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Professional Ethics

Burma, Myanmar and the Myth of Objectivity

by David Edmonds – twitter @DavidEdmonds100

Since my last blog post, there has been a decision within the BBC “to start to move” to calling ‘Burma, ‘Myanmar’.

Burma has always been an interest of mine because it was the big story in the first few weeks when I began in journalism.  Aung San Suu Kyi’s husband (now deceased) lived in Oxford and when the demonstrations broke out in Burma in September 1988 I would deliver news wires to him: in those pre-internet days he had virtually no other means of finding out what was going on.Read More »Burma, Myanmar and the Myth of Objectivity

‘Precarious (Bio)ethics: Research on Poisoning Patients in Sri Lanka’

On 9 May 2013, Salla Sariola, from ETHOX, gave a fascinating talk at the St Cross Ethics Seminar, based on work done collaboratively with Bob Simpson (Durham). The presentation focused on the large number of self-poisonings which have been taking place in Sri Lanka, often using lethal agricultural pesticides and herbicides unavailable in many developed countries. This presentation is now available as a podcast at the bottom right of the Oxford Uehiro Centre main webpage.Read More »‘Precarious (Bio)ethics: Research on Poisoning Patients in Sri Lanka’

On being private in public

We all know that we are under CCTV surveillance on many occasions each day, particularly when we are in public places. For the most part we accept that being – or potentially being – watched in public places is a reasonable price to pay for the security that 24-hour surveillance offers. However, we also have expectations about what is done with CCTV footage, when, and by whom. A recent discussion with a friend threw up some interesting questions about the nature of these expectations and their reasonableness.

My friend works in a bar where, unsurprisingly, there are several CCTV cameras. Everyone knows where these cameras are and that they are permanently in operation – there is not supposed to be any secrecy. Whilst the primary purpose of the cameras is to promote security, a member of the management team has begun to use them in a way that could be seen as ethically problematic: she logs on to view the footage in real-time, remotely, at her home. In addition to watching the footage, the manager has also addressed points of staff discipline based on what she sees. Perhaps particularly troubling is that she has commented on the way a member of staff behaved when no one was around – when the member of staff thought that she was ‘alone’.Read More »On being private in public

Informed consent deserves a little less respect

The conclusions of a ‘citizens’ jury’, reported recently in the British Medical Journal [1] shed light on some important weaknesses in the doctrine of ‘informed consent’. The doctrine is commonly thought of as canonical. Be careful about questioning its exalted status: you’ll be branded paternalistic at best, and the indictment may well involve unflattering comparisons with Dr. Mengele.

The ‘jury’, composed of 25 women,  commented on how a leaflet on breast cancer screening should be re-drafted. The jury preferred:

– the term ‘overtreatment’ to ‘over-diagnosis’

-to express benefits in the language of lives saved rather than deaths avoided

– to talk about ‘benefits’ and ‘risks’ rather than ‘pros’ and ‘cons’

– to begin the leaflet by an up-beat reference to the numbers of lives saved by screening, followed by the caveat that a small number of women would be over-treated.

What was the priority: reassurance or accuracy? The majority (15), wanted both; 3 thought that reassurance was most important; 7 thought that accuracy was the priority.

How should one list the benefits and harms? Four thought they should be listed together in the same sentence, 8 that they should be listed separately, and 12 for mentioning them first separately and then together.

The point of all this  is that there are innumerable different ways, all of which would be smiled on by Bolam [2], in which entirely accurate information can be conveyed. And yet tiny nuances are seen by the receivers of the information as significant.Read More »Informed consent deserves a little less respect

Prank Calls and Moral Luck

An outburst of blame, vituperation, and indignation, including death threats from all over the world, has followed the sad suicide of a nurse who fell for a ‘prank call’ from two Australian DJs and unwittingly released confidential information about a member of the British royal family.

Some criticism might well be made of any person who engages in such deception for the purposes of entertainment, and the fact that the DJs’ actions were therefore not entirely ‘innocent’ has perhaps fuelled the flames of protest. But there is little doubt that they are being subjected to significantly more blame than many others who engage in similar stunts.Read More »Prank Calls and Moral Luck

The Bad Seed: Facts and Values in the Study of Childhood Antisocial Behaviour

Podcast of Uehiro Seminar given by Gwen Adshead ‘The Bad Seed’ was a popular 1954 novel in which a well brought up young girl begins to manifest behaviour characteristic of a criminal psychopath. As the plot develops, the girl’s mother discovers that her own mother was a serial killer who was executed when she was herself a… Read More »The Bad Seed: Facts and Values in the Study of Childhood Antisocial Behaviour

Could there be a Third Way for Criminal Psychopaths?

Last week, Steven Farrow was convicted of murdering a grandmother and a vicar. 77 year old Betty Yates was stabbed in the face. He had planned to crucify the vicar but had left behind his hammer an nails, instead covering his dead body in pornographic DVDs, party poppers and condoms. Though Farrow is likely to spend the rest of his life in jail, the family members questioned why he had been free in the first place.

Read More »Could there be a Third Way for Criminal Psychopaths?

Dangerous Doctors and Immoral Doctors

In general, if you know someone to be a danger to others you have a duty to do something about it. Exactly what you are obliged to do depends on the person, the situation and you. At the very least you ought to warn others.

In general, and apart from such basic duties as not to interfere with others (more pompously, to respect their autonomy), to keep your promises to them, not to harm them and not to burden them, your strongest duties are those you take on voluntarily, such as those you acquire by taking up a profession.

The professions hold themselves out to us as entitled to special privileges because of their special knowledge. We trust them, we rely on them, we place ourselves in their hands for specific purposes, because when paid for their work they promise to look after our interest before their own. Part of that promise is a special duty to hold members of the profession accountable to professional standards and to exclude persons who fail those standards.

So members of the medical profession have both a very strong duty and a special duty to protect us from dangerous doctors. A book has come out showing that doctors are grossly— indeed, grotesquely —derelict in this duty.Read More »Dangerous Doctors and Immoral Doctors