Journal of Bioethical Inquiry, Volume 18, Issue 4, 2021
Free Access Editorial: A Lost Idyll of Connection?
Recent research work by the American grief expert Robert Niemeyer and colleagues in Memphis and Australia, show very high levels of distress and impairment of function for those who have experienced the death of close people from COVID-19, in fact amongst the highest recorded for trauma and disasters in the past. Some of the key indices that drove these high scores are related to people dying alone and limited funeral rites—in other words, it appears that, perhaps unsurprisingly, grief in this pandemic has been aggravated by limits to intimacy and connection, and that we can cope with almost anything with human solidarity and connection (Niemeyer 2021).
Recent Developments: Semi-Automated Care: Video-Algorithmic Patient Monitoring and Surveillance in Care Settings
Piers M. Gooding & David M. CliffordIntroduction
For the purposes of this commentary, we will focus on video-algorithmic patient monitoring in acute psychiatric settings, where it is at experimental stages (Barrera et al. 2020). Novel ethical and legal issues arise in the mental health context, particularly as semi-automated nursing may seek to analyse patient behaviour, such as those associated with self-harm, assault, and suicide, and not just physiological matters such as pulse and breathing rates. The behavioural component potentially shades into “surveillance,” where “surveillance” is defined as comprising a “[w]atch or guard kept over a person … ; often … supervision; less commonly, supervision for the purpose of direction or control, superintendence” (Oxford English Dictionary 2018). This is also the case where monitoring extends to surveilling against staff malpractice (see Lloyd-Jukes et al. 2021). Further, a significant proportion of inpatients in acute mental health settings are detained and treated involuntarily (over 50 per cent in some acute public mental health systems), which carry the associated and vexed questions of upholding free and informed patient consent.
Regardless of these specificities, the ethical and legal issues raised by video-algorithmic patient monitoring in psychiatric settings are relevant beyond the mental health context and concern potential futures of healthcare and human care more broadly.
Letter to the Editor: It Is Time to Stop Racial Exclusion in Scholarly Citations
Critical Perspectives: Unmasking the Ethics of Public Health Messaging in a Pandemic
Open Access Critical Perspectives: How Good is the Science That Informs Government Policy? A Lesson From the U.K.’s Response to 2020 CoV-2 Outbreak
Jessica Cooper, Neofytos Dimitriou & Ognjen ArandjelovícAbstract
Critical Perspectives: The Ethics of Adultcentrism in the Context of COVID-19: Whose Voice Matters?
Critical Perspectives: Reflecting Before, During, and After the Heat of the Moment: A Review of Four Approaches for Supporting Health Staff to Manage Stressful Events
C. Delany, S. Jones, J. Sokol, L. Gillam & T. PrenticeAbstract
Open Access Original Research: Risk, Responsibility, Rudeness, and Rules: The Loneliness of the Social Distance Warrior
David M. ShawAbstract
Open Access Original Research: Ecologies of Public Trust: The NHS COVID-19 Contact Tracing App
Gabrielle Samuel, Frederica Lucivero, Stephanie Johnson & Heilien DiedericksAbstract
Open Access Original Research: Which Vaccine? The Cost of Religious Freedom in Vaccination Policy
Alberto Giubilini, Julian Savulescu & Dominic WilkinsonAbstract
Original Research: The Ethical Unjustifications of COVID-19 Triage Committees
Yi Jiao (Angelina) TianAbstract
Original Research: End-of-Life Decisions in Intensive Care Units in Croatia—Pre COVID-19 Perspectives and Experiences From Nurses and Physicians
Marko Ćurković, Lovorka Brajković, Ana Jozepović, Dinko Tonković, Željko Župan, Nenad Karanović & Ana BorovečkiAbstract
Open Access Original Research: Care for Language: Etymology as a Continental Argument in Bioethics
Original Research: Anatomy of Being, Metaphysics of Death: The Case of Avicenna’s Logical Dissection
Original Research: Physician–Patient Relationship, Assisted Suicide and the Italian Constitutional Court
E. Turillazzi, A. Maiese, P. Frati, M. Scopetti & M. Di PaoloAbstract
Open Access Original Research: Between “Medical” and “Social” Egg Freezing: A Comparative Analysis of Regulatory Frameworks in Austria, Germany, Israel, and the Netherlands
Nitzan Rimon-Zarfaty, Johanna Kostenzer, Lisa-Katharina Sismuth & Antoinette de BontAbstract