A Practical Guide to Clinical Ethics Consulting reasserts the philosophical method as foundational to ethics consulting. It does so in response to extensive attacks from social scientists, lawyers, theologians, and especially practitioners, all of whom disparage philosophy's reliance on abstract theory and conceptual analysis. Using clinical ethics consulting as an exemplar, Christopher Meyers argues that while many of the attacks are well founded, they are only partly so and not in the most important respects. Ethics consulting that relies too heavily on abstract analysis is of little use to practitioners; consultants must have adequate grounding in, and appreciation of, the concrete reality of working professionals. They must also be experienced enough to have the practical wisdom necessary to assist with real-world problems. Skills of philosophical analysis, when combined with instruction in empirical investigation, political awareness and appropriate character traits, are vital to ethics consulting. Ethicists need the theoretical and conceptual analysis skills that are a standard part of a philosophical education and mindset. The book provides both a defense of this central thesis and a detailed description of the empirical tools and of the critical independence necessary to effective consulting."

What if a lifesaving medical device causes loss of life along its supply chain? That's the question Katherine E. Standefer finds herself asking one night after being suddenly shocked by her implanted cardiac defibrillator. In this gripping, intimate memoir about health, illness, and the invisible reverberating effects of our medical system, Standefer recounts the astonishing true story of the rare diagnosis that upended her rugged life in the mountains of Wyoming and sent her tumbling into a fraught maze of cardiology units, dramatic surgeries, and slow, painful recoveries. As her life increasingly comes to revolve around the internal defibrillator freshly wired into her heart, she becomes consumed with questions about the supply chain that allows such an ostensibly miraculous device to exist. So she sets out to trace its materials back to their roots. From the sterile labs of a medical device manufacturer in southern California to the tantalum and tin mines seized by armed groups in the Democratic Republic of the Congo to a nickel and cobalt mine carved out of endemic Madagascar jungle, Lightning Flowers takes us on a global reckoning with the social and environmental costs of a technology that promises to be lifesaving but is, in fact, much more complicated. Deeply personal and sharply reported, Lightning Flowers takes a hard look at technological mythos, healthcare, and our cultural relationship to medical technology, raising important questions about our obligations to one another, and the cost of saving one life.

First Published in 2004. Routledge is an imprint of Taylor & Francis, an informa company.

Each year, roughly a million new cases of cancer appear in the US, and more than 500,000 Americans die annually of premature death. Although medical progress has slowed cancer mortality, its incidence is increasing roughly six times faster than cancer mortality is decreasing. Breast cancer, in particular, has been increasing about one percent each year since 1973. At least two of the factors responsible for this surge in breast cancer are women's use of medically-prescribed synthetic hormones and the exposure of the entire population to chemicals such as dioxin. Both exposures increase the likelihood of breast cancer. Although many ethicists worry about involuntary societal imposition of chemicals such as dioxin, through industrial and agricultural processes, allegedly voluntary exposures also constitute both, a public-health problem and a biomedical-ethics difficulty. Physicians recommend synthetic hormones, for example, to women who apparently take them voluntarily. In the case of in vitro fertilization, doctors prescribe hormones to induce egg production and to increase the chances of reproduction for couples who are unable to have children. Despite the benefits of medical technologies such as hormone stimulation and in vitro fertilization, they also carry great risks. The price that childless women pay, for their opportunity to have children through in vitro fertilization, may be their own increased risk of diseases - such as breast cancer - that are hormone dependent.

Now includes a brand new introductory chapter, explaining how medical law has developed, highlighting key ethical issues and locating the law within its wider political and sociological contexts. Unique pedagogic approach sets this book apart by helping the student to engage with complex and detailed legal concepts and the modern, attractive layout enhances the visual appeal of the text Numerous citations, quotations and extracts mean that students will be exposed to primary sources of legal language and cases and judgments are highlighted making them easy to find for cross-reference and revision Concepts and terms are explained clearly allowing for maximum accessibility and understanding, making this an ideal textbook for both law and non-law students Supporting website at www.unlockingthelaw.co.uk provides interactive mcqs, podcasts of key recent developments in medical law as well as updates to the cases and legislation discussed within the text

For caregivers of deeply forgetful people: a book that combines new ethics guidelines with an innovative program on how to communicate and connect with people with Alzheimer's. How do we approach a "deeply forgetful" loved one so as to notice and affirm their continuing self-identity? For three decades, Stephen G. Post has worked around the world encouraging caregivers to become more aware of-and find renewed hope in-surprising expressions of selfhood despite the challenges of cognitive decline. In this book, Post offers new perspectives on the worth and dignity of people with Alzheimer's and related disorders despite the negative influence of "hypercognitive" values that place an ethically unacceptable emphasis on human dignity as based on linear rationality and strength of memory. This bias, Post argues, is responsible for the abusive exclusion of this population from our shared humanity. With vignettes and narratives, he argues for a deeper dignity grounded in consciousness, emotional presence, creativity, interdependence, music, and a self that is not "gone" but "differently abled." Post covers key practical topics such as: * understanding the experience of dementia * noticing subtle expressions of continuing selfhood, including "paradoxical lucidity" * perspectives on ethical quandaries from diagnosis to terminal care and everything in between, as gleaned from the voices of caregivers * how to communicate optimally and use language effectively * the value of art, poetry, symbols, personalized music, and nature in revealing self-identity * the value of trained "dementia companion" dogs At a time when medical advances to cure these conditions are still out of reach and the most recent drugs have shown limited effectiveness, Post argues that focusing discussion and resources on the relational dignity of these individuals and the respite needs of their caregivers is vital. Grounding ethics on the equal worth of all conscious human beings, he provides a cautionary perspective on preemptive assisted suicide based on cases that he has witnessed. He affirms vulnerability and interdependence as the core of the human condition and celebrates caregivers as advocates seeking social and economic justice in an American system where they and their loved ones receive only leftover scraps. Racially inclusive and grounded in diversity, Dignity for Deeply Forgetful People also includes a workshop appendix focused on communication and connection, "A Caregiver Resilience Program," by Rev. Dr. Jade C. Angelica.

The distinguished contributors to Confidentiality probe the ethical, legal, and clinical implications of a deceptively simple proposition: Psychoanalytic treatment requires a confidential relationship between analyst and analysand. But how, they ask, should we understand confidentiality in a psychoanalytically meaningful way? Is confidentiality a therapeutic requisite of psychoanalysis, an ethical precept independent of psychoanalytic principles, or simply a legal accommodation with the powers that be? In wrestling with these questions, the contributors to Confidentiality are responding to a professional, ethical, and political crisis in the field of mental health. Psychotherapy - especially long-term psychotherapy in its psychoanalytic variants - has been undermined by an erosion of personal privacy that has become part of our cultural zeitgeist. The heightened demand for public transparency has forced caregivers from all walks of professional life to submit to increasing bureaucratic regulation. For the contributors to this collection, the need for confidentiality is centrally involved in the relationship of the psychotherapeutic professions both to society and to the law. No less importantly, the requirement of confidentiality brings a clarifying perspective to debates within the psychotherapeutic literature about the relationship of theory to practice. It thereby provides a framework for shaping a set of ethical principles specifically adapted to the psychotherapeutic, and especially to the psychoanalytic, relationship. Linking general issues of privacy to the intimate details of psychotherapeutic encounter, Confidentiality will serve as a basic guide to a wide range of professionals, including lawyers, social scientists, philosophers, and, of course, psychotherapists. Therapy patients, policy makers, and the wider public will also find it instructive to know more about the special protected conditions under which one can better come to "know thyself."

The Limits of Medical Paternalism defines and morally assesses paternalistic interventions, especially in the context of modern medicine and health care, particular emphasis is given to the analysis of the conceptual background of the paternalism issue. In this book an anti-paternalistic view is presented and defended.

The successful achievement of pregnancies following pre-implantation genetic diagnosis (PGD) was first reported in April 1990. The technology is often used for patients who are at substantial risk of conceiving a pregnancy affected by a known genetic disorder, however from this technology other more controversial uses have arisen such as HLA typing to save the life of a sibling, gender selection for social reasons, the prevention of late onset diseases, or the prevention of diseases which may be genetically predisposed to developing such as breast cancer. The technology surrounding PGD is constantly developing, giving rise to new and unexpected consequences that create fresh ethical and legal dilemmas. Featuring internationally recognized experts in the field, this book critically explores the regulation of PGD and the broader legal and ethical issues associated with it. It looks at the regulatory situation in a number of jurisdictions including New Zealand, Australia and the United Kingdom, but it also explores a number of themes of wide significance including a historical consideration of PGD and its part in the creation of the "genetic embryo" as a political tool, the over regulation of PGD and the ethical difficulties in handling additional unexpected medical information yielded by new technologies. This book will be of particular interest to academics and students of law, medicine and ethics.

Commodified Bodies examines the social practice of organ transplantation and trafficking and scrutinises the increasingly neoliberal tendencies in the medical system. It analyses phenomena such as the denomination of human body parts as "raw materials" and "commodities," or the arguments used by the proponents for a free market solution. Moreover, it argues that modern medicine is still linked with its religious roots. The commodification of body parts is seen not as an imperialistic act of the market, but as the end of a historical process as the notion of "fetishism" links the market with the body. Marx s concept of commodity fetishism and Sigmund Freud s theory of the perverted use of objects are modified and adapted to the reconstruction of the joint beginnings of market and medicine."

This book illuminates issues in medical ethics revolving around the complex bond between healer and patient, focusing on friendship and other important values in the healing relationship. Embracing medicine, philosophy, theology, and bioethics, it considers whether bioethical issues in medicine, nursing, and dentistry can be examined from the perspective of the healing relationship rather than external moral principles.

Distinguished contributors explore the role of the health professional, the moral basis of health care, greater emphasis on the humanities in medical education, and some of the current challenges facing healers today.

In this book, public health ethicist Daniel S. Goldberg sets out to characterize the subjective experience of pain and its undertreatment within the US medical establishment, and puts forward public policy recommendations for ameliorating the undertreatment of pain. The book begins from the position that the overwhelming focus on opioid analgesics as a means for improving the undertreatment of pain is flawed, and argues instead that dominant Western models of biomedicine and objectivity delegitimize subjective knowledge of the body and pain in the US. This general intolerance for the subjectivity of pain is part of a specific American culture of pain in which a variety of actors take part, including not only physicians and health care providers, but also pain sufferers, caregivers, and policymakers. Concentrating primarily on bioethics, history, and public policy, the book brings a truly interdisciplinary approach to an urgent practical ethical problem. Taking up the practical challenge, the book culminates in a series of policy recommendations that provide pathways for moral agents to move beyond contests over drug policy to policy arenas that, based on the evidence, hold more promise in their capacity to address the devastating and inequitable undertreatment of pain in the US.

Exploring the interconnectedness of human health, biodiversity, and bioethics. We all depend on environmental biodiversity for clean air, safe water, adequate nutrition, effective drugs, and protection from infectious diseases. Today's healthcare experts and policymakers are keenly aware that biodiversity is one of the crucial determinants of health-not only for individuals but also for the human population of the planet. Unfortunately, rapid globalization and ongoing environmental degradation mean that biodiversity is rapidly deteriorating, threatening planetary health on a mass scale. In Wounded Planet, Henk A.M.J. ten Have argues that the ethical debate about healthcare has become too narrow and individualized. We must, he writes, adopt a new bioethical discourse-one that deals with issues of justice, equality, vulnerability, human rights, and solidarity-in order to adequately reflect the serious threat that current loss of biodiversity poses to planetary health. Exploring modern environmental challenges in depth, ten Have persuasively demonstrates that environmental concerns can no longer be separated from healthcare challenges, and thus should be included in global bioethics. Going beyond an individualized perspective, he poses audacious questions: What does it mean that patients are poor or uninsured and cannot afford suggested medicines? How can we deal with the air and water pollution that are producing a patient's illness? How do we respond to patients complaining about the safety and quality of drinking water in their neighborhood? Touching on infectious and noncommunicable diseases, as well as food, medicine, and water, Wounded Planet transcends the limited vision of mainstream bioethics to compassionately reveal how healthcare and medicine must take a broad perspective that includes the social and environmental conditions in which individuals live.

Essential Primary Care aims to provide undergraduate students with a comprehensive overview of the clinical problems encountered in primary care. It covers the structure of primary care in the UK, disease prevention and the management of common and important clinical presentations from infancy to old age. Case studies are used in every chapter to illustrate key learning points. The book provides practical advice on how to consult with patients, make sense of their symptoms, explain things to them, and manage their problems. Essential Primary Care: Is structured in five sections: - The building blocks of primary care: its structure and connection with secondary care, the consultation, the process of making a diagnosis, prescribing, and ethical issues - Health promotion - Common and important presenting problems in roughly chronological order - Cancer - Death and palliative care Gives advice on how to phrase questions when consulting with patients and how to present information to patients Provides advice on how management extends to prescribing - often missing from current textbooks Contains case studies within each chapter which reflect the variety of primary care and provide top tips and advice for consulting with patients Supported by a companion website at www.wileyessential.com/primarycare featuring MCQs, EMQs, cases and OSCE checklists

Drawing on a wide range of primary historical and sociological sources and employing sharp philosophical analysis, this book investigates medical ethics from a Chinese-Western comparative perspective. In doing so, it offers a fascinating exploration of both cultural differences and commonalities exhibited by China and the West in medicine and medical ethics. The book carefully examines a number of key bioethical issues in the Chinese socio-cultural context including: attitudes toward foetuses; disclosure of information by medical professionals; informed consent; professional medical ethics; health promotion; feminist bioethics; and human rights. It not only provides insights into Chinese perspectives, but also sheds light on the appropriate methods for comparative cultural and ethical studies. Through his pioneering study, Jing-Bao Nie has put forward a theory of "trans-cultural bioethics," an ethical paradigm which upholds the primacy of morality whilst resisting cultural stereotypes, and appreciating the internal plurality, richness, dynamism and openness of medical ethics in any culture. Medical Ethics in China will be of particular interest to students and academics in the fields of Medical Law, Bioethics, Medical Ethics, Cross-Cultural Ethics as well as Chinese/Asian Studies and Comparative Cross-Cultural Studies.

Doctors in training are exposed to pressures and distractions to which they do not always respond appropriately, and individuals and institutions can struggle to deal effectively with difficulties when they arise. This book exposes the myths surrounding medical professionalism and strips it of pretensions or exclusivity, making a complex subject accessible and easy to comprehend. It promotes best practice for dealing with unprofessional behaviours amongst doctors-in-training. Divided into two main sections, this workbook first explores topics such as what constitutes professionalism, how it might best be taught and assessed, the interactions between professionalism, ethics and legal frameworks, international trends in medical education in relation to professionalism and implications for public policy. The second section presents 29 international case studies based on real life, explores issues and makes practical recommendations. Medical educators and students will appreciate the common format with key discussion points for each case and international health and social care professionals will welcome inspiration from the candid, sincere exploration of the topic.

The field of ethics is expanding and has assumed new significance as a compulsory part of study for psychiatrists and all mental health professionals. Ethics and Mental Health: The Patient, Profession and Community presents a new approach to these ethical dilemmas that have become an increasing part of modern practice. The book begins by exploring current normative theories of psychiatric ethics. It describes how empirical methods can make codes of conduct more representative of professional values. Considering their previous work, concepts of justice, and the moderate communitarian position, the authors outline their methodology, which argues that mental health professionals exist within a perpetual state of tension, caused by conflicts between the Hippocratic Oath, personal values, notions of social justice, and the potentially harmful influences of their social role. Applying their theory to the area of involuntary psychiatric treatment, the authors address the context of psychiatric practice and the moral agency of psychiatrists. They outline the different influences on the craft of psychiatry to better illustrate the diverse forces that impact moral deliberation and the practice of ethics in mental health. In doing so, they cover areas as diverse as cultural, economic, scientific, and political domains. The final section of the book applies the methodology to contemporary problems in mental health ethics, formulating how mental health clinicians can approach these quandaries. The book brings a new perspective to classic dilemmas from the past, to contemporary challenges, and in anticipation, to new concerns that will inevitably arise in a dynamic and complex professional context.

Patients who are confident of physicians' intellectual and technical abilities are sometimes not convinced of their professional behavior. Systemic and anecdotal cases of physician misconduct, conflict of interest, and self-interest abound. Many have even come to mistrust physicians as patient advocates. How can patients trust the intellectual and technical aspects of medical care, but not the professional? In order to enhance and promote professionalism in medicine, one should expect it, encourage it, and evaluate it. By measuring their own professional behavior, physicians can provide the kind of transparency with which they can regain the trust of patients and society.
Not only patients, but also institutions which accredit organizations have demanded accountability of physicians in their professional behavior. While there has been much lament and a few strong proposals for improving professionalism, no single reliable and valid measure of the success of these proposals exists. This book is a theory-to-practice text focused on ways to evaluate professional behavior written by leaders in the field of medical education and assessment.

Health and Human Rights in a Changing World is a comprehensive and contemporary collection of readings and original material examining health and human rights from a global perspective. Editors Grodin, Tarantola, Annas, and Gruskin are well-known for their previous two volumes (published by Routledge) on this increasingly important subject to the global community. The editors have contextualized each of the five sections with foundational essays; each reading concludes with discussion topics, questions, and suggested readings. This book also includes Points of View sections originally written perspectives by important authors in the field.

Section I is a Health and Human Rights Overview that lays out the essential knowledge base and provides the foundation for the following sections.

Section II brings in notions of concepts, methods, and governance framing the application of health and human rights, in particular the Human Rights-based Approaches to Health. Section III sheds light on issues of heightened vulnerability and special protection, stressing that the health and human rights record of any nation, any community, is determined by what is being done and not done about those who are most in need.

Section IV focuses on addressing system failures where health and human rights issues have been documented, recognized, even at times proclaimed as priorities, and yet insufficiently attended to as a result of State denial, unwillingness, or incapacity.

Section V examines the relevance of the health and human rights paradigm to a changing world, underscoring contemporary global challenges and responses.

Finally, a Concluding Note brings together the key themes of this set of articles and attempts to project a vision of the future.

The ethic of care has developed to become a body of theory that has expanded from its roots in social psychology to many other disciplines in the social sciences as well as the humanities. This work on care has informed both theory and practice by generating complex accounts of care ethics for multiple and intersecting kinds of relationships, and for a variety of domains and contexts. Its application now extends from the moral to the political realm, from personal to public relationships, from the local to the global, from feminine to feminist virtues and values, and from issues of gender to issues of power and oppression. The developments in the theories and applications of care ethics over the past few decades make this book an appropriate and timely publication. It includes chapters by authors who are developing or expanding theories of care ethics and also by those who work on applying and extending insights from care ethics to practices and policies in personal and institutional settings. Care Ethics provides readers from different disciplines and professional groups with a substantial number of new theories and applications from both new and established authors. This book was originally published as two special issues of Ethics and Social Welfare.

"Provides students with tools to identify the problems in heath care." "Health Care Ethics "is aclear, accessible text/reference that explores the full range of contemporary issues in health care ethics from a practical wisdom approach. The authors present the fundamental concerns of modern medical ethics--autonomy, beneficence, justice, and confidentiality--and then provide analysis, cases, and insights from professional literature to discuss them. Throughout, the discussion starts with larger issues or concepts and principles and then focuses on specific problems or complications. Learning GoalsUpon completing this book, readers will be able to:

• Identify the problems in health care ranging from end of life issues to testing and research.
• Develop a more well-rounded understanding of cultural traditions that are not a part of the mainstream discussion of American medical ethics.
• Analyze the various views on health care ethics.

This work offers a comprehensive understanding rooted in Catholic anthropology and moral theory of the meaning and limits of informed and proxy consent to experimentation on human subjects. In particular, it seeks to articulate the rationale for proxy consent in both therapeutic and nontherapeutic settings. As to the former, the book proposes that the Golden Rule, recognizing the basic inclinations of human nature toward objective goods perfective of human persons, should underpin the notion of proxy consent to experimentation on humans. As to the latter, an additional scrutiny of the amount of risk involved is necessary, since the risk-benefit ratio frequently invoked to justify higher-risk therapeutic research does not exist in its nontherapeutic counterpart. This study discusses a number of possible solutions to this question and develops a position that builds upon the objective notion of the human good.

Bioethics developed as an academic and clinicaldiscipline during the later part of the 20th century due to a variety of factors. Crucial to this development was the increased secularization of American culture as well as the dissolution of medicine as a quasi-guild with its own professional ethics. In the context of this moral vacuum, bioethics came into existence. Its raison d'etre was opposition to the allegedpaternalism of the medical community and traditional moral frameworks, yet at the same time it set itself up as a source of moral authority with respect to biomedical decision making. Bioethics serves as biopolitics in so far as it attempts to make determinations about how individuals ought to make medical decisions and then attempts to codify that in law.Progressivism and secularism are ultimately the ideology of bioethics."

From its earliest beginnings, the Catholic Church has cared for the sick and dying of the world as an extension of the healing ministry of Jesus. As a natural consequence, Catholics have regularly addressed moral issues relating to health care long before the term ""bioethics"" was coined. Beginning with a deeply nuanced, holistic understanding of the human person as their foundation, Catholic scholars have developed a person-centered ethic with which to approach ethical dilemmas that is understandable and defensible in the light of natural human reason, yet which is compatible with the teachings and doctrine of the Church - emphasizing the harmony of faith and reason within the Catholic moral tradition. ""Medicine, Health Care, and Ethics"" adds to this rich tradition with a collection of contemporary essays that represent the very best efforts of current Catholic scholarship in the field of health care and medical ethics. The book begins with an introductory section that explains the basic foundations of the personalist approach to ethics and its development within Catholic thought. The remaining parts of the book address timely topics such as artificial reproduction, contraception, abortion, euthanasia, genetic engineering, stem cell research, cloning, and health care reform. Each author brings a fresh perspective and a wealth of knowledge on these issues that will benefit Catholics as well as non-Catholics. With general overviews for each section, and topic-specific bibliographies to guide further study, this volume is designed to provide a greater understanding and deeper appreciation of the Catholic perspective on health care and medicine for both newcomers and seasoned students of bioethics alike. In today's culture of pluralism and diversity, the Catholic tradition has much wisdom to contribute to society's consideration of contemporary problems in medicine and health care. This collection of essays is offered in the spirit of open and honest dialogue for all who are seeking to understand that tradition.

This book analyses the concept of legal dignity employed in current bioethical debate and corresponding legal instruments. It develops a view of human dignity in existing regulation of activities such as pre-natal genetic selection, commodification of the human body, cloning, and euthanasia.