JournalofmedicalethicsThe Journal of theSociety for the Study of Medical EthicsThe Journal of Medical Ethics was established in I975,with a multi-disciplinary Editorial Board, to promote thestudy of contemporary medico-moral problems. TheEditorial Board has as its aims the encouragement of ahigh academic standard for this developing subject andthe influencing of the quality of both professional andpublic discussion. TheJournal is published quarterly.The Journal includes papers on all aspects of medical

ethics, analyses ethical concepts and theories and featurescase conferences and comment on clinical practice. Itincludes book reviews and details of lectures andsymposia on issues raised by the practice of medicine.EditorRaanan Gillon, BA (Philosophy), MB, BS, MRCP, AssistantDirector, Society for the Study of Medical Ethics,College doctor, Imperial College, University of London.CONSULTING EDITORSSir Douglas Black,President,Royal College ofPhysicians.D WHamlyn, Professor of Philosophy, Birkbeck College,University of London and Editor of Mind.EDITORIAL BOARDR B Welbourn (Chairman), Professor of Surgical Endo-crinology, Royal Postgraduate Medical School, London.K M Boyd, Scottish Director, Society for the Study ofMedical Ethics.R D Catterall, Consultant Venereologist, MiddlesexHospital, London.Robin Downie, Professor of Moral Philosophy, Universityof Glasgow.A S Duncan, Emeritus Professor of Medical Education,University of Edinburgh.G R Dunstan, Professor of Moral and Social Theology,King's College, London.C M Fletcher, Emeritus Professor of Clinical Epi-demiology, University of London.Michael F Green, Consultant Physician, The Royal FreeHospital, London.Roger Higgs, General Practitioner, London.Gerard J Hughes SJ3, Department of Philosophy,Heythrop College, London.Ian Kennedy, Reader in Law, King's College, London.Marshall Marinker, Professor of Community Medicine,University of Leicester.Raymond Plant, Professor of Politics, University ofSouthampton.Sir Martin Roth, Professor of Psychiatry, University ofCambridge.Rt Hon LordJustice Shaw, Lord Justice of Appeal.Margaret Stacey, Professor of Sociology, University ofWarwick.Eric Wilkes, Professor of Community Care and GeneralPractice, University of Sheffield.Edward Shotter, Director of Studies, Society for theStudy of Medical Ethics, ex officio.TECHNICAL EDITOR:Dorothy Mitchell Smith, Edinburgh.

Contents

EditorialSeverely handicapped infants

FocusEthical problems in the management ofsome severely handicapped childrenJohn HarrisCommentary i and reply John LorberCommentary 2 G EM AnscombeCommentary 3 D Jf Cusine

Main articlesThe place of confinement - a questionof statistics or ethics ?L I ZanderDoctor-patient relationships in generalpractice - a different modelThomasine KushnerThe right to lifeKenneth BoydThe pregnant Jehovah's WitnessN C DrewEthical aspects of plans to combatHuntington's disease - a responseMichael H KottowThe houseman and the dying patientG P Adams and Marilyn Cook'Section 47'J A Muir GrayWordsRightsMichael Lockwood

Report from AmericaSurrogate mothers: private rightor public wrong?WilliamJ Winslade

Case conferenceVenial sin - a case for specifictransmission of information?Roger HiggsBook reviews

CorrespondenceLectures and symposiaNews and notes

Medical groups

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Journal of medical ethicsSubmitting manuscpts for publication

Papers submitted for publication should be sent induplicate to: The Editor, Journal of medical ethics,Tavistock House North, Tavistock Square, LondonWCiH 9LG. Rejected manuscripts are not returnedunless accompanied by a stamped addressed envelope, or

international reply coupon. Papers should be in double-spaced typewriting on one side of the paper only. Thecorresponding author's name and address should appear

on the first page. Authors should also submit an interest-ing abstract with their papers. On a separate sheet abrief entry for 'Contributors to this issue' should besupplied, containing the title of the author's presentpost, degrees and/or professional qualifications, and anyother relevant information. Abbreviations should beavoided except for those in general use. The names ofjournals, organisations etc., should be given in full.As from the beginning of Volume 7 (March I98I)

JME has adopted a simplified 'Vancouver style' forreferences: details are given in JME, December I980,p 214 and are also available from the editorial office. Asthe 'Vancouver style' is incompatible with the longestablished style of references for legal articles, lawyersshould use their own standard style, but avoid abbrevia-tions so as to facilitate reference by others. TheJournal ismultidisciplinary and papers should be in clear English,accessible to any intelligent reader.Four copies of the Journal will be sent to authors free

of charge after their papers are published. Offprints ofindividual papers may be bought from The Publisher,Journal ofmedical ethics, Tavistock House East, TavistockSquare, London WCiH 9JR.

Notice to subscribers

TheJournal of medical ethics is published quarterly. Theannual subscription ratesare ,i6.oo in the United King-dom and Irish Republic, and US $4o.0o in all countriesoverseas. Payment for overseas subscriptions should bemade in dollars, ie, US $4o.0o, or in your nationalcurrency based on the prevailing exchange rate to theUSdollar of that currency, payable to Professional andScientific Publications/JME A/c. Orders can also beplaced locally with any leading subscription agent orbookseller. (For the convenience of readers in theUSA subscription orders, with or without payment,can also be sent to: Professional and ScientificPublications, 1172 Commonwealth Avenue, Boston,Mass. 02134. All enquiries, however, must beaddressed to the Publisher in London). All enquiriesregarding Air Mail rates, single copies, advertisements,etc. should be sent to: The Publisher, Yournal ofmedical ethics, Tavistock House East, Tavistock Square,London WCiH 9JR.

ISSN 0306-680o

Copyright I98I Journal of medical ethics. AU RightsReserved. No part ofthis publication may be reproduced,stored in a retrieval system, or transmitted, in any formor by any means, electronic, mechanical, photocopying,recording or otherwise, without the prior permission ofthe Journal of medical ethics.

Contributors to this issueG PAdams at thetime of wridting was a HousePhysician at Aiedale General Hospital, Steeton,near Keighley but has now taken up an appointmnentas Senior House Officer in Psychiatry at TheMiddlesex Hospital, London.G EM Anscombe is Professor of Philosophy, NewHall, University of Cambridge.Kenneth Boyd is the Scottish Director of theSociety for the Study of Medical Ethics and isbased in Edinburgh.Marilyn Cook at the time of writing was a HouseSurgeon at Airedale General Hospital, Steeton,near Keighley but has now taken up an appointmentas Senior House Officer in Psychiatry at ShenleyHospital, Radlett, Hertfordshire.D J Cusine is a Lecturer in Private Law, Universityof Aberdeen. He was formerly a solicitor in privatepractice and for some years has been interested inmedico-legal problems.N C Drew is a Surgeon Lieutenant Commander inThe Royal Navy, based at the time of writing inDepartment of Obstetrics and Gynaecology, LouiseMargaret Maternity Hospital, Aldershot but is nowhead of Obstetrics and Gynaecology Departnent,RN Hospital, Gibraltar.J A Muir Gray is a Community Physician for theOxfordshire Area Health Authority with specialinterest in elderly disabled people and preventivemedicine.John Harris is a Lecturer in Philosophy inthe Department of Education, University ofManchester.Michael H Kottow is Deputy Chief Ophthalmol-ogist, Charlottenklinik fur Augenkranke, Stuttgart,West Germany.Thomasine Kushner is Assistant Professor,Department of Family Medicine, University ofMiami, Miami, Florida, USA.Michael Lockwood is a Lecturer in Philosophy,University College, Oxford and Lecturer in thePhilosophy of Medicine, Society of Apothecaries.L I Zander is Senior Lecturer in the Deparentof General Practice, St Thomas' Hospital MedicalSchool.American correspondentsBernard Towers, Deparment of Pediatrics,University of California at Los AngelesWilliam J Winslade, Department of Law andPsychiatry, University ofCalifornia, at Los AngelesCase conference editorRoger Higgs, 8i Brixton Water Lane., LondonSW2 iPH

Thematic review and indexThe thematic review of past issues appears inthe June issue each year and an index to eachvolume appears in the December issue.

Journal of medical ethics, I98I, 7, x65-I66

Lectures and symposia

Readers are asked to check withtheir local medical groupsecretaries for further details. Theaddresses are on page I68 of thisissue.

Tuesday 6 OctoberLMG symposium: BRAIN DEATH:Are the medical criteria acceptableto the public? 6.oo pm Charing

Cross Hospital, FuihamProfessor Norman Morris,

Professor of Obstetrics andGynaecology, Charing CrossHospital Medical School

Professor W B Jennett, Professorof Neurosurgery, University ofGlasgowDr Bruce MacGillivray, Dean,

The Royal Free Hospital School ofMedicine

Ian Kennedy, Reader in Facultyof Laws, King's College, London

Thursday 8 OctoberLMG symposium: SURVIVAL OF THEWEAKEST: The morality of inactionin the care of the malformed

infant 5.45 pm Guy's HospitalDr B G R Neville, Consultant

Paediatric Neurologist, Guy'sHospital Medical School

Professor John Lorber, Professorof Paediatrics, Sheffield University

Professor The Revd CanonG R Dunstan, Professor of Moraland Social Theology, King'sCollege, LondonMrs Nicola Scarisbrick,

Honorary National Administratorof LIFE

Monday I2 OctoberMMG symposium: MEDICINE ANDTH MmE 5.30 pm LectureTheatre 3, Medical School,Oxford Road, ManchesterRW G Johnson, Consultant

Surgeon, Manchester RoyalInfirmaryRichard Lindley, Reporter,BBC TV PanoramaAntony J Smith, Medical

Correspondent of The Times

Tuesday 13 OctoberLMG symposium: LIFE AT ALLCOSTS ?: Transplants and scarceresources 5.45 pm King's CollegeHospitalMr L S Cotton, The Dean,

King's College Hospital MedicalSchoolDr J A Muir Gray, Community

Physician, Community HealthOffices, Radcliffe Infirmary,OxfordMr M Bewick, Consultant

Surgeon, Guy's Hospital MedicalSchool

Thursday I5 OctoberLMG symposium: MARIJUANA:Its medical effects and socialimplications 5.45 pm The LondonHospitalDr S N Wolkind, Senior

Lecturer in Clinical Psychiatry,The London Hospital MedicalCollegeDr Philip Boyd, Consultant

Psychiatrist, Department ofAdolescent Psychiatry, TheMiddlesex HospitalDr John M Littleton, Reader in

Pharmacology, King's CollegeLondonDrM S Rose, Senior Lecturer

in Haematology, St George'sHospital Medical School

Tuesday 20 OctoberLMG symposium: ABANDON HOPE?:The consequences of euthanasialegislation 5.45 pm MiddlesexHospital Medical School

Professor John Hinton,Professor of Psychiatry, TheMiddlesex Hospital MedicalSchoolDr Colin Brewer, Consultant

Psychiatrist Hillingdon AHA,and Research Fellow, Departmentof Psychiatry, University ofBirminghamDr T S West, Deputy Medical

Director, St Christopher's HospiceMr John Mathew, QC

Thursday 22 OctoberLMG symposium: IN TOUCH:The effects of physical contact on

the therapeutic relationship 5.45 pmRoyal Free Hospital, HampsteadDr S W Clarke, Consultant

Physician, Royal Free Hospital,School of MedicineDr Graham Knight-Webb,

Consultant Psychiatrist, CleeveHouse Adolescent Unit, GloucesterDr Lesley Southgate, Lecturer

in Primary Care, St Bartholomew'sHospital Medical CollegeMr Clive Lindley-Jones,

Osteopath

Monday 26 OctoberMMG symposiUm: TBE DISABLED:Do we really understand? 5.30 pmLecture Theatre 3, Medical School,Oxford Road, ManchesterAnthony J Lane, Regional

Medical Officer, North WesternRegional Health AuthorityRoy M Southern, Chairman of

Manchester IYDP, AssistantDistrict Administrator (Planning)Manchester South District

Grace Wyatt, Principal ofCharnwood Trust and pre-schoolteacher in integrated school forhandicapped and non-handicappedchildren

Tuesday 27 OctoberLMG film and discussion:KILL OR CURE: The role of thedoctor in nuclear war. A showingof 'The War Game' followed bydiscussion 5.45 - 7.30 pmSt Bartholomew's Hospital

Professor P J Lawther, Professorof Environmental Medicine,St Bartholomew's Hospital MedicalCollegeDr Andrew Haines, MRC

Epidemiology UnitSir Arthur Hockaday, Second

Permanent Under Secretary ofState, Ministry of DefenceDr B A Paskins, Lecturer in the

Department of War Studies,King's College, London

Thursday 29 OctoberLMG symposium: SEXUAL ABUSE OFCHILDREN: Fleeting trauma orlasting disaster? 6.oo pmSt George's Hospital, Tooting

x66 Lectures and symposia

Professor A H Crisp, Professorof Psychiatry, St George's HospitalMedical SchoolDr Amon Bentovim, Consultant

Psychiatrist, The Hospital forSick Children, Great OrmondStreet; Department of Childrenand Parents, Tavistock ClinicMrs Carolyn Okell Jones,

Senior Social Worker, StudentUnit Supervisor, Child GuidanceTraining Centre, London

Monday 2 NovemberMMG symposium: T FUTURE OFTHE HEALTH sERvICE: Needs andrealities. 5.30 pm Lecture Theatre 3,Medical School, Oxford Road,ManchesterAlwyn Smith, Professor of

Epidemiology and Social Oncology,University of ManchesterJames B Elder, Consultant

surgeon, Manchester RoyalInfirmary

Professor T E Chester, Directorof Management Programme forClinicians, University ofManchesterDavid McKinley, General

Practitioner, The Health Centre,Clitheroe

Tuesday 3 NovemberLMG SympOSiUM: IS BIRTH TOOIMPORTANT TO BE LEFT TO MOTHERS ?5.45 pm St Mary's HospitalDr D B Paintin, Senior Lecturer,

Department of Obstetrics andGynaecology, St Mary's HospitalMedical SchoolMr S J Steele, Director,

Academic Department of Obstetricsand Gynaecology, MiddlesexHospital Medical SchoolMrs Caroline Flint, Antenatal

Clinic SisterA mother

T'hursday 5 NovemberLMG symposium: THE MEDICALAND MORAL CONSEQUENCES OFUNEMPLOYMENT 5.45 pm StThomas's Hospital

Professor W W Holland,Professor of Clinical Epidemiologyand Social Medicine, St Thomas'sHospitalDr J Tudor Hart, General

PractitionerDr Rachel Jenkins, Clinical

Lecturer, Institute of PsychiatryThe Revd J R Atherton,

Director, Wlliam TempleFoundation, Manchester

Tuesday IO NovemberLMG symposiUM: NURSE, I WANTMY MUMMY: The needs ofchildren in hospital 5.45 pmUniversity College Hospital

Professor Leonard Strang,Professor of Paediatrics,University College HospitalDr Stuart Carne, Senior Tutor

in General Practice, RoyalPostgraduate Medical School,Hammersmith HospitalMiss Margaret Atkin, Principal

Social Worker, Social ServiceDepartment, Great OrmondStreet HospitalMrs Priscilla Alderson, Chairman

of the National Association forthe Welfare of Children in Hospital

Thurnday I2 NovemberLMG symposium: THE EMOTIONALNEEDS OF THE DIsABLED 6.iS pmWestminster Hospital

Sir Richard Bayliss, ConsultantPhysician, The WestminsterHospitalThe Rt Hon Baroness Masham

of Ilton, Countess of SwintonMrs Elizabeth Rogers, Nursing

Officer in charge of the NationalSpinal Injuries Centre, StokeMandeville HospitalMr Michael Rogers, Author of

Paraplegia, a Handbook ofPractical Care and Advice

Monday I6 NovemberMMG lecture: ADoLESCENCE: Crisis,metamorphosis or damp squib?5.30 pm Lecture Theatre 3,Medical School, Oxford Road,ManchesterEva Jacobs, House Surgeon,

Hope Hospital, SalfordDavid C Taylor, Professor of

Child and Adolescent Psychiatry,University of Manchester

Tuasdey 17 NovemberLMG symposiUm: BEHAVIOURMODIFICATION: Brain washing orgood psychiatry? 6.oo pmCharing Coss Hospital, FulhamMr J E H Pendower,

Consultant Surgeon and Vice Dean,Charing Cross Hospital MedicalSchoolDr J P Cobb, Consultant and

Senior Lecturer in Psychiatry,St George's Hospital

Professor S P R Rose,Professor of Biology, The OpenUniversityMr Paul Sieghart, Chairman,

Executive Committee, ustice

Thursday I9 NovemberLMG symposium: DIAGNOSTICIAN,PRACTMONER AND THERAPIST:Is the new nurse a threat to themedical profession? 5.45 pmGuy's HospitalMiss Ann Moss, Senior Nursing

Officer (Psychiatry), Guy's HospitalDr H John Anderson, Senior

Physician, St Thomas's HospitalMedical SchoolDr David Greenberg, Senior

Registrar in Psychiatry, TheMaudsley HospitalMrs June Clark, Research

Fellow in Nursing and CommunityHealth Studies, SouthbankPolytechnic

Tuesday 24 NovemberLMG SympOSiUm: BEREAVEMENT:A treatable condition? 5.45 pmKing's College Hospital

Professor J Anderson, Professorof Medicine, KCHDr David Morris, Consultant

Paediatrician to the Brook Hospitaland the British Hospital forMothers and Babies, Woolwich;Chairman of the NationalStillbirth Study GroupDr Colin M Parkes, Senior

Lecturer in Psychiatry, TheLondon HospitalThe Revd Peter Speck, Chaplain,

The Royal Free Hospital

Thursday 26 NovemberLMG symposiUM: TIM RISE OF THEGERONTOCRACY: The impact ofpensioner power on society5.45 pm The London Hospital

Professor R D Cohen, Professorof Metabolic Medicine, TheLondon HospitalDr John Agate, Consultant in

Geriatrics, at Ipswich HospitalDr Anthony Mann, Department

of Psychiatry, The Royal FreeHospital School of MedicineMr David Hobman, Director,

Age Concern

Tuesday I DecemberLMG symposium: TE TRUTH, THEWHOLE TRUTH AND NOTHING BUTEVASION: The art ofoommunicatingwith the patient 5.45 pmMiddlesex Hospital Medical School

Professor MW Adler, Professorof Genito-Urinary Medicine,Middlesex Hospital MedicalSchool

contiued at bottom ofpage 167

Journal of medical ethics, I98I, 7, I67

News and notes

Muslims, Christians andmedical ethicsOn Saturday io October TheCentre for the Study of Islam andChristian-Muslim Relations willhold a day conference(iooo-i6oo hrs) on the abovetheme. The speakers will includeMr A Johnson, Personneldepartment, West Midlands RHA,Dr Faruq Hashmi, ConsultantPsychiatrist and member of theCommission for Racial Equality,and Professor Dunstan, Professorof Moral and Social Theology,King's College, London.For further details please apply

either to the Extra-muralDepartment, University ofBirmingham or The Centre atSelly Oak Colleges, BirminghamB29 6LE (021-472 4231).

ist international congress forsafety, health and wellbeing athospitalsThe World Health Organisation

(WHO), in cooperation with theIPH Foundation is organising aWorking Group 'On occupationalhazards in hospitals' during theabove congress to be held 19-21October in the Hague, theNetherlands.The congress will host a number

of coordinated activities; the aim ofthese, symposia and workshops onone hand, the WHO WorkingGroup on the other, will be toobtain relevant and practicalinformation from today's hospitalemployees.The aim of the WHO Working

Group is to specify the occupationalhazards of various categories ofprofessional and other personnelemployed in hospitals, and toconsider measures to be undertakento prevent adverse health effectsfrom occupational hazards inhospitals.

For further details please applyto: Dr E Janssen-Pohle, MD,C/O Netherlands Congress Centre,PO Box 12000, 2508 EA Den Haag,

The Netherlands.(Telephone: 070-5I285I).

The twelfth symposium onphilosophy and medicineThe above symposium entitled'Natural abilities and perceivedworth: rights, values and retardedpersons' will be held in Greenville,North Carolina, on I-3 OctoberI98I. The programme is sponsoredby the Humanities Section, EastCarolina University School ofMedicine and the North CarolinaHumanities Committee. Speakerswill include: L Churchill,C Diamond, H T Engelhardt,M Kindred, N Kittrie, L KopelmanB Baum Levenbook,L McCullough, J Margolis, W May,G Moriarty, J Moskop,D Rotbman, S Spicker andA Woozley. For furtherinformation please contact LorettaKopelman or John Moskop,Humanities Section, East CarolinaUniversity School of Medicine,Greenville, North Carolina 27834Telephone (919-757-4624).

continued from page 166

Mrs Sue Gowers, SeniorNursing Officer, Trent RegionalHealth AuthorityMrs C M U MacLean, Acting

Head of the Department ofCommunity Medicine, Universityof Edinburgh

Professor Eric Wilkes, Professorof Community Care and GeneralPractice, Sheffield University

Thursday 3 December

LMG symposium: CHILDREN INCARE: The risks involved 5.45 pmRoyal Free Hospital HampsteadDr Paul T d'Orban,

Consultant Forensic Psychiatrist,The Royal Free Hospital

Dr Brendan MacCarthy,Consultant Child Psychiatrist,Child Guidance Training CentreMrs Rose Robertson, Director

and Social Counsellor, ParentsEnquiry (for the parents ofhomosexual children)Mrs Pauline Crabb,

Vice-Chairman, Brook AdvisoryCentres

Tuesday 8 December

LMG lecture: TE NATURE ANDMANAGEMENT OF TERMINAL PAIN5.45 pm St Bartholomew's HospitalDame Cicely Saunders, Medical

Director, St Christopher's Hospice

Thursday lo DecemberLMG symposium: THE THREAT OFPRIVATE MEDICINE: Inequality orexcellence? 6.oo pm St George'sHospital, Tooting

Professor Peter Millard,Eleanor Peel Professor of GeriatricMedicine, St George's HospitalMedical SchoolDr Stanley Balfour-Lynn,

Chief Executive Officer, AmericanMedical (Europe) LtdDr Cyril Taylor, President of

the Socialist Health Association;Member of the Royal Commissionon the NHSDr Nicky Hart, Research

Fellow to the Black Committee on'Inequalities in Health'

Journl of meical ethi, 1981, 7, 168

Medical groups

Further information onMedical Groups

Further details and complete lecturelists are available from thesecretaries of the medical groupslisted below. Please enclose astamped addressed A4 envelope.

ABERDEN MEDICAL GROUPDr James Hendry, MedicalBuildings, Foresterhill,Aberdeen AB9 22D

BIRMINGEHA MEDICAL GROUPDr Anthony Parsons, Departmentof Obstetrics, BirminmMaternity Hospital, Edgbaston.Birmingham BI5

BRISTOL MDICAL GROUPSarah Bruml, ii KingsdownParade, Cotham., Bristol BS6

CAMRIDGE MEDICAL GROUPMr Patrick Doyle, Department ofUrology, Addenbrooke's Hospital,Hill's Road, Cambridge

CARDIFF MEDICAL GROUPDr Jonathan Richards,IO St Fagan's Rise, Fairwater,Cardiff

DUNDEE MEDICAL GROUPDr Douglas Shaw, ConsultantGeratrician, Royal VictoriaHospital, Dundee

EDINBURGH MEDICAL GROUPDr Brian Potter, EMG ProjectOffice, 24 Buccleuch Place,Edinburgh EH8 9LN

GLASGOW MEDICAL GROUPMr Sam Galbraith, Institute ofNeurological Sciences, SouthernGeneral Hospital, Glasgow

LEICESTER MEDICAL GROUPDr Liam Donaldson, Departmentof Community Health, ClinicalSciences Building, Leicester RoyalInfirmary, PO Box 65, LeicesterLE2 7LX

LIVEPOOL MEDICAL GROUPDr Colin Powell, Deparment ofMedicine, Royal Liverpool HospitalLiverpool L7 8XP

LONDON MEDICAL GROUPDirector of Studies, Room 68Tavistock House North,Tavistock Square, LondonWCIH 9LGMANCHESTER MEDICAL GROUPDr Mary Lobjoit, Teaching Unit 4,University Hospital of SouthManchester, Nell, Lane, WestDidsbury, Manchester M2o 8LR

NEWCASTL MEDICAL GROUPDr Christopher Drinkwater, I4Belle Grove Terrace, Newcastle-upon-Tyne NE2 4LL

OXFORD MEDICAL FORUMDr James Falconer Smith, 20 ParkClose, Bladon, Oxon OX7 iRN

SHEFIELD MEDICAL GROUPDr Marti Hayes-Allen, I83Whitham Road, Broomhill,Sheffield SIO 2SB

SOUTHAMPTON MEDICAL GROUPDr Barbara Leppard, Departmentof Dermatology, Graham Road,Royal South Hants Hlospital,Southampton

I,

ST. BONIFACE GENERAL HOSPITALBIOETHICIST

A Bioethicist is required to act as a consultant ingeneral ethics and bioethics to the Archbishop ofSt. Boniface, the St. Boniface General HospitalBoard of Directors, Medical and Hospital Staffand to provide services on a Community widebasis as necessary. Participation in teaching bothwithin the St. Boniface General Hospital and at adeveloping Pastoral Education Institute sponsoredby the Grey Nuns of Manitoba in a bilingualsetting is required.The position requires a person capable of

participating in research who is able to work withother Bioethicists, exploring frontier issues on anational and international level.

This person should be a Catholic Theologianwith a Ph.D. in General Ethics or equivalent; withexpertise in bioethics and eligible for a Universityappointment. Applicants should possess expertisein theology with special focus on sacramental andpastoral theology.

Salary negotiable based upon experience andqualifications.Send resume to;Sister Dorothy Cooper, s.q.m.,Vice-President,Pastoral Care and Community Services,St. Boniface General Hospital,409 Tache Avenue,Winnipeg, Manitoba,R2H 2A6.

Reference LibrariesandMedical Ethics

A common catalogue in medical ethics has beenset up as a result of discussions between thelibrarians of the British Medical Association,King's College, London, and Heythrop College,London, and the directors of the King's CollegeCentre of Law, Medicine and Ethics, the LinacreCentre for the Study of the Ethics of Health Careand the Society for the Study of Medical Ethics.There will be a collaborative buying policy forjournals and books, and a common admissionspolicy for accredited students of medical ethics hasbeen agreed amongst the institutions concerned.

The Society for the Study of Medical Ethics,Tavistock House North, Tavistock Square,

London WC1H 9LG.

Decision Makingin Medicinethe practice of its ethicsEdited by Gordon Scorer andAntony Wing'This book has much to commendit.... there is a lot offood fornew thought, and most readers wouldbenefit from digesting andruminating over some ofit.'The Lancet

'. . . a valuable contribution to thepresent ethical debates amongstour profession.' Update

£,7.50 boards 224 pages

Edward Arnold4I Bedford Square, LondonWCiB 3DQ

Society of Apothecaries of London

Diploma in thePhilosophy of Medicine

The two-year Course leading to theDiploma in the Philosophy of Medicine ofthe Society of Apothecaries will begin onSaturday, 17th October i98i. The Courseis addressed primarily to graduates ofMedicine and lectures will be given onalternative Saturday mornings in Londonby Michael Lockwood, M.A., D.Phil.(Oxon)., Lecturer in Philosophy, UniversityCollege, Oxford

Further information and application formsare available from the Registrar (Philosophyof Medicine Course), The Society ofApothecaries, Black Friars Lane, London,EC4V 6EJ.

OFFICERSPresidentThe Rt Hon Lord Amulree

Director of StudiesEdward Shotter

Scottish DirectorKenneth Boyd

Assistant Directors (Honorary)Brendan Callaghan, Raanan Gillon,Dorian Haskard, Richard Nicholson

Treasurer Kenneth DarkeSecretaries Maureen Bannatyne,

Sheila Finnis, Susan French,Helen Horton

GOVERNING BODYLord Amulree ChairmanPresident, Society for the Study of

Medical EthicsR B Welbourn Vice-ChairmanProfessor of Surgical Endocrinology,Royal Postgraduate Medical School

Margaret AuldChief Nursing Officer, ScottishHome and Health Department,Edinburgh

R D CatterallConsultant Venereologist, Middlesex

HospitalSir Cyril ClarkePast President, Royal College of

PhysiciansKenneth DarkeSenior Treasurer, ex officioA S DuncanEmenrtus Professor of Medical Educa-

tion, EdinburghG R DunstanProfessor of Moral& Social Theology,

King's College, LondonC H Edwardsformer Dean, St Mary's Hospital

Medical SchoolC D Falconerformer Scottish Secretary, British

Medical AssociationC M FletcherEmeritus Professor of Clinical

Epidemiology, University ofLondonT W GlenisterDean, Charing Cross Hospital

Medical SchoolSir Brian Windeyerformer Vice-Chancellor, University

of LondonLord WinstanleyGeneral Practitioner, LondonPatrick MageeWestminster Medical SchoolAlan SchamrothMiddlesex Hospital Medical SchooIan LeonardGuy's Hospital Medical SchoolPamm WigginGuy's Hospital Medical SchoolEdward ShotterDirector of Studies, ex officio

Society for theStudy of Medical EthicsThe Society for the Study of Medical Ethics is an independent,non-partisan organisation for the multidisciplinary study of issuesraised by the practice of medicine.The Society aims to influence the quality of both protessional and

public discussion of medico-moral questions; to promote the study ofmedical ethics; to ensure a high academic standard for this developingsubject; to encourage a multidisciplinary approach to discussion ofthe consequences of clinical practice; to stimulate research in specificproblems; to remain non-partisan and independent of all interestgroups and lobbies.

Since I963 the London Medical Group, a student group for thestudy of issues raised by the practice of medicine, has arranged a

series of lectures and symposia, now twice weekly throughout theacademic year, in the I2 London teaching hospitals and medicalschools.

In I967 the Edinburgh Medical Group was established with similaraims, and subsequently medical groups have been formed in a majorityofthe British medical schools-currently Newcastle, Sheffield, Glasgow,Bristol, Birmingham, Manchester, Liverpool, Cardiff, Southampton,Aberdeen, Dundee, Cambridge, Oxford and Leicester.

In I972 junior doctors, who had themselves been associated withthe London Medical Group, founded the Society for the Study ofMedical Ethics to develop these aims at a postgraduate level.

In I975 research fellows were appointed by the Edinburgh MedicalGroup which established, in conjunction with the University ofEdinburgh, a research project in medical ethics and education.The Society for the Study of Medical Ethics is a registered edu-

cational charity and a Company Limited by Guarantee. It relies on

voluntary grants and donations and is not supported from governmentsources.

There is no individual membership of the Society. Those interestedin this work are invited to subscribe to the Journal of medical ethics.The lectures, symposia and conferences of the associated medicalgroups, although addressed primarily to medical, nursing and otherstudents, are open to all those professionally interested. Details arepublished in the Journal.

Society for the Study of Medical EthicsTavistock House North, Tavistock Square, London, WCiH 9LG.Tel: 01-387 8132

Published by The Society for the Study of Medical Ethics: London Printed by The Devonshire Press Limited, Torquay