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Books > Medicine > General issues > Medical ethics
For over two decades, Bloch et al's Psychiatric Ethics has been the leading text on ethical issues in psychiatry and mental health. This anthology will serve as an invaluable companion volume, providing ready access to foundational writings, previously published articles and excerpts of book chapters of significance to psychiatric ethics.
The purpose of medical humanities is to improve the delivery of effective health care through a better understanding of disease - in society, and in the individual. The interfaces between the science of medicine and the arts, philosophy, sociology and law interpret causes and effects of disease. The field of medical ethics is the most prominent offspring of this wider debate, yet the context of disease in the life of the individual and of society is profound and far-reaching. The influences of medicine on the humanities and vice versa are all around, yet only recently have they been recognized in the wider world of health care.
Revolutionary advances in biomedical research and information systems technology pose new and difficult issues for American health care policy, especially in the context of managed care. Health Care Policy in an Age of New Technologies takes on this challenging array of issues, where the dignity of individual life meets the imperatives of the national-level health care system: the right to die, rationing of care, organ transplants, experiments with human embryos, genetic research, confidentiality of medical records, and other ethical dilemmas. Chapters on a patient's bill of rights, and on medical education and physician training, link the book to policy issues of direct concern to the public and practitioners. Throughout the book, the authors place critical questions in their political, legal, social, economic, and ethical context. Each chapter ends with discussion points, and a multimedia bibliography directs readers to relevant films, documentaries, and case studies.
Revolutionary advances in biomedical research and information systems technology pose new and difficult issues for American health care policy, especially in the context of managed care. Health Care Policy in an Age of New Technologies takes on this challenging array of issues, where the dignity of individual life meets the imperatives of the national-level health care system: the right to die, rationing of care, organ transplants, experiments with human embryos, genetic research, confidentiality of medical records, and other ethical dilemmas. Chapters on a patient's bill of rights, and on medical education and physician training, link the book to policy issues of direct concern to the public and practitioners. Throughout the book, the authors place critical questions in their political, legal, social, economic, and ethical context. Each chapter ends with discussion points, and a multimedia bibliography directs readers to relevant films, documentaries, and case studies.
From 1932 to 1972, the United States Public Health Service conducted a non-therapeutic experiment involving over 400 black male sharecroppers infected with syphilis. The Tuskegee Study had nothing to do with treatment. It purpose was to trace the spontaneous evolution of the disease in order to learn how syphilis affected black subjects. The men were not told they had syphilis; they were not warned about what the disease might do to them; and, with the exception of a smattering of medication during the first few months, they were not given health care. Instead of the powerful drugs they required, they were given aspirin for their aches and pains. Health officials systematically deceived the men into believing they were patients in a government study of "bad blood", a catch-all phrase black sharecroppers used to describe a host of illnesses. At the end of this 40 year deathwatch, more than 100 men had died from syphilis or related complications. "Bad Blood" provides compelling answers to the question of how such a tragedy could have been allowed to occur. Tracing the evolution of medical ethics and the nature of decision making in bureaucracies, Jones attempted to show that the Tuskegee Study was not, in fact, an aberration, but a logical outgrowth of race relations and medical practice in the United States. Now, in this revised edition of "Bad Blood", Jones traces the tragic consequences of the Tuskegee Study over the last decade. A new introduction explains why the Tuskegee Study has become a symbol of black oppression and a metaphor for medical neglect, inspiring a prize-winning play, a Nova special, and a motion picture. A new concluding chapter shows how the black community's wide-spread anger and distrust caused by the Tuskegee Study has hampered efforts by health officials to combat AIDS in the black community. "Bad Blood" was nominated for the Pulitzer Prize and was one of the "N.Y. Times" 12 best books of the year.
How did today's debate over euthanasia (taken from the Greek word for 'good death') become so divisive in American society? In A Merciful End Ian Dowbiggin tells, for the first time, the dramatic story of those reformers who struggled throughout the twentieth century to change the nation's attitudes towards mercy killing and assisted suicide.l Having had access to confidential records in the United States, England and Canada, and having interviewed leading figures in the American euthanasia movement, he reveals that euthanasia has been a contentious issue in America for over a century, long before Jack Kevorkian began helping patients to die. Over the course of the twentieth century, a group of public-spirited men and women tried to break down ancient Judeo-Christian prohibitions against mercy killing, overturn state laws criminalizing assisted suicide, and convince the US Supreme Court that there is a right to die in the Constitution. In their eagerness to succeed, these euthanasia advocates have often sanctioned public policies that blur the fine line between choice and duty, freedom and coercion, the rights of the individual and the needs of society. By the dawn of the twenty-first century, they had won some small victories, and the debate over whose lives were worth living still raged, but Dowbiggin argues that more and more Americans seemed to prefer better end-of-life care to sweeping changes in laws about euthanasia. America's euthanasia movement entered the twenty-first century ready and willing to fight new wars but facing an uphill battle against sentiments such as these. Original, wide-ranging in scope, but sensitive to the personal dimensions of euthanasia, A Merciful End is an illuminating and cautionary account of the tension between motives and methods within twentieth century social reform. It provides a refreshingly new perspective on an old debate.
In the past several decades biotechnologies have provided patients with a multitude of means to address illness and disability. Some biotechnologies, such as reproductive technologies and genetic enhancements, have created significant questions about the appropriateness of medical progress, and carry ethical and social implications for society. Should biotechnology move full steam ahead? Or should we show some degree of restraint? Amid the clamoring of conflicting claims is a profound absence of the answer to a fundamental question: the ultimate goal of biotechnology. What guidelines are available? How should we assess advances in clinical medicine? For those with Christian commitments, how does one reconcile such concepts as human dignity with biotechnical progress? Is the manipulation of embryos, for instance, really progress?This book, an interdisciplinary effort by several scholars writing with one voice, a voice deeply influenced by Christian theology, reviews recent developments in genetics, nanontechnology, cybernetics, neuroscience and pharmacology that not only may lead to new tools for healing, but that can also be used to enhance or augment normal human function. The authors also look at how competing worldviews--philosophical and religious--assess such developments. After laying out a Christian anthropology, or understanding of human nature, they conclude with a discussion of the proper use of biotechnology to pursue human flourishing. While fully supportive of medical progress to combat disease, which might include research on human subjects, they are suspicious of medical attempts to "improve" human nature.
Thirty years ago, English jurist Patrick Devlin wrote: "Is it not a pleasant tribute to the medical profession that by and large it has been able to manage its relations with its patients ... without the aid of lawyers and law makers." Medical interventions at the beginnings and the endings of life have rendered that assessment dated if not defeated. This book picks up some of the most important of those developments and reflects on the legal and social consequences of this metamorphosis over the past ten years, and will be of interest to students of law, sociology and ethics who want a considered and critical introduction to, and reflection on, key issues in these pivotal moments of human life.
Nursing staff of many specialities are taking on and developing their roles in new and advanced practice areas. Patients will be offered new services from highly skilled advanced nurse practitioners. Such nurses need guidance, direction and information to assist them in their new roles. This book will offer insight and guidance on a variety of issues that are likely to be encountered by the Nurse Practitioner in everyday practice. * *First book presenting ethical challenges at Nurse Practitioner level * * * Aims to guide practice and offer points for discussion and reflective thinking
The controversy surrounding the measles, mumps and rubella (MMR) vaccine and autism has raised unprecedented questions about the communication of health and science. Health, Risk and News: The MMR Vaccine and the Media examines how this story came to be so influential and asks if the media are to blame for unduly panicking the public. Drawing on comprehensive research - on media coverage, interviews with a range of journalists and sources, and analysis of audience opinion - this book explores how medical controversies are covered, with attention to issues of balance and objectivity, expertise, news values, risk and media effects. It will be of interest to students and scholars of media studies, journalists and health professionals.
A Patient-Centered Approach to the Chronically-Ill addresses the unique needs of chronically-ill patients and the challenges they present for medical doctors. This book features four principles of the patient-centered approach that can be used by physicians in treating chronically-ill patients. By adhering to these four principles, physicians will be able to humanely treat chronically-ill patients with the care and attention that they need in order to encourage them to manage their symptoms in the best possible way.
This title was first published in 2003: As new medical technologies and treatments develop with increasing momentum, the legal and ethical implications of research involving human participants are being called into question as never before. Human Experimentation and Research explores the philosophical foundations of research ethics, ongoing regulatory dilemmas, and future challenges raised by the rapid globalisation and corporatisation of the research endeavour. This volume brings together some of the most significant published essays in the field. The editors also provide an informative introduction, summarizing the area and the relevance of the articles chosen.
The ability to reason ethically is an extraordinarily important aspect of professionalism in any field. Indeed, the greatest challenge in ethical professional practice involves resolving the conflict that arises when the professional is required to choose between two competing ethical principles. Ethical Reasoning in the Mental Health Professions explores how to develop the ability to reason ethically in difficult situations.
This comprehensive, yet accessible, text demystifies the challenging area of competence assessement in medicine and the health sciences, providing a clear framework and the tools for anyone working or studying in this area. Written by a single, highly experienced, author, the content benefits from uniformity of style and is supported and enhanced by a range of pedagogic features including cases, questions and summaries. Essential reading for all students and practitioners of medical education, it will also be an invaluable guide for allied health professionals and psychologists with a general interest in assessment, evaluation and measurement and a useful library reference.
Giving Voice to Values as a Professional Physician provides students with the theoretical background and practical applications for acting on their values in situations of ethical conflict. It is the first medical ethics book that utilizes the Giving Voice to Values methodology to instruct students in medical ethics and professionalism. In doing so, it shifts the focus of ethics education from intellectually examining ethical theories and conflicts to emphasizing moral action. Each section of the book explains how moral decision-making and action can be implemented in the healthcare arena. Medical ethics cases are provided throughout in order to assist students in giving voice to their values and developing skills for professional action. The Giving Voice to Values methodology, and the cases in this book, do not focus on the big questions of academic ethics, but rather on the ethics of the everyday, even if the challenges presented are difficult. In other words, the ethical questions students will have to face, in this book and in medical education and practice, are about how to interact with others, whether they be patients or colleagues, who might have different ethical positions. The book provides a unique guide for professional identity formation and the teaching of ethics in medical schools.
Healthcare Ethics, Law and Professionalism: Essays on the Works of Alastair V. Campbell features 15 original essays on bioethics, and healthcare ethics specifically. The volume is in honour of Professor Alastair V. Campbell, who was the founding editor of the internationally renowned Journal of Medical Ethics, and the founding director of three internationally leading centres in bioethics, in Otago, New Zealand, Bristol, UK, and Singapore. Campbell was trained in theology and philosophy and throughout his career worked with colleagues from various disciplines, including law and various branches of healthcare. The diversity of topics and depth of contributors' insights reflect the breadth and impact of Campbell's philosophical work and policy contributions to healthcare ethics. Throughout his long academic career, Campbell's emphasis on healthcare ethics being practice-oriented, yet driven by critical reflection, has shaped the field in vital ways. The chapters are authored by leading scholars in healthcare ethics and law. Directly engaging with Campbell's work and influence, the essays discuss essential questions in healthcare ethics relating to its methodology and teaching, its intersection with law and policy, medical professionalism, religion, and its translation in different cultural settings. Chapters also grapple with specific enduring topics, such as the doctor-patient relationship, justice in health and biomedical research, and treatment of the human body and the dead.
Is the advancement of scientific knowledge and the development of biomedical technologies - known as the 'New Medicine' - desirable? George P. Smith asks this fundamental question while also confronting the distribution of these scarce medical resources. Law, economics, medical science, philosophy and ethics all coalesce in this discussion of how to structure normative standards of conduct that will improve the quality of human life. The author begins by examining various economic constructs as aids for achieving a fair and equitable delivery of health care services. He then assesses their level of practical application and evaluates the costs and benefits to society of pursuing the development and use of the 'New Medicine'. The book ends with a case study of organ and tissue transplantation that illustrates the implementation of distributive justice. The author concludes that as long as clinical medicine maintains its focus on healing and alleviating suffering among patients, a point of equilibrium will be reached that advances the common good. This timely and compelling exploration will be a must-read for scholars, researchers, policymakers and all those interested in advances in medical technology and the issues surrounding access to health care.
This concise, introductory handbook discusses the basic principles of medical ethics, and includes practical, realistic guidance on how to evaluate and manage common ethical problems, focusing on the care of elderly patients Typical scenarios faced in clinical practice, such as issues of mental capacity and consent, resuscitation, near death decisions, quality of life, and health care expenditure, are discussed
Coercive Care asks probing and challenging questions regarding the use of coercion in health care and the social services. The book combines philosophical analysis with comparative studies of social policy and law in a large number of industrialized countries.
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. |
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