2023
Medical necessity and consent for intimate procedures
Earp B, Bruce L. Medical necessity and consent for intimate procedures. Journal Of Medical Ethics 2023, 49: 591-593. PMID: 37648289, DOI: 10.1136/jme-2023-109465.Peer-Reviewed Original ResearchMaximizing biomedical research impacts through bioethical considerations
Tornini V, Politi S, Bruce L, Latham S. Maximizing biomedical research impacts through bioethical considerations. Disease Models & Mechanisms 2023, 16: dmm050046. PMID: 37092345, PMCID: PMC10163322, DOI: 10.1242/dmm.050046.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus Statements
2022
Extending Trauma-Informed Principles to Hospital System Policy Development
Bruce L, Herbst J. Extending Trauma-Informed Principles to Hospital System Policy Development. The American Journal Of Bioethics 2022, 22: 65-68. PMID: 35475965, DOI: 10.1080/15265161.2022.2055210.Peer-Reviewed Original ResearchA Hub and Spoke Model for Improving Access and Standardizing Ethics Consultations Across a Large Healthcare System
Tolchin B, Bruce L, Mercurio M, Latham SR. A Hub and Spoke Model for Improving Access and Standardizing Ethics Consultations Across a Large Healthcare System. The American Journal Of Bioethics 2022, 22: 42-45. PMID: 35420520, DOI: 10.1080/15265161.2022.2044551.Peer-Reviewed Original ResearchNew Findings on Unconsented Intimate Exams Suggest Racial Bias and Gender Parity
Bruce L, Hannikainen I, Earp B. New Findings on Unconsented Intimate Exams Suggest Racial Bias and Gender Parity. The Hastings Center Report 2022, 52: 7-9. PMID: 35476362, DOI: 10.1002/hast.1349.Peer-Reviewed Original Research
2021
Reflections on New Evidence on Crisis Standards of Care in the COVID-19 Pandemic.
Tolchin B, Latham SR, Bruce L, Ferrante LE, Kraschel K, Jubanyik K, Hull SC, Herbst JL, Kapo J, Moritz ED, Hughes J, Siegel MD, Mercurio MR. Reflections on New Evidence on Crisis Standards of Care in the COVID-19 Pandemic. The Journal Of Clinical Ethics 2021, 32: 358-360. PMID: 34928864, DOI: 10.1086/jce2021324358.Commentaries, Editorials and LettersConceptsSOFA scoreBlack patientsCrisis standardsSequential Organ Failure Assessment scoreOrgan Failure Assessment scoreAccurate prognostic scoresNext public health emergencyCOVID-19 patientsLife-saving medical resourcesMedical resourcesCOVID-19 pandemicSame scoring systemPublic health emergencyPrognostic scoreBody of evidenceRare casePatientsScoring systemTriage purposesAssessment scoresHealth emergencyCareHealthcare systemCOVID-19Scores
2020
Developing a Triage Protocol for the COVID-19 Pandemic: Allocating Scarce Medical Resources in a Public Health Emergency.
Tolchin B, Latham SR, Bruce L, Ferrante LE, Kraschel K, Jubanyik K, Hull SC, Herbst JL, Kapo J, Moritz ED, Hughes J, Siegel MD, Mercurio MR. Developing a Triage Protocol for the COVID-19 Pandemic: Allocating Scarce Medical Resources in a Public Health Emergency. The Journal Of Clinical Ethics 2020, 31: 303-317. PMID: 32991327, DOI: 10.1086/jce2020314303.Peer-Reviewed Original ResearchConceptsPublic health emergencyTriage protocolScarce medical resourcesYale New Haven Health SystemMedical resourcesEthical challengesHealth emergencyCOVID-19 pandemicAllocating Scarce Medical ResourcesFuture wavesMajor ethical challengesChronic comorbiditiesPregnant patientsSimilar public health emergenciesHealthcare workersTriage assessmentClinical judgmentCoronavirus diseaseHealth systemSocioeconomic disparitiesRole of ageCOVID-19Less needPublic discussionSecondary goalA Pot Ignored Boils On: Sustained Calls for Explicit Consent of Intimate Medical Exams
Bruce L. A Pot Ignored Boils On: Sustained Calls for Explicit Consent of Intimate Medical Exams. HEC Forum 2020, 32: 125-145. PMID: 32152870, PMCID: PMC7223770, DOI: 10.1007/s10730-020-09399-4.Peer-Reviewed Original ResearchConceptsIntimate examsConsent policiesExplicit consentSeries of harmsMoral erosionMoral distressSacred trustLegal scholarsConsent practicesScientific detachmentWhistleblower reportsIntimate regionsMain argumentNeutral wayLegislative banSpecial protectionSchool curriculumPatient valuesArgumentInstitutional cultureMedical AssociationOppositionConsentMedical school curriculumStatus quo
2016
Unmet Needs, Unwanted Persons: A Call for Expansion of Safe Haven Laws
Bruce L. Unmet Needs, Unwanted Persons: A Call for Expansion of Safe Haven Laws. The Hastings Center Report 2016, 46: 7-8. PMID: 27649821, DOI: 10.1002/hast.609.Peer-Reviewed Original Research
2013
Distinct associations of insula and cingulate volume with the cognitive and affective dimensions of alexithymia
Goerlich-Dobre K, Bruce L, Martens S, Aleman A, Hooker C. Distinct associations of insula and cingulate volume with the cognitive and affective dimensions of alexithymia. Neuropsychologia 2013, 53: 284-292. PMID: 24334109, DOI: 10.1016/j.neuropsychologia.2013.12.006.Peer-Reviewed Original ResearchConceptsBermond-Vorst Alexithymia QuestionnaireAffective alexithymia dimensionAlexithymia dimensionsLarger gray matter volumeGray matter volumeVoxel-based morphometryAffective dimensionsMatter volumeSpecific neural basisSubjective emotional experienceLower emotional reactivityDistinct structural correlatesRight posterior insulaToronto Alexithymia ScaleCognitive controlNeural correlatesNeural basisEmotional reactivityEmotional experienceAffect dysregulationAlexithymia QuestionnaireCognitive dimensionsAlexithymia ScalePosterior insulaTAS-20The influence of combined cognitive plus social-cognitive training on amygdala response during face emotion recognition in schizophrenia
Hooker C, Bruce L, Fisher M, Verosky S, Miyakawa A, D'Esposito M, Vinogradov S. The influence of combined cognitive plus social-cognitive training on amygdala response during face emotion recognition in schizophrenia. Psychiatry Research 2013, 213: 99-107. PMID: 23746615, PMCID: PMC6999046, DOI: 10.1016/j.pscychresns.2013.04.001.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAmygdalaCognitive Behavioral TherapyEmotionsFacial ExpressionFemaleFunctional LateralityFunctional NeuroimagingHumansMagnetic Resonance ImagingMaleMiddle AgedPrefrontal CortexPutamenSchizophreniaSchizophrenic PsychologySocial BehaviorSocial PerceptionTherapy, Computer-AssistedTreatment OutcomeVideo GamesConceptsSocial cognition trainingSocial cognitive trainingAuditory-based cognitive trainingNeural activity increasesEmotion recognitionBehavioral improvementFunctional magnetic resonance imaging (fMRI) taskSocial cognition skillsSocial cognitive deficitsCognitive remediation studiesFace emotion recognitionFacial emotion recognitionRight medial prefrontal cortexComputer-based interventionsComputer gamesMedial prefrontal cortexEmotion perceptionCognitive trainingSocial cognitionAmygdala responseFMRI resultsSchizophrenia participantsBehavioral performanceBehavioral gainsNeural mechanisms
2012
Neural activity during emotion recognition after combined cognitive plus social cognitive training in schizophrenia
Hooker C, Bruce L, Fisher M, Verosky S, Miyakawa A, Vinogradov S. Neural activity during emotion recognition after combined cognitive plus social cognitive training in schizophrenia. Schizophrenia Research 2012, 139: 53-59. PMID: 22695257, PMCID: PMC4346150, DOI: 10.1016/j.schres.2012.05.009.Peer-Reviewed Original ResearchConceptsSocial cognition trainingAuditory-based cognitive trainingSocial cognitive trainingCognitive remediation trainingEmotion recognitionCognitive trainingCognition trainingRemediation trainingSocial cognitionEmotion processingNeural mechanismsBehavioral improvementComputer gamesSocial cognition skillsSocial cognitive deficitsFacial emotion recognitionIntervention-related improvementsStandard behavioral assessmentsCognition skillsPost-intervention increaseFMRI taskNegative emotionsGeneral cognitionRemediation interventionsFMRI results
2011
Theory of Mind Skills Are Related to Gray Matter Volume in the Ventromedial Prefrontal Cortex in Schizophrenia
Hooker C, Bruce L, Lincoln S, Fisher M, Vinogradov S. Theory of Mind Skills Are Related to Gray Matter Volume in the Ventromedial Prefrontal Cortex in Schizophrenia. Biological Psychiatry 2011, 70: 1169-1178. PMID: 21917239, PMCID: PMC3432316, DOI: 10.1016/j.biopsych.2011.07.027.Peer-Reviewed Original ResearchConceptsVentromedial prefrontal cortexGray matter volumeToM processingToM skillsSchizophrenia participantsMind skillsGlobal cognitionPrefrontal cortexHealthy participantsWorse ToM performanceGeneral cognitive deficitsStandardized neuropsychological measuresPoor social functioningMatter volumeToM performanceNeural basisNeuropsychological measuresVmPFC functionVoxel-based morphometrySocial functioningCognitive deficitsSocial outcomesBetween-group analysisBehavioral assessmentToMSocial anhedonia is associated with neural abnormalities during face emotion processing
Germine L, Garrido L, Bruce L, Hooker C. Social anhedonia is associated with neural abnormalities during face emotion processing. NeuroImage 2011, 58: 935-945. PMID: 21763435, DOI: 10.1016/j.neuroimage.2011.06.059.Peer-Reviewed Original ResearchConceptsFace emotion processingFunctional magnetic resonance imagingSocial anhedoniaEmotion processingEmotion discriminationNeural mechanismsSocial affiliationRostral medial prefrontal cortexLess neural activityRight superior temporal gyrusFace emotion recognitionEmotion recognition deficitsGroup × condition interactionEmotion processing regionsSuperior temporal gyrusPoor social outcomesMedial prefrontal cortexSocial cognitionRecognition deficitsEmotion recognitionNeural basisIndividual differencesSocial motivationProcessing regionsInterpersonal interactions