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E-book: Pain Neuroethics and Bioethics

Volume editor (University Health Network, Toronto, Canada
Dalla Lana School of Public Health, University of Toronto, Toronto, Canada), Volume editor (Krembil Brain Research Institute, Toronto Western Hospital, Canada)
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Pain Neuroethics, the latest release in the Developments in Neuroethics and Bioethics series, highlights new advances in the field, with this update presenting interesting chapters written by an international board of authors. Topics detailed in this release include The Duty to Treat Pain, Pediatric Pain, Legal and Policy Perspectives, Pain Stigma, Pain and Intersectionality, The Neuroethics of Pain and Substance Use, Pain, Suffering, and End of Life Care, Pain, Population Health, and Global Health.

  • Provides the authority and expertise of leading contributors from an international board of authors
  • Represents the latest release in the Developments in Neuroethics and Bioethics series
  • Includes the latest information on Pain Neuroethics
Contributors ix
Editors' Biography xi
Foreword xiii
Sean Mackey
1 Introduction to Pain Neuroethics and Bioethics
1(10)
Karen D. Davis
Daniel Z. Buchman
Acknowledgements and Conflicts of Interest
8(1)
References
8(3)
2 Is There a Duty to Relieve Pain?
11(14)
Mark D. Sullivan
Jane Ballantyne
1 Introduction
11(4)
2 What Do We Owe Patients With Chronic Pain?
15(5)
3 Conclusion: What We Owe to Patients With Chronic Pain
20(1)
Acknowledgements
21(1)
References
21(4)
3 Ethical Considerations in Paediatric Pain Research and Clinical Practice
25(34)
Yvonne Brandelli
Christine T. Chambers
Conrad V. Fernandez
1 Introduction
26(4)
2 Contemporary Ethical Issues
30(16)
3 Ethical Issues Requiring Further Consideration
46(3)
4 Management of Ethical Dilemmas
49(1)
5 Cases Revisited
49(2)
6 Conclusion
51(1)
Acknowledgement of Funding
51(1)
References
52(7)
4 Status and Surveillance in the Use of Brain-Based Pain Imaging in the Law
59(26)
Amanda C. Pustilnik
1 Introduction
60(1)
2 Why Pain? Pain as a Problem and Paradigm in Law
61(3)
3 Monitoring Is a Matter of Control, Not Risk
64(1)
4 Fear, Not Risk the Driver of Monitoring and Surveillance in Law
65(5)
5 Brain Imaging of Pain in Legal and Ethical Contexts
70(10)
6 Conclusion
80(1)
Acknowledgements
81(1)
References
81(4)
5 Pain, Stigma, & Neuroimaging: History, Ethics & Policy
85(20)
Daniel S. Goldberg
1 Introduction
85(2)
2 Imaging, Objectivity, & Truth in the West
87(6)
3 Objectivity, Neuroimaging, & Truth
93(6)
4 Conclusion
99(2)
References
101(4)
6 Towards a Socially-Just Neuroethics of Inequalities in Pain Treatment
105(22)
Joanna Kempner
1 Introduction
105(2)
2 Pain and the Problem of Trust
107(1)
3 Pain and Biological Citizenship
108(5)
4 Towards a Socially-Just Neuroethics of Pain
113(8)
5 Final Thoughts
121(1)
Acknowledgements
121(1)
References
122(5)
7 Ethics at the Intersection of Chronic Pain and Substance Use
127(24)
Lynette S. Kofi
Abhimanyu Sud
Daniel Z. Buchman
1 Introduction
128(1)
2 Two Contemporary Public Health Problems
129(1)
3 Clinical Considerations
130(4)
4 Chronic Pain and Substance Use: Ethical Intersections
134(9)
5 Conclusion
143(1)
Acknowledgements
143(1)
References
144(7)
8 End-of-Life Care, Pain, and the Problem of Intolerable Suffering
151(20)
Jennifer L. Gibson
1 Introduction
151(1)
2 Pain, Suffering, and Pain-Related Suffering at the End of Life
152(9)
3 Illness and the Enigma of Health
161(5)
4 Conclusion
166(1)
Acknowledgements
167(1)
References
167(3)
Further Reading
170(1)
9 Global Chronic Pain: Public and Population Health Responses
171
Anita Ho
Shrijit Nair
1 Introduction
171(2)
2 The Global Burden of Chronic Pain
173(4)
3 Intersecting Contexts of Unmanaged Pain
177(7)
4 Conclusion
184(1)
Acknowledgements
184(1)
References
184(5)
Further Reading
189
Dr Daniel Z Buchman is a Bioethicist at the University Health Network in Toronto, Canada, where he focusses his practice on clinical, organizational, and research ethics. He is a Clinician Investigator in the Krembil Brain Institute, a member of the University of Toronto Joint Centre for Bioethics, the University of Toronto Centre for the Study of Pain, and an Assistant Professor with the Division of Clinical Public Health at the Dalla Lana School of Public Health, University of Toronto. He received his PhD at the University of British Columbia in Vancouver, Canada, and was based out of the Neuroethics Canada research group (formerly the National Core for Neuroethics).

Dr Buchmans research is focused on the ethical dimensions of mental illness, substance use, and chronic pain. His additional research interests include organ donation and transplantation and empirical approaches in bioethics. He is a sought-after speaker on a wide-range of ethical issues in healthcare, and he has delivered conference papers nationally and internationally. Dr Buchmans research draws upon an interdisciplinary methodological toolkit including conceptual bioethics, theory-driven qualitative interviews, focus groups, surveys, and knowledge syntheses. Dr. Karen D. Davis is a Professor in the Department of Surgery and the Institute of Medical Science at the University of Toronto, and Head of the Division of Brain, Imaging and Behaviour Systems Neuroscience at the Krembil Brain Institute; University Health Network. She obtained her PhD in Physiology from the University of Toronto and did a post-doctoral fellowship at John Hopkins University. Dr. Davis is founding member of the University of Toronto Centre for the Study of Pain and currently sits on its Executive Committee.

Dr. Daviss early work involved single cell electrophysiology, with discoveries of brain neurons that encode vascular headaches, silent” nociceptors capable of chemical and injury-induced sensitization, and human cortical neurons encoding pain and attention. Over the last 30 years, Dr. Davis has pioneered electrophysiological and brain imaging approaches to investigate mechanisms underlying acute and chronic pain and pain-attention interactions. More recently, she has focused on outcomes of traumatic injuries, plasticity associated with treatment and recovery, and individual factors that contribute to disease vulnerability, recovery, and treatment outcomes. Dr. Davis has given over 175 invited lectures and her work has culminated in 200+ papers and book chapters, with over 16,000 citations and an H-index of 66. She also created a TED-Ed video How does your brain respond to pain?” viewed over 1.6 million times.

Dr. Davis has been a Councillor of the International Association for the Study of Pain, is active in neuroethics, research ethics, created a graduate student oath (published in Science), and chaired the IASP presidential task force on the use brain imaging to diagnosis pain, with recommendations published in Nature Reviews Neurology. Dr. Davis has served on the CIHR Advisory Board for the Institute of Neuroscience, Mental Health and Addiction, and has been section editor for the international journal Pain and PainReports. She was a Mayday Pain and Society Fellow and currently sits on their advisory board. Dr. Davis has been inducted into the Johns Hopkins Society of Scholars, the Canadian Academy of Health Sciences, and has received research and mentorship awards. She is currently President-Elect of the Canadian Pain Society and will serve as its president from 2020-22.