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Medicine and Care of the Dying - A Modern History (Hardcover)
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Medicine and Care of the Dying - A Modern History (Hardcover)
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There is a growing conflict in medicine between the research
imperative, with its implicit goal of overcoming death itself, and
the re-emergent clinical imperative to treat death as a part of
life, and to make the process of dying as tolerable as possible.
Central to this conflict is the rise of scientific medicine and the
decline of religious and associated moral discourses. Many of the
Anglo Saxon countries are also marked by a moral and religious
pluralism which breeds controversy over bioethical issues such as
euthanasia.
It seems that modern medicine has put the cure of bodies before
the care of persons. Some scholars attribute this to a metaphysical
heritage of dualism and reductionism. This heritage has become
problematic in the modern age when waning belief in a divine order
leaves the individual self as the bearer of meaning. At the same
time, knowledge about nature and society has been increasing at
such an accelerated pace, it has become even more difficult to
develop a unified secular worldview. When the dying self
contemplates its own disintegration in this context, the search for
meaning may rest heavy indeed.
Chapters one and two address these larger issues. Chapter three
focuses on medicine's approach to cancer as a prime example of the
strengths and weaknesses of the research imperative. Chapter four
looks at the diffusion of the theory and practice of palliative
care throughout the Anglo Saxon world. The fifth chapter discusses
the development of effective pain control, essential to palliative
care and one of modern medicine's unsung triumphs. The sixth
chapter addresses the changing meaning of euthanasia in Western
history in the past century, as ittransitioned from a philosophical
position to a widely-debated policy proposal.
This book is for palliative care practitioners, and all health
care professionals with an interest in end-of-life care. It is also
for students in palliative care and the history of medicine, and
for anyone interested in the history of this intriguing field.
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