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Torture doctors invent and oversee techniques to inflict pain and suffering without leaving scars. Their knowledge of the body and its breaking points and their credible authority over death certificates and medical records make them powerful and elusive perpetrators of the crime of torture. In The Torture Doctors, Steven H. Miles fearlessly explores who these physicians are, what they do, how they escape justice, and what can be done to hold them accountable. At least one hundred countries employ torture doctors, including both dictatorships and democracies. While torture doctors mostly act with impunity-protected by governments, medical associations, and licensing boards-Miles shows that a movement has begun to hold these doctors accountable and to return them to their proper role as promoters of health and human rights. Miles's groundbreaking portrayal exposes the thinking and psychology of these doctors, and his investigation points to how the international human rights community and the medical community can come together to end these atrocities.
This engaging book examines what the Hippocratic Oath meant to Greek physicians 2400 years ago and reflects on its relevance to medical ethics today. Drawing on the writings of ancient physicians, Greek playwrights, and modern scholars, each chapter explores one of its passages and concludes with a modern case discussion. The Oath proposes principles governing the relationship between the physician and society and patients. It rules out the use of poison and a hazardous abortive technique. It defines integrity and discretion in physicians' speech. The ancient Greek medical works written during the same period as the Oath reveal that Greek physicians understood that they had a duty to avoid medical errors and learn from bad outcomes. These works showed how and why to tell patients about their diseases and dire prognoses in order to develop a partnership for healing and to build the credibility of the profession. Miles uses these writings to illuminate the meaning of the Oath in its day and in so doing shows how and why it remains a valuable guide to the ethical practice of medicine. This is a book for anyone who loves medicine and is concerned about the ethics and history of this profession.
The news that the United States tortured prisoners in the war on terror has brought shame to the nation, yet little has been written about the doctors and psychologists at these prisons. In "Oath Betrayed", medical ethics expert and physician Steven H. Miles tells how doctors, psychologists, and medics cleared prisoners for interrogation, advised and monitored abuse, falsified documents - including death certificates - and were largely silent as the scandal unfolded. This updated and expanded paperback edition gives newly uncovered details about the policies that engage clinicians in torture. It discusses the ongoing furor over psychologists' participating in interrogations. Most explosively this new edition shows how interrogation psychologists may have moved from information-gathering to coercive experiments, warning all of us about a new direction in U.S. policy and military medicine - a direction that not so long ago was unthinkable.
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