Death or Disability?: The 'Carmentis Machine' and decision-making for critically ill children

Author:   Dominic Wilkinson (University of Adelaide)
Publisher:   Oxford University Press
ISBN:  

9780198799054


Pages:   320
Publication Date:   06 April 2017
Format:   Paperback
Availability:   To order   Availability explained
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Death or Disability?: The 'Carmentis Machine' and decision-making for critically ill children


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Overview

In ancient Rome parents would consult the priestess Carmentis shortly after birth to obtain prophecies of the future of their newborn infant. Today, parents and doctors of critically ill children consult a different oracle. Neuroimaging provides a vision of the child's future, particularly of the nature and severity of any disability. Based on the results of brain scans and other tests doctors and parents face heart-breaking decisions about whether or not to continue intensive treatment or to allow the child to die. Paediatrician and ethicist Dominic Wilkinson looks at the profound and contentious ethical issues facing those who work in intensive care caring for critically ill children and infants. When should infants or children be allowed to die? How accurate are predictions of future quality of life? How much say should parents have in these decisions? How should they deal with uncertainty about the future? He combines philosophy, medicine and science to shed light on current and future dilemmas.

Full Product Details

Author:   Dominic Wilkinson (University of Adelaide)
Publisher:   Oxford University Press
Imprint:   Oxford University Press
Dimensions:   Width: 15.60cm , Height: 1.70cm , Length: 23.40cm
Weight:   0.486kg
ISBN:  

9780198799054


ISBN 10:   0198799055
Pages:   320
Publication Date:   06 April 2017
Audience:   College/higher education ,  Professional and scholarly ,  Undergraduate ,  Postgraduate, Research & Scholarly
Format:   Paperback
Publisher's Status:   Active
Availability:   To order   Availability explained
Stock availability from the supplier is unknown. We will order it for you and ship this item to you once it is received by us.

Table of Contents

Prologue 1: The temple of Carmentis 30AD Prologue 2: The Carmentis Machine: 2030 AD Introduction: Neuroethics and intensive care Section A 1: Destiny, disability, and death 2: Best interests and the Carmentis machine 3: Starting again 4: Competing interests Section B 5: Sources of Uncertainty--prognostic research 6: Managing uncertainty 7: Interests and uncertainty 8: The Threshold framework Index

Reviews

`This book reflects a remarkable blend of philosophical sophistication and clinical expertise . . . Wilkinson's book will be mandatory reading for philosophers and clinical ethicists who are writing on, or working with, critically ill children and their parents.' J. Paul Kelleher, Mind `this is a wonderful book: wise, clever, humane, realistic and humble. It will be, and richly deserves to be, the cornerstone of academic and practitioner debate about this terrible, and terribly important area of ethics and medicine.' Charles Foster, European Journal of Health Law `His style, clear and simple for a work on a subject of considerable complexity, and yet profound in its way of dealing with issues more related to philosophy and ethics, make this book a read of great interest not only for professionals pediatric medicine, but also for affected families and for anyone who wants to know the problems of bioethics from a multidisciplinary perspective.' Revista Española de Discapacidad `the best book of the decade in bioethics . . . this is a book that must be read by everybody who is seriously interested in the bioethical issues that arise in neonatal intensive care or, more generally, in decision making for children with chronic, debilitating or life-threatening conditions.' John D. Lantos, Notre Dame Philosophical Reviews `this was an interesting read, comprehensive, analytical, and thought-provoking . . . Wilkinson does a good job of articulating and providing evidence to support his point of view. He successfully accomplishes what he sets out to do, while keeping the reader entertained with historical points, clinical examples, and philosophical theories and vignettes.' Marlyse F. Haward, The American Journal of Bioethics `The author skilfully draws on his training in philosophy, bioscience and clinical practice to offer an analysis that is original, not merely in content but also in form. Wilkinsons comparison of the Carmentis Machine with contemporary neuroimaging is inspired.' Deborah Bowman, Times Higher Education Supplement


This book reflects a remarkable blend of philosophical sophistication and clinical expertise ... Wilkinson's book will be mandatory reading for philosophers and clinical ethicists who are writing on, or working with, critically ill children and their parents. J. Paul Kelleher, Mind this is a wonderful book: wise, clever, humane, realistic and humble. It will be, and richly deserves to be, the cornerstone of academic and practitioner debate about this terrible, and terribly important area of ethics and medicine. Charles Foster, European Journal of Health Law His style, clear and simple for a work on a subject of considerable complexity, and yet profound in its way of dealing with issues more related to philosophy and ethics, make this book a read of great interest not only for professionals pediatric medicine, but also for affected families and for anyone who wants to know the problems of bioethics from a multidisciplinary perspective. Revista Espanola de Discapacidad the best book of the decade in bioethics ... this is a book that must be read by everybody who is seriously interested in the bioethical issues that arise in neonatal intensive care or, more generally, in decision making for children with chronic, debilitating or life-threatening conditions. John D. Lantos, Notre Dame Philosophical Reviews this was an interesting read, comprehensive, analytical, and thought-provoking ... Wilkinson does a good job of articulating and providing evidence to support his point of view. He successfully accomplishes what he sets out to do, while keeping the reader entertained with historical points, clinical examples, and philosophical theories and vignettes. Marlyse F. Haward, The American Journal of Bioethics The author skilfully draws on his training in philosophy, bioscience and clinical practice to offer an analysis that is original, not merely in content but also in form. Wilkinsons comparison of the Carmentis Machine with contemporary neuroimaging is inspired. Deborah Bowman, Times Higher Education Supplement


Author Information

Dominic Wilkinson is Professor of Medical Ethics at the Oxford Uehiro Centre for Practical Ethics, University of Oxford, research fellow at Jesus College, and a consultant neonatologist at the John Radcliffe Hospital, Oxford.

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