Lauris Kaldjian |
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03.07.2023-28.07.2023
Changing Goals and Competing Concepts of Health in the Practice of Medicine: How Enhancement (Neuro)Technologies Challenge Shared Decision Making in the Pursuit of Health and Wellbeing
Dr. Kaldjian will develop an analytical framework for the relationships between specific goals of care and specific concepts of health through the following objectives:
- Describe goals of care that are common in contemporary medical practice, including cure, live longer, improve function (quality of life), comfort, life goals, and family needs.
- Identify goals of care that may become more common in future medical practice, including various forms of physical, psychological, or moral enhancement or alteration, and ways of increasing human agency through adjunctive or implantable technologies.
- Describe different concepts of health that reflect contrasting philosophical foundations and visions of human flourishing, including a biostatistical concept (naturalist, considered objective and value-free), a well-being concept (normativist, considered value-laden and socially-constructed), and an empowerment concept (individualist, considered value-laden and individually-constructed).
- Demonstrate relationships between different goals of care and contrasting concepts of health.
- Offer a “roadmap” for dialogue to help patients and professionals make decisions about medical tests and interventions within a framework of goals of care, concepts of health, and human flourishing; this will help clarify differences between interventions that can be described as therapeutic, assistive, compensatory, enhancing, or altering.
Dr. Jotterand will develop a conceptual framework for the prudent and successful integration of cognitive enhancement technologies in the goals of care through the following objectives:
- Delineate the potential paradigm shift in shared decision making and map out two distinct clusters of concerns (conceptual and ethical) associated with the use of enhancement (neuro)technologies in clinical practice.
- Demonstrate the conceptual relevance of the clinical ideal in the moral evaluation of enhancement (neuro)technologies.
- Provide guidelines toward decreasing the impact of barriers that currently affect the clinically effective and ethically sustainable application of enhancement (neuro)technologies for the benefits of patients.
- Propose and develop an ethical framework for the integration of enhancement (neuro)technologies as means to achieve particular goals of care.