This volume illustrates the central importance of diversity of human values throughout healthcare. The readings are organized around the main stages of the clinical encounter from the patient's perspective. They run from staying well and "first contact" through to either recovery or long-term illness, death, and dying. An introductory section opens up crucial issues of methodology and of practical application in this highly innovative approach to the role of ethics in healthcare. The contributions include selections from literature and poetry, canonical and newly commissioned articles, and first-hand narrative by patients, care givers, and professionals. The readings speak volumes to the diversity of human values operative in healthcare. The volume as a whole conveys the message that these values are far more diverse than any of us normally recognize. Raising awareness of this diversity is the first step to developing a practically effective healthcare ethics.
Philosophy and psychiatry share many topics and problems. Scholars from both disciplines pursue together the philosophical debates emerging from the psychiatric perspective. The interdisciplinary contributions of this edition promote the development of a new "philosophical psychopathology".
This is a comprehensive resource of original essays by leading thinkers exploring the newly emerging inter-disciplinary field of the philosophy of psychiatry. The contributors aim to define this exciting field and to highlight the philosophical assumptions and issues that underlie psychiatric theory and practice, the category of mental disorder, and rationales for its social, clinical and legal treatment. As a branch of medicine and a healing practice, psychiatry relies on presuppositions that are deeply and unavoidably philosophical. Conceptions of rationality, personhood and autonomy frame our understanding and treatment of mental disorder. Philosophical questions of evidence, reality, truth, science, and values give meaning to each of the social institutions and practices concerned with mental health care. The psyche, the mind and its relation to the body, subjectivity and consciousness, personal identity and character, thought, will, memory, and emotions are equally the stuff of traditional philosophical inquiry and of the psychiatric enterprise. A new research field--the philosophy of psychiatry--began to form during the last two decades of the twentieth century. Prompted by a growing recognition that philosophical ideas underlie many aspects of clinical practice, psychiatric theorizing and research, mental health policy, and the economics and politics of mental health care, academic philosophers, practitioners, and philosophically trained psychiatrists have begun a series of vital, cross-disciplinary exchanges. This volume provides a sampling of the research yield of those exchanges. Leading thinkers in this area, including clinicians, philosophers, psychologists, and interdisciplinary teams, provide original discussions that are not only expository and critical, but also a reflection of their authors' distinctive and often powerful and imaginative viewpoints and theories. All the discussions break new theoretical ground. As befits such an interdisciplinary effort, they are methodologically eclectic, and varied and divergent in their assumptions and conclusions; together, they comprise a significant new exploration, definition, and mapping of the philosophical aspects of psychiatric theory and practice.
Medical ethics, sociology and epidemiology rarely arouse one's passion and can, as minor subjects within a busy curriculum, find themselves ignored by vast swathes of students. However, recent times have seen not only a greater general understanding of these subjects but also a greater appreciation of their role within modern medical practice. In addition, these subjects are increasingly appearing in exams and, more importantly, they will crop up in every field and at every level of future working lives. In writing this book, the authors hope to provide a springboard from which students can develop a reasoned ethical approach to dilemmas as and when they present, both within their practice of medicine and in the exam situation. The sociology and public health sections aim to provide key information on the theories and studies that have helped to shape the practice of these disciplines - topics that are all too often unacknowledged by medical students and doctors alike. In doing so, the authors hope to provide the essential facts on these subjects without leaving readers to wade through irrelevant material. It is hoped that all students might begin to enjoy evidence (as well as experience)-based medicine and appreciate its importance regardless of the medical or surgical careers that they pursue. More than 80 line artworks, tables and boxes present clinical, diagnostic and practical information in an easy-to-follow manner Friendly and accessible approach to the subject makes learning especially easy Written by junior doctors for students - authors who understand exam pressures Contains ‘Hints and Tips’ boxes, and other useful aide-mémoires Succinct coverage of the subject enables ‘sharp focus’ and efficient use of time during exam preparation Contains a fully updated self-assessment section - ideal for honing exam skills and self-testing Self-assessment section fully updated to reflect current exam requirements Contains ‘common exam pitfalls’ as advised by faculty Crash Courses also available electronically! Online self-assessment bank also available - content edited by Dan Horton-Szar!
Since he published The Myth of Mental Illness in 1961, professor of psychiatry Thomas Szasz has been the scourge of the psychiatric establishment. In dozens of books and articles, he has argued passionately and knowledgeably against compulsory commitment of the mentally ill, against the war on drugs, against the insanity defense in criminal trials, against the "diseasing" of voluntary humanpractices such as addiction and homosexual behavior, against the drugging of schoolchildren with Ritalin, and for the right to suicide. Most controversial of all has been his denial that "mental illness" is a literal disease, treatable by medical practitioners. In Szasz Under Fire, psychologists, psychiatrists, and other leading experts who disagree with Szasz on specific issues explain the reasons, with no holds barred, and Szasz replies cogently and pungently to each of them. Topics debated include the nature of mental illness, the right to suicide, the insanity defense, the use and abuse of drugs, and the responsibilities of psychiatrists and therapists. These exchanges are preceded by Szasz's autobiography and followed by a bibliography of his works.
"This is the third, significantly expanded and revised, edition of this seminal text. Incorporating additional contemporary topics, including mental health of refugees, trauma and psychosocial approaches, this text offers an illuminating account of mental health and mental disorder seen cross-culturally and internationally"--Provided by publisher.
Prozac and its chemical cousins, Paxil, Celexa, and Zoloft, are some of the most profitable and most widely used drugs in America. Their use in the treatment of a multitude of disorders--from generalized anxiety disorder and premenstrual syndrome to eating disorders and sexual compulsions--has provoked a whirlwind of public debate. Talk shows ask, Why is Prozac so popular? What, exactly, do these drugs treat? But sustained critical discussion among bioethicists and medical humanists has been surprisingly absent.The eleven essays in Prozac as a Way of Life provide the groundwork for a much-needed philosophical discussion of the ethical and cultural dimensions of the popularity of SSRI antidepressants. Focusing on the increasing use of medication as a means of self-enhancement, contributors from the fields of psychiatry, psychology, bioethics, and the medical humanities address issues of identity enhancement, the elasticity of psychiatric diagnosis, and the aggressive marketing campaigns of pharmaceutical companies. They do not question the fact that these antidepressants can, in some cases, provide great benefit to alleviate real suffering. What they do question is the abundant popularity of these drugs and that popularity's relationship to American culture and ideas of selfhood.
Written by two leading experts in the field, Acupuncture in Neurological Conditions aims to improve patient care by combining Western and Traditional Chinese Medicine (TCM) concepts of treatment. The language of TCM is uniquely combined with that of evidence-based clinical reasoning to provide an approach relevant to both acupuncture and physiotherapy clinical practice. All major types of neurological conditions encountered in clinical practical are examined. Chinese medical patterns relevant to the application of acupuncture are described, as well as key patterns of dysfunction based on a Western medical perspective. The place of acupuncture within the overall management of different neurological conditions is also discussed. Clinical reasoning options from both TCM and Western medical perspectives are provided, and illustrated by real cases from clinical practice forming a sound platform for true integrated medicine. Fully evidence-based Provides clinical reasoning options from TCM and Western medical perspectives Illustrates clinical reasoning with real cases from clinical practice Provides detailed examination of all major types of neurological conditions encountered in clinical practice.
Bioethics in Canada provides a comprehensive introduction to the philosophical, historical, and medical concepts that shape contemporary debates in biomedical ethics. Central to its focus is an exploration of the ways in which both modern medicine and bioethical debates are shaped by philosophical assumptions and commitments. It provides an extensive introduction to moral theory and the principles of bioethics, and each chapter includes a philosophical reflection that provides in-depth analysis of relevant philosophical topics. Each chapter begins with a description of a landmark case, and contains original case studies for student analysis. In addition, a method for analyzing case studies is presented. The book also includes short excerpts of significant bioethical writings by historical and contemporary thinkers, as well as recommendations for further reading. Balancing Canadian content with an international perspective, and connecting theoretical considerations to practical ethical conflicts, this groundbreaking book is well suited to a variety of teaching styles in philosophy, medicine, health sciences, and related disciplines. Topics include ethical theories and ethical tools, distributive justice, health care professional-patient relationships, medical research, reproductive technologies, genetics and cloning, abortion and maternal-fetal conflicts, brain death and organ transplantation, death and dying, and medical paradigms and non-standard treatment. Features: highlights foundational cases in bioethics provides a balance of Canadian and international content and perspectives includes reading and website suggestions to assist students in further exploration and continued learning suitable for a variety of courses, including philosophy, medicine, and health sciences
"This new edition covers issues of privacy and confidentiality protection, informed consent in public health research, the ethics of randomized trials, vulnerable populations, genetic discrimination, AIDS prevention and treatment, health care reform, scientific misconduct, conflicts of interest, intellectual property, and more."--Publisher's description.
Publications list included in certain issues.
Dieses Buch betrifft uns alle Sie waren notwendig, um Fortschritte gegen Krebs und AIDS zu erzielen. Klonen und Genforschung wäre ohne sie nicht möglich gewesen. Kurz: Die größten Erfolge der Medizin der letzten Jahrzehnte basieren auf der Entdeckung der HeLa-Zellen. Hinter dem Kürzel verbirgt sich eine Frau namens Henrietta Lacks. Die Afroamerikanerin aus ärmlichen Verhältnissen starb 1951 jung an Gebärmutterhalskrebs. Zuvor wurden ihr ohne ihr Wissen Zellproben entnommen, die sich überraschenderweise vermehrten. Damit war der entscheidende Durchbruch in der Zellkulturforschung geschafft. Die prämierte Wissenschaftsjournalistin Rebecca Skloot stellt in ihrem brillant verfassten Buch wichtige Jahrzehnte der Medizingeschichte vor und wirft dabei immer wieder ethische Fragen auf. Sie erzählt die tragische Familiengeschichte der Lacks’, die von Rassismus und mangelnden Bildungschancen geprägt ist. Ihr Buch ist eine gekonnte Mischung aus Biografie, Medizingeschichte, Debattenbuch und beachtlichem Enthüllungsjournalismus.
The field of global health is expanding rapidly. An increasing number of trainees are studying and working with marginalized populations, often within low and middle-income countries. Such endeavours are beset by ethical dilemmas: mitigating power differentials, addressing cultural differences in how health and illness are viewed, and obtaining individual and community consent in research. This introductory textbook supports students to understand and work through key areas of concern, assisting them in moving towards a more critical view of global health practise. Divided into two sections covering the theory and practice of global health ethics, the text begins by looking at definitions of global health and the field’s historical context. It draws on anti-colonial perspectives concepts, developing social justice and solidarity as key principles to guide students. The second part focuses on ethical challenges students may face in clinical experiences or research. Topics such as working with indigenous communities, the politics of global health governance, and the ethical challenges of advocacy are explored using a case study approach. An Introduction to Global Health Ethics includes recommended resources and further readings, and is ideal for students from a range of disciplines – including public health, medicine, nursing, law and development studies – who are undertaking undergraduate and graduate courses in ethics or placements overseas.