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Books > Medicine > General issues > Medical ethics
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Disrupted Dialogue - Medical Ethics and the Collapse of Physician/Humanist Communication, 1770-1980 (Hardcover)
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Disrupted Dialogue - Medical Ethics and the Collapse of Physician/Humanist Communication, 1770-1980 (Hardcover)
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Medical ethics changed dramatically in the past 30 years because
physicians and humanists actively engaged each other in discussions
that sometimes led to confrontation and controversy, but usually
have improved the quality of medical decision-making. Before then
medical ethics had been isolated for almost two centuries from the
larger philosophical, social, and religious controversies of the
time. There was, however, an earlier period where leaders in
medicine and in the humanities worked closely together and both
fields were richer for it. This volume begins with the 18th century
Scottish Enlightenment when professors of medicine such as John
Gregory, Edward Percival, and the American, Benjamin Rush, were
close friends of philosophers like David Hume, Adam Smith, and
Thomas Reid. They continually exchanged views on matters of ethics
with each other in print, at meetings of elite intellectual groups,
and at the dinner table. Then something happened, physicians and
humanists quit talking with each other. In searching for the causes
of the collapse, this book identifies shifts in the social class of
physicians, developments in medical science, and changes in the
patterns of medical education. Only in the past three decades has
the dialogue resumed as physicians turned to humanists for help
just when humanists wanted their work to be relevant to real-life
social problems. Again, the book asks why, finding answers in the
shift from acute to chronic disease as the dominant pattern of
illness, the social rights revolution of the 1960's, and the
increasing dissonance between physician ethics and ethics outside
medicine. The book tells the critical story of how the breakdown in
communication between physicians and humanists occurred and how it
was repaired when new developments in medicine together with a
social revolution forced the leaders of these two fields to resume
their dialogue.
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