When Ivan Illich published Medical Nemesis in 1975, he offered a withering critique of the medical profession and the medical model. 'The medical establishment has become a major threat to health,' he said. Nearly half a century has elapsed since then, and things have got worse. In the UK, only 5 per cent of the health budget is spent on prevention. The system is so strained that the rule is often 'one problem per consultation'. Disease management takes precedence over disease prevention, and a wider perspective on health and wellbeing is largely absent. At least once a month, one third of GPs consider leaving the profession. Patients are referred to secondary care simply because primary care cannot cope. But doctors want to practise differently. People also want more. The global health and wellness industry has stepped into the gap. It offers more holistic and whole-person approach that people seek. And it's big business. It is now estimated to be worth $4.2 trillion per annum. In this book, David Beaumont proposes a better approach. The current healthcare system is a deficit model. It attempts to address and correct the absence of health, so it is therefore more correctly termed a disease-care system. Positive medicine is an abundance model. It aims not only to help people manage illness and disease, but to enhance their health. Although this book is very specifically about doctors and patients, it will resonate with all healthcare professionals.

Research participants who have cognitive disability and difference may be considered a vulnerable population. At the same time, they should also be empowered to participate in research in order to foster the growth of knowledge and the improvement of practices that concern them. Participating in such research follows the Disability Rights Movement's call - "nothing about us without us." This volume provides timely, multidisciplinary insights into the ethical aspects of research that includes participants with cognitive disability and difference. These include conditions such as intellectual disability, autism, mild cognitive impairment (MCI), and psychiatric diagnoses. The chapters in this volume describe situations where difficulties arise, And explore strategies for empowerment and inclusion. They draw on both empirical and normative research to offer suggestions for research design, research ethics, and best practices that empower people with cognitive disabilities and differences to participate in research while respecting and managing potential coercion or undue influence. This interdisciplinary volume includes contributions from scholars in anthropology, sociology, ethics, child studies, health and rehabilitation sciences, philosophy, and law who address these issues in both clinical and social/behavioral research. It will be valuable for anyone conducting research involving these populations in the clinical, humanistic, or social sciences.

Recent surveys demonstrate a high and possibly increasing prevalence of mental disorders in prisoners. They have an increased risk of suffering from a mental disorder that transcends countries and diagnoses. Ethical dilemmas in prison psychiatry arise from resource allocation and include issues of patient choice and autonomy in an inherently coercive environment. Ethical conflicts may arise from the dual role of forensic psychiatrists giving raise to tensions between patient care/protection of the public.This book describes models and ethical issues of psychiatric healthcare in prison in several countries. Relevant issues are: the professional medical role of a psychiatrist and/or psychotherapist working in prison, the involvement of psychiatrists in disciplinary or coercive measures; consent to treatment, the use of coercion in forcing a prisoner to undergo treatment, hunger strike, confidentiality. The book ends with consensus guidelines concerning good practice in Prison Psychiatry.

This book is a collection of articles about communication and ethics in the field of medicine and health care. Common to all the articles is that they are not directly based on empirical investigations. The discussions refer to research, but this is research that has already been carried out and documented in existing literature. In this sense the articles belong to what is often called applied philosophy. All the articles address communicative and ethical challenges in patient interaction on the basis of assumptions in modern moral philosophy and philosophy of language. There is a great need for literature that deals more comprehensively with the themes in this book than many introductory books do. It is particularly difficult to find suitable reading material that can be used in teaching at graduate and master levels. This book is designed to meet this need. It is suitable for use in all higher-level courses where the aim is to give students a theoretical understanding of ethical dilemmas and communicative challenges in health care.

Advances in medical technology force us to struggle with new and often gut-wrenching decisions. How do we know when someone is dead and not just in a coma? Should a convicted felon qualify for a new heart? In The Woman Who Decided to Die, novelist and medical ethicist Ronald Munson takes readers to the very edges of medicine, where treatments fail and where people must cope with helplessness, mortality, and doubt. Using personal narratives that place us right next to doctors, patients, and care givers as they make decisions, Munson explores ten riveting case-based stories, told with a writer's eye for illuminating detail. These include a young woman with terminal leukemia more worried about her family than herself, a stepfather asked to donate a liver segment to his stepson, a student who believes she is being controlled by invisible Agents, and a psychiatrist-patient who prizes his autonomy until the end. Raising fundamental questions about human relationships, this is an essential book about the very nature of life and death.

The pressing and universally relevant issue of euthanasia is debated in this volume. Euthanasia has become increasingly contentious as populations age, and medical and scientific advances continue to transform and extend life. Euthanasia - Choice and Death examines the key philosophical arguments that have underpinned thinking and practice up till now: * The centrality of choice to our notion of the human being; * The challenge of changes to our concept of death in the face of medical, scientific and technological advances. Gail Tulloch develops a conception of dignity that does not depend on religious assumptions and can promote a broad ethical consensus in a liberal democracy. Examination of landmark cases and the approaches adopted by key countries - the U.S.A., the U.K., the Netherlands, and Australia - ground the book.

Ethical decision-making is a critical component in the broad spectrum of rehabilitation and health care professions today. The second edition of Ethics in Rehabilitation was developed to give health and rehabilitation professionals the knowledge and tools they need to approach and solve the ethical dilemmas that challenge them in everyday practice. Long copy: Ethical decision-making is a critical component in the broad spectrum of rehabilitation and health care professions today. The second edition of Ethics in Rehabilitation was developed to give health and rehabilitation professionals the knowledge and tools they need to approach and solve the ethical dilemmas that challenge them in everyday practice. Following an introduction to ethical theories and principles, Drs Kornblau and Burkhardt furnish readers with a brief overview of legal principles that may impact ethical decision making, then examine the relationship between ethical and legal principles that clinicians may encounter. The second section provides readers with an opportunity to apply what they have learned and includes more than 100 ethical dilemmas covering a wide variety of practice-related topics. Further reinforcing the concepts, the final sections consist of ethical dilemma worksheets and a set of additional learning resources to assist in the examination and resolution of ethical dilemmas. Features: More than 100 sample ethical dilemmas extracted from actual practice experiences. Ethical dilemma worksheets to guide learning and illustrate course of action. Extensive set of appendices including sample laws and regulations. Online access to internet resources of state licensure and related laws. Ethics in Rehabilitation offers readers a practical approach to ethics within a clinical context to allow practitioners, educators, and researchers to raise questions, attempt to answer them, and promote and improve ethical practice in rehabilitation.

"An engaging, compelling and disturbing confrontation with evil ...a book that will be transformative in its call for individual and collective moral responsibility." - Michael A. Grodin, M.D., Professor and Director, Project on Medicine and the Holocaust, Elie Wiesel Center for Judaic Studies, Boston University Human Subjects Research after the Holocaust challenges you to confront the misguided medical ethics of the Third Reich personally, and to apply the lessons learned to contemporary human subjects research. While it is comforting to believe that Nazi physicians, nurses, and bioscientists were either incompetent, mad, or few in number, they were, in fact, the best in the world at the time, and the vast majority participated in the government program of "applied biology." They were not coerced to behave as they did- they generated the eugenic theories that rationally led them to design horrendous medical experiments, gas chambers, euthanasia programs and, ultimately, mass murder in the concentration camps. Americans provided financial support for their research, modeled their medical education and research after the Germans, and continued to perform unethical human subjects research even after the Nuremberg Doctors' Trial. The German Medical Association apologized in 2012 for the behavior of its physicians during the Third Reich. By examining the medical crimes of human subjects researchers during the Third Reich, you will naturally examine your own behavior and that of your colleagues, and perhaps ask yourself "If the best physicians and bioscientists of the early 20th century could treat human beings as they did, can I be certain that I will never do the same?" * Presents relatively unknown aspects of human subjects research during the Third Reich * Reveals surprising relationships between German and American human subjects research * Dispels myths about Nazi human subjects research * Compels introspection and self-examination by

Biomedical research today has a high public profile, largely because of patient advocacy. Following in the footsteps of HIV/AIDS activists, advocates representing an array of patient groups are now vocal partners in the research enterprise. This book shows how advocates have transformed health research, often - but not always - for the better. Dresser is the first to examine patient advocacy through the lens of research ethics. She exposes the bright and dark sides of patients' expanded opportunities to enroll in clinical trials and join researchers in planning and evaluating studies. She considers the virtues and drawbacks of giving patients more influence over how the government invests its research dollars. She argues that advocates should do more to promote ethical human studies and responsible media reporting about research. Patient advocates can help make research more ethical, but advocacy raises ethical issues of its own. This book clearly and vividly recounts the advocacy contribution to research and explores the thorny ethical issues facing research advocates.

Legal and ethical competence is a cornerstone of professional midwifery practice and an essential part of midwifery training. Law and Ethics for Midwifery is a unique and practical resource for student midwives. Written by an experienced midwifery lecturer, this text draws on a wide variety of real life case studies and focuses particularly on the core areas of accountability, autonomy and advocacy. Opening with two chapters providing overviews respectively of ethical theories and legislation, the book is then arranged thematically. These chapters have a common structure which includes case studies, relevant legislation, reflective activities and a summary, and they run across areas of concern from negligence through safeguarding to record-keeping. Grounded in midwifery practice, the text enables student midwives to consider and prepare for ethical and legal dilemmas they may face as midwives in clinical practice.

Creative Ways to Learn Ethics is an accessible, easy-to-read guide that compiles a variety of ethics trainings to help professionals stimulate their minds, relieve stress, and increase engagement and memory retention. The book uses a range of experiential and thought-provoking approaches, including contemplative exercises, expressive arts, games, and media. Each chapter contains objectives, detailed procedures, adaptations for different audiences, and handouts. Trainers, educators, clinicians, and other mental health professionals can use these exercises in various settings and modify them to meet the needs of their clients.

For many years, mental health professionals have attended the seminars of Bill O'Hanlon. The author and co-author of over a dozen books has captivated audiences with his informative, humorous, and interactive teaching style. An Invitation to Possibility Land takes participants a step further. In the context of a week-long training limited to 10 participants, O'Hanlon moves to a new level of experience that cannot be duplicated in his large workshops. The author shares riveting stories, metaphors, interchanges with participants, transcripts of therapy sessions during the week, and many more teaching points that allow this book to read like a novel. The book explores many current issues facing therapists in today's climate such as how to make therapy briefer and how to work with abuse victims. It offers the reader a chance to experience, along with the participants, an in depth training where subjects such as hypnosis, brief, Ericksonian, solution-oriented, and narrative therapies, and the use of language, are explored. Welcome to Possibility-Land.

The Fourth Edition of this bestselling, highly regarded book has been fully revised to incorporate changes in law and clinical guidance making a vital impact on patient management, encompassing: . The Equality Act 2010 which provides the right of older people to treatment without discrimination . Case law on withdrawing nutrition and hydration . Updated guidance on resuscitation from the Resuscitation Council (UK), the British Medical Association and the Royal College of Nursing . The redefining of good medical practice by the General Medical Council . The abolition of the Liverpool Care Pathway with updated guidance on end-of-life care and advance care planning. Expanded throughout, this new edition also integrates two entirely new chapters covering testamentary capacity and the role of the physician, and religious beliefs and end-of-life issues. Its practical, reflective and informative approach continues to make it essential reading for all health professionals, particularly trainees, involved in making difficult decisions in the care of older persons. It is also highly recommended for undergraduate medical students. ' This book combines a primer for the novice with advanced reasoning for the expert, both readerships being led through a range of very authentic case studies. The novice can look up the basic elements of current law, or acquire some rules of thumb about assessment of capacity or quality of life. The expert can think about clinical scenarios where there are no right answers, and all is contingent, or work out how the loss of the privilege of driving might be reframed to maximise mobility. Every practitioner should have this book, and it should be well-thumbed.' From the Foreword by Professor Steve Iliffe

Part of the "What Do I Do Now?: Emergency Medicine" series, Legal and Ethical Issues in Emergency Medicine uses a case-based approach to cover common and important topics in the legal and ethical dilemmas that surface in the practice of emergency medicine. Each unique case draws upon the four well-established principles of bioethics: beneficence, non-maleficence, respect for autonomy, and justice. Other ethical principles, such as honesty and personal integrity, are also addressed. Chapters are rounded out by key points to remember and selected references for further reading. Legal and Ethical Issues in Emergency Medicine addresses a wide range of topics including HIPPA and confidentiality, advance directives, suicidal patients, refusal of care, expert witness testimony, and more. This book is an engaging collection of thought-provoking cases which clinicians can utilize when they encounter difficult situations in the emergency department. The volume is also a self-assessment tool that tests the reader's ability to answer the question, "What do I do now?"

Legal And Ethical Issues For The IBCLC Is The Only Text That Covers The Day-To-Day Legal And Ethical Challenges Faced By The International Board Certified Lactation Consultant (IBCLC) In The Workplace--In Any Work Setting Or Residence. Since Lactation Management Crosses Many Disciplines In The Healthcare Arena, Most Ibclcs Carry Other Licenses And Titles. Consequently, What They Can And Cannot Do While Performing Their Lactation Consultant Role Is Of Vital Importance, Information That Is Often Difficult To Find. Legal And Ethical Issues For The IBCLC Is A Practical Resource That Provides Guidance On What Is Proper, Legal, And Ethical IBCLC Behavior. It Reflects The 2011 IBLCE Code Of Professional Conduct And Discusses How To Devise An Appropriate, Safe, Legal, And Ethical Plan Of Action In The Consultation Of A Breastfeeding Dyad.

In diesem Band wird die neue Verknupfung von literarischem Familienroman mit Diskursen der Neurowissenschaften und Gerontologie anhand von Demenz-Erzahlungen textologisch entfaltet. Nach einer Archaologie des deutschsprachigen Begriffs "Demenz" in allgemeinsprachlichen und medizinischen Nachschlagewerken werden literarische Texte zwischen Autobiografie und Psychothriller (von Arno Geiger, Helga Koenigsdorf, Tilman Jens, Roswitha Quadflieg, Martin Suter, Ulrike Draesner, J. Bernlef und Helene Cixous) bezuglich des genus als Geschlecht, Gender bzw. Genre untersucht. Zwischen wissenschaftlichem und literarischem Diskurs stoert "Demenz" die Wissens-Ordnungen der Moderne. Der Band zeigt in Demenz-Romanen der Gegenwart die Produktivitat des Nichtwissens von Demenz fur die literaturwissenschaftliche Forschung auf.

Intracerebral interventions raise particular ethical issues. For instance, attempts at replacing lost or altered brain cells with the help of stem cells or the therapeutic application of Deep Brain Stimulation would have morally relevant implications. Many medically relevant questions and ethical concerns need to be clarified before these intracerebral interventions can become routine procedure: If the brain is conceived as the carrier of an individual's personality or of the self then operations on the brain can be seen as intrusions upon one's personality. The book addresses historical, philosophical, social and legal implications of these new developments in the neurosciences and aims at resolving some of the dilemmas that go hand in hand with "implanted minds".

Clinical dilemmas in dementia contexts are often not because the clinical facts are in doubt, but because the ethical and legal underpinnings are uncertain - which can cause worry and confusion. This practical book will help nurses, healthcare assistants and other practitioners to think through their responses clearly in the midst of these difficult situations. The chapters all stand alone, allowing the reader to dip quickly in and out of the book as required. They address complex issues such as abuse, behaviour that challenges, forced care, treatment withdrawal, and contain clinical case vignettes throughout. This is essential reading to give practitioners the confidence that good legal and ethical decisions can be made in the same way as good clinical decisions.

As the practice of modern medicine becomes more and more pharmacology dependent, the role of pharmacy technicians is becoming more complex. This is true in terms of the medications they are required to deliver, as well as the legal responsibilities and ethical considerations that come with administering those medicines. Essentials of Law and Ethics for Pharmacy Technicians, now in its Third Edition, is designed specifically to provide technicians with the legal and ethical information they need to perform their jobs with absolute confidence. It covers all U.S. federal laws regarding pharmacy practice as well as other laws and regulations and their applicability to pharmacy technicians. It also addresses current issues such as herbal medications, privacy laws and rules, and drug pedigree. A unique section on ethics offers extensive discussion points and cases. Appendices provide extensive information on practice regulation in all states. Fully revised to address the latest procedural, ethical, and technological developments in this rapidly changing field, this third edition of a bestseller has been edited for clarity and provides a wealth of new material, including a new appendix on the legal status of electronic transmission of prescriptions. It covers the latest in state and federal regulations pertaining to the administration of new medications, including birth control and the morning-after pill, as well as new regulations on over-the-counter label claims. An essential resource for students and practicing technicians, this reference brings together the information that pharmacy technicians need to practice in a manner that is both legal and ethical. What's New in this Edition: Updated information on over-the-counter label claims Updated sections on drug samples and the Combat Methamphetamine Epidemic Act of 2005 New sections on drug pedigrees and United States Pharmacopoeia Chapter 797 Expanded discussion of state rules and ethics regarding dispensing the morning-after pill and birth control medications New appendix on the legal status of electronic transmission of prescriptions Pedagogical Features: Offers end-of-chapter discussion questions and examples Contains a chapter on ethics with discussion points and cases Presents information in an easy-to-read format

In a world where incredible medical technologies are possible ... does "can do" mean "should do"? Why the Church Needs Bioethics helps you understand and constructively engage bioethical challenges with the resources of Christian wisdom and ministry. Three rich and true-to-life case studies illustrate the urgency of such bioethical issues as reproductive and genetic technologies, abortion, forgoing treatment, assisted suicide, stem cell research, and human enhancement technologies. Leading Christian voices bring biblical and theological perspective to bear on the incredible medical technologies available today; mobilize useful insights from health care, law, and business; and demonstrate the powerful ways the church can make a difference through counseling, pastoral care, intercultural ministry, preaching, and education. This book equips students, church and lay leaders, and people in health-related fields with the knowledge to make faithful bioethical decisions and to help foster a world where human beings are shown respect as people created in the image of God. Contributors to Why the Church Needs Bioethics include leading Bible and theology scholars, such as D. A. Carson and Kevin Vanhoozer; leaders in the areas of preaching (Greg Scharf) and ethics (Scott Rae); and 15 other experts in the fields of biblical-theological studies, ministry, communication, business, law, healthcare, and bioethics.

Medical ethics is the disciplined study of medical morality, with two goals: critically appraising current medical morality and identifying how it should be improved. Medical morality has three components. Physicians, patients, communities, and policy makers have beliefs about what is good and bad character, and right and wrong behavior, in patient care, biomedical research, medical education, and health policy. On the basis of these beliefs, physicians, patients, communities, and policy makers make judgments about how physicians ought to conduct themselves in patient care, research, education, and the formation and implementation of health policy. They then act on their judgments. This second edition of Historical Dictionary of Medical Ethics contains a chronology, an introduction, and an extensive bibliography. The dictionary section has over 1,000 cross-referenced entries on ethical reasoning and its key components; medical ethics, professional medical ethics, and bioethics; and topics in clinical ethics, research ethics, and healthcare policy ethics. This book is an excellent resource for students, researchers, and anyone wanting to know more about medical ethics.

Shock treatment. They say it's safe now; new and improved. They say it can't damage your brain or cause permanent memory loss.But who are they and why should you believe them? Doctors of Deception is the first history of electroconvulsive therapy (ECT), or shock treatment, to consider the controversial procedure in a social, legal, financial, medical, and moral context. Through the investigation of court records, medical research, FDA archives, and other primary sources, Linda Andre shows that claims of safety and efficacy made by doctors who promote and profit from ECT are not supported by science or evidence. She reveals how the shock industry and organized psychiatry abused public trust and waged a masterful, multi-decade public relations campaign to improve ECT's image, deceiving the media, the government, and the public about its risks while exploiting negative stereotypes of mental patients to silence survivors.The book documents the struggles of these former patients and their allies who have worked for over thirty years to inform others about the dangers of ECT, and includes vivid firsthand accounts of its permanent adverse effects on memory and cognition. Meticulously researched, Doctors of Deception builds a solid case that ECT can never be justified scientifically, medically, or morally.

This book provides a detailed guide to the ethical considerations involved when making decisions in surgery. Chapters feature a uniform format, which feature a case that represents a real-life problem, discussion of the medical indications of that issue, the latest available medical solutions, and related ethical considerations. In some cases, more in-depth debate is provided on why a particular decision should or should not be made based-upon ethical principles. Information boxes containing key statements and relevant data in clear easy-to-digest tables facilitates the reader in being able to assimilate the most important points covered in each chapter. Difficult Decisions in Surgical Ethics: An Evidence-Based Approach is a thorough review of ethical considerations in a range of surgical scenarios encompassing both adult and pediatric topics, training surgical residents, ethical care during a pandemic, critical care, palliative care, sensitivity to religious and ethnic mores, clinical research, and innovation. It is intended to be a vital resource for practicing and trainee surgeons seeking a comprehensive up-to-date resource on ethical topics in surgical practice. The work is part of the Difficult Decisions in Surgery series covering a range of surgical specialties.

Effective palliative care that rests on a sound ethical foundation requires ongoing discussions about patient and family values and preferences. This is especially important when addressing care at end-of-life including artificial nutrition and hydration, withdrawal of life-sustaining therapies and palliative sedation as well as requests for assistance in hastening death. The eighth volume in the HPNA Palliative Nursing Manuals series, Legal and Ethical Aspects of Palliative Care, provides an overview of critical communication skills and formal organizational mechanisms, such as ethics committees and interdisciplinary rounds, required for decisions in ethical dilemmas which respect diversity in the views of colleagues, as well as patients. The content of the concise, clinically focused volumes in the HPNA Palliative Nursing Manuals series is one resource for nurses preparing for specialty certification exams and provides a quick-reference in daily practice.