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Has postmodern American culture so altered the terrain of medical
care that moral confusion and deflated morale multiply faster than
both technological advancements and ethical resolutions? The Ethos
of Medicine in Postmodern America is an attempt to examine this
question with reference to the cultural touchstones of our
postmodern era: consumerism, computerization, destruction of
meta-narratives, and stakeholder late capitalism . The cultural
insights of the postmodern thinkers help elucidate the changes in
healthcare delivery that are occurring early in the 21st century.
Although only Foucault among postmodern thinkers actually focused
his critique on medical care itself, their combined analysis
provides a valuable perspective for gaining understanding of
contemporary changes in healthcare deliver. It is often difficult
to envision what is happening in the psychosocial, cultural dynamic
of an epoch as you experience it. Therefore it is useful to have a
technique for refracting those observations through the lens of
another system of thought. The prism of postmodern thought offers
such a device with which to view the eclipse of changing medical
practice. Any professional practice is always thoroughly embedded
in the social and cultural matrix of its society, and the medical
profession in America is no exception. Corporatization,
consumerism, and computerization of medical practice and the
clinical encounter constitute the three C s of Postmodern American
healthcare. In drawing upon of the insights of key Continental
thinkers such as Foucault, Deleuze and Guattari, Lyotard,
Baudrillard, Bauman, and Levinas as well as American scholars, I do
not necessarily endorse the views of postmodernism but believe much
can be learned from their insight. Furthermore my comments are also
informed by empirical information from health services research and
the sociology of medicine. I attempt to develop a new understanding
of healthcare delivery in the 21st century and suggest positive
developments that might be nurtured to avoid the barren Silicon
Cage of corporate, bureaucratized medical practice. Bringing to
this analysis are current healthcare issues such as the patient
centered medical home, clinical practice guidelines, and electronic
health records, the insights of an interdisciplinary examination
that include postmodern thought, medical sociology, bioethics, and
health services research.
Has postmodern American culture so altered the terrain of medical
care that moral confusion and deflated morale multiply faster than
both technological advancements and ethical resolutions? The Ethos
of Medicine in Postmodern America is an attempt to examine this
question with reference to the cultural touchstones of our
postmodern era: consumerism, computerization, corporatization, and
destruction of meta-narratives. The cultural insights of postmodern
thinkers-such as such as Foucault, Deleuze and Guattari, Lyotard,
Baudrillard, Bauman, and Levinas-help elucidate the changes in
healthcare delivery that are occurring early in the twenty-first
century. Although only Foucault among this group actually focused
his critique on medical care itself, their combined analysis
provides a valuable perspective for gaining understanding of
contemporary changes in healthcare delivery. It is often difficult
to envision what is happening in the psychosocial, cultural dynamic
of an epoch as you experience it. Therefore it is useful to have a
technique for refracting those observations through the lens of
another system of thought. The prism of postmodern thought offers
such a device with which to "view the eclipse" of changing medical
practice. Any professional practice is always thoroughly embedded
in the social and cultural matrix of its society, and the medical
profession in America is no exception. In drawing upon of the
insights of key Continental thinkers such and American scholars,
this book does not necessarily endorse the views of postmodernism
but trusts that much can be learned from their insight.
Furthermore, its analysis is informed by empirical information from
health services research and the sociology of medicine. Arnold R.
Eiser develops a new understanding of healthcare delivery in the
twenty-first century and suggests positive developments that might
be nurtured to avoid the barren "Silicon Cage" of corporate,
bureaucratized medical practice. Central to this analysis are
current healthcare issues such as the patient-centered medical
home, clinical practice guidelines, and electronic health records.
This interdisciplinary examination reveals insights valuable to
anyone working in postmodern thought, medical sociology, bioethics,
or health services research.
Learn how to reduce the impact of environmental toxins on brain
development, functioning, and health. The human brain is a
marvelously complex organ that has evolved great new capabilities
over the past 250,000 years. During most of that period, daily life
was vastly different from our lives today. Exercise was not
optional - one literally had to run for one's life, livelihood, and
sustenance. The Stone Age diet was not a fad, but the only food
available. Periods of fasting arose from food scarcity, and hence
the earliest keto-diet was commonplace. Life changed greatly with
the advent of agriculture and industry. Diseases that were
previously unknown or uncommon began to surface as by-products of
civilization's advance. Changes in our ways of living have altered
the nature of illness as well as its diagnosis and treatment. From
the 1970s to the present, tens of thousands of chemicals with
applications in all aspects of our lives have grown more than
40-fold. Exposure to these new substances has impacted many aspects
of our health, especially the delicate parts of the brain and
nervous system. In parallel with the changes in our environment, we
have seen the growth of brain disorders including Alzheimer's
Disease and autism in previously unimaginable ways. Here, Arnold
Eiser elucidates some features of diseases affecting the nervous
system that are increasing in incidence with a focus on those
disorders that appear related to environmental toxins that modern
life has introduced. He takes readers behind the scenes of the
science itself to discover the human stories involved in the
discovery and management of these illnesses. Offering insights from
a variety of scientific disciplines, Eiser clearly and succinctly
illustrates the impact of toxins on our brains and how we might
better protect ourselves from negative outcomes. With interviews
from leading authorities in the field of neuroscience,
environmental toxicology, integrative medicine, neurology,
immunology, geriatrics, and microbiology (re the gut microbiome),
this book offers a robust understanding of the complex threats to
our brains, and the healthy brain's dependence upon many other
systems within our bodies. This is a voyage of discovery into the
science, history, and human struggle regarding disorders
challenging the brain as well as their possible prevention.
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