剑桥医疗伦理季刊旨在应对生物学、医学和医疗保健方面的挑战，并满足在医院、疗养院、临终关怀中心和康复中心的医疗伦理委员会任职的专业人员的需求。该杂志的目的是作为国际论坛，解决医疗伦理委员会成员、医生、护士、社会工作者、神职人员、律师和社区代表所面临的广泛的严重和紧迫问题。

The Cambridge Quarterly of Healthcare Ethics aims to address challenges in the fields of biology, medicine, and healthcare, catering to the needs of professionals serving on ethics committees in hospitals, nursing homes, hospice centers, and rehabilitation facilities. The journal serves as an international forum to discuss a wide range of serious and urgent issues faced by members of ethics committees, physicians, nurses, social workers, clergy, lawyers, and community representatives.

剑桥医疗伦理季刊旨在应对生物学、医学和医疗保健领域的挑战，满足在医院、疗养院、临终关怀中心和康复中心的医疗伦理委员会专业人员的需求。该杂志的目标是作为一个国际论坛，探讨医疗伦理委员会成员、医生、护士、社会工作者、神职人员、律师和社区代表所面临的各种重要和紧迫的问题。

Cambridge Quarterly of Healthcare Ethics

Abstract The leading models of disability struggle to fully encompass all aspects of “disability.” This difficulty arises, the author argues, because the models fundamentally misunderstand the nature of disability. Current theoretical approaches to disability can be understood as “nounal,” in that they understand disability as a thing that is caused or embodied. In contrast, this paper presents an adverbial perspective on disability, which shows that disability is experienced as a personally irremediable impediment to daily-living tasks or goals-like-ours. The picture theory of disability technically constitutes a species of relational approach because its analysis references the interplay between an individual and their environment; it differs from other relational accounts, however, by interpreting disability as a certain kind of negative experience—rather than a function of that relationship. This purely descriptive theory makes no normative claims about disability and operates as both a mechanism for the evaluation of the experience of disability and a heuristic device for the proper interpretation of disability. When disability is reframed in this way, the theory offers a particularist perspective which shows if, when, where, and how disability is experienced.

Steven J Firth

The Picture Theory of Disability

残疾的图像理论

Jennifer Blumenthal-Barby (2024) has called for bioethics to end talk about personhood, asserting that such talk has the tendency to confuse and offend. It will be argued that this has only limited application for (largely) private settings. However, in other settings, theorizing about personhood leaves a gap in which there is the risk that the offending concept will get uptake elsewhere, and so the problem Blumenthal-Barby nominates may not be completely avoided. In response to this risk, an argument is presented in support of the idea that the role of philosophers and bioethicists, far from ending talk of personhood, ought to be to clarify the concept, and to do so in nuanced ways, given its application for specific kinds of impairments. The case of dementia is used to illustrate this in the context of person-centered care. Ironically, given the stigma attached to dementia, far from the need to end talk of personhood, bioethicists are needed to rescue the concept and clarify its role.

Steve Matthews

Personhood, Dementia, and Bioethics

人格、痴呆与生物伦理学

This article considers John Harris' work on autonomy, specifically reproductive autonomy, outlined in

Lucy Frith

The Value of Life and Reproductive and Professional Autonomy

生命价值与生殖及职业自主权

Abstract This response engages critically with Harzheim’s review of Thomas Fuchs’ In Defense of the Human Being: Foundational Questions of an Embodied Anthropology. Fuchs’ work offers a profound exploration of embodied cognition, arguing that human cognition and existence are deeply shaped by our physical interactions. Harzheim’s critique highlights significant aspects of Fuchs’ framework, including his critique of functionalist models, the impact of transhumanist technologies, and ethical concerns in healthcare technology. This paper extends Harzheim’s review by proposing an integration of functionalist and embodied cognitive models, emphasizing the need for a comprehensive evaluation of technological impacts, and advocating for a more robust ethical framework that considers social equity. Additionally, it addresses the is-ought distinction and explores the implications of technological advancements on human identity and mental health. Doede’s critique is also discussed, underscoring the importance of integrating diverse cognitive models and addressing technological determinism. Overall, this response calls for a more nuanced and inclusive approach to the discourse on embodied cognition, aiming to enrich the scholarly conversation and address the complexities and implications of Fuchs’ analysis.

Ezra N S Lockhart

What It Means to Be Human: A Response to Harzheim

成为人的意义：回应哈泽海姆

Abstract Bioethics education in residency helps trainees achieve many of the Accreditation Council for Graduate Medical Education milestones and gives them resources to respond to bioethical dilemmas. For this purpose, The Providence Center for Health Care Ethics has offered a robust clinical ethics rotation since 2000. The importance of bioethics for residents was highlighted as the COVID-19 pandemic raised significant bioethical concerns and moral distress for residents. This, combined with significant COVID-19-related practical stressors on residents led us to develop a virtual ethics rotation. A virtual rotation allowed residents flexibility as they were called to help respond to the unprecedented demands of a pandemic without compromising high quality education. This virtual rotation prioritized flexibility to support resident wellbeing and ethical analysis of resident experiences. This article describes how this rotation was able to serve residents without overstraining limited bandwidth, and address the loci of resident pandemic distress. As pandemic pressures lessened, The Providence Center for Health Care Ethics transitioned to a hybrid rotation which continues to prioritize resident wellbeing and analysis of ongoing stressors while incorporating in-person elements where they can improve learning. This article provides a description of the rotation in its final form and resident feedback on its effectiveness.

Sara Kolmes

Kevin M Dirksen

Developing a Postpandemic Model for Hybrid Clinical Ethics Rotations in Postgraduate Medical Education

后疫情时代混合临床伦理轮转在毕业后医学教育中的发展模式

Abstract Putting a specific value on human life is important in many contexts and forms part of the basis for many political, administrative, commercial, and personal decisions. Sometimes, the value is set explicitly, sometimes even in monetary terms, but much more often, it is set implicitly through a decision that allows us to calculate the valuation of a life implicit in a certain rule or a certain resource allocation. We also value lives in what looks like a completely different way when we evaluate whether a particular life is being or has been lived well. Both of these ways of valuing are done from an outside or third-person perspective, but there is also a third way of valuing a life which is from the first-person perspective, and which essentially asks how much my life is worth to me. Is there any connection between these different ways of valuing life, and if so what is the connection between them? This paper provides an account of John Harris’ analysis of the value of life and discusses whether it can bridge the gap between first-person and third-person evaluations of the value of life, and whether it can do so in a way that still allows for resource allocation decisions to be made in health care and other sectors.

短名	Camb Q Healthc Ethics
Journal Impact	1.64
国际分区	SOCIAL SCIENCES, BIOMEDICAL(Q3)
期刊索引	SCI Q3中科院 4 区

ISSN	0963-1801, 1469-2147
h-index	42
国内分区	医学(4区)医学卫生保健与服务(4区)医学卫生政策与服务(4区)医学社会科学生物医学(4区)

涉及主题	政治学法学心理学医学生物社会学哲学经济计算机科学工程类遗传学认识论
出版信息	出版商: Cambridge University Press，出版周期: Quarterly，期刊类型: journal，开源期刊: 否
基本数据	创刊年份: 1992，原创研究文献占比: 95.71%，自引率:13.30%， Gold OA占比: 49.16%
平均审稿周期	网友分享经验：>12周，或约稿
平均录用比例	网友分享经验：容易

Cambridge Quarterly of Healthcare Ethics

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The Picture Theory of Disability

Personhood, Dementia, and Bioethics

The Value of Life and Reproductive and Professional Autonomy

What It Means to Be Human: A Response to Harzheim

Developing a Postpandemic Model for Hybrid Clinical Ethics Rotations in Postgraduate Medical Education

The Contested Value of Life

Developing a Postpandemic Model for Hybrid Clinical Ethics Rotations in Postgraduate Medical Education

What It Means to Be Human: A Response to Harzheim

Personhood, Dementia, and Bioethics

The Value of Life and Reproductive and Professional Autonomy