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Record W4416435851 · doi:10.1136/jme-2025-111481

On the death of intention and the dehumanisation of medicine: an Islamic ethical reflection

2025· article· en· W4416435851 on OpenAlexaff
Hana Abbasian

Bibliographic record

VenueJournal of Medical Ethics · 2025
Typearticle
Languageen
FieldSocial Sciences
TopicTorture, Ethics, and Law
Canadian institutionsCentre for Addiction and Mental Health
Fundersnot available
KeywordsDehumanizationAgency (philosophy)Argument (complex analysis)CompassionIslamMedical ethicsAdjudicationMoral agencyPower (physics)Moral disengagement

Abstract

fetched live from OpenAlex

challenge what they describe as the 'medicalisation of war', cautioning against judging conflict through the lens of public health. Their argument contributes a provocation to medical ethics by questioning the limits of moral medicine under conditions of political violence. This reflection engages their position through an Islamic ethical framework, where niyyah (intention) functions as the axis of moral agency and the condition for ethical clarity. Within this framework, to heal is both an act of compassion and an epistemic stance that preserves the visibility of human dignity, or karāmah, amid structural violence. When the intention to heal gives way to the intention to justify, medicine risks becoming a moral instrument of power rather than a sanctuary of care. Drawing on Islamic morality, this reflection argues that dehumanisation often emerges from procedural reasoning that makes suffering administratively invisible. Medicine's moral vocation, in this view, lies in sustaining intention as an act of resistance to abstraction. The enduring question is not whether healthcare can adjudicate the ethics of war, but whether societies can preserve the moral consciousness that makes healing possible at all.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.040
metaresearch head score (Gemma)0.047
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Science and technology studies, Research integrity
Consensus categoriesMetaresearch
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: Theoretical or conceptual
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.894
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0400.047
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.004
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0010.005
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.103
GPT teacher head0.458
Teacher spread0.355 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; both teacher heads agree on what is shown here.

Study designTheoretical or conceptual
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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