Hektoen International

A Journal of Medical Humanities

Tag: Ethics

  • Notes on a first abortion

    Henry Bair  Stanford, California, United States   Mother and Child by the Sea. Johan Christian Dahl. 1830. Metropolitan Museum of Art. Public Domain. The first time I saw a late-term abortion by dilation and evacuation, I was surprised that it was a fairly minor procedure. I was to observe the termination at twenty-three weeks of…

  • Revisiting the “Trolley Problem” in the COVID-19 pandemic

    Margaret B. Mitchell Boston, Massachusetts, United States Graham M. Attipoe  Nashville, Tennessee, United States   Bridge situation. John Holbo. 2010. CC BY-NC 2.0. Via Flickr The “Trolley Problem” Originally described by Philipa Foot in 1967, the “Trolley Problem” is an ethical dilemma commonly taught in philosophy that challenges participants to explore how far they would…

  • 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 Gianakos Lynchburg, Virginia, United States   “Get Wisdom.” – Proverbs 4:5   Photograph of the author (right) and Dr. Pellegrino (left). Courtesy of the author. 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…

  • Plagues and prejudice

    Anne Jacobson Oak Park, Illinois, United States   Figure 1. Honolulu Chinatown fire of 1900. Hawaii State Archives.  It was a calm, clear January morning on the gritty streets of paradise. Honolulu, the capital of the newly-annexed U.S. territory of Hawaii, was ushering out a century of upheaval that had included the arrival of explorers,…

  • Political obfuscation and medical speculation

    Charles G. Kels San Antonio, Texas, United States   Grover Cleveland, 22nd (1885–1889) and 24th President (1893–1897) of the United States, with trademark mustache intact. He is the only US president to serve non-consecutive terms. National Archives, Washington, D.C., USA. Public domain. Politicians have long endeavored to keep their health concerns secret. In US presidential…

  • Eugenics: historic and contemporary

    JMS Pearce Hull, 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…

  • Advancing medical knowledge using nonhuman primate research

    Zared O. United States   Demonstrators at a university protesting for and against animal research. Courtesy of the UCLA Bruin, Alexis Chavarria. 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…

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

    Norelle Lickiss Hobart, Tasmania, Australia   Portrait of Baruch de Spinoza (1632–1677), ca. 1665. Unknown. c. 1665. Gemäldesammlung der Herzog August Bibliothek, Wolfenbüttel, Germany. 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…

  • 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…