conference programme

XVIth EUROPEAN CONFERENCE ON PHILOSOPHY OF MEDICINE AND HEALTH CARE
Final Programme, July 2002
August 21-24, 2002,
Suncrest Hotel, Qawra
Malta

"EUROPEAN PHILOSOPHY OF HEALTHCARE AND BIOETHICS"
PROGRAMME
Location: Suncrest Hotel, Qawra, Malta.
Wednesday, August 21, 2002
15.00 - 16.00 Registration
16.00 - 16.30 Opening ceremony
Chair: Maurice Cauchi and Lennart Nordenfelt
* Prof.dr. Maurice Cauchi, President of the National Bioethics Consultative Committee of Malta
* Prof.dr.Lennart Nordenfelt, President of ESPMH
16.30 - 18.00 Plenary session
* Prof.dr.Emanuel Agius (Malta),: Euromediterrranean ethics
* Prof. John Harris (UK): Are there typically European approaches to bioethics?
19.00 Departure for Welcome Reception
19.30 Reception - Upper Gardens, Valletta (Grand Harbor view)
Thursday, August 22, 2002
09.00-10.00 Plenary session Chair: Emmanuel Agius and Henk ten Have
* Prof. Dr Joe Friggieri (Malta): Foucault: the body and the person
* Pierre Mallia (Malta): Phenomenological approaches to the doctor - patient relationship
10.00 - 14.30 Parallel sessions
SESSION 1 Ethical theory and clinical practice
Chair: Nicola Biller
10.00-10.30 Reet Arnman (Sweden): No single ethical theory is enough for the complexity of clinical practice
10.30-11.00 Vivi H. Anvik (Norway): Making ethics apparent through narrative
11.00-11.30 Rolf Ahlzen (Sweden): Hermeneutical skills: are literary texts the clue?
11.30-12.00

H. van der Bruggen and G. Widdershoven (the Netherlands): Being a Parkinson's patient: immobile and unpredictable whimsical.

Literature and existential analysis

12.00-12.30 Coffee break
12.30-13.00 Shigeo Nagaoka (Japan): A positive value of a stranger physician
13.00-13.30

Ruth H. Olsen (Norway): When the workday became dispirited - how does this affect the nurses experience in the situation

and understanding of nursing?

13.30-14.00 Adrian Barnes (United Kingdom): Am I carer or do I care?
14.00-14.30 Michael Barilan (Israel): The fifth principle, toward an internal morality of medicine
SESSION 2.1 Health and disease
Chair: Lennart Nordenfelt
10.00-10.30 Edvin Schei, (Norway): Why can't patients just say what they want
10.30-11.00 Ewa Kalamacka (Poland): A historical reflection on the theory of health and disease
11.00-11.30 Luc Faucher (Canada): Mental disorders, meet developmental system theory
12.00-12.30 Coffee break
SESSION 2.2 Expanding the EU: problems of candidate countries
Chair: Renzo Pegoraro
12.30-13.00 Şefik Görkey (Turkey): What should be done in Turkey as a candidate country to European Union
13.00-13.30 Zbigniew Szawarski (Poland): "A right to gratitude" or the problems of corruption in a health care system
13.30-14.00 Gürkan Sert, Şefik Görkey (Turkey): Patients rights in Turkey
14.00-14.30 Jan Hartman (Poland): Poor medicine joining EU
SESSION 3 Justice and resource allocation
Chair: Gerrit Kimsma
10.00-10.30 Vilhjalmur Arnason (Iceland): Justice and Solidarity in the Nordic Health Care Systems
10.30-11.00 Michio Miyasaka (Japan): A broader definition of justice in global bioethics
11.00-11.30 Lars Peter Osterdal (Denmark): Ethical allocation of health care resources
11.30-12.00 Zbigniew Zalewski (Poland): Ethics and politics in healthcare: Polish experience with transformation of healthcare system
12.00-12.30 Coffee break
12.30-13.00 Andres Hasman (United Kingdom): Medical need - a useful tool in the allocation of scarce health care resources?
SESSION 4 Genetics
Chair: Soren Holm
10.00-10.30 Richard Ashcroft (United Kingdom): Ethics and power in clinical genetics
10.30-11.00

U.G. Stolt & J. Ludvigsson (Sweden): Bioethical theory and clinical practice - results from a research ethical case study

of a Swedish research screening project for pre-diabetes.

11.00-11.30 Anders Nordgren (Sweden): Metaphors in behavioral genetics
11.30-12.00 Discussion
12.00-12.30 Coffee break
12.30-13.00 M. Levitt (United Kingdom): The gene week: stimulating public debate on the ethical and social issues raised by the new genetics
13.00-13.30 Jeffrey H. Barker (USA): Common-pool resources and population genomics in Iceland, Great Britain, Sweden, and Estonia
13.30-14.00 Discussion
14.30 Lunch - Is. Sajjied restaurant at Marsaxlokk
Afternoon Excursions
There will be optional excursions to Valetta in the morning for partners.
Friday, August 23, 2002
09.00-10.00 Plenary session Chair: Maurice Cauchi and Renzo Pegoraro
* Prof. dr Henk ten Have (the Netherlands); Bioethics, genetics and Internet
10.00-12.00 Parallel sessions
SESSION 5 Dignity and health care
Chair: Zbigniew Szawarski
10.00-10.30 Lennart Nordenfelt (Sweden): Dignity and the elderly
10.30-11.00 Matti Häyry (United Kingdom, Finland): Dignity, precaution, solidarity. Towards a European approach to bioethics
11.00-11.30

M. Strätling et al. (Germany): Increasing challenges to medical ethics and legislation. A survey of present developments

in Germany concerning patient self-determination and surrogate decision making

11.30-12.00 Discussion
SESSION 6 Information and communication
Chair: Pierre Mallia
10.00-10.30 Nikola Biller-Andorno (Germany): Informed consent - a cross-cultural concept in bioethics?
10.30-11.00 Michael Norup et al. (Denmark): The patients right to self-determination and the need of information
11.00-11.30 Henriette S. Nielsen et al. (Denmark): What do general practitioners tell their patients about side effects to common treatment?
11.30-12.00 Discussion
SESSION 7 The role of history in European medicine and ethics
Chair: Soren Holm
10.00-10.30 Theano Kontopoulou et al. (Greece): The role of God Asclepios in ancient Greek medicine
10.30-11.00 Peter Kampits (Austria): Change of term of illness and health in the European tradition
11.00-11.30 Byron Kaldis (Greece): Could sociobiology provide answers to bioethical issues?
11.30-12.00 Discussion
SESSION 8 Research
Chair: Richard Ashcroft
10.00-10.30 Anne Gammelgaard (Denmark): Informed consent in acute myocardial infarction research
10.30-11.00

Mehmet Karataş et al. (Turkey): Advancement of a local research ethics committee in Turkey:

Marmara University faculty of medicine research ethics committee

11.00-11.30 Olga Khroutski (Russia): Pharmacy and bioethics: toward the "doctor of pharmacotherapy" in a drugstore
11.30-12.00 Judith Lee Kissell (U.S.A.): Research guidelines
12.00-12.30 Coffee break
12.30-14.30 General Assembly ESPMH
Afternoon Excursions
19.00 Departure for conference dinner: Villa Arrigo
Saturday, August 24, 2002
09.00-13.00 Parallel sessions
SESSION 9 Ethics, technology and decision-making
Chair: Henk ten Have
09.00-09.30 Bartels, S. et al. (Switzerland): Critical decision making: practicability and benefit of ethical guidelines in clinical practice
09.30-10.00 Margaret P. Battin, (U.S.A.): Dilemmas of suicide and self-sacrifice: "Suicide Bombing" and the right to die
10.00-10.30

Katharina Lindner & Stella Reiter-Theil (Switzerland): Ethics in neonatal intensive care. Critical decision making about

limitation and termination of treatment

10.30-11.00 Ohnsorge, K. (Switzerland): German adaptation of the American decisions program
11.00 -11.30 Coffee break
SESSION 10.1 European approaches in philosophy of health care and bioethics
Chair: Emmanuel Agius
09.00-09.30 Tuija Takala (Finland): Is ethics the business of ethics committees?
09.30-10.00 Martien Pijnenburg (Netherlands): Identity and values
10.00-10.30 David Badcott (United Kingdom): The contribution of some historic European ideas to the concept of therapeutic individuality
10.30-11.00

Jiri Simek & Vladimir Spalek (Czech Republic): Conflict of natural world of a patient and scientific world of a physician

in contemporary health care. Reflections on the philosophy of Jan Patocka.

11.00-11.30 Coffee break
SESSION 10.2 Health care delivery
Chair: Gerrit Kimsma
11.30-12.00

Helga Helland Finstad (Norway): Participation or intrusion. Different approaches to a successful rehabilitation in local

psychiatric services

12.00-12.30 Stefán Hjörleifsson (Norway): When more is worse - medical expansion as a threat to health
12.30-13.00 Renzo Pegoraro (Italy): Ethic questions and public health federalism
SESSION 11.1 Empirical bioethics
Chair: Nicola Biller
09.00-09.30 Soren Holm (United Kingdom): What empirical bioethics can learn from empirical business ethics and vice versa
09.30-10.00

Wim Dekkers & Cor Hoffer (Netherlands): Bodily integrity and the case of male and female circumcision. A contribution

to empirical ethics

10.00-10.30 Angus Dawson (United Kingdom): Towards an account of 'fair use' of empirical evidence in ethical arguments
10.30-11.00

A.C. Molewijk (The Netherlands): Patient autonomy between moral theory and empirical data:

Methodological considerations regarding empirical ethics research

11.00-11.30 Coffee break
SESSION 11.2 Alternative approaches to medicine
Chair: Pierre Mallia
11.30-12.00 Stephen Tyreman (United Kingdom): Science and the folk traditions in health care
12.00-12.30 Ingemar Nordin (Sweden): Quackery
12.30-13.00 Konstantin Khroutski (Russia): 'Forwards to Hippocrates': approaching the cosmist bioethics of individuals's health
SESSION 12.1 Health care education
Chair: Richard Ashcroft
09.00-09.30 Pekka Louhiala (Finland): Should philosophy be taught for medical students?
09.00-09.30 M. Strätling et al. (Germany): Providing a complementary systematology for teaching emergency medicine
09.00-09.30 V. Scharf et al. (Germany): Practical experiences with teaching ethical implications in emergency medicine
10.30-11.00 Per-Anders Tengland (Sweden): Empathy: Its meaning and its use in a theory of psychotherapy
11.00-11.30 Coffee break
SESSION 12.2 Philosophical anthropology and clinical practice
Chair: Zbigniew Szawarski
11.30-12.00 Christian Perring (United States): Ethical theory and clinical practice: the role of freewill
12.00-12.30 Stephan Sahm (Germany): Bioethics, biopolitics and the image of man: current issues and the perspective of anthropology
12.30-13.00 Pekka Vuoria & Raimo Puustinen (Finland): A second rationalism. A possibility for the re-humanization of public medical care
13.00-14.00 Plenary closing session
Minister of Health
President of ESPMH