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HastingsCenterMatters
A NEWSLET TER FOR FELLOWS , FRIENDS , AND ALUMNI OF THE HASTINGS CENTER
i s sue 1 , fall 2 0 1 1
Tom Murray to Step Down as Hastings Center President
That initiative was supported by a $2.1 million grant
Tom Murray, PhD, will step
from the Ford Foundation in 2007, and it launched a
comprehensive fundraising campaign, the first phase of
which will be completed by Murray’s departure.
Hastings research has thrived under his guidance—on
issues at the intersection of health policy, values, and
justice; children and families; emerging biotechnologies
and research ethics. Recent projects include an examination of controversies in the diagnosis and treatment
of children with behavioral disturbances, funded by the
National Institutes of Mental Health; an investigation of
ethical issues in synthetic biology, funded by the Alfred
P. Sloan Foundation; NIH-funded research on biobanking
and genetic testing; a revision of The Hastings Center’s
guidelines on end-of-life care, funded by the Donaghue
Foundation and Sussman Charitable Trust; the Values
Connection, a blog and publication targeted to the recent
health reform debate; the Health Care Cost Monitor, the
only blog devoted exclusively to health care costs; crosscultural work on aging and health care; and research on
neuroimaging, funded by the DANA Foundation.
down as president and CEO of
The Hastings Center in 2012
after 13 years in that leadership role. He will continue to
participate in Center research
projects and remains a Hastings Center Fellow.
“It has been a privilege to work with my colleagues, our
Board, and our network of Fellows. We have helped shape
some of the leading bioethical issues facing society, and I
am exceedingly proud of our accomplishments,” Murray
said.
David L. Roscoe, chairman of The Hastings Center
Board of Directors, said of Murray, “Tom has been a transformative president and a leader the field of bioethics.
He has enhanced the Center’s position as a pre-eminent
research institution, while expanding its capacity to reach
a wider audience of journalists, policymakers, and the
public.”
Amy Gutmann, PhD, chair of the Presidential Commission for the Study of Bioethical Issues, president of
the University of Pennsylvania, and a Hastings Center
Fellow, also noted Murray’s influence. “Tom is a wise and
knowledgeable expert in bioethics—and a wonderfully
caring man—who has skillfully led Hastings into the 21st
century.”
Murray launched Bioethics and the Public Interest, an
initiative that responded to increasing public attention
to bioethics and a highly polarized political climate. The
initiative created a robust public affairs and communications office and made Hastings a nexus for bioethics
resources for journalists and policymakers alike.
Keep us up to date about your work!
The Hastings Center is a nexus for sharing new ideas, new
knowledge, and new ways of thinking about the most important ethical issues in medicine and science.
This newsletter will update you about The Hastings Center—but you can also use it to share your information with
Hastings Center Fellows, alumni, colleagues, professional,
and key organizations. Tell us about your projects, books and
new initiatives—and we will use this newsletter to inform our
expanding international network about your work.
If you have information to share, please contact Michael
Turton, communications associate, The Hastings Center,
turtonm@thehastingscenter.org, 845-424-4040 ext 242,
21 Malcolm Gordon Road, Garrison, NY 10524.
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F E L LOW S F E AT U R E
Private Bodies, Public Texts:
Composing the Narrative
by Karla FC Holloway, PhD
Writing Private Bodies, Public Texts was a battle between thick and thin—a battle
Contents
1 Murray to Step Down
2 Fellows Feature:
Karla Holloway
3 Cover to Cover:
Books by Fellows
4 Fellows in the News
5 At the Center
6 Cover to Cover:
Books by Staff
over what makes a narrative, how coherent and finished it might be, why a “patient’s
story” is slender and selective rather than a completed narrative, and how
there are certainly deeply storied and unplumbed waters beneath.
And then there was the matter of difference and access. How easily a
traumatic moment becomes newsworthy—the loss of a child; the anguish
after a storm; which bodies are worthy of rescue, deserving of grief, and
which become display. Which bloated bodies might the camera pan over—
and which do cameras turn away from out of ‘respect for the dead?’
There are intersections here. Threads stretch from one to the other, tying
a narrative about a grievable death to the noisy cacophony outside of Ms.
Schiavo’s nursing home. Fictions’ narratives restore complexity. The children
in writer Kazuo Ishiguro’s haunting Never Let Me Go are woven into genetic
medicine’s search for individualized medicine. I hoped that Private Bodies’
recall of the Ishiguro novel might give us pause over what constitutes a willing, informed patient population ready for a clinical trial. Even though we
are trained to search for medical and legal solutions, it does not mean that tangled
webs of storied threads should be invisible. The fictional professor Vivian Bearing
‘testifies’ to the shift of her body to text in the compelling play “Wit” by Margaret
Edson. “They read me like a book” she says of her physicians. Indeed. Then a book it
shall be.
Private Bodies, Public Texts reads fictions in order to help us imagine the thick
consequences of our choices regarding genetic medicine, death and dying, reproductive medicine, and clinical trials. When it was a book in search of a body, the ones
who kept coming forward were minorities and women—all rendered vulnerable by
their availability for public scrutiny. It’s a book that might explain that it is a perfectly
reasonable question to ask why the currently popular story of Henrietta Lacks—not
new at all to cell scientists who have known for decades whose cells these were—arguably reads like an exposé of her daughter’s vulnerabilities. My focus on perspective
helps to explain why some bodies escaping Katrina were viewed as “looters” and others as persons in need of rescue, and how color mattered in that assignation. It asks
us to think carefully about why Tuskegee is still the ur-text for clinical trials abuses in
a way that masks legions of other narratives. Is the intersection of syphilis and black
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Cover to Cover
Recent Books by Hastings Center Fellows
• New edition: How We Die: Reflections on Life’s Final Chapter,
Sherwin B. Nuland, MD, Vintage Books, 2010. Contains a new
final chapter entitled Coda:2010, which extensively reviews
changes that have occurred in end-of-life care since the book
was first published in 1994.
• Genetic Justice: DNA Data Banks, Criminal Investigations, and
Civil Liberties, Sheldon Krimsky, Columbia University Press,
2010. Takes a hard look at how the United States has balanced the use of DNA technology with the privacy rights of its
citizenry.
male bodies so familiar a text that it can appropriately stand in for others? Birmingham’s “public
safety” director Bull Connor, who directed the use
of police dogs and fire hoses against peaceful civil
rights demonstrators during the 1960s, wrote then
attorney general Robert Kennedy saying, “all our
negroes have syphilis.” Do we miss a critical text regarding our presumptions about black male bodies
when we dutifully narrate the heinous experiment?
Why do legal documents call women in a persistent
vegetative state by their first names and describe
them as being in a “fetal” position and men retain
the formal address of “Mr.” and are described as
having “contractures?” Medicine’s stories are thick
and complicated.
Private Bodies, Public Texts is an intervention. It
asks us to think of culture as a thick inscription for
bioethics. It asks us to wonder at the consistency of
certain gendered and racialized narratives and to
acknowledge the inconsistency of others. I want students of medical humanities to know what we leave
behind when we focus on the part of a patient’s
story that will lead to diagnosis and treatment. I
want students, professionals and potential patients
to consider how some bodies are rendered up for
public consumption and others are allowed their
privacies. I want “vulnerability” to be understood as
extrinsic, not intrinsic. I will teach Private Bodies this
fall, alongside Ishiguro’s novel, Edson’s play, Octavia
Butler’s science fantasy, and other fictions. I hope
the class meetings encourage my pre-med undergraduates to discern the facts in fiction’s representations. Stay tuned!
• Talking with Patients and Families about Medical Error, Robert
Truog et al, Johns Hopkins Press, 2010. Addresses the challenges of communicating honestly and openly about mistakes
in medical practice and offers guidance on dealing with patients’ reactions and questions.
• Humanity’s End: Why We Should Reject Radical Enhancement,
Nicholas Agar, MIT Press, 2010. Examines the proposals of four
prominent proponents of radical enhancement and argues that
the outcomes of radical enhancement could be darker than the
rosy futures that these thinkers describe.
• Private Bodies, Public Texts: Race, Ethics and a Cultural Bioethics, Karla Holloway, PhD, Duke University Press Books, 2011.
Examines instances where medical issues and information that
would usually be seen as intimate, private matters are forced
into the public sphere. (See article on opposite page)
• The Body Politic: America’s Battle over Science, Jonathan D.
Moreno, Bellevue Literary Press, 2011. Examines our love-hate
relationship with science from America’s origins to the present.
• Life Before Birth: The Moral and Legal Status of Embryos and Fetuses, 2nd edition, Bonnie Steinbock, Oxford University Press,
2011. Provides a coherent framework for addressing bioethical
issues in which the moral status of embryos and fetuses is
relevant.
Publishing a Book Soon? Send us the title, publisher, date, and an
abstract and we will list your book in Hastings Center Matters.
Contact: Michael Turton, turtonm@thehastingscenter.org,
845.424.4040 ext. 242.
Fellows in The Forum
Hastings Center Fellows are frequent contributors to Bioethics Forum (www.bioethicsforum.org),offering diverse commentary on issues in bioethics. Recent postings by Hastings
Fellows include: “Plagiarism and Bioethics” by Franklin G.
Miller, “How the FDA Got the Markingson Case Wrong” by
Carl Elliott, “Dementia from the Inside” by Carol Levine, and
“Legal Moralism and Restrictions on Abortion” by Bonnie
Steinbock.
To inquire about contributing an article to the Bioethics Forum, contact Susan Gilbert, at gilberts@thehastingscenter.org.
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F ellows in the News
features can improve patient care and in the
long run reduce health care expenses. They are
among the elements of the “Fable hospital,”
an ideal health care facility as conceived and
analyzed by leaders in health care and design.
Elements of the Fable hospital are being adopted
on the ground today, with the imperative to
improve quality and value. A set of articles in the
January-February 2011 Hastings Center Report
examined the state of the evidence for these
design features, looked inside two hospitals that
put some of these innovations into practice, and
considered how design fits into the moral mission of health care.
“Fable Hospital 2.0:
Beecher Award gathering, left to right: Hastings President Thomas Murray, Hastings Board
The Business Case
Chair David Roscoe, Beecher Award recipients James F. Childress and Tom L. Beauchamp,
for Building Better
and Hastings founder Daniel Callahan
Health Care Facilities”
provides a thorough
n Fellows Honored with Beecher Award
analysis of research that shows
Tom L. Beauchamp and James F. Childress were presented
that specific design innovations
with the Hastings Center’s Henry Knowles Beecher Award at
can yield enormous benefits,
a ceremony in Washington, DC, in May. The award recognizes
such as reducing health careindividuals who have made a lifetime contribution to ethics
related infections in patients and
and the life sciences and whose careers have been devoted
occupational injuries to nurses,
to excellence in scholarship, research, and ethical inquiry.
as well as cutting energy use.
Hastings Center President Thomas H. Murray recognized
These benefits, in turn, reduce
the recipients, both Hastings Center Fellows, for their concosts, leading to a return on investment
tributions to the field of bioethics, both individually and as a
within three years, write the authors, who are leaders in
team. Beauchamp and Childress are authors of the classic
health care management and design. The lead author is Blair
bioethics text Principles of Biomedical Ethics, first published
Sadler, JD, a Hastings Center Fellow and board member, a
in 1979 and now in its 6th edition.
senior Fellow at the Institute for Healthcare Improvement
Tom L. Beauchamp, PhD, is Professor of Philosophy and
and past president and CEO of Rady Children’s Hospital, San
Senior Research Scholar at the Kennedy Institute of Ethics at
Diego. Fable Hospital 2.0 is featured in the September 2011
Georgetown University. James F. Childress, PhD, is University
issue of O, the Oprah Magazine.
Professor and the John Allen Hollingsworth Professor of Ethics at the University of Virginia, where he directs the Institute
n Joseph Fins Urges Caution for
for Practical Ethics and Public Life.
Psychosurgery in Health Affairs Article
The Beecher Award is named for the late Henry Knowles
Misuse of an FDA law allowing
Beecher, MD. An anesthesiologist who, in the 1960’s, shed
humanitarian exemptions may harm
light on ethically questionable practices in human subjects
vulnerable psychiatric patients, accordresearch, Beecher helped give birth to the field of bioethics
ing to a February, 2011 article in Health
and became one of its pioneers.
Affairs by an interdisciplinary group of
multinational investigators led by Weill
Cornell Medical College ethicist
Joseph J. Fins, MD, a Hastings Center
Fellow and board member. The article
calls on the Congress and federal reg-
n Next-Generation Hospital Design Can
Improve Health—and Save Money
Extra large private hospital rooms with plenty of natural light
and artwork may seem like unaffordable luxuries, but new
research shows that these and other architectural and design
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continues on page 8
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At
the
Center
New Grants Support Diverse
Bioethics Projects
The Hastings Center recently received
grants to support the following projects:
Health Care and the Undocumented
after Health Care Reform: funded by
the Overbrook Foundation this project
focuses on undocumented residents
who are excluded from insurance provisions of the 2010 health care reform
legislation. Principal investigators: Nancy
Berlinger and Michael Gusmano
Animals in Biomedical Research:
funded by the Klingenstein Foundation,
an educational project to explore ethical,
scientific, and legal issues on using animals in medical research and prospects
for using alternatives to animal models.
Principal investigators: Susan Gilbert,
Tom Murray, and Greg Kaebnick
Ethical Issues in Synthetic Biology:
funded by the Sloan Foundation, this
project will consider bioethical issues in
four areas of synthetic biology—biofuels,
environmental applications, engineering
of the human microbiome, and work
conducted in the “diybio” movement.
Principal investigators: Tom Murray,
Greg Kaebnick, Erik Parens, and Michael
Gusmano
Oncology Practice as a Medical
Home: funded by the NIH and conducted in partnership with the Yale School of
Nursing, this project will assess the structural capacity of an outpatient oncology
practice to serve as a medical home for
patients receiving cancer treatment and
care for chronic symptoms. Principal
investigators: Nancy Berlinger, Michael
Gusmano, and the Yale School
of Nursing
Dan and Sidney
Callahan Honored
for Their
Contributions to
Culture
In April, Dan Callahan,
PhDcofounder of The Hastings
Ricci Award presentation, left to right: Fr. Drew Christianson,
Center and president emeritus,
Sidney Callahan, Daniel Callahan
and his wife Sidney de Shazo
Callahan, PhD, a Hastings Center DisNOVA to Put Bioethics in the
tinguished Scholar, received the Matteo
Ricci, S.J., Award, which recognizes multi- Spotlight
disciplinary learning with broad cultural
A public television program co-proinfluence. The award was presented by
duced by The Hastings Center, NOVA,
the editors America, the national Jesuit
and WGBH-Boston, and funded by an
weekly magazine.
NIH Challenge Grant, will examine the
The award is named for Matteo Ricci
ethical issues raised by personalized
(1552-1610), the Italian Jesuit polymath
medicine. The broadcast will use stories
who bridged European and Chinese
ranging from pre-implantation genetic
culture. In creating the award, the editors diagnosis to cancer prevention and treatconsidered the standard Ricci set for
ment to genetic testing for Alzheimer’s
multidisciplinary learning with broad
susceptibility to examine the science and
cultural influence, also a hallmark of
the ethics. Among the issues raised are
Hastings Center research. The citation
genetic determinism, parental responnoted, “[The Callahans] have gathered
sibility to shape children, and decisions
round them in conversation circles of
about how to live and possibly end one’s
scholars and friends who with them
life. The program will air in spring 2012
cultivate the high form of friendship in
and will reach an estimated 4 million
which ideas and values are exchanged for viewers and 1.5 million website users a
the sake of the common good…The pas- month. Hastings Center scholars and Felsions of their minds have inspired men
lows will be featured.
and women to undertake research, join
conversations and build communities of
ideas where the future of our society and
of our world continue to be debated.”
continues on next page
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Cover to Cover
Recent Books by
Hastings Center Staff
• The Ideal of Nature: Debates about
Biotechnology and Nature, edited by
Gregory E. Kaebnick, Johns Hopkins
University Press, 2011.Is there
inherent virtue in leaving a naturally
occurring condition alone, or do we
thrive by finding ways to improve it?
Can “nature” and “the natural” guide
moral deliberations in policy-making?
• Health Care in World Cities, Michael
Gusmano, Victor G. Rodwin and Daniel Weisz, Johns Hopkins University
Press, 2010. Vastly different health
systems in New York, Paris, and London are compared and lessons that
can be applied to urban health care
considered.
• Trust and Integrity in Biomedical
Research: The Case of Financial Conflicts of Interest, edited by Thomas
H. Murray and Josephine Johnston,
Johns Hopkins University Press,
2010. Nearly three-fifths of medical
studies are funded by the industry
itself. This volume assesses the
ethical, quantitative, and qualitative
questions posed by the financing of
biomedical research.
2010 Cunniff-Dixon Hastings Center Physician Award winners, left to right: Ann Allegre, Anthony N.
Galanos, Savithri Nageswaran, Stefan J. Friedrichsdorf, and Eric W. Widera
Five Physicians Honored for
Exemplary End-of-Life Care
A pioneer in establishing palliative
care as a medical specialty was one of
the five American physicians honored
with The Hastings Center Cunniff-Dixon
Physician Award for improving the care
of patients near the end of life. The
awards were given by the Cunniff-Dixon
Foundation, whose mission is to enrich
the doctor-patient relationship near
the end of life, in partnership with The
Hastings Center which has done groundbreaking work on end-of-life decisionmaking. The nomination and selection
process was administered by The Duke
Institute on Care at the End of Life.
Ann Allegre, MD, FACP, FAAHPM,
director of medical programs at Kansas City Hospice and Palliative Care in
Kansas City, Mo., received the senior
physician award of $25,000. Dr. Allegre
is a pioneer in hospice care and palliative medicine, coming to the field before
formal training programs were available
or professional literature existed.
Anthony Nicholas Galanos, MA, MD,
medical director of the Duke University Hospital Palliative Care Service in
Durham, N.C., received the midcareer
physician award of $25,000. A geriatrician, Dr. Galanos worked for more than
a decade to establish a palliative care
service at Duke.
Early-career awards of $15,000 each
were given to three physicians:
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• Stefan J. Friedrichsdorf, MD, medical director of the Department of Pain
Medicine, Palliative Care, and Integrative Medicine at Children’s Hospitals
and Clinics of Minnesota, for innovative
symptom management of children, compassion, and family-centered care
• Savithri Nageswaran, MBBS, MPH,
assistant professor of pediatrics at Wake
Forest University Baptist Medical Center,
for providing palliative care for children
with life-threatening conditions
• Eric W. Widera, MD, director of the
Hospice and Palliative Care Service of
San Francisco Veterans Affairs Medical
Center and an assistant professor of geriatrics at the University of California, San
Francisco, for his humility, his commitment to his patients and their families,
and his leadership in creating forums of
communication on geriatric palliative
care issues
The Cunniff-Dixon Foundation was
founded in 2005 by Matthew A. Baxter
in memory of his wife, Carley Cunniff,
who died of breast cancer, and her attending physician, Dr. Peter S. Dixon,
in Essex, Ct., who enabled her to die a
peaceful death at home with her family
and loved ones.
Johnston discussing it can be found at
http://childpsychiatry.thehastingscenter.
org/
The workshops, held over three years,
considered the controversies generally
and also looked at them in the context
of specific diagnoses—attention deficit
hyperactivity disorder, depression, or
bipolar disorder.
Unnecessarily Polarized:
Debate Over Diagnosing
and Treating Emotional and
Behavioral Disturbances in
Children
We need to tolerate reasonable
disagreements about whether and how
to diagnose children with emotional and
behavioral disturbances, according to a
special report that came out of a series
of five workshops held by The Hastings
Center and funded by the National Institute of Mental Health.
The workshops were part of a project
led by Erik Parens, PhD, and Josephine
Johnston, LLB, MBHL, research scholars
at The Hastings Center, that brought
together an interdisciplinary group of
psychiatrists, educators, parent advocates, social scientists, and bioethicists.
Parens and Johnston wrote the report
which includes 10 commentaries by
workshop participants.
One of the report’s disturbing conclusions is that many children with patently
problematic moods and behaviors fail
to receive the care recommended by
experts. Systemic and cultural pressures
compromise the diagnostic process
and constrain the treatment choices of
clinicians and parents, making it increasingly likely that medication is the only
treatment children receive, even if the
combination of medication and psychosocial treatment is recommended by
experts.
The report and a video of Parens and
Erik Parens Speaks About
Behavioral Genetics at
Meeting of Presidential
Bioethics Commission
Hastings
Center Senior
Research Scholar
Erik Parens, PhD,
spoke about behavioral genetics
at a meeting of
the Presidential
Commission
for the Study
of Bioethical Issues earlier this year. The
meeting kicked off the commission’s
examination of the ethical and policy
issues raised by genetics and neuroscience. Parens was invited to discuss what
he considers the most pressing ethical
and social issues that behavioral genetics
research raises.
Parens’ research examines how we
use new technologies to shape ourselves
and how emerging science shapes our
self-understanding. He has written extensively on the topic, including co-editing Wrestling with Behavioral Genetics:
Science, Ethics, and Public Conversation
(Johns Hopkins University Press, 2006).
He was co-principal investigator on a
project funded by the National Institute
of Mental Health, which explores the
controversies surrounding the diagnosis and treatment of emotional and
behavioral disturbances in children, and
another, funded by the Dana Founda-
tion, investigating the uses and misuses
neuroimaging technologies.
The commission also began a review
of human subjects’ protection. This
follows the revelation last fall that the
U.S. Public Health Service supported
research in Guatemala from 1946 to
1948 that involved intentionally infecting vulnerable populations with syphilis.
Susan Reverby, the historian who discovered and disclosed the studies, wrote
about her research in Bioethics Forum,
the Hastings Center blog. She also spoke
before the commission.
Amy Gutmann, commission chair
and President of the University of Pennsylvania, is also a Hastings Center Fellow.
Annual Report Wins Award
The Hastings Center was named winner of a 2011 American Inhouse Design
Award for its 2009 Annual Report. Designed by Hastings Center art director,
Nora Porter, the report was written by
the Center’s public affairs editor, Susan
Gilbert. The annual report category is
highly competitive. Past winners include
Aetna, the American Bar Association,
the American Heart Association, HBO,
Geico, Lockheed Martin, Mattel, Pepsi,
Time Inc., and United Airlines, among
others.
The 2011 awards were sponsored
by Graphic Design USA, The Creative
Group, and Finch Paper.
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At the Center
Fellows in the News
continued from previous page
continued from page 4
Human Enhancement:
The View from Switzerland
ulators to tighten a law that permits the use of brain devices
to treat rare neuropsychiatric disorders without sufficient
clinical trials and patient oversight. A New York Times report
on the article noted that while hundreds of people have
had psychosurgery to treat obsessive compulsive disorder,
“some of the field’s most prominent scientists are saying,
‘Not so fast.’”
“We believe there needs to be more careful regulation of
the use of the Humanitarian Device Exemption in psychiatric
patients,” says Dr. Fins. “We want to ensure that only orphan
diseases are included in this exemption and that safety
information is collected from every patient treated with these
devices.”
Recent Hastings Center work in neuropsychiatry includes
research on the diagnosis and treatment of psychiatric disorders in children, funded by the National Institute for Mental
Health, and on the uses and misuses of neuroimaging,
funded by the DANA Foundation.
In May, Dr. Fins was named the first recipient of a new
professorship—the E. William Davis Jr., M.D. Professor of
Medical Ethics at Weill Cornell Medical College in New York.
The Brocher-Hastings Center Summer Academy, a five-day
intensive seminar that brought together distinguished scholars
and graduate students to consider the medical, ethical, and
legal implications of human enhancement, was held in Geneva
during the first week of July. Many countries and disciplines
were represented as participants looked at enhancement from a
broad range of perspectives—from disability rights and military
human enhancement to cognitive and moral enhancement and
the politics of human genetic enhancement.
Erik Parens, senior research scholar at The Hastings Center,
gave the opening presentation on the need for a productive
conversation about technologically enhancing humans and
Hastings Center president Tom Murray addressed enhancement
in sport.
Two Hastings Center Fellows also presented. Eric Jeungst,
PhD, spoke on the distinction between enhancement and treatment and David Wasserman, JD, addressed neurobiology and
the possibility of moral enhancement.
“It was an invigorating and exhausting intellectual feast
shared by 50 people who care passionately about ethics and the
future of humankind” Murray said.
HASTINGS CENTER MATTERS
n Bruce Jennings Named Editor of
Encyclopedia of Bioethics
Hastings Center Fellow Bruce Jennings, MA, has been
named editor-in-chief of the fourth edition of The Encyclopedia of Bioethics slated to be published by MacMillan in 2013.
Gregory Kaebnick, PhD, Hastings Center research scholar
and the editor of the Hastings Center Report has been named
to the encyclopedia’s editorial board. When the first four
volume edition was published in 1978, the field of bioethics
was still in its formative years. It was immediately acknowledged as a landmark reference that helped define the field.
It received the Dartmouth Medal for outstanding reference in
1979 and has maintained its high level of acclaim ever since.
SUMMER 2011
Director of Public Affairs and Communications: Mary Crowley
Managing Editor: Michael Turton
Designer: Nora Porter
Contact: turtonm@thehastingscenter.org; 845-424-4040, x242
Hastings Center Matters is a biannual publication of The Hastings Center,
a nonpartisan research institution dedicated to bioethics and the public
interest since 1969.
The view looking north from The Hastings Center, Garrison, New York.
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