Bioethics Summer Class 2024-2025 – Key Vocabulary (Chapters 10-17)

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A comprehensive set of vocabulary flashcards covering major concepts, procedures, rights, and ethical principles discussed in Chapters 10 – 17 of the Bioethics Summer Class 2024-2025 lecture notes.

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72 Terms

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Patient’s Right

A moral and inviolable power possessed by every patient to do, hold, or demand something as their own, imposing a correlative duty on others to respect it.

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Informed Consent

The patient’s voluntary agreement to a specific medical procedure after receiving all necessary information about risks, benefits, and alternatives.

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Informed Decision

A patient’s choice about treatment made after receiving and understanding all relevant information.

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Informed Choice

The right of a patient to know all possible alternatives and consequences and to select among them freely.

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Competence (in healthcare)

A patient’s mental capacity to make, justify, and reasonably defend a healthcare decision.

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Disclosure

The content of information given to a patient during consent negotiations, ensuring awareness of procedures and outcomes.

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Comprehension

The patient’s understanding of disclosed information—essential for valid consent.

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Voluntariness

Freedom from coercion or undue pressure when a patient consents to treatment or research.

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Right to Refuse Treatment

The patient’s legal and moral entitlement to decline medical intervention after being informed of consequences.

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Written Consent

Documented, signed permission for treatment or research participation.

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Verbal Consent

Spoken permission for a medical procedure, acceptable in some situations but usually documented in the record.

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Contraception

Intentional prevention of pregnancy through chemical, physical, or behavioral methods.

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Family Planning

Deliberate decision-making about if and when to have children.

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Sterilization

A permanent method of contraception achieved by surgically blocking reproductive capacity.

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Voluntary Sterilization

Sterilization performed with the informed consent of the individual.

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Involuntary Sterilization

Sterilization performed without the person’s consent, often mandated by authorities.

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Therapeutic Sterilization

Sterilization carried out to treat or prevent a serious health risk.

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Contraceptive Sterilization

Sterilization chosen solely to avoid future pregnancies.

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Eugenic/Social Sterilization

Sterilization intended to prevent reproduction among individuals deemed ‘unfit’ by society.

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Punitive Sterilization

Sterilization imposed as punishment for certain crimes, e.g., sexual offenses.

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Withdrawal (Coitus Interruptus)

Traditional contraceptive method in which the man withdraws before ejaculation.

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Condom

A latex sheath worn over the penis during intercourse to prevent sperm entry and reduce STI risk.

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Diaphragm

A dome-shaped latex device inserted into the vagina to cover the cervix and block sperm.

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Rhythm/Calendar Method

Natural family-planning technique that avoids intercourse on predicted fertile days.

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Contraceptive Pill

Oral hormonal medication (estrogen ± progestin) taken daily to inhibit ovulation.

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Intrauterine Device (IUD)

A small plastic or metal device placed in the uterus to prevent conception or implantation.

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Tubal Ligation

Surgical blocking or cutting of the fallopian tubes to prevent egg–sperm meeting.

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Vasectomy

Cutting and sealing the vas deferens to prevent sperm from entering semen.

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Artificial Insemination (AI)

Medical placement of semen in the female reproductive tract without sexual intercourse.

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AIH (Homologous Insemination)

Artificial insemination using the husband’s sperm.

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AID (Heterologous Insemination)

Artificial insemination using donor sperm when the husband’s is unavailable or unsuitable.

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Nuremberg Code

1947 ten-point statement of ethical principles governing human experimentation, emphasizing voluntary consent.

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Placebo

An inert substance used as a control in clinical trials to measure a drug’s true effect.

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Genetic Engineering

Direct manipulation of an organism’s DNA to alter genes or add new ones for desired traits.

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Genetic Testing

Biochemical or chromosomal analysis to detect inherited disorders or carrier status.

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Prenatal Diagnosis

Procedures like amniocentesis or fetoscopy to detect fetal abnormalities during pregnancy.

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Gene Therapy

Treatment that repairs, replaces, or regulates defective genes to cure or prevent disease.

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In Vitro Fertilization (IVF)

Laboratory fertilization of an egg outside the body, followed by embryo transfer to the uterus.

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Embryo Transfer (ET)

Placement of an in-vitro-fertilized embryo into a woman’s uterus for pregnancy.

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Surrogate Motherhood

Arrangement in which a woman carries a pregnancy for intended parents, either genetically related (traditional) or not (gestational).

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Sex Selection

Techniques used to choose an offspring’s sex before or after conception.

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Cloning

Creation of a genetically identical organism by replacing an egg nucleus with somatic cell DNA.

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Lobotomy (Psychosurgery)

Surgical destruction of brain tissue to alter behavior or mood; largely obsolete today.

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Cingulotomy

Psychosurgical severing of part of the cingulate gyrus to treat severe depression or OCD.

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Lithium Hydroxide

Mood-stabilizing drug effective in manic-depressive (bipolar) illness.

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Claim to Health Care

The moral right of individuals to demand access to necessary medical services.

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Allocation of Scarce Resources

Ethical process of deciding who receives limited medical treatments like organs or ICU beds.

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Sexual Deviation

Any sexual activity a society labels unnatural or abnormal, e.g., fetishes or paraphilias.

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Homosexuality

Sexual attraction or relations between individuals of the same sex.

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Sadism

Deriving sexual pleasure from inflicting pain on another person.

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Masochism

Deriving sexual pleasure from experiencing pain or humiliation oneself.

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Pornography

Sexually explicit material intended chiefly to arouse; often criticized for commodifying sex.

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Prostitution

Exchange of sexual services for money or other compensation.

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Safe-Sex Commandment: Condom Use

Always use condoms (preferably with spermicide) to reduce pregnancy and STI risk.

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Safe-Sex Commandment: Limit Partners

Restrict the number of sexual partners to lower infection risk.

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Utilitarianism (bioethics)

Ethical view judging actions by their overall benefit or happiness produced for the greatest number.

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Kantian Ethics (bioethics)

Moral theory stressing respect for persons, autonomy, and treating individuals as ends in themselves.

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Natural Law Ethics

Philosophical–theological tradition asserting moral norms rooted in human nature and purpose.

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Situation Ethics (Fletcher)

Ethical approach holding that moral rightness depends on loving outcomes within specific contexts.

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Rawls’s Principle of Justice

Theory advocating fair distribution of social goods, giving priority to the least advantaged.

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Ross’s Prima Facie Duties

Ethical framework of multiple, conditional duties such as beneficence, non-maleficence, and fidelity.

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Placebo Paternalistic Defense

Justification of placebo use by claiming therapeutic benefit outweighs the deceptive element.

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Placebo Utilitarian Defense

Argument that deception is acceptable if placebo use yields greater societal benefit.

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Autograft

Transplant of tissue from one site to another within the same individual.

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Homograft (Allograft)

Transplant of tissue between two individuals of the same species but different genetic makeup.

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Heterograft (Xenograft)

Transplant of tissue between different species.

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Isograft

Transplant between genetically identical individuals, such as identical twins.

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Dyspareunia

Painful sexual intercourse experienced by either partner.

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Vaginismus

Involuntary vaginal muscle contraction preventing penetration.

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Syphilis

Bacterial sexually transmitted infection characterized by progressive systemic symptoms if untreated.

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Gonorrhea

Common bacterial STI causing urethral or cervical infection and potential infertility.

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AIDS

Acquired Immunodeficiency Syndrome, late stage of HIV infection characterized by severe immune failure.