James Harvey Young describes the development of patent medicines in America from the enactment in 1906 of the Pure Food and Drugs Act through the mid-1960s. Many predicted that the Pure Food and Drugs Act would be the end of harmful nostrums, but Young describes in colorful detail post-Act cases involving manufacturers and promoters of such products as Cuforhedake Brane-Fude, B. & M. "tuberculosis-curing" liniment, and the dangerous reducing pill Marmola. We meet, among others, the brothers Charles Frederick and Peter Kaadt, who treated diabetic patients with a mixture of vinegar and saltpeter; Louisiana state senator Dudley J. LeBlanc, who put on fabulous medicine shows as late as the 1950s promoting Hadacol and his own political career, and Adolphus Hohensee, whose lectures on nutrition provide a classic example of the continuing appeal of food faddism. Review: "The Medical Messiahs is an example of historical writing at its best--scholarly, perceptive, and exceedingly readable. Despite his objectivity, Young's dry humor shines through and illuminates his entire book." --John Duffy, Journal of Southern History "This book is written in tight, graceful prose that reflects thought rather than substitutes for it. Done with a sure feel for the larger political, social, and economic background, it demonstrates that historians who would make socially relevant contributions need only adhere to the best canons of their art."--Oscar E. Anderson, Jr., The American Historical Review "[This] material is so interestingly presented that the readers may not immediately appreciate what a major historic study [the book] is, and how carefully documented and critically analyzed."--Lester S. King, Journal of the American Medical Association "Dr. Young's well-written social history of health quackery in twentieth-century America will not only increase the understanding of our times by future historians but will also be of great value to all those interested in improving the health of the population by reminding them of the past."--F. M. Berger, The American Scientist Originally published in 1967. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.

"Because the discipline of medical ethics has developed with autonomy as its foundation, the field has ignored pediatric ethics. The book is resoundingly successful in its effort to rectify this problem.... A] pleasure to read." Eric D. Kodish, M.D., Director, Rainbow Center for Pediatric Ethics, Case Western Reserve University

Using a form of medical ethnography to investigate a variety of pediatric contexts, Richard B. Miller tests the fit of different ethical approaches in various medical settings to arrive at a new paradigm for how best to care for children. Miller contends that the principle of beneficence must take priority over autonomy in the treatment of children. Yet what is best for the child is a decision that doctors cannot make alone. In making and implementing such decisions, Miller argues, doctors must become part of a "therapeutic alliance" with families and the child undergoing medical care to come up with the best solution.

Children, Ethics, and Modern Medicine combines strong philosophical argumentation with firsthand knowledge of the issues facing children and families in pediatric care. This book will be an invaluable asset to medical ethicists and practitioners in pediatric care, as well as parents struggling with ethical issues in the care of their children."

The Human Genome Project is an expensive, ambitious, and controversial attempt to locate and map every one of the approximately 100,000 genes in the human body. If it works, and we are able, for instance, to identify markers for genetic diseases long before they develop, who will have the right to obtain such information? What will be the consequences for health care, health insurance, employability, and research priorities? And, more broadly, how will attitudes toward human differences be affected, morally and socially, by the setting of a genetic "standard"? The compatibility of individual rights and genetic fairness is challenged by the technological possibilities of the future, making it difficult to create an agenda for a "just genetics." Beginning with an account of the utopian dreams and authoritarian tendencies of historical eugenics movements, this book's nine essays probe the potential social uses and abuses of detailed genetic information. Lucid and wide-ranging, these contributions will interest bioethicists, legal scholars, and policy makers. Essays: "The Genome Project and the Meaning of Difference," Timothy F. Murphy "Eugenics and the Human Genome Project: Is the Past Prologue?," Daniel J. Kevles "Handle with Care: Race, Class, and Genetics," Arthur L. Caplan "Public Choices and Private Choices: Legal Regulation of Genetic Testing," Lori B. Andrews "Rules for Gene Banks: Protecting Privacy in the Genetics Age," George J. Annas "Use of Genetic Information by Private Insurers," Robert J. Pokorski "The Genome Project, Individual Differences, and Just Health Care," Norman Daniels "Just Genetics: A Problem Agenda," Leonard M. Fleck "Justice and the Limitations of Genetic Knowledge," Marc A. Lappe This title is part of UC Press's Voices Revived program, which commemorates University of California Press's mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1994.

Medical Ethics, Law and Communication at a Glance presents a succinct overview of these key areas of the medical curriculum. This new title aims to provide a concise summary of the three core, interlinked topics essential to resolving ethical dilemmas in medicine and avoiding medico-legal action. Divided into two sections; the first examines the ethical and legal principles underpinning each medical topic; while the second focuses on communication skills and the importance of good communication. Medical Ethics, Law and Communication at a Glance offers an accessible introduction to the fundamentals of good medical practice, and will provide indispensable support for undergraduate medical students and nurses, as well as newly qualified healthcare professionals.

This volume is a collection of chapters all contributed by individuals who have presented their ideas at conferences and who take moderate stands with the use of animals in research. Specifically the chapters bear of the issues of: notions of the moral standings of animals, history of the methods of argumentation, knowledge of the animal mind, nature and value of regulatory structures, how respect for animals can be converted from theory to action in the laboratory. The chapters have been tempered by open discussion with individuals with different opinions and not audiences of true believers. It is the hope of all, that careful consideration of the positions in these chapters will leave reader with a deepened understanding--not necessarily a hardened position.

'Sensational' SUNDAY TIMES NO. BESTSELLER 'Extraordinary...both exhilarating and alarming...fascinating' DAILY MAIL 'Wonderful...a testament to the tenacity of the human spirit' FINANCIAL TIMES Henry Marsh has spent four decades operating on the human brain. In this searing and provocative memoir following his retirement from the NHS, he reflects on the experiences that have shaped his career and life, gaining a deeper understanding of what matters to us all in the end.

How partisanship, polarization, and medical authority stand in the way of evidence-based medicine The U.S. medical system is touted as the most advanced in the world, yet many common treatments are not based on sound science. Unhealthy Politics sheds new light on why the government's response to this troubling situation has been so inadequate, and why efforts to improve the evidence base of U.S. medicine continue to cause so much political controversy. This critically important book paints a portrait of a medical industry with vast influence over which procedures and treatments get adopted, and a public burdened by the rising costs of health care yet fearful of going against "doctor's orders." Now with a new preface by the authors, Unhealthy Politics offers vital insights into the limits of science, expertise, and professionalism in American politics.

Autobiography of a Disease documents, in experimental form, the experience of extended life-threatening illness in contemporary US hospitals and clinics. The narrative is based primarily on the author's sudden and catastrophic collapse into a coma and long hospitalization thirteen years ago; but it has also been crafted from twelve years of research on the history of microbiology, literary representations of illness and medical treatment, cultural analysis of MRSA in the popular press, and extended autoethnographic work on medicalization. An experiment in form, the book blends the genres of storytelling, historiography, ethnography, and memoir. Unlike most medical memoirs, told from the perspective of the human patient, Autobiography of a Disease is told from the perspective of a bacterial cluster. This orientation is intended to represent the distribution of perspectives on illness, disability, and pain across subjective centers-from patient to monitoring machine, from body to cell, from caregiver to cared-for-and thus makes sense of illness only in a social context.

Das 2012 vom Deutschen Bundestag verabschiedete Patientenrechtegesetz hat mehrere Ziele in Bezug auf die Wahrnehmung der Belange von Kranken: Transparenz klinischer Therapiewege, ein besserer Umgang mit moeglichen Behandlungsfehlern und schnellere Verfahrensablaufe sowie eine Reihe von weiteren Aspekten. Im Kern markiert dieser neue juristische Rahmen vor allem aber ein Phanomen: Den zentralen Perspektivwechsel im Gesundheitswesen hin zu einer starkeren Orientierung am Patienten. Dieser Band dokumentiert und analysiert verschiedene Aspekte dieser wichtigen Entwicklung in zwei grossen Abschnitten und zehn Einzelkapiteln: Historischer Wandel der Patientenrolle im Gesundheitswesen, die wichtige Funktion der Selbsthilfegruppen als Burgerbewegung, patientenorientierter Umgang mit Beschwerden, empirische Untersuchungen zur Arzt-Patient-Beziehung und die Entstehung der "Unabhangigen Patientenberatung Deutschland" (UPD). Ein Schwerpunkt des Bandes ist das Instrument des Patientenfursprechers zur Starkung der Rechte von Kranken. Erfahrungsberichte zur klinischen Implementierung und unterschiedliche Modelle fur Kontaktpersonen zur Patientenfursprache werden ebenso vorgestellt wie Fallberichte der Aktiven zum besseren Vergleich der klinischen Problemfelder.

Ideal for quick reference, this pocket-sized (120x80mm), spiral-bound book in the popular Nursing & Health Survival Guide series puts all the crucial information about patient consent at your fingertips. There is an obligation for practitioners to obtain valid consent from their patients before examination, routine personal care or therapeutic treatment. However, the law relating to consent is complex. Situations may arise where a patient requires urgent treatment, yet is either unwilling or unable to give their consent, or there are concerns over the form and context of the consent. All you need to know on: the underlying principles of consent; consent and the adult patient; consent and the adult who lacks capacity; children and consent; young people and consent.

For sixty years genetic counselors have served as the messengers of important information about the risks, realities, and perceptions of genetic conditions. More than 2,500 certified genetic counselors in the United States work in clinics, community and teaching hospitals, public health departments, private biotech companies, and universities. "Telling Genes" considers the purpose of genetic counseling for twenty-first century families and society and places the field into its historical context.

Genetic counselors educate physicians, scientific researchers, and prospective parents about the role of genetics in inherited disease. They are responsible for reliably translating test results and technical data for a diverse clientele, using scientific acumen and human empathy to help people make informed decisions about genomic medicine.

Alexandra Minna Stern traces the development of genetic counseling from the eugenics movement of the early twentieth century to the current era of human genomics. Drawing from archival records, patient files, and oral histories, Stern presents the fascinating story of the growth of genetic counseling practices, principles, and professionals.

Graeme Laurie stepped down from the Chair in Medical Jurisprudence at the University of Edinburgh in 2019. This edited collection pays tribute to his extraordinary contributions to the field. Graeme often spoke about the importance of 'legacy' in academic work and forged a remarkable intellectual legacy of his own, notably through his work on genetic privacy, human tissue and information governance, and the regulatory salience of the concept of liminality. The essays in this volume animate the concept of legacy to analyse the study and practice of medical jurisprudence. In this light, legacy reveals characteristics of both benefit and burden, as both an encumbrance to and facilitator of the development of law, policy and regulation. The contributions reconcile the ideas of legacy and responsiveness and show that both dimensions are critical to achieve and sustain the health of medical jurisprudence itself as a dynamic, interdisciplinary and policy-engaged field of thinking.

Lacan dedicates this seventh year of his famous seminar to the problematic role of ethics in psychoanalysis. Delving into the psychoanalyst's inevitable involvement with ethical questions and "the attraction of transgression," Lacan illuminates Freud's psychoanalytic work and its continued influence. Lacan explores the problem of sublimation, the paradox of jouissance, the essence of tragedy (a reading of Sophocle's Antigone), and the tragic dimension of analytic experience. His exploration leads us to startling insights on "the consequence of man's relationship to desire" and the conflicting judgments of ethics and analysis.

Contemporary Catholic Health Care Ethics, Second Edition, integrates theology, methodology, and practical application into a detailed and practical examination of the bioethical issues that confront students, scholars, and practitioners. Noted bioethicists Gerard Magill, Henk ten Have, and David F. Kelly contribute diverse backgrounds and experience that inform the richness of new material covered in this second edition. The book is organized into three sections: theology (basic issues underlying Catholic thought), methodology (how Catholic theology approaches moral issues, including birth control), and applications to current issues. New chapters discuss controversial end-of-life issues such as forgoing treatment, killing versus allowing patients to die, ways to handle decisions for incompetent patients, advance directives, and physician-assisted suicide. Unlike anthologies, the coherent text offers a consistent method in order to provide students, scholars, and practitioners with an understanding of ethical dilemmas as well as concrete examples to assist in the difficult decisions they must make on an everyday basis.

Looking at the current turmoil facing contemporary healthcare systems worldwide, resulting from relentless imposition of financially-based performance indicators, the author argues that a return to a values-based approach to healthcare will create positive transformation. Writing from the fresh perspective of social anthropology, the author takes a highly pragmatic approach to practice, emphasizing the importance of values such as compassion, solidarity and social justice. He suggests that without being able clearly to identify the values and goals that unite their members, healthcare organizations are unlikely to be able to meet the demands of the constant and varied pressures they face, and explains how individuals at every level in healthcare can contribute in practical ways to positive change within their organizations. This much-needed and very accessible book will be essential reading for anyone interested in a better approach to healthcare reform, from clinicians and nurses, to managers and policy makers, as well as the interested reader.

This volume focuses on issues involving the inviolability of the human body and the decision to end life. The contributors explore the difficulties in framing a public policy that legalizes aid in dying, and return to the more general question of what is the most fair and effective relationship between private medical authority and public policy. In Part 1, biologists, ethicists, theologians and political scientists examine the issue of whether there ought to be limits to medical intervention. Although medicine has continually stretched the boundaries of intervention in the human body, new technologies of organ transplantation and genetics and the emergence of revolutionary drugs raise ethical concerns over how far we should go in moving from therapeutics to enhancement of the human body. Questions of inviolability also arise in situations where treatment of the foetus requires intrusion into the bodily integrity of the pregnant woman. The contributors debate what is meant by inviolability and where, if ever, it should be a matter of public policy. Part 2 brings together authors from bioethics, medicine, psychology, journalism and politics to examine the intensifying debate over the empowerment of patients in making decisions to end life.

This book explores the moral lives of mental health clinicians serving the most marginalized individuals in the US healthcare system. Drawing on years of fieldwork in a community psychiatry outreach team, Brodwin traces the ethical dilemmas and everyday struggles of front line providers. On the street, in staff room debates, or in private confessions, these psychiatrists and social workers confront ongoing challenges to their self-image as competent and compassionate advocates. At times they openly question the coercion and forced-dependency built into the current system of care. At other times they justify their use of extreme power in the face of loud opposition from clients. This in-depth study exposes the fault lines in today's community psychiatry. It shows how people working deep inside the system struggle to maintain their ideals and manage a chronic sense of futility. Their commentaries about the obligatory and the forbidden also suggest ways to bridge formal bioethics and the realities of mental health practice. The experiences of these clinicians pose a single overarching question: how should we bear responsibility for the most vulnerable among us?

In the 21st century, people in the developed world are living longer. They hope they will have a healthy longer life and then die relatively quickly and peacefully. But frequently that does not happen. While people are living healthy a little longer, they tend to live sick for a lot longer. And at the end of being sick before dying, they and their families are frequently faced with daunting decisions about whether to continue life prolonging medical treatments or whether to find meaningful and forthright ways to die more easily and quickly. In this context, some people are searching for more and better options to hasten death. They may be experiencing unacceptable suffering in the present or may fear it in the near future. But they do not know the full range of options legally available to them. Voluntary stopping eating and drinking (VSED), though relatively unknown and poorly understood, is a widely available option for hastening death. VSED is legally permitted in places where medical assistance in dying (MAID) is not. And unlike U.S. jurisdictions where MAID is legally permitted, VSED is not limited to terminal illness or to those with current decision-making capacity. VSED is a compassionate option that respects patient choice. Despite its strongly misleading image of starvation, death by VSED is typically peaceful and meaningful when accompanied by adequate clinician and/or caregiver support. Moreover, the practice is not limited to avoiding unbearable suffering, but may also be used by those who are determined to avoid living with unacceptable deterioration such as severe dementia. But VSED is "not for everyone." This volume provides a realistic, appropriately critical, yet supportive assessment of the practice. Eight illustrative, previously unpublished real cases are included, receiving pragmatic analysis in each chapter. The volume's integrated, multi-professional, multi-disciplinary character makes it useful for a wide range of readers: patients considering present or future end-of-life options and their families, clinicians of all kinds, ethicists, lawyers, and institutional administrators. Appendices include recommended elements of an advance directive for stopping eating and drinking in one's future if and when decision making capacity is lost, and what to record as cause of death on the death certificates of those who hasten death by VSED.

Should a physician with AIDS be required to inform his or her patients? Does a physician have an obligation to warn the partner who wants this fact kept secret? Should all newborns and pregnant women be screened for HIV? Should insurance companies be required to insure patients who test positive for the disease? Professionals and society at large are confronted by a wide range of complex ethical issues produced by the AIDS health crisis.

"AIDS and Ethics" is the first major collection of essays on the complex ethical issues created by the AIDS crisis. The nation's leading bioethics experts from the fields of law, medicine, philosophy, political science, religion, and social work present original and accessible essays. They address current controversial issues related to the tension between civil rights and public health, mandatory HIV testing, human subjects research, health care insurance, AIDS education, militant AIDS activism, the physician-patient relationship, issues of privacy, and legal issues. This important book will provide philosophical and practical guidelines to health care and human service professionals, policy makers, scholars, and others affected by the AIDS crisis.