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Books > Medicine > General issues > Medical ethics
Was konnen die psychologischen und gesellschaftlichen Ursachen von diversen Suchten und Zwangen und Krankheiten sein? Besteht ein Zusammenhang zwischen dem eigenen Menschenbild und unserem Verstandnis von Krankheit und Gesundheit? Was hat Krankheit mit unerfullten Sehnsuchten zu tun? Was bedeutet die Sehnsucht nach dem eigenen Selbst? Dieses Werk nimmt den Leser mit auf eine Reise zum tieferen Verstandnis von seelischen Ursachen von Suchten, Zwangen und chronischen Erkrankungen. Dabei verbindet der Autor Dr. Otto Teischel eine existenz- und psychoanalytisch verstehende therapeutische mit einer philosophischen Perspektive. Er verdeutlicht, welche Auswirkungen ungestillte Sehnsuchte, z.B. die Sehnsucht nach Freiheit und Autonomie, auf das korperliche Wohlbefinden haben konnen. Erhellende Erklarungen zu Filmbeispielen mit Szenenfotos, beispielhafte Analysen und Patienten-Falldarstellungen dienen zur Veranschaulichung der Inhalte. Abgerundet wird das Werk durch das Aufzeigen von Praventions- und Heilungswegen, die verdeutlichen, wie Menschen gesund werden bzw. gesund bleiben konnen. Zielgruppen sind alle, die mit mehr oder weniger leidenden Menschen arbeiten und sich fur die Zusammenhange von Korper, Seele und Geist interessieren."
In this important collection of essays Dennis Thompson argues for a more robust conception of responsibility in public life than prevails in contemporary democracies. He suggests that we should stop thinking so much about public ethics in terms of individual vices (such as selfishness or sexual misconduct) and start thinking about it more in terms of institutional vices (such as abuse of power and lack of accountability). Combining theory and practice with many concrete examples and proposals for reform, these essays could be used in courses in applied ethics or political theory and will be read by professionals and graduate students in schools of political science, public policy, law, public health, journalism and business.
Working Virtue is the first substantial collective study of virtue
theory and contemporary moral problems. Leading figures in ethical
theory and applied ethics discuss topics in bioethics, professional
ethics, ethics of the family, law, interpersonal ethics, and the
emotions.
Ethical dilemmas are not new in the area of health care and policy making, but in recent years, their frequency and diversity have grown considerably. All health professionals now have to consider the ethical implications of an increasing array of treatments, interventions and health promotion activities on an almost daily basis. This goes hand in hand with increasing medical knowledge, and the growth of new and innovative medical technologies and pharmaceuticals. In addition, the same technology and knowledge is increasing professional and public awareness of new potential public health threats (e.g. pandemic influenza). At the level of public policy, concerns over the rising costs of health care have led to a more explicit focus on 'health promotion', and the surveillance of both 'patients' and the so-called 'worried well'. Health professionals and policy makers also have to consider the implications of managing these risks, for example restricting individual liberty through enforced quarantine (in the wake of SARS and more recently swine flu) and the more general distribution of harms and benefits. Balancing the rights and responsibilities of individuals and wider populations is becoming more complex and problematic. This book will play a key role in opening out a discussion of public health ethics. It examines the principles and values that support an ethical approach to public health practice and provides examples of some of the complex areas which those practising, analysing and planning the health of populations have to navigate. It will therefore be essential reading for current practitioners, those involved in public health research and a valuable aid for anyone interested in examining the tensions within and the development of public health.
Teaches counselors how to think and act quickly when facing ethical dilemmas.This practical worktext addresses common ethical quagmires faced by counseling professionals. Boasting sixty-three case examples in compliance with CACREP's accreditation standards, this must-have resource demonstrates step-by-step application of decision-making models to real life counseling scenarios. Each chapter includes seven cases related to a section of the ACA's code of ethics examined carefully using a specific decision-making model. The case examples included are designed to be relatable and accessible while demonstrating the process of arriving at a solution that reflects the standards of professional counseling. Valuable features include "Questions for Discussion," "Straight from the Code," "Applying a Decision-Making Model," "The Likely Answer," and in-class discussion activities and exercises at the end of each chapter. Key Features: Includes 63 real-life case examples demonstrating step-by-step application of decision-making models Teaches counselors how to think and act quickly when facing ethical dilemmas In compliance with CACREP accreditation standards Maps to the ACA Code of Ethics Includes group discussion questions Includes role playing activities Helps professionals to reconcile personal and professional values
What does it take to be a scientist? Equally important, what does
it take to be happy as a scientist? Drawing on thirty years of
experience, Philip Schwartzkroin offers the budding scientist an
invaluable glimpse into the day-to-day life of the researcher,
filling a huge hole in the education of most would-be
scientists--whether undergraduates or high school seniors.
Eating disorders (EDs) have become a social epidemic in the developed world. This book addresses the close links between EDs and exercise, helping us to understand why people with EDs often exercise to excessive and potentially harmful levels. This is also the first book to examine this issue from an ethical and legal perspective, identifying the rights and responsibilities of people with EDs, their families and the fitness professionals and clinicians that work with them. The book offers an accessible account of EDs and closely examines the concept of addiction. Drawing on a wide range of medical, psychological, physiological, sociological and philosophical sources, the book examines the benefits and risks of exercise for the ED population, explores the links between EDs and other abuses of the body in the sports environment and addresses the issue of athletes with disordered eating behaviour. Importantly, the book also surveys current legislation and professional codes of conduct that guide the work of fitness professionals and clinicians in this area and presents a clear and thorough set of case histories and action points to help professionals better understand, and care for, their clients with EDs. Exercise and Eating Disorders is important reading for students of applied ethics, medical ethics and the ethics of sport, as well as for fitness professionals, psychiatrists, clinical psychologists, sports coaches and sport and exercise scientists looking to improve their understanding of this important issue.
Robert Veatch is one of the founding fathers of contemporary bioethics. In Patient, Heal Thyself, he sheds light on a fundamental change sweeping through the American health care system, a change that puts the patient in charge of treatment to an unprecedented extent. The change is in how we think about medical decision-making. Whereas medicine's core idea was that medical decisions should be based on the hard facts of science--the province of the doctor--the "new medicine" contends that medical decisions impose value judgments. Since physicians are not trained to make value judgments, the pendulum has swung greatly toward the patient in making decisions about their treatment. Veatch shows how this is presently true only for value-loaded interventions (abortion, euthanasia, genetics) but is coming to be true for almost every routine procedure in medicine--everything from setting broken arms to choosing drugs for cholesterol. Veatch uses a range of fascinating examples to reveal how values underlie almost all medical procedures and to argue that this change is inevitable and a positive trend for patients.
This book presents a critical analysis of the debate in Muslim countries at the religious, legal and political level, sparked by the introduction of new biomedical technologies such as cloning, genetics, organ transplants and in vitro fertilisation. The book draws on law, sociology, anthropology, politics and the history of science. For this reason it will be of interest to scholars and operators in a wide variety of disciplines and fields.
This compact and innovative book tackles one of the central issues
in drug policy: the lack of a coherent conceptual structure for
thinking about drugs. Drugs generally fall into one of seven
categories: prescription, over the counter, alternative medicine,
common-use drugs like alcohol, tobacco and caffeine; religious-use,
sports enhancement; and of course illegal street drugs like cocaine
and marijuana. Our thinking and policies varies wildly from one to
the other, with inconsistencies that derive more from cultural and
social values than from medical or scientific facts. Penalties
exist for steroid use, while herbal remedies or cold medication are
legal. Native Americans may legally use peyote, but others may not.
Penalties may vary for using different forms of the same drug, such
as crack vs. powder cocaine. Herbal remedies are unregulated by the
FDA; but medical marijuana is illegal in most states.
The field of medical education and training has undergone dramatic
changes within the past few years, and continues to evolve.
Modernising Medical Careers, changes in the statutory role of the
Postgraduate Medical Education and Training Board, and the Good
Doctors, Safer Patients report from Liam Donaldson, Chief Medical
Officer, are just some of the factors affecting the way doctors are
now learning. In this book, Yvonne Carter and Neil Jackson,
experienced medical educators of both undergraduates and
postgraduates who have demonstrated a long standing commitment to
multi-professional education and training, bring together a
prestigious team of contributors with a wide variety of experience
across diverse academic, service and lay backgrounds, to provide a
comprehensive, up to date review of medical education and training.
Our ability to map and intervene in the structure of the human
brain is proceeding at a very quick rate. Advances in psychiatry,
neurology, and neurosurgery have given us fresh insights into the
neurobiological basis of human thought and behavior. Technologies
like MRI and PET scans can detect early signs of psychiatric
disorders before they manifest symptoms. Electrical and magnetic
stimulation of the brain can non-invasively relieve symptoms of
obsessive-compulsive disorder, depression and other conditions
resistant to treatment, while implanting neuro-electrodes can help
patients with Parkinsons and other motor control-related diseases.
New drugs can help regenerate neuronal connections otherwise
disrupted by schizophrenia and similar diseases.
How state welfare politics-not just concerns with "race improvement"-led to eugenic sterilization practices. Honorable Mention, 2018 Outstanding Book Award, The Disability History AssociationShortlist, 2019 Wallace K. Ferguson Prize, Canadian Historical Association Between 1907 and 1937, thirty-two states legalized the sterilization of more than 63,000 Americans. In Fixing the Poor, Molly Ladd-Taylor tells the story of these state-run eugenic sterilization programs. She focuses on one such program in Minnesota, where surgical sterilization was legally voluntary and administered within a progressive child welfare system. Tracing Minnesota's eugenics program from its conceptual origins in the 1880s to its official end in the 1970s, Ladd-Taylor argues that state sterilization policies reflected a wider variety of worldviews and political agendas than previously understood. She describes how, after 1920, people endorsed sterilization and its alternative, institutionalization, as the best way to aid dependent children without helping the "undeserving" poor. She also sheds new light on how the policy gained acceptance and why coerced sterilizations persisted long after eugenics lost its prestige. In Ladd-Taylor's provocative study, eugenic sterilization appears less like a deliberate effort to improve the gene pool than a complicated but sadly familiar tale of troubled families, fiscal and administrative politics, and deep-felt cultural attitudes about disability, dependency, sexuality, and gender. Drawing on institutional and medical records, court cases, newspapers, and professional journals, Ladd-Taylor reconstructs the tragic stories of the welfare-dependent, sexually delinquent, and disabled people who were labeled "feebleminded" and targeted for sterilization. She chronicles the routine operation of Minnesota's three-step policy of eugenic commitment, institutionalization, and sterilization in the 1920s and 1930s and shows how surgery became the "price of freedom" from a state institution. Combining innovative political analysis with a compelling social history of those caught up in Minnesota's welfare system, Fixing the Poor is a powerful reinterpretation of eugenic sterilization.
The goals of healthcare and health policy, and the health-related
dilemmas facing policy makers, professionals, and citizens are
extensively analyzed and debated in a range of disciplines
including public health, sociology, and applied philosophy. Health
and the Good Society is the first full-length work that addresses
these debates in a way that cuts across these disciplinary
boundaries.
Lainie Ross presents a rigorous critical investigation of the
development of policy governing the involvement of children in
medical research. She examines the shift in focus from protection
of medical research subjects, enshrined in post-World War II
legislation, to the current era in which access is assuming greater
precedence. Infamous studies such as Willowbrook (where mentally
retarded children were infected with hepatitis) are evidence that
before the policy shift protection was not always adequate, even
for the most vulnerable groups. Additional safeguards for children
were first implemented in many countries in the 1970s and 1980s;
more recent policies and guidelines are trying to promote greater
participation. Ross considers whether the safeguards work, whether
they are fair, and how they apply in actual research practice. She
goes on to offer specific recommendations to modify current
policies and guidelines.
Abortion in Judaism presents a complete Jewish legal history of abortion from the earliest relevant biblical references through the end of the twentieth century. For the first time, almost every Jewish text relevant to the abortion issue is explored in detail. These texts are investigated in historical sequence, thereby elucidating the development inherent within the Jewish approach to abortion. The work considers the insights that this thematic history provides into Jewish ethical principles, as well as into the role of halakhah within Judaism.
Abortion in Judaism presents a complete Jewish legal history of abortion from the earliest relevant biblical references through the end of the twentieth century. For the first time, almost every Jewish text relevant to the abortion issue is explored in detail. These texts are investigated in historical sequence, thereby elucidating the development inherent within the Jewish approach to abortion. The work considers the insights that this thematic history provides into Jewish ethical principles, as well as into the role of halakhah within Judaism.
The growth of evidence-based medicine has occurred against a backdrop of health care reform, managed care, cost containment, and quality improvement. Clinicians have been urged to adopt the rigors of science while remaining true to their 'clinical judgment'. This incisive book reviews the history and conceptual origins of evidence-based practice and discusses key ethical issues that arise in clinical practice, public health, and health policy. It is essential reading for all physicians, and practitioners in epidemiology and public health.
This groundbreaking volume is the first to analyze how and to what extent bioethics considerations influence today's judges. Previous books have attended to the law that governs bioethics problems, but this is the first to examine when and how bioethical issues impact judicial reasoning and decision-making. The volume examines the cutting-edge of the relationship of bioethics to law, and explores how law receives, assesses, and uses bioethics.
Ranging from the beginning of the nineteenth century to the 1980s, this book focuses on the evolution of the law and medical practice of abortion in England. Little academic attention has hitherto been given to the development and scope of abortion law in England, the formative influence of the medical profession, and the impact of the law on medical practice. Consequently, Dr Keown considers the performance of abortion by doctors, and the influence the medical profession had on the restriction of the law in the nineteenth century and on its relaxation in the twentieth. The book does not deal directly with the legal status of the unborn child, the rights and duties of its parents and of the doctors involved in the provision of abortion or the question of the desirability of reform. Rather, adopting a socio-legal perspective, it considers what the scope of the prohibition of abortion has been and focuses on aspects of professional influence on the evolution of that prohibition, and of professional practice thereunder.
Can trust be restored by making people and institutions more accountable? Or do complex systems of accountability and control damage trust? Onora O'Neill challenges current approaches, investigates sources of deception in our society and re-examines questions of press freedom. This year's Reith Lectures present a philosopher's view of trust and deception and ask whether and how trust can be restored in modern democracy.
The issue of rights to genetic information is considered in this study from the standpoint of individuals, their relatives, employers, insurers and the state. Graeme Laurie provides a concept of privacy and property rights for the person, and argues for stronger legal protection following new developments in genetics. This book will interest lawyers, philosophers and doctors concerned with genetic information and issues of privacy, as well as genetic counselors, researchers and policy makers worldwide for its practical position on dilemmas in modern genetic medicine.
Obwohl der Gewissenbegriff im Bewusstsein der meisten Medizinethiker durch den Strukturwandel im Gesundheitswesen in den letzten Jahrzehnten erheblich an Bedeutung verloren hat, bahnt sich im Zuge der fortschreitenden Pluralisierung des Wertempfindens in modernen Gesellschaften (nicht zuletzt durch das Wiedererstarken religioes-weltanschaulicher Positionen) eine erneute Diskussion um den Gewissensvorbehalt bei der Erbringung medizinischer Leistungen an. Der vorliegende Band nahert sich der Gewissenthematik bewusst aus interdisziplinarer Perspektive, um die verschiedenen Dimensionen einer Gewissenentscheidung auszuleuchten und die Folgen der fortschreitenden Verrechtlichung und OEkonomisierung fur die Gewissensfreiheit der verschiedenen im Gesundheitswesen tatigen Berufsgruppen kritisch zu reflektieren.
This volume brings together an unusually broad range of experts from reproductive medicine, medical ethics, and law to address the important ethical problems in maternal-fetal medicine which impact directly on clinical practice. The book is divided into parts by the stages of pregnancy, within which the authors cover four main areas: the balance of power in the doctor-patient relationship and the justifiable limits of paternalism and autonomy; the impact of new technologies and new diseases; disability and enhancement; and difference--to what extent should the clinician respect the tenets of other faiths in a multicultural society.
This volume brings together an unusually broad range of experts from reproductive medicine, medical ethics, and law to address the important ethical problems in maternal-fetal medicine which impact directly on clinical practice. The book is divided into parts by the stages of pregnancy, within which the authors cover four main areas: the balance of power in the doctor-patient relationship and the justifiable limits of paternalism and autonomy; the impact of new technologies and new diseases; disability and enhancement; and difference--to what extent should the clinician respect the tenets of other faiths in a multicultural society. |
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