 - Medicine, Health Care and Philosophy 28 (1):113-119.
    Some philosophical and metaethical theories have tried to provide a fundamental background for bioethics but miss the fundamental question about what medicine is, its nature and its end. We argue that the philosophy of medicine, through the development that Edmund Pellegrino and David Thomasma gave to this field of study, allied with Aristotle’s practical and teleological ethics, can provide an ontological background for bioethics beyond the tradition of principles and deontology, with particular emphasis on the uniqueness of the doctor-patient encounter. (...)
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