Jochen Vollmann

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The issue of ethics with respect to medical experimentation in Germany during the 1930s and 1940s was crucial at the Nuremberg trials and related trials of doctors and public health officials. Those involved in horrible crimes attempted to excuse themselves by arguing that there were no explicit rules governing medical research on human beings in Germany(More)
BACKGROUND This study investigates the competence of patients with dementia, depression and schizophrenia to make treatment decisions. The outcome of an objective test instrument is presented and compared with clinical assessment of competence by the attending physician. METHOD The MacArthur Competence Assessment Tool-Treatment (MacCAT-T), a test(More)
OBJECTIVES To elicit the perceptions and preferences of patients with rheumatoid arthritis regarding information and participation in treatment decision-making. To analyse the patients' narratives on the background of the ethical discourse on various approaches to treatment decision-making. DESIGN In-depth interviews with themes identified using(More)
This article gives a brief introduction to the MacArthur Competence Assessment Tool-Treatment (MacCAT-T) and critically examines its theoretical presuppositions. On the basis of empirical, methodological and ethical critique it is emphasised that the cognitive bias that underlies the MacCAT-T assessment needs to be modified. On the one hand it has to be(More)
BACKGROUND Financing ART is variously regulated in the different countries of Europe. In Germany, coverage of assisted reproduction by statutory health insurances was restricted to 50% in 2004. We conducted a national survey among patients, professionals (physicians and other academics in IVF centres, psychosocial counsellors, medical ethicists, social(More)
Advance patient directives are various forms of anticipatory medical directives made by competent individuals for the eventuality of future incompetence. They are therefore appropriate instruments for competent patients in the early stage of Alzheimer's disease to document their self-determined will in the advanced stages of dementia. Theoretical objections(More)
Ethik Med 2005 · 17:327–331 DOI 10.1007/s00481-005-0395-5 On li ne pub li ziert: 11. No vem ber 2005 © Sprin ger Me di zin Ver lag 2005 An drea Dör ries1 · Al fred Si mon2 · Ge rald Neitz ke3 · Jo chen Voll mann4 1 Zent rum für Ge sund heits ethik (ZfG), Han no ver · 2 Aka de mie für Ethik in der Me di zin, Göt tin gen · 3 Ab tei lung Ge schich te, Ethik(More)
BACKGROUND Surveys indicate considerable variation regarding the provision of cancer treatment at the end of life. The variation cannot be fully explained by differences concerning the clinical situation or patients' preferences. The aim of this qualitative study was to explore medical oncologists' experiences with advanced cancer, as well as their views of(More)
Patients suffering from amyotrophic lateral sclerosis (ALS) eventually lose their ability to communicate their treatment preferences in later stages of the disease. A living will enables ALS patients to specify their choices concerning life-sustaining treatment in advance. Our premise was that completion of a living will should be preceded by a discussion(More)
OBJECTIVES To elicit types and frequencies of end-of-life practices by physician members of the German Society for Palliative Medicine. To analyse associations between characteristics of physicians and patients and end-of-life practices with intended hastening of death. DESIGN Cross-sectional postal survey. MAIN OUTCOME MEASURES Types and frequencies of(More)