2023
Physician attitudes about disorders of consciousness: Good facts make for good ethics
Fins J. Physician attitudes about disorders of consciousness: Good facts make for good ethics. Developmental Medicine & Child Neurology 2023, 65: 1549-1550. PMID: 37058590, PMCID: PMC10576007, DOI: 10.1111/dmcn.15619.Peer-Reviewed Original Research
2022
Syndromes in Search of a Name: Disorders of Consciousness, Neuroethics, and Nosological Humility
Fins J. Syndromes in Search of a Name: Disorders of Consciousness, Neuroethics, and Nosological Humility. 2022, 163-175. DOI: 10.1007/978-3-031-04935-4_18.Peer-Reviewed Original ResearchDisorders of consciousnessBrain injuryCognitive motor dissociationStruggle for ConsciousnessRecognition of consciousnessVegetative stateDiagnostic categorizationLimits of knowledgePermanent vegetative stateNosologyPersistent vegetative stateMotor dissociationCovert consciousnessNormative importanceBrainDisordersChronic vegetative stateConsciousnessSocial integrationHumilityEvolving storyNeuroimagingNeuroscienceMindfulnessRightsEthics and the 2018 Practice Guideline on Disorders of Consciousness
Peterson A, Young M, Fins J. Ethics and the 2018 Practice Guideline on Disorders of Consciousness. Neurology 2022, 98: 712-718. PMID: 35277446, PMCID: PMC9071367, DOI: 10.1212/wnl.0000000000200301.Peer-Reviewed Original Research
2021
Disorders of Consciousness, Disability Rights and Triage During the COVID-19 Pandemic
Fins J. Disorders of Consciousness, Disability Rights and Triage During the COVID-19 Pandemic. The Journal Of Philosophy Of Disability 2021, 1: 211-229. DOI: 10.5840/jpd20218174.Peer-Reviewed Original ResearchNew York State Task Force on LifeStruggle for ConsciousnessVentilator allocation guidelinesDisorders of consciousnessTask ForceNot consciousnessEthical integritySpring surgeAllocation guidelinesCOVID-19 pandemicClinical ethicistsAuthorsNew YorkCOVID-19LawBrain injuryConsciousnessDisordersEthicistsNewPeopleMotor outputEthics
2019
Once and Future Clinical Neuroethics: A History of What Was and What Might Be.
Fins J. Once and Future Clinical Neuroethics: A History of What Was and What Might Be. The Journal Of Clinical Ethics 2019, 30: 27-34. PMID: 30896441, DOI: 10.1086/jce2019301027.Peer-Reviewed Original Research
2018
Assessment of Covert Consciousness in the Intensive Care Unit
Edlow B, Fins J. Assessment of Covert Consciousness in the Intensive Care Unit. Journal Of Head Trauma Rehabilitation 2018, 33: 424-434. PMID: 30395042, PMCID: PMC6317885, DOI: 10.1097/htr.0000000000000448.Peer-Reviewed Original ResearchConceptsFunctional magnetic resonance imagingTraumatic brain injuryAcute severe traumatic brain injurySevere traumatic brain injuryIntensive care unitCovert consciousnessEthical challengesIntensive care unit patientsTask-based functional magnetic resonance imagingTask-based fMRILife-sustaining therapyWithdrawal of life-sustaining therapyCare unitEthical frameworkBehavioral assessmentCritically ill patientsEvaluation normsMagnetic resonance imagingConsciousnessBrain injuryGoals of careClinical scenariosIll patientsRecovered consciousnessTreatment decisions
2016
Neuroethics and Disorders of Consciousness: Discerning Brain States in Clinical Practice and Research
Fins J. Neuroethics and Disorders of Consciousness: Discerning Brain States in Clinical Practice and Research. The AMA Journal Of Ethic 2016, 18: 1182. PMID: 28009244, DOI: 10.1001/journalofethics.2016.18.12.ecas2-1612.Peer-Reviewed Original ResearchConceptsDisorders of consciousnessMinimally conscious stateEnd-of-life careConscious stateEnd-of-lifeEthical obligationNeuropalliative careDeep brain stimulationPatientsBrain statesClinicians' ethical obligationsClinical practiceCivil rightsConsciousnessScientific advancesDiagnostic discernmentClinical researchBrain stimulationResearch decisionsDisordersFunctional communicationInvestigate useCareNeuroethicsPainGiving Voice to Consciousness
Fins J. Giving Voice to Consciousness. Cambridge Quarterly Of Healthcare Ethics 2016, 25: 583-599. PMID: 27634711, DOI: 10.1017/s0963180116000323.Peer-Reviewed Original ResearchBrain death and disorders of consciousness
Schiff N, Fins J. Brain death and disorders of consciousness. Current Biology 2016, 26: r572-r576. PMID: 27404252, DOI: 10.1016/j.cub.2016.02.027.Peer-Reviewed Original ResearchConceptsDisorders of consciousnessBrain-dead patientsBrain deathVegetative stateCognitive motor dissociationScientific knowledgeCognitive functionMinimally conscious stateNon-medical specialistsSocietal contextBrain statesConsciousnessConscious stateMotor dissociationBrainDisordersDead patientsConceptual frameworkLack of sustainabilityHigher levelsFutilityParadoxDistinctionChapter 15 Neuroethics and Disorders of Consciousness A Pragmatic Approach to Neuropalliative Care
Fins J. Chapter 15 Neuroethics and Disorders of Consciousness A Pragmatic Approach to Neuropalliative Care. 2016, 241-252. DOI: 10.1016/b978-0-12-800948-2.00015-7.Peer-Reviewed Original ResearchBrain damageMystery of consciousnessDisorders of consciousnessImpaired decision-making capacityClinical pragmatismDecision-making capacityHuman rights issuesAmerican pragmatic traditionBrain injuryMoral problemsBrainRights issuesDisordersClinical contextHuman consciousnessEthical challengesConsciousnessComplexity of researchArgument IImpaired consciousness
2011
Neuroethics, neuroimaging, and disorders of consciousness: promise or peril?
Fins J. Neuroethics, neuroimaging, and disorders of consciousness: promise or peril? Transactions Of The American Clinical And Climatological Association 2011, 122: 336-46. PMID: 21686236, PMCID: PMC3116331.Peer-Reviewed Original ResearchConceptsFunctional magnetic resonance imagingDisorders of consciousnessPositron emission tomographyBehavior-based assessmentsMinimally conscious stateNeuroimaging dataNeuroimaging toolsBrain statesBrain injuryMagnetic resonance imagingNeuroimagingEmission tomographyConscious stateDisordersBrainResonance imagingNeuroimaging applicationsConsciousnessDiagnostic dilemmaTherapeutic useCommunication vectorNeuroethics
2009
The ethics of measuring and modulating consciousness: the imperative of minding time
Fins J. The ethics of measuring and modulating consciousness: the imperative of minding time. Progress In Brain Research 2009, 177: 371-382. PMID: 19818915, DOI: 10.1016/s0079-6123(09)17726-9.Peer-Reviewed Original ResearchConceptsMinimally conscious stateDisorders of consciousnessConscious stateView of timeHistory of medicineOver-arching metaphorModulate consciousnessFunctional neuroimagingScientific knowledgeSocial currentsVegetative patientsTemporal expectationsModern eraWilder PenfieldConsciousnessEvolving viewsBrain injuryDisordersVariable perspectiveSystems of careStatic entities
2008
Neuroimaging and Disorders of Consciousness: Envisioning an Ethical Research Agenda
Fins* J, Illes* J, Bernat** J, Hirsch** J, Laureys** S, Murphy** E. Neuroimaging and Disorders of Consciousness: Envisioning an Ethical Research Agenda. The American Journal Of Bioethics 2008, 8: 3-12. PMID: 18853371, DOI: 10.1080/15265160802318113.Peer-Reviewed Original ResearchMeSH KeywordsBrain InjuriesConsciousnessConsciousness DisordersCooperative BehaviorDiagnostic Techniques, NeurologicalEthics, ResearchHuman ExperimentationHumansNervous System Physiological PhenomenaNeurologyPainPatient SelectionPersistent Vegetative StatePhysical StimulationResearch DesignSocial JusticeThird-Party ConsentConceptsDisorders of consciousnessEthical research agendaEthical reflectionEthical framesScientific progressScientific backdropConsciousnessConscious stateLimited stateInterdisciplinary approachWorking meetingsResearch agendaEthicsNeuroethicsNeuroscientistsReflectionBackdropStanford UniversityAgendaUnderstandingConferenceTranslation
2006
Affirming the right to care, preserving the right to die: Disorders of consciousness and neuroethics after Schiavo
Fins J. Affirming the right to care, preserving the right to die: Disorders of consciousness and neuroethics after Schiavo. Palliative & Supportive Care 2006, 4: 169-178. PMID: 16903588, DOI: 10.1017/s1478951506060238.Peer-Reviewed Original ResearchConceptsSchiavo caseRight to lifePermanent vegetative stateEnd-of-life careVegetative stateEthical CurrentsEnd-of-lifeDisorders of consciousnessEthical implicationsSchiavoRhetorical statementsConsciousnessConscious stateIdeological positionsMinimally conscious stateNational discourseRightsDiscourseBrain injuryNeuroscienceProviding careNeuroethicsCareFutilityLife
2005
Clinical pragmatism and the care of brain damaged patients: toward a palliative neuroethics for disorders of consciousness
Fins J. Clinical pragmatism and the care of brain damaged patients: toward a palliative neuroethics for disorders of consciousness. Progress In Brain Research 2005, 150: 565-582. PMID: 16186050, DOI: 10.1016/s0079-6123(05)50040-2.Peer-Reviewed Original ResearchConceptsDisorders of consciousnessClinical pragmatismBrain-damaged patientsBrain damageMystery of consciousnessDamaged patientsImpaired decision-making capacityDecision-making capacityAmerican pragmatic traditionBrain injuryProblem-solvingBrainMoral problem-solvingDisordersClinical contextHuman consciousnessConsciousnessImpaired consciousnessPragmaticsClinical careAversionSocietal contextSelfPalliative careResearch
2004
Neuromodulation, free will and determinism: lessons from the psychosurgery debate
Fins J. Neuromodulation, free will and determinism: lessons from the psychosurgery debate. Clinical Neuroscience Research 2004, 4: 113-118. DOI: 10.1016/j.cnr.2004.06.011.Peer-Reviewed Original Research