2025
Qualitative Analysis of Symptoms from the Central Thalamic Deep Brain Stimulation Trial for Traumatic Brain Injury
Gerber L, Shulman K, Wright M, Schiff N, Fins J. Qualitative Analysis of Symptoms from the Central Thalamic Deep Brain Stimulation Trial for Traumatic Brain Injury. Neurorehabilitation 2025 DOI: 10.1177/10538135241296732.Peer-Reviewed Original ResearchStudy of deep brain stimulationTraumatic brain injuryDeep brain stimulation trialsDeep brain stimulationBrain injuryRandomized feasibility studySecondary qualitative analysisFamily membersSelf-regulationChronic traumatic brain injurySemi-structured interviewsBrain stimulationFamily perspectiveStimulation trialsTrial participantsExecutive controlResults SubjectsSymptom assessmentOutcome measuresQualitative analysisCognitive symptomsAnalysis of symptomsNarrative dataQualitative dataPost-injuryChapter 13 Emerging ethical issues in patients with disorders of consciousness: A clinical guide
Bernat J, Fins J. Chapter 13 Emerging ethical issues in patients with disorders of consciousness: A clinical guide. Handbook Of Clinical Neurology 2025, 207: 217-236. PMID: 39986723, DOI: 10.1016/b978-0-443-13408-1.00001-4.Peer-Reviewed Original ResearchConceptsEthical issuesGoal-concordant careSurrogate decision-makersLife-sustaining therapyServices of patientsDisorders of consciousnessCognitive-motor dissociationPalliative careCare sitesDOC patientsMinimally conscious stateDecision-makingClinical guidePractice landscapeClinical practiceConceptual analysisCareHuman rightsConsciousnessConscious stateConsciousness disorderPatientsAccurate prognosisVegetative stateIrreducible uncertainty
2024
Clinical Ethics and the Observant Jewish and Muslim Patient: Shared Theocentric Perspectives in Practice.
Hossain F, Gabbay E, Fins J. Clinical Ethics and the Observant Jewish and Muslim Patient: Shared Theocentric Perspectives in Practice. Cambridge Quarterly Of Healthcare Ethics 2024, 1-17. PMID: 39575535, DOI: 10.1017/s0963180124000379.Peer-Reviewed Original ResearchMedical ethicsEnd-of-life decisionsWestern medical ethicsTheocentric perspectiveFaith traditionsClinical ethicsOrthodox JudaismReligious minoritiesMoral codeReligious beliefsReligious observanceEnd-of-lifeMuslim patientsEthicsPatient's health goalsTheocentrismMedical contextTraditionCultural valuesBeliefsHealth goalsGodJudaismMental healthIslamEchoes of Concern—AI and Moral Agency in Medicine
Hull S, Fins J. Echoes of Concern—AI and Moral Agency in Medicine. JAMA Cardiology 2024, 9: 955-956. PMID: 39221501, DOI: 10.1001/jamacardio.2024.3512.Peer-Reviewed Original ResearchAwakenings of the Mind: An Interview with Joseph Fins
Fins J, Mukherjee P, Yuh E. Awakenings of the Mind: An Interview with Joseph Fins. 2024, 00 DOI: 10.1089/ains.2024.0004.Peer-Reviewed Original ResearchIs Medical Assistance in Dying Part of Palliative Care?
Chochinov H, Fins J. Is Medical Assistance in Dying Part of Palliative Care? JAMA 2024, 332: 1137-1138. PMID: 39259560, DOI: 10.1001/jama.2024.12088.Peer-Reviewed Original ResearchCognitive Motor Dissociation in Disorders of Consciousness
Bodien Y, Allanson J, Cardone P, Bonhomme A, Carmona J, Chatelle C, Chennu S, Conte M, Dehaene S, Finoia P, Heinonen G, Hersh J, Kamau E, Lawrence P, Lupson V, Meydan A, Rohaut B, Sanders W, Sitt J, Soddu A, Valente M, Velazquez A, Voss H, Vrosgou A, Claassen J, Edlow B, Fins J, Gosseries O, Laureys S, Menon D, Naccache L, Owen A, Pickard J, Stamatakis E, Thibaut A, Victor J, Giacino J, Bagiella E, Schiff N. Cognitive Motor Dissociation in Disorders of Consciousness. New England Journal Of Medicine 2024, 391: 598-608. PMID: 39141852, PMCID: PMC7617195, DOI: 10.1056/nejmoa2400645.Peer-Reviewed Original ResearchConceptsFunctional magnetic resonance imagingTask-based fMRICognitive motor dissociationDisorders of consciousnessComa Recovery Scale-RevisedCognitive tasksMotor dissociationObserved responseBrain injuryVerbal commandsBrain traumaScale-RevisedMagnetic resonance imagingDisordersBrainParticipantsEtiological factorsAssociated with younger ageElectroencephalographyCohort of personsResonance imagingProspective cohort studyTaskElectroencephalography dataMedian ageNeuroethics, Covert Consciousness, and Disability Rights: What Happens When Artificial Intelligence Meets Cognitive Motor Dissociation?
Fins J, Shulman K. Neuroethics, Covert Consciousness, and Disability Rights: What Happens When Artificial Intelligence Meets Cognitive Motor Dissociation? Journal Of Cognitive Neuroscience 2024, 36: 1667-1674. PMID: 38579252, DOI: 10.1162/jocn_a_02157.Peer-Reviewed Original ResearchConceptsCognitive motor dissociationCovert consciousnessBrain injuryRight-to-die movementOvert behaviorEEG studiesCognitive activityMotor dissociationSevere brain injuryNormative challengesModes of assessmentDisability biasClinical practiceNormative reasonsGenerate speechEthical challengesArtificial intelligenceAlphabet soupAnticipatory governanceTranslational researchWhat Happens After a Neural Implant Study? Neuroethics Expert Workshop on Post-Trial Obligations
Dasgupta I, Klein E, Cabrera L, Chiong W, Feinsinger A, Fins J, Haeusermann T, Hendriks S, Lázaro-Muñoz G, Kubu C, Mayberg H, Ramos K, Roskies A, Sankary L, Walton A, Widge A, Goering S. What Happens After a Neural Implant Study? Neuroethics Expert Workshop on Post-Trial Obligations. Neuroethics 2024, 17: 22. DOI: 10.1007/s12152-024-09549-2.Peer-Reviewed Original ResearchBrain injury, medical progress, and the disability paradox: Towards an Americans with Abilities Act
Fins J, Shulman K, Wright M, Shapiro Z. Brain injury, medical progress, and the disability paradox: Towards an Americans with Abilities Act. Neurorehabilitation 2024, 54: 141-147. PMID: 38217618, DOI: 10.3233/nre-230118.Peer-Reviewed Original ResearchConceptsDisability lawLegal protection of patientsInterface of medicineProtection of patientsAmerican jurisprudenceConstitutional protectionLegal protectionLawConstitutive elementsNewfound abilityMedical progressProtectionJurisprudenceLegislationBrain injuryAmericanModerate to severe brain injuryDisabilityParadoxBrain injury professionalsProfessionalsADASevere brain injuryBrainIdentity Theft, Deep Brain Stimulation, and the Primacy of Post‐trial Obligations
Fins J, Merner A, Wright M, Lázaro-Muñoz G. Identity Theft, Deep Brain Stimulation, and the Primacy of Post‐trial Obligations. The Hastings Center Report 2024, 54: 34-41. PMID: 38390681, PMCID: PMC11022755, DOI: 10.1002/hast.1567.Peer-Reviewed Original Research
2023
The Scholarly and Pedagogical Benefits of the Legal Laboratory: Lessons from the Consortium for the Advanced Study of Brain Injury at Yale Law School.
Shapiro Z, Deb C, Lawrence C, Golden A, Wright M, Kraschel K, Fins J. The Scholarly and Pedagogical Benefits of the Legal Laboratory: Lessons from the Consortium for the Advanced Study of Brain Injury at Yale Law School. The Journal Of Law, Medicine & Ethics 2023, 51: 672-683. PMID: 38088597, DOI: 10.1017/jme.2023.126.Peer-Reviewed Original ResearchThalamic deep brain stimulation in traumatic brain injury: a phase 1, randomized feasibility study
Schiff N, Giacino J, Butson C, Choi E, Baker J, O’Sullivan K, Janson A, Bergin M, Bronte-Stewart H, Chua J, DeGeorge L, Dikmen S, Fogarty A, Gerber L, Krel M, Maldonado J, Radovan M, Shah S, Su J, Temkin N, Tourdias T, Victor J, Waters A, Kolakowsky-Hayner S, Fins J, Machado A, Rutt B, Henderson J. Thalamic deep brain stimulation in traumatic brain injury: a phase 1, randomized feasibility study. Nature Medicine 2023, 29: 3162-3174. PMID: 38049620, PMCID: PMC11087147, DOI: 10.1038/s41591-023-02638-4.Peer-Reviewed Original ResearchConceptsTraumatic brain injuryDeep brain stimulationExecutive controlProcessing speedBrain stimulationImprove executive controlCentral lateral (CL) nucleusTrail-Making TestChronic phase of recoveryBrain injuryYears post-injuryFrontostriatal networkEfficacy of deep brain stimulationExecutive functionConverging evidenceLimit quality of lifeEfficacy measuresMsTBIPhase of recoveryPost-injuryRandomized feasibility studyThalamic deep brain stimulationQuality of lifeParticipantsProtocol non-complianceHealth as a Human Right: A Position Paper From the American College of Physicians.
DeCamp M, Snyder Sulmasy L, Opole I, Callister T, Bornstein S, Bruera E, Carney J, Collamer A, Esbensen K, Fins J, Fuson O, Holbrook A, Jung D, Mire R, Prager K, Wallace E. Health as a Human Right: A Position Paper From the American College of Physicians. Annals Of Internal Medicine 2023, 176: 1516-1519. PMID: 37903364, DOI: 10.7326/m23-1900.Peer-Reviewed Original ResearchConceptsAmerican College of PhysiciansHuman rightsEthical obligationHealth careCollege of PhysiciansMatter of rightAmerican CollegeRelationship of healthNature of healthPatient-physician relationshipIntrinsic dignityPromote equitable accessHealth systemRightsIndividual physiciansObligationsCareEquitable accessHealthPhysiciansUnited StatesSocietyDignityAmericanPosition paperCOVID-19 and Clinical Ethics
Fins J. COVID-19 and Clinical Ethics. 2023, 17-27. DOI: 10.1017/9781009265690.004.Peer-Reviewed Original ResearchSubject and Family Perspectives from the Central Thalamic Deep Brain Stimulation Trial for Traumatic Brain Injury: Part II
Fins J, Wright M, Shulman K, Henderson J, Schiff N. Subject and Family Perspectives from the Central Thalamic Deep Brain Stimulation Trial for Traumatic Brain Injury: Part II. Cambridge Quarterly Of Healthcare Ethics 2023, 33: 449-472. PMID: 37850455, DOI: 10.1017/s0963180123000518.Peer-Reviewed Original ResearchFamily perspectiveTraumatic brain injuryOn-going careTrail-Making-TestDecision-making capacitySevere traumatic brain injuryBrain injurySupportive counselingStimulation trialsNarrative responsesPost-trial accessVoluntary informed consentPost-operative interviewsFamily membersSocial reintegrationMarkers of executive functionCognitive functionFamily dynamicsInformed consentPart BDeep brain stimulation trialsInterviewsExecutive functionDevice trialsTrialsBaseball and Bioethics Revisited: The Pitch Clock and Age Discrimination in a Timeless Pastime.
Fins J. Baseball and Bioethics Revisited: The Pitch Clock and Age Discrimination in a Timeless Pastime. Cambridge Quarterly Of Healthcare Ethics 2023, 33: 267-270. PMID: 37767653, DOI: 10.1017/s096318012300049x.Peer-Reviewed Original ResearchStandards and Ethics Issues in the Determination of Death: A Position Paper From the American College of Physicians.
DeCamp M, Prager K, Opole I, Deep N, Callister T, Abraham G, Bornstein S, Bruera E, Burnett J, Carney J, Collamer A, Cooney T, Esbensen K, Fins J, Fuson O, Harp T, Holbrook A, Huddle T, Jung D, Levine M, Mire R, Prager K, Wallace E. Standards and Ethics Issues in the Determination of Death: A Position Paper From the American College of Physicians. Annals Of Internal Medicine 2023, 176: 1245-1250. PMID: 37665984, DOI: 10.7326/m23-1361.Peer-Reviewed Original ResearchConceptsDetermination of deathUniform Determination of Death ActDead donor ruleEthical significanceAmerican College of Physicians position paperEthical issuesPatient-physician relationshipUniform DeterminationAmerican College of PhysiciansAmerican CollegeCollege of PhysiciansBiological conceptsHealth professionalsEducational effortsSocial implicationsPosition paperMedical testsPatient deathProfessionPhysiciansHonestyIndividual patientsCommitmentAmericanControversiesMinding Brain Injury, Consciousness, and Ethics: Discourse and Deliberations.
Fins J, Giordano J. Minding Brain Injury, Consciousness, and Ethics: Discourse and Deliberations. Kennedy Institute Of Ethics Journal 2023, 33: 227-248. PMID: 38588134, DOI: 10.1353/ken.2023.a917928.Peer-Reviewed Original ResearchToward a Social Bioethics Through Interpretivism: A Framework for Healthcare Ethics.
Dougherty R, Fins J. Toward a Social Bioethics Through Interpretivism: A Framework for Healthcare Ethics. Cambridge Quarterly Of Healthcare Ethics 2023, 33: 6-16. PMID: 37622652, DOI: 10.1017/s0963180123000452.Peer-Reviewed Original ResearchConceptsHealthcare ethicsSocial bioethicsHealthcare ethics consultantsReasoning of individualsInterpretive social scienceSocial structureEthics consultationMoral reasoningBioethical issuesEthical issuesDecision-making participationBioethicsEthicsSocial sciencesSocial discourseEconomic systemAnalytical frameworkGlobal eventsInformation approachPervasive roleDelivery of healthcareEveryday practiceInterpretivismAuthorsSociology