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THE BIOETHICS CENTRE

August 2010

CONTENTS

STAFF OF THE DEPARTMENT 3

RESEARCH IN THE DEPARTMENT 4

GENERAL STAFF 26

LOCATION & RESOURCES 26

TEACHING IN THE DEPARTMENT 27

PUBLICATIONS 33

Bioethics Centre, University of OtagoP.O. Box 913, Dunedin 9054

New Zealand

Phone 64 3 4747977Fax 64 3 4747601

Email [email protected]

Twitter@bioethicscentre

Websitewww.bioethics.otago.ac.nz
mailto:[email protected]:[email protected]:[email protected]://www.facebook.com/TheBioethicsCentrehttp://www.facebook.com/TheBioethicsCentrehttp://www.facebook.com/TheBioethicsCentrehttp://www.twitter.com/bioethicscentrehttp://www.twitter.com/bioethicscentrehttp://www.twitter.com/bioethicscentrehttp://www.bioethics.otago.ac.nz/http://www.bioethics.otago.ac.nz/http://www.bioethics.otago.ac.nz/http://www.bioethics.otago.ac.nz/http://www.twitter.com/bioethicscentrehttp://www.facebook.com/TheBioethicsCentremailto:[email protected]


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RESEARCH IN THE DEPARTMENT

The wide range of research projects and activities of theCentre aims to examine the conventional and novel moraldilemmas arising from medical research, clinical settings,and advances brought about by life sciences andbiotechnologies. Great efforts are focused on exploringpreviously rarely-chartered areas and innovative conceptualand methodological approaches. Moreover, the Centre iscommitted not only to research-informed teaching in its

extensive educational program but also to activeengagements with social and public policy issues at local,national and international levels. Staff of the Centre havereceived external research grants from such funding bodiesas the Foundation for Research, Science and Technology,the Law Foundation, and the Marsden Fund of the RoyalSociety of New Zealand.

Bioethics is a diverse area of study. Broadly, it includes, butis not limited to: ethical issues in healthcare; conceptual andphilosophical questions arising from biology and thetechnologies that surround it; and the role of science andthe humanities in understanding life in all its forms. Thisresearch typically involves aspects of many differentacademic disciplines. Staff at the Centre actively collaboratewith researchers from philosophy, the biological sciences,health care, anthropology, sociology, history, law, theology,

psychology, and others. The Centre hosts a biennialconference to draw together bioethics researchersthroughout New Zealand and beyond to present anddiscuss theirs and others work.


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Research themes

Centre staff have conducted research spanning a wide

range of topics within bioethics. This has includeddistributive justice and resource allocation, the ethics ofgenetic technologies and stem cell research, and thepractice of ethical review committees in New Zealand,among others. Further research can be grouped accordingto the following themes.

Neuroethics: The overlap between neuroscience and ethicscreates problems involving neuroimaging and informationuse, moral aspects of personhood and brain changes thatexplain behaviour or affect a persons identity, and theethical importance of consciousness.

Reproductive ethics: Ethical considerations in the use ofreproductive technologies, and ethical issues arising fromsocial policy in the area of reproduction: IVF, surrogacy,pre-implantation genetic diagnosis, one-child policy in

China.

Human enhancement: Human performance, behaviour andappearance can be increased beyond that which is normallyexpected. Enhancement like this is contrasted with therapyor conventional treatment. Examples are cognitiveenhancement, enhancement in sport, and cosmetic surgery.Transhumanism represents extreme vistas, with its

possibilities of vast life extension.

Philosophy and mental health: Is there any such thing asmental disorder, if so, what kind of thing is it, is coercion inpsychiatry ever justified, if so, what justifies it, what is theconceptual status of psychotic hallucinations and delusions,should psychiatry be replaced by cognitive neuroscience?

Philosophy of medicine: What is the relation betweenbiomedical science and clinical practice, what is the status


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of complementary and alternative medicine, shoulddiseases be regarded realistically, pragmatically or as socialconstructs, what role should evidence based medicine have

in medical decision making?

Sports medicine ethics: Ethical considerations that arisefrom the practice of medicine within sport: threats to medicalprofessionalism from commercial interests in sport,enhancement of sporting achievement, athleteconfidentiality within sporting employment structure,responding to athlete risk taking.

Cross-cultural ethics: Maori perspectives on geneticbiotechnologies and health care, the nature of indigenousknowledge, medical ethics in China, Confucian and Daoistperspectives on bioethics, Chinese voices on abortion, theideology and ethics of Chinas birth control program, theethics of population engineering in the east and west,Japans wartime medical atrocities and internationalaftermath, the search for a transcultural bioethics.

End of life: When should a human life be allowed to end,can a patient request aid in dying, is euthanasiapermissible, are there states of living that are worse thandeath? Should it always be a patients choice as to how andwhen his or her death occurs?


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Dr Lynley C. AndersonSenior Lecturer

PhD (Otago)MHealScNZRP

Brief Description of Research

Ethics in sports medicine, reproductive ethics, clinicalbioethics, professional development, codes of ethics

Research interests

One of Lynleys main areas of research interest is in sportsmedicine ethics: in particular exploring the structure ofmedicine in sport and the ways in which the contemporarycultural and economic context of elite sport can encouragea deviation from obligations traditionally associated withmedicine. In 2007 she was invited to write a new code ofethics for the Australasian College of Sports Physicianswhich was adopted in 2008.

Reproductive ethics is another area of research interest,particularly the development of policy surroundingreproductive procedures and getting the balance rightbetween protection and freedom. Lynley currently serves onthe Ethics Committee for Assisted ReproductiveTechnologies (ECART).

Professional issues for health professionals are a further

area of interest. This includes ways of assisting health


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professionals to maintain professional boundaries, andprofessional development.

Selected Recent Publications

Anderson, L., & Pelvin, B. (2010). Ethical frameworks forpractice. In S. Pairman, S. Tracy, C. Thorogood, & J.Pincombe (Eds.), Midwifery: Preparation for practice (2nded.). (pp. 283-297). Chatswood, Australia: Elsevier.

Anderson, L. & Pickering, N. (2010) The student code:Ethical and professional expectations of medical students at

the University of Otago. New Zealand Medical Journal,123(1318), 43-49.

Anderson, L. & Ellis, E. (2009) Ethics, practice regulationand physiotherapy. In Contexts of Physiotherapy Practice.J. Higgs, M. Smith, G. Webb, M. Skinner & A. Croker,(eds.), Sydney: Elsevier, pp 177-189.

Anderson, L.C. (2009) Writing a new code of ethics for

sports physicians principles and challenges. BritishJournal of Sports Medicine, 43, 1079-1082.

Anderson, L. (2008) Australasian College of SportsPhysicians: Code of ethics and professional behaviour.(adopted April 2008) http://www.acsp.org.au/

Anderson, L. & Pickering, N. (2008) Ethical review ofphysiotherapy research. New Zealand Journal ofPhysiotherapy, 36(3), 138-143.

Anderson, LC. (2008) Contractual obligations and thesharing of confidential health information in sport. Journal ofMedical Ethics, 34, e6.

Anderson, L. (2007) Doctoring risk: responding to risk takingin athletes. Ethics, Philosophy and Sport, 1(2), 119-134.


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Sandy ElkinProfessional Practice Fellow

MBHL (Otago)BA (Hons) Open University (UK)MCSP (Dist) Royal London HospitalNZRP


Bioethics and clinical teaching.

Research interests

Ethics in clinical practice for non-medical healthprofessionals. The interface between law and ethics and therelevance of medical law to clinicians. Ethics in pharmacypractice.


Elkin, S.A. (2004). New developments: Bioethics and healthlaw in New Zealand [Bioethics commentary]. New ZealandBioethics Journal, 5(1), 4-8.

Elkin, S.A. (2004). The integration of ethics teaching in thetherapy professions. Focus on Health ProfessionalEducation, 5(3), 1-6.


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Professor Donald Evans

PhD (Wales)

BA

Honours

Member of the Russian Academy of HumanitarianResearch.


ethical and philosophical dimensions of clinicalpractice

ethics and resource allocation ethical issues in assisted reproduction ethical review of human participant research ethics of biotechnologies

Research interests

Professor Evans has spent 25 years on the development ofHealth Care Ethics curricula and teaching at undergraduateand postgraduate levels. He has designed and providedtraining to members of ethical review committeesthroughout that period.

He has conducted various commissioned research projectsfor public bodies, government and internationalorganisations and provided ethics consultations with

practitioners in a variety of New Zealand and international


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Health Care settings. He is currently President of theUNESCO International Bioethics Committee and is amember of the World Commission on Ethics in Science and

technology and the UNESCO Commission on the Teachingof Medical Ethics. He has recently served six years as theinternational member of the Canadian Institutes of HealthStem Cell Oversight Committee.


Evans D. (2010) Whakapapa, genealogy, and genetics.Bioethics (forthcoming)

Evans D. (2009). Autonomy and Individual Responsibility. InThe UNESCO Declaration on Bioethics and Human Rights:Background, principles and application. A.M ten Have &M.S. Jean, (eds.), Paris: UNESCO Publishing, pp. 111-122.

Evans, D. (2008). Values in Medicine: What are we reallydoing to patients? London: Routledge-Cavendish, 216pp.

Cohen, C.B., Brandhorst, B., Nagy, A., Leader, A., Dickens,B., Isasi, R.M., Evans, D., & Knoppers, B.M. (2008) The useof fresh embryos in stem cell research: Ethical and policyissues. Cell Stem Cell, 2(5), 416-421.

C.B. Cohen, M.E. Enzle, B. Dickens, B. Brandhorst, T.Clark, C. Clute, D. Dunstan, D. Evans, R.D. Lambert, S.Langlois, A. Leader, and C.M.G. Robertson (2007)Oversight of stem cell research in Canada: Protecting the

rights, health, and safety of embryo donors. Health LawReview, 16(2), 86-102.

Evans D. (2007) Ethics, nanotechnology and health. InNanotechnologies, Ethics and Politics, A.M. ten Have, (Ed.),Paris: UNESCO Publishing, pp.125-154.


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Gillett, G. (2010). Intentional action, moral responsibilityand psychopaths. In L. Malatesti & J. McMillan(Eds.), Responsibility and psychopathy: Interfacing law,

psychiatry and philosophy. New York: Oxford UniversityPress.

Gillett, G. (2010). The multiaxial, multi-layered reality that ismental disorder. Association for the Advancement ofPhilosophy and Psychiatry Bulletin, 17(1), 5-7.

Gillett, G.R. (2009) The evolution of the soul. The Australianand New Zealand Theological Review, 41(2), 165-180.

Gillett, G.R. (2009) Indigenous knowledges:Circumspection, metaphysics, and scientific ontologies.Sites, 6(1), 97-115.

Gillett, G.R. (2009) The subjective brain, identity andneuroethics.American Journal of Bioethics, 9(9), 5-13.

Gillett, G R (2009) Intention, autonomy and brain events.Bioethics, 23(6), 330-339.

Gillett, G.R. (2009) The mind and its discontents (2ndEdition). Oxford: University Press, xvi + 432p.

Gillett, G.R. (2008). Subjectivity and being somebody.Exeter, UK: Imprint Academic, 286p.

Gillett, G.R. (2006) Cyborgs and moral identity. Journal ofMedical Ethics, 32, 79-83.

Gillett, G.R. (2006) Medical science, culture, and truth.

Philosophy, Ethics, and Humanities in Medicine, 1,13.

Gillett, G., & Hankey, R. (2005). Oedipus the king:Temperament, character, and virtue. Philosophy andLiterature, 29, 269-285.

Gillett, G.R. (2008) Surgical innovation and research. In:The Oxford Textbook of Clinical Research Ethics. E.J.Emanuel, C. Grady, R.A. Crouch, R.K. Lie, F.G. Miller, & D.

Wendler, (eds.), Oxford: Oxford University Press, 367-374.


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embryo, the pre-embryo, and the moral status of theblastocyst. Questions such as these can only be addressedby reference to the human body, in embryological,

neurobiological and cell biological terms.Selected Recent Publications

Jones, D.G. and Elford, R.J. (eds.) (2010) A glass darkly:Medicine and theology in further dialogue. Bern,Switzerland: Peter Lang, 246p.

Jones, D.G. (2010) The biomedical technologies: prospectsand challenges. InA glass darkly: Medicine and theology in

further dialogue. D.G. Jones and R.J. Elford, (eds.), pp 9-32.

Jones, D.G. and Whitaker, M.I. (2009) Speaking for thedead: The human body in biology and medicine (2ndedition). Aldershot: Ashgate, 310p.

Elford, R.J. and Jones, D.G. (eds.) (2009) A Tangled Web:Medicine and theology in dialogue. Bern, Switzerland: PeterLang, 310p.

Jones, D.G., King, M.R. and Whitaker, M.I. (2009) Who getsborn? How did New Zealands Bioethics Council arrive at itsrecommendations? The New Zealand Medical Journal, 122,1294, 84-9.

Jones, D.G. and Whitaker, M.I. (2009) Engaging withplastination and the body worlds phenomenon: a culturaland intellectual challenge for anatomists. Clinical Anatomy,

22, 770-776.Jones, D.G. and Whitaker, M.I. (2009) Finding a context fordiscussing human life-extension. The American Journal ofBioethics, 9, 12, 77-82.

Jones, D.G. and Galvin, K.A. (2007) Human reproductivecloning. In Principles of Health Care Ethics, 2nd ed. R.

Ashcroft, A. Dawson, H. Draper, and J. Macmillan (eds.),Chichester, Wiley, pp. 759-765.


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Dr Mike R. KingAssistant Research Fellow

PhD (Massey)BApplSci (Hons)PGDipArts (Otago)


The moral status of animals, scientific responsibility, ethicsof assisted reproductive technologies.

Research Interests

Mikes research draws on his academic experience in thelife sciences as well as moral and political philosophy. Amain theme of this research is the moral status of animalsand normative theory surrounding the treatment of animalsin scientific research, farming, veterinary care and ascompanions. The interplay between individual and stateresponsibilities for animal welfare management is aparticular interest. Another research interest considersreproductive technologies and their regulation. This includes

the deliberative process of state regulatory bodies, andwhat kind of constraints on reproductive freedom may becompatible with liberal political theory. The morality ofscience and its relation to the public is another interest,particularly the responsibilities held by the many andvarious groups with a stake in scientific activity.


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Jones, D.G., M.R. King and M.I. Whitaker (2009). Who gets

born? How did the Bioethics Council arrive at itsrecommendations? New Zealand Medical Journal,122(1294), 84-91.

Wensley, D. and M.R. King (2008) Scientific responsibilityfor the dissemination and interpretation of genetic research:Lessons from the 'Warrior Gene' controversy. Journal ofMedical Ethics, 34, 507-509.

King, M.R. (2007) The Advisory Committee on AssistedReproductive Technologies: The role of the public indecision-making. In: Genes, Society and the Future.Dunedin: Human Genome Research Project, OtagoUniversity, pp. 147-195.

King, M. R. (2006) Public opinion and perceptions ofreproductive genetic technologies. In Choosing Genes forFuture Children: Regulating preimplantation geneticdiagnosis (pp.199-228). Dunedin: Human GenomeResearch Project, Otago University.


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Associate Professor Jing-Bao Nie

PhD (Texas)MA (Queens)MMed (Hunan)BMed


Cross-cultural and international bioethics, medical ethics inChina/Asia.

Research interests

Cross-cultural and international bioethics Reproductive and population ethics Abortion and birth control program in China Japans wartime medical atrocities and international

aftermath Medical ethics in China and Asia, including

Confucian and Taoist perspectives on bioethics Chinese-Western comparative history and

philosophy of medicine Medical humanities


Nie, J-B., Guo, N., Selden, M., & Kleinman, A. (eds.).(2010). Japan's wartime medical atrocities: Comparativeinquiries in science, history, and ethics. Abingdon, UK:

Routledge, 254p.


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Nie, J-B. (2010). Limits of state intervention in sex-selectiveabortion: The case of China. Culture, Health & Sexuality,

12(2), 205-219.Kleinman, A., Nie, J-B., & Selden, M. (2010). Introduction:Medical atrocities, history and ethics. In Japan's wartimemedical atrocities: Comparative inquiries in science, history,and ethics. J-B. Nie, N. Guo, M. Selden, & A. Kleinman,(eds.), Abingdon, UK: Routledge, pp. 1-20.

Nie, J-B. (2010) On the altar of nationalism and the nation-state: Japan's wartime medical atrocities, the Americancover-up, and postwar Chinese responses. In Japan'swartime medical atrocities: Comparative inquiries inscience, history, and ethics. J-B. Nie, N. Guo, M. Selden, &

A. Kleinman, (eds.), Abingdon, UK: Routledge, pp. 123-138.

Nie, JB. (2010) Chinas Birth Control Program throughFeminist Lenses. In Feminist Bioethics: At the Centre, onthe Margins. J.L. Scully, L. Baldwin-Ragaven and P.Fitzpatrick, (eds.), Baltimore ML: Johns Hopkins UniversityPress, pp. 257-277.

Nie, JB. (2009) Radical Disagreements of Chinese Viewson Fetal Life and Implications for Bioethics. In The Bioethicsof Regenerative Medicine. IP King-tak, (Ed.), Dordrecht,The Netherlands: Springer, pp. 63-73.

Nie, JB. (2009) Medical Ethics through the Life Cycle inChina. In The Cambridge World History of Medical Ethics.

R. Baker and L. McCullough, (eds.), New York and London:Cambridge University Press, pp. 126-131.

Nie, JB. (2009) The Discourses of Practitioners in China. InThe Cambridge World History of Medical Ethics. R. Bakerand L. McCullough, (eds.), New York and London:Cambridge University Press. pp. 335-344.


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Dr Neil PickeringSenior Lecturer

PhD (Wales)MABA (Hons) (Exe)MPhil (Hatfield)


Primary interests in bioethics are in the philosophy andethics of mental health, in medical humanities (particularlythe use of literature in ethics teaching), in alternativemedicine, in cultural issues in bioethics, and inenvironmental ethics.

Research interests

A uniting theme is the role of science in humanpredicaments, including questions about its limits. Forexample, in medicine, the notion of disorder is commonlyextended from the physical (diabetes, cancer and the like)to the behavioural and mental (addictions, ADHD,schizophrenia). What is this extension based upon? Is this

extension legitimate? One specific current research topic isWittgensteinian approaches to concept extension, whichseem to challenge the normal rational constraints on howfar concepts can be extended. The question where theboundaries of scientific medicine lie can also beapproached through its relations with alternative medicine.

Alternative medicine approaches often claim to be scientific,so the question of what counts as scientific bulks large. Im


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currently developing research where questions aboutscience arise in relation to culture and the environment.


Pickering, N.J. (2010) Whos a Quack? Journal of BioethicalInquiry, 7(1), 43-52.

Pickering, N.J. (2008) The importance of not beingcomplementary [Perspectives: The Art of Medicine] TheLancet, 372(9653),1874-1875.

Pickering, N.J. (2006) The Metaphor of Mental Illness.Oxford, Oxford University Press.

Pickering, N.J. (2004) The Quantum Booster and orthodoxmedicine. In Challenging Science: Issues for New Zealandsociety in the 21st century. K. Dew, and R. Fitzgerald,(eds.), Palmerston North: Dunmore Press, pp.167-186.

Pickering, N.J. (2003) The likeness argument and the realityof mental illness. Philosophy, Psychiatry, and Psychology,

10(3), 243-254.


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Janssen, A.L., MacLeod, R.D., & Walker, S.T. (2008)

Recognition, reflection, and role models: Critical elements ineducation about care in medicine. Palliative and SupportiveCare, 6(4) 389-95.

Walker, S.T. & MacLeod, R.D. (2005) Palliative careknowledge of some South Island GPs. New Zealand FamilyPhysician, 32(2) 88-93.

Walker, S. (2004) A Wittgensteinian View of a KantianMoral Theory. Masters dissertation, University of Otago.


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Jones, D.G. and Whitaker, M.I. (2009) Scientific fraud: Thedemise of idealistic science. In A Tangled Web: Medicineand Theology in Dialogue. R.J. Elford and D.G Jones,

(eds.), Bern: Peter Lang, pp. 89-104.Jones. D.G. and Whitaker, M.I. (2009) In vitro fertilizationand the embryonic revolution. In Handbook of Research onTechnoethics. R Luppicini and R Adell, (eds.), London:Information Science Reference, pp. 609-622.

Jones, D.G. and Whitaker, M.I. (2009) Engaging withplastination and the body worlds phenomenon: a culturaland intellectual challenge for anatomists. Clinical Anatomy,22, 770-776.

Jones, D.G. and Whitaker, M.I. (2009) Religious traditionsand embryo science. The American Journal of Bioethics,9(11), 41-43.

Jones, D.G. and Whitaker, M.I. (2009) Cadavers,Plastinates and Mummies. Clinical Anatomy, 23, 125-126.

Jones, D.G. and Whitaker, M.I. (2009) Finding a context fordiscussing human life-extension. The American Journal ofBioethics, 9, 12, 77-82.

Jones, D.G., King, M.R. and Whitaker, M.I. (2009) Who getsborn? How did New Zealands Bioethics Council arrive at itsrecommendations? The New Zealand Medical Journal, 122,1294, 84-9.


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GENERAL STAFF

Vicki LangAdministrator

Vicki has worked as Administrator forthe Bioethics Centre since June 1995and provides administrative support

to the staff and students. She is thefirst point of contact for visitors, andis happy to assist with any enquiries.

LOCATION & RESOURCES

The Bioethics Centre occupies the east corridor of theAcademic Wing (South Wing) on the 8th floor of Dunedin

Hospital. This space is made up of Academic staff offices,administration office, photocopy/document room, twopostgraduate study rooms, a resource room and theBioethics Seminar Room 827.


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TEACHING IN THE DEPARTMENT

The Bioethics Centre offers postgraduate (Diploma andMasters) qualifications in Bioethics and Bioethics andHealth Law, and a doctoral programme. It also offersMasters and Bachelor of Medical Science degrees.Students can also study bioethics papers towards aDiploma for Graduates, or individual papers for a Certificateof Proficiency.

The Bioethics Centre teaches bioethics throughout the

undergraduate medical, dental, pharmacy andphysiotherapy curricula. For full information on all thesequalifications, please consult the relevant handbooks andweb pages.

Programmes

Bioethics and Health Law

Graduate Diploma in Bioethics and Health Law(PGDipBHL)

Master of Bioethics and Health Law (MBHL)

The qualifications in Bioethics and Health Law enablecandidates to develop a firm grounding in bioethics and thelegal aspects of health care, and to explore both ethical andlegal approaches to issues related to modern medicine.These qualifications are offered jointly by the BioethicsCentre and the Faculty of Law, and students areencouraged to develop an interdisciplinary approach.

For both qualifications, candidates have to complete threecore papers (these are Theories of Biomedical Ethics,Issues in Law, Ethics and Medicine, and Law and

Medicine). They need in addition at least one other lawpaper and make up the rest of the points with further


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bioethics or law papers. All the bioethics papers listed beloware options. Choices from Law include: Law and Psychiatry,Family Lawand International Human Rights.

Students doing the MBHL also complete a researchdissertation supervised jointly by Law and Bioethics.

The courses are available either full or part-time, and canbe completed at a distance.

Bioethics

Postgraduate Diploma in Health Sciences

(Bioethics)

Masters in Health Sciences (Bioethics)

These Bioethics programmes offer continuing education forthose holding a undergraduate degree or certificate orhaving relevant experience. They offer candidates acomprehensive coverage of theories and issues in

Bioethics. Candidates for both qualifications have tocomplete Theories of Biomedical Ethics and another 60points worth of Bioethics papers. Candidates for thePGDipHS(Bioethics) need another 30 points of papers (fromany Health Science discipline) to complete.

Candidates for MHealSci (Bioethics) complete the aboveprogramme first (and may graduate with the PGDip), andthen complete their Masters either by a thesis supervised by

Bioethics or by further papers (including a research project,supervised by Bioethics).

Both qualifications may be taken full or part-time and all theBioethics papers are available at a distance.


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Doctor of Philosophy (PhD)

The interdisciplinary nature of the Centre means that thisresearch degree can be offered to applicants from a rangeof academic disciplines, eg, Philosophy, Theology, Law,and Medicine, as well as to those with qualifications inBioethics.

Bachelor of Medical Science (BMedSci) and Master ofMedical Science (MMedSc)

These degrees are for medical students, offering them achance to write a thesis (30-40,000 words) containing an indepth consideration of a bioethical topic of their own choice.Both are one year, supervised programmes. The BMedSciis available to medical undergraduates who have completedthree or more years of their medical training. The MMedSciis available to medical graduates.

Diploma for Graduates (DipGrad)

The DipGrad course provides an opportunity for recentgraduates to explore bioethics, whether or not they havepreviously completed undergraduate bioethics papers.

Students should develop a package of papers inconsultation with the Bioethics course advisor and theDirector of the DipGrad programme. The DipGrad may be aroute into further postgraduate study.

The course can be taken as a full-time year of study or part-time over two or more years.
http://www.otago.ac.nz/courses/qualifications/dipgrad.htmlhttp://www.otago.ac.nz/courses/qualifications/dipgrad.html


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This paper is a compulsory part of course work for MBHLstudents. Through staff and student led seminars issues inbioethics and medical law are explored with reference to

theories about actual and desirable relationships of law andmorals.

BITX 404Ethics and Health Care

0.25 EFTS (30 points)

This paper explores the ethical dimensions of a number ofmajor areas and themes of contention in healthcare

provision. These include: genetics and other emergingbiotechnologies, rationing of health care, maternal-foetalconflict, coercion in mental health care, doctors as agents ofthe state, the increasing use of complementary andalternative therapies, truth telling and cultural difference,and care of the aging population.

BITX 405 Bioethics in Clinical Practice


This paper focuses on ethical issues arising at the heart ofclinical practice. It takes it that the health care professionalsperson to person encounter with his or her patient is highlytextured and situated. A series of richly developed casestudies will be used to bring out and explore thecomplexities, layers and tensions inherent even in

apparently straight forward practices such as obtainingconsent, holding confidences, maintaining professionalboundaries and managing multiple roles.

BITX 406 Health Research Ethics


This paper introduces the basic ethical aspects of health

research on humans. It considers: ethical questions arising


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PUBLICATIONS

Publications of Academic Staff: 2008-2010

Journal Articles (58)

Anderson, L (2009) Writing a new code of ethics for sportsphysicians: principles and challenges. Journal of SportsMedicine, 43, 1079-1082.

Anderson, L. C., & Pickering, N. J. (2010). The studentcode: Ethical and professional expectations of medicalstudents at the University of Otago. New Zealand MedicalJournal, 123(1318). Retrieved fromhttp://www.nzma.org.nz/journal/123-1318/4216/

Anderson, L. (2008) Contractual obligations and thesharing of confidential health information in sport. Journal ofMedical Ethics, 34(9), e6.http://jme.bmj.com/cgi/content/full/34/9/e6

Anderson, L., and Pickering, N. (2008) Ethical review ofphysiotherapy research. New Zealand Journal ofPhysiotherapy, 36(3), 138-143.

Cohen, C. B., Brandhorst, B., Nagy, A., Leader, A., Dickens,B., Isasi, R. M., Evans, D., & Knoppers, B. M. (2008) Theuse of fresh embryos in stem cell research: Ethical andpolicy issues. Cell Stem Cell, 2(5), 416-421.

Collyns, O., Gillett, G.R., and Darlow, B. (2009) Overlap ofpremature birth and permissible abortion. Journal of MedicalEthics, 35, 343-347.

Evans, K.L. & Steslow, K. (2010) A rest from reason:Wittgenstein, Drury, and the difference between madnessand religion. Philosophy, 80:245-258.

Evans, D.M. (2009) Response. Journal of Bioethical

Inquiry, 6, 145-146.


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Evans, D. (2008) Electronically stored health data and bestpractice [Opinion piece]. Health[e]News, (19), 8-9.

http://www.nzhis.govt.nz/moh.nsf/pagesns/33/$File/Enews1

9.pdf

Gillett, G. (2010). [Response to In that case:Transformations].Journal of Bioethical Inquiry, 7, 271-272. doi: 10.1007/s11673-010-9232-8

Gillett, G. (2010). The multiaxial, multi-layered reality that ismental disorder. Association for the Advancement ofPhilosophy and Psychiatry Bulletin, 17(1), 5-7.

Gillett, G. R., Honeybul, S., Ho, K. M., & Lind, C. R. P.(2010). Neurotrauma and the RUB: Where tragedy meetsethics and science. Journal of Medical Ethics, 36, 727-730.doi: 10.1136/jme.2010.037424

Gillett, G., & Saville-Cook, D. (2010). Regulation ofbiomedical products. Journal of Law and Medicine, 17(5),701-707.

Gillett, G., & Saville-Cook, D. (2010). Too muchinformation? Journal of Primary Health Care, 2(2), 165-167.

Gillett, G.R. (2009) Responses to open peer commentarieson The subjective brain, identity, and neuroethicsAmerican Journal of Bioethics, 9(9), W1-4.

Gillett, G.R. (2009) Intention, autonomy and brain events.Bioethics, 23(6), 330-339.

Gillett, G.R.

(2009) Indigenous knowledges:Circumspection, metaphysics, and scientific ontologies.Sites, 6(1), 97-115.

Gillett, G.R. (2009) The evolution of the soul. TheAustralian and New Zealand Theological Review, 41(2),165-180.

Gillett, G.R. (2009) The subjective brain, identity and

neuroethics.American Journal of Bioethics, 9(9), 5-13.


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Gillett, G.R. (2009) When two are born as one: the ethics ofseparating conjoined twins. Journal of law and medicine,17, 184-189.

Gillett, G.R. (2008) Dialoguing The Exorcism of EmilyRose. Dialogue Australasia, 20, 26-29.

Gillett, G.R. (2008) Ethical decisions at the edge. Journal ofLaw and Medicine, 15, 686-692.

Gillett, G.R. (2008) Identity and resurrection. HeythropJournal, XLIX, 254-268.

Gillett, G.R. (2008) The art of medicine: Autonomy and

selfishness. Lancet, 372, 1214-1215.

Gillett, G.R. (2010) Problematizing biomedicine. Journal ofBioethical Inquiry, 7(1), 9-12.

Gillett, G.R., & Gillett, M. (2008) Intent, the ethos of acaring society and justice. Journal of Law and Medicine, 16,209-215.

Gillettt, G.R. (2009) Whose best interests? Advancedirectives and clinical discretion. Journal of law andmedicine, 16(5) 751-758.

Harland, T., Tidswell, T., Everett, D., Hale, L., & Pickering,N. (2010) Neoliberalism and the academic as critic andconscience of society. Teaching in Higher Education, 15(1),85-96.

Honeybul, S., Ho, K. M., Lind, C. R. P., & Gillett, G. R.

(2010). Decompressive craniectomy for neurotrauma: Thelimitations of applying an outcome prediction model. ActaNeurochirurgica, 152(6), 959-964.doi: 10.1007/s00701-010-0626-5

Honeybul, S., Ho, K. M., Lind, C. R. P., & Gillett, G. R.(2010). Observed versus predicted outcome fordecompressive craniectomy: A population-basedstudy. Journal of Neurotrauma, 27(7), 1225-1232.doi:

10.1089/neu.2010.1316


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Honeybul, S., Ho, K.M., Lind, C.R.P., Corcoran, T. andGillett, G.R. (2009) The retrospective application of aprediction model to patients who have had a decompressive

craniectomy for trauma. Journal of Neurotrauma, 26 (12),2179-2183.

Janssen, A.L., MacLeod, R.D., & Walker, S.T. (2008).Recognition, reflection, and role models: Critical elements ineducation about care in medicine. Palliative and SupportiveCare, 6(4) 389-95.

Jones, D.G. (2010) Peering into peoples brains:neurosciences intrusion into our inner sanctum.Perspectives on Science and Christian Faith, 62(2), 122-132.

Jones, D. G. (2010). A Christian perspective on humanenhancement [Guest editorial]. Science & ChristianBelief, 22(2), 114-116.

Jones, D.G. (2010). Heavenly bodies: The future of surgicalenhancement. Third Way, 33(7), 13.

Jones, D. G., & Whitaker, M.I. (2010). Cadavers,plastinates, and mummies [Letter to the editor]. ClinicalAnatomy, 23(1), 125-126.doi: 10.1002/ca.20894

Jones, D.G. (2009) Gauging public opinion towards thereproductive technologies. New Zealand Journal of SocialSciences, 4, 221-224.

Jones, D.G. (2008) Neuroethics: Adrift from a clinical base.

The American Journal of Bioethics, 8(1), 49-50.

Jones, D.G. (2008) Embryonic stem cells: how dogmaticshould Christians be? Stimulus, 16(2), 11-15.

Jones, D.G. and Whitaker, M.I. (2009) Engaging withplastination and the body worlds phenomenon: a culturaland intellectual challenge for anatomists. Clinical Anatomy,22, 770-776.


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Jones, D.G. and Whitaker, M.I. (2009) Religious traditionsand embryo science. The American Journal of Bioethics,9(11), 41-43.

Jones, D.G. and Whitaker, M.I. (2009) Cadavars,plastinates and mummies. Clinical Anatomy, 23, 125-126.

Jones, D.G. and Whitaker, M.I. (2009) Finding a contextfor discussing human life-extension. The American Journalof Bioethics, 9, 12, 77-82.

Jones, D.G., King, M.R. and Whitaker, M.I. (2009) Whogets born? How did New Zealands Bioethics Council arrive

at its recommendations? The New Zealand Medical Journal,122, 1294, 84-9.

Jones, S. & Gillett, G. (2008). Posthumous reproduction:Consent and its limitations. Journal of Law and Medicine,16(2), 279-287.

King, M. R., Morel, P. C. H., Pluske, J. R., & Hendriks, W.H. (2008). A comparison of the effects of dietary spray-driedbovine colostrum and animal plasma on growth andintestinal histology in weaner pigs. Livestock Science, 119,167-173.

King, M. R., Morel, P. C. H., Revell, D. K., Pluske, J. R., &Birtles, M. J. (2008). Dietary bovine colostrum increasesvillus height and decreases small intestine weight in early-weaned pigs. Asian-Australasian Journal of AnimalSciences, 21(4), 567-573.

McLennan, S., Gillett, G., & Celi, L. A. (2008). Healer, healthyself: Health care workers and the influenza vaccination.American Journal of Infection Control, 36(1), 1-4.

Nie, J-B. (2008). The search for an Asian bioethics [Reviewof the books The family, medical decision-making, andbiotechnology: Critical reflections on Asian moralperspectives and The way of Asian bioethics]. AsianBioethics Review, 1(1), 86-94.


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Nie, J-B. (2010). Limits of state intervention in sex-selectiveabortion: The case of China. Culture, Health & Sexuality,12(2), 205-219.

Pickering, N. (2010). Who's a quack? Bioethical Inquiry,7(1), 43-52.

Pickering, N. (2010). Inducements, autonomy andjustice. HRC Ethics Notes, (April), 1-3. Retrieved fromhttp://www.hrc.govt.nz/assets/pdfs/publications/Ethics%20Notes%20Mar10.pdf

Pickering, N. (2008). The art of medicine: The importance

of not being complementary [Perspectives]. Lancet, 372,1874-1875.

Pickering, N. (2009). Absence of significant dissent shouldbe sufficient for deceased organ procurement in NewZealand: A commentary. Australia and New ZealandJournal Of Public Health, 33(5), 454-456.

Steslow, K. (2010) Metaphors in our mouths. HastingsCentre Report, 40(4):30-33.

Wensley, D., & King, M. (2008). Scientific responsibility forthe dissemination and interpretation of genetic research:Lessons from the warrior gene controversy. Journal ofMedical Ethics, 34, 507-509.

Walsh, B. H. (2010). The spatialisation of disease: Foucualtand Evidence-based Medicine (EBM). Journal of BioethicalInquiry, 7, 31-42.doi: 10.1007/s11673-010-9216-8

Books (7)

Elford, R.J. and Jones, D.G. (eds) (2009) A tangled web:Medicine and theology in dialogue. Bern, Switzerland: PeterLang, 310p.

Evans, D. (2008). Values in medicine: What are we really

doing to patients? London: Routledge:Cavendish, 216p.
http://www.hrc.govt.nz/assets/pdfs/publications/Ethics%20Notes%20Mar10.pdfhttp://www.hrc.govt.nz/assets/pdfs/publications/Ethics%20Notes%20Mar10.pdfhttp://www.hrc.govt.nz/assets/pdfs/publications/Ethics%20Notes%20Mar10.pdfhttp://dx.doi.org/10.1007/s11673-010-9216-8http://dx.doi.org/10.1007/s11673-010-9216-8http://dx.doi.org/10.1007/s11673-010-9216-8http://dx.doi.org/10.1007/s11673-010-9216-8http://www.hrc.govt.nz/assets/pdfs/publications/Ethics%20Notes%20Mar10.pdfhttp://www.hrc.govt.nz/assets/pdfs/publications/Ethics%20Notes%20Mar10.pdf


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Gillett, G.R. (2008). Subjectivity and being somebody.Exeter, UK: Imprint Academic, 286p.

Gillett, G.R. (2009) The mind and its discontents (2nd

Edition). Oxford: University Press, xvi + 432p.

Jones, D.G. and Elford, R.J. (eds) (2010) A glass darkly:medicine and theology in further dialogue. Bern,Switzerland: Peter Lang, 246p.

Jones, D.G. and Whitaker, M.I. (2009) Speaking for thedead: the human body in biology and medicine (2ndedition). Aldershot: Ashgate, 310p.

Nie, J-B., Guo, N., Selden, M., & Kleinman, A. (eds.).(2010). Japan's wartime medical atrocities: Comparativeinquiries in science, history, and ethics. Abingdon, UK:Routledge, 254p.

Book Chapters (27)

Anderson, L., & Pelvin, B. (2010). Ethical frameworks forpractice. In S. Pairman, S. Tracy, C. Thorogood, & J.Pincombe (Eds.), Midwifery: Preparation for practice (2nded.). (pp. 283-297). Chatswood, Australia: Elsevier.

Anderson, L & Ellis, E (2009) Ethics, practice regulationand physiotherapy. In Contexts of Physiotherapy Practice.J. Higgs, M. Smith, G. Webb, M. Skinner & A. Croker, eds.Sydney: Elsevier Pp 177-188.

Evans, D.M. (2009) Autonomy and individual responsibility.In The Universal Declaration of Bioethics and HumanRights, UNESCO pp 111-112.

Gillett, G. (2010). Intentional action, moral responsibilityand psychopaths. In, Responsibility and psychopathy:Interfacing law, psychiatry and philosophy . L. Malatesti & J.McMillan, (eds.), New York: Oxford University Press, pp.283-298.


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Gillett, G. R. (2008). Surgical innovation and research. InThe Oxford textbook of clinical research ethics. E. J.Emanuel, C. Grady, R. A. Crouch, R. K. Lie, F. G. Miller, &

D. Wendler (eds.), Oxford: Oxford University Press, pp.367-374.

Guo, N., & Nie, J-B. (2010). Annotated bibliography:Primary sources and secondary literature in Japanese,Chinese and English. In Japan's wartime medical atrocities:Comparative inquiries in science, history, and ethics. J-B.Nie, N. Guo, M. Selden, & A. Kleinman, (eds.), Abingdon,UK: Routledge, pp. 205-231.

Harrigan, M. and Gillett, G.R. (2009) Hunting good will inthe wilderness. In Decision making, personhood anddementia: exploring the interface. D. O'Connor & B. Purves,(eds.), London: Jessica Kingsley, pp. 47-57.

Jones, D.G. (2010) Responses to the human embryo andembryonic stem cells: Scientific and theologicalassessments. In S. Fletcher Harding and N. Morvillo (Eds.),Religion and Science: Critical Concepts in Religious Studies(chapter 73). New York: Routledge.

Jones, D.G. (2010) The necessity of dialogue. In A glassdarkly: Medicine and theology in further dialogue. D.G.Jones and R.J. Elford, (eds.), Bern: Peter Lang pp 211-239.

Jones, D.G. (2010) The biomedical technologies: prospectsand challenges. InA glass darkly: Medicine and theology infurther dialogue. Bern: Peter Lang D.G. Jones and R.J.

Elford, (eds.), pp 9-32.

Jones, D. G. (2010). Conclusion: The necessity of dialogue.In D. G. Jones & R. J. Elford (Eds.),A glass darkly:Medicine and theology in further dialogue (pp. 211-238).Bern, Switzerland: Peter Lang.

Jones, D.G. (2009) Enhancement: Is baseless speculationmisleading theologians and bioethicists? InA Tangled Web:


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Medicine and Theology in Dialogue. R.J. Elford and D.G.Jones, (eds.), Bern: Peter Lang, pp. 123-142.

Jones, D.G. (2009) Is PGD a form of eugenics? In A

Tangled Web: Medicine and Theology in Dialogue. R.J.Elford and D.G. Jones, (eds.), Bern: Peter Lang, pp. 143-161.

Jones, D.G. (2009) Regulatory procedures. In A TangledWeb: Medicine and Theology in Dialogue. R.J. Elford andD.G. Jones, (eds.), Bern: Peter Lang, pp. 201-219.

Jones, D.G. (2009) Introduction. In A Tangled Web:

Medicine and Theology in Dialogue. R.J. Elford and D.G.Jones, (eds.), Bern: Peter Lang, pp. 9-16.

Jones, D.G. (2009) The human body: An anatomistsjourney from Death to Life. InA Tangled Web: Medicine andTheology in Dialogue. R.J. Elford and D.G. Jones, (eds.),Bern: Peter Lang, pp105-121.

Jones, D.G. (2009) Borderlands. In Real Scientists RealFaith. RJ Berry, (Ed.), Oxford, UK: Monarch Books, pp58-71.

Jones, D.G. and Whitaker, M.I. (2009) Scientific fraud: Thedemise of idealistic science. In A Tangled Web: Medicineand Theology in Dialogue. R.J. Elford and D.G Jones,(eds.), Bern: Peter Lang, pp. 89-104.

Jones. D.G. and Whitaker, M.I. (2009) In vitro fertilizationand the embryonic revolution. In Handbook of Research on

Technoethics. R Luppicini and R Adell, (eds.), London:Information Science Reference, pp. 609-622.

Kleinman, A., Nie, J-B., & Selden, M. (2010). Introduction:Medical atrocities, history and ethics. In Japan's wartimemedical atrocities: Comparative inquiries in science, history,and ethics. J-B. Nie, N. Guo, M. Selden, & A. Kleinman,(eds.), Abingdon, UK: Routledge, pp. 1-20.


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Nie, J-B. (2008) Exploring the core of humanity: Cross-cultural perspectives on the concept of personhood. InResponsibility and commitment: Eighteen essays in honor

of Gerhold K. Becker. T-W Kwan, (Ed.), Waldkirch: EditionGorz, pp. 17-27.

Nie, J-B. (2010) On the altar of nationalism and the nation-state: Japan's wartime medical atrocities, the Americancover-up, and postwar Chinese responses. In Japan'swartime medical atrocities: Comparative inquiries inscience, history, and ethics. J-B. Nie, N. Guo, M. Selden, &

A. Kleinman, (eds.), Abingdon, UK: Routledge, pp. 123-138.

Nie, JB. (2010) Chinas birth control program throughfeminist lenses. In Feminist Bioethics: At the Centre, on theMargins. J.L. Scully, L. Baldwin-Ragaven and P. Fitzpatrick,(eds.), Baltimore ML: Johns Hopkins University Press, pp.257-277.

Nie, JB. (2009) Medical ethics through the life cycle inChina. In The Cambridge World History of Medical Ethics.R. Baker and L. McCullough, (eds.), New York and London:Cambridge University Press, pp. 126-131.

Nie, JB. (2009) Radical disagreements of Chinese views onfetal life and implications for bioethics. In The Bioethics ofRegenerative Medicine. IP King-tak, (Ed.), Dordrecht, TheNetherlands: Springer, pp. 63-73.

Nie, JB. (2009) The discourses of practitioners in China. InThe Cambridge World History of Medical Ethics. R. Baker

and L. McCullough, (eds.), New York and London:Cambridge University Press. pp. 335-344.

Nie, JB. Takashi Tsuchiya and Lun Li. (2009) Japanesedoctors' experimentation, 1932-1945, and medical ethics. InThe Cambridge World History of Medical Ethics. R. Bakerand L. McCullough, (eds.), New York and London:Cambridge University Press. pp. 589-594.


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Further information

Please contact:

Bioethics CentreUniversity of OtagoP.O. Box 913Dunedin 9054New Zealand

Phone 64 3 4747977Fax 64 3 4747601Email [email protected] @bioethicscentreFacebook TheBioethicsCentreWebsite www.bioethics.otago.ac.nz
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