Hektoen International

A Journal of Medical Humanities

Category: Ethics

  • Moral judgment in medicine: “Sensibility of heart”

    Jack CoulehanStony Brook, New York, United States I want to reflect on the role of emotions, or “sensibility of heart,” in medical judgment. I take the term “judgment,” in general, to refer to the human capacity of assessing, analyzing, and reaching a conclusion with regard to any point or course of action. Any specific conclusion…

  • Ethics, feminism, and cosmetic surgery

    Unaiza WaheedLondon In Reshaping the Female Body, Kathy Davis expresses surprise when a feminist friend announces she is considering breast augmentation surgery: “[She] was very critical of the sufferings women have to endure because their bodies do not meet the normative requirements of feminine beauty,” yet she still felt pressure to seek cosmetic surgery for…

  • Remembering Dr. Edmund Pellegrino, physician philosopher

    Dean GianakosLynchburg, Virginia, United States “Get Wisdom.”– Proverbs 4:5 One day in the spring of 1985, I remember jogging past the Kennedy Institute of Ethics at Georgetown University, wondering what went on in there. It was a gorgeous afternoon, dogwoods and cherry blossoms in bloom. Students sprawled on the campus lawns. I was a medical…

  • Eugenics: Historic and contemporary

    JMS PearceHull, England, United Kingdom Moral judgments, changing ethical criteria, and the broader concepts of good and evil are always controversial, and often dangerous. Prominent amongst such judgments are those relating to population control and the wider, ill-defined field of eugenics. Hidden, and often ignored or denied in these conversations, is the underlying conflict between…

  • Advancing medical knowledge using nonhuman primate research

    Zared O.United States One of the most controversial areas in research is the use of nonhuman primates for experiments. Two decades ago, many animal rights activists thought that the use of nonhuman primates would become obsolete by the early 2020s; yet, that has not been the case. Over the past several years, the use has…

  • Spinoza and medical practice: Can the philosophy of Baruch Spinoza enrich the thinking of doctors?

    Norelle LickissHobart, Tasmania, Australia As doctors we seek to assuage the distress of our patients by relieving symptoms, guarding personal dignity, and remaining present even as they are dying. Yet despite these lofty goals, there remain facts suggesting profound disquiet among physicians, albeit well disguised: high rates of substance abuse, burnout, suicide . . .…

  • Moral lessons through pictures

    These images, taken from a series called Moral Lessons Through Pictures of Good and Evil, are meant to communicate morality in traditional Japanese society. Each lesson is made up of a pair of opposing images, one representing the ideal and the other the less than ideal. In one image shown here, a doctor is seen…

  • Pharmaceutical marketing in America

    Adil MenonAli MchaourabCleveland, Ohio, United States Within the past few decades, there has been a great change in how the pharmaceutical industry markets its products in the United States. Prices of medical drugs have skyrocketed as regulations have been eased by lawmakers. Granting more control to pharmaceutical companies has allowed the industry to bypass healthcare…

  • Fat by choice: A quest for meaning

    Amer ToutonjiCharleston, South Carolina, USA An early bird, Brian wakes up no later than 5:30 am to get on with the first meal of the day: twelve eggs and ten sausages, or their equivalent. Most recently weighing in at 530 pounds, Bryan, or Bull, as he likes to be called, is constantly outgrowing his clothes…

  • Enfreakment in the medicalization of difference

    Camille KrollChicago, Illinois, USA Exalted showman P.T. Barnum was thrilled when he discovered Joice Heth, a severely disabled elderly slave woman. In grotesque detail, he assessed the value of his first sideshow acquisition with relish: I was favorably struck with the appearance of the old woman . . . She might almost as well have…