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  • 1985-1989  (15)
  • 1955-1959
  • Dordrecht : Springer  (15)
  • Bioethics.  (15)
  • 1
    ISBN: 9789400925380
    Language: English
    Pages: Online-Ressource (320p) , digital
    Edition: Springer eBook Collection. Humanities, Social Sciences and Law
    Series Statement: Philosophy and Medicine 34
    Parallel Title: Erscheint auch als
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    Keywords: Philosophy (General) ; medicine Philosophy ; Medical ethics ; Religion (General) ; Ethics ; Religion. ; Medicine—Philosophy. ; Bioethics.
    Abstract: I: A Prologue -- Some Basic Considerations on Moral Teaching in the Church -- II: The Philosophical Foundations -- Nature and Human Nature as the Norm in Medical Ethics -- The Human Person and Philosophy of Medicine: A Response to William A. Wallace -- Philosophical Foundations of Catholic Medical Morals (translated by E. E. Langan) -- Moral Disagreements in Catholicism: A Commentary on Wallace, Schüller, and Thomasma -- III: The Theological Foundations -- “Catholic” Medical Moral Theology? -- “Theological” Medical Morality? A Response to Joseph Fuchs -- Theological Argument and Hermeneutics in Bioethics -- The Doctrinal Starting Points for Theology and Hermeneutics in Bioethics: A Response to Klaus Demmer -- A Brief History of Medical Ethics from the Roman Catholic Perspective: Comments on the Essays of Fuchs, Cahill, Demmer, and Hellwig -- IV: Pluralism within the Church -- Pluralism within the Church -- One Church, Plural Theologies -- Is Ethics One or Many? -- Can Ethics Be Contradictory?: A Response to Gerard J. Hughes, S. J. -- V: Pluralism in Society -- Religious Pluralism and Social Policy: The Case of Health Care -- Consensus, Moral Witness, and Health-Care Issues: A Dialogue with J. Bryan Hehir -- Notes on a Catholic Vision of Pluralism -- A Brief Commentary on “Notes on a Catholic Vision of Pluralism” -- VI: Agapeistic Medical Ethics -- The Art and Science of Medicine -- Agape and Ethics: Some Reflections on Medical Morals from a Catholic Christian Perspective -- Notes on Contributors.
    Abstract: CATHOLIC PERSPECTIVES AND CONTEMPORARY MEDICAL MORALS A Catholic perspective on medical morals antedates the current world­ wide interest in medical and biomedical ethics by many centuries[5]. Discussions about the moral status of the fetus, abortion, contraception, and sterilization can be found in the writings of the Fathers and Doctors of the Church. Teachings on various aspects of medical morals were scattered throughout the penitential books of the early medieval church and later in more formal treatises when moral theology became recog­ nized as a distinct discipline. Still later, medical morality was incorpor­ ated into the many pastoral works on medicine. Finally, in the contemporary period, works that strictly focus on medical ethics are produced by Catholic moral theologians who have special interests in matters medical. Moreover, this long tradition of teaching has been put into practice in the medical moral directives governing the operation of hospitals under Catholic sponsorship. Catholic hospitals were monitored by Ethics Committees long before such committees were recommended by the New Jersey Court in the Karen Ann Quinlan case or by the President's Commission in 1983 ([8, 9]). Underlying the Catholic moral tradition was the use of the casuistic method, which since the 17th and 18th centuries was employed by Catholic moralists to study and resolve concrete clinical ethical dilem­ mas. The history of casuistry is of renewed interest today when the case method has become so widely used in the current revival of interest in medical ethics[ll].
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  • 2
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    Dordrecht : Springer
    ISBN: 9789401578387
    Language: English
    Pages: Online-Ressource (V, 288 p) , digital
    Edition: Springer eBook Collection. Humanities, Social Sciences and Law
    Series Statement: Philosophy and Medicine 35
    Parallel Title: Erscheint auch als
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    Keywords: Philosophy (General) ; medicine Philosophy ; Medical ethics ; Ethics ; Medicine—Philosophy. ; Bioethics.
    Abstract: Greek Philosophers on Euthanasia and Suicide -- A Historical Introduction to Jewish Casuistry on Suicide and Euthanasia -- Suicide and Early Christian Values -- The Ethics of Suicide in the Renaissance and Reformation -- Suicide in the Age of Reason -- Sanctity of Life and Suicide: Tensions and Developments within Common Morality -- Death by Free Choice: Modern Variations on an Antique Theme.
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  • 3
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    Dordrecht : Springer
    ISBN: 9789400913974
    Language: English
    Pages: Online-Ressource (VII, 236 p) , digital
    Edition: Springer eBook Collection. Humanities, Social Sciences and Law
    Parallel Title: Erscheint auch als
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    Keywords: Philosophy (General) ; medicine Philosophy ; Medical ethics ; Medicine—Philosophy. ; Bioethics.
    Abstract: I. Introduction -- 1. Medicine -- 2. Philosophy -- 3. The book -- Acknowledgements -- II. Cultural Infusions in the Philosophy of Medicine -- 1. Introduction -- 2. An American ontology -- 3. The case of anthropological medicine -- 4. Getting the record straight -- 5. Conclusions -- III. Regular Versus Alternative Medicine -- 1. Introduction -- 2. How not to think about science and philosophy -- 3. What is special about science -- 4. Interlude: how to proceed? -- 5. The scientific status of homeopathy -- 6. Psychic or spiritual healing -- 7. Discussion -- IV. Concepts of Health and Disease -- 1. Introduction -- 2. Health and disease in a biological perspective -- 3. The philosophy of normativism -- 4. Towards a new research program -- 5. The interplay of science, common sense and philosophy -- 6. Afterthoughts -- V. Mind and Body in Science and Philosophy -- 1. Introduction -- 2. The philosophical agenda -- 3. The mental and the physical: five philosophical views -- 4. A science of the mental? -- 5. The primacy of human existence: phenomenology -- 6. Things which don’t fit -- 7. Discussion -- VI. Mind and Body in Medicine -- 1. Introduction -- 2. The mental suppressed: biological psychiatry -- 3. Will psychology help? -- 4. The psychosomatic connection -- 5. The limits of integration -- 6. The philosophical turn -- 7. Conclusions -- VII. Theses -- References.
    Abstract: 1. MEDICINE Illness, disease and disability plague man in every culture. But the form they take is not the same everywhere. Neither is man's reaction. Coping strategies, and the experience and knowledge backing them, depend very much on cultural setting. So medicine, the fabric of strategy and know­ ledge, can only be understood in the context of culture. In western society today, severe judgements are passed on medicine. Its store of knowledge and experience, and its repertory of strategies, have grown immensely during the last few decades. But it hardly alleviates dominant ailments, especially chronic diseases, diseases of old age and disturbances of social and mental functioning. We know that these ailments have come to the fore as the incidence of more "primitive" diseases declined in industrial societies. Infant deaths, and malnutrition and infections striking at young age, have dwindled to marginal significance in Western Europe and life expectancy at birth is twice that of some 150 years ago. Thus our new troubles are connected with past successes.
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  • 4
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    Dordrecht : Springer
    ISBN: 9789400927254
    Language: English
    Pages: Online-Ressource (572p) , digital
    Edition: Springer eBook Collection. Humanities, Social Sciences and Law
    Series Statement: Culture, Illness and Healing 13
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    Keywords: Social sciences ; medicine Philosophy ; Medical ethics ; Anthropology ; Medicine—Philosophy. ; Sociology. ; Bioethics.
    Abstract: I: The Social Sciences and Biomedicine -- Relationships between Society, Culture, and Biomedicine: Introduction to the Essays -- II: Mind, Body, Values, and Society -- Tenacious Assumptions in Western Medicine -- Mind and Body as Metaphors: Hidden Values in Biomedicine -- Psyche, Soma, and Society: The Social Construction of Psychosomatic Disorders -- III: Reproducing Medical Perception and Practice -- Medical Students and the Cadaver in Social and Cultural Context -- Patients, Physicians and Context: Medical Care in the Home -- Discourse, Descriptions and Diagnoses: Reproducing Normal Medicine -- IV: Medicine Evolving, Medicine Adapting -- Space and Time in British General Practice -- Thinking Prevention: Concepts and Constructs in General Practice -- Clinical Science and Clinical Expertise: Changing Boundaries Between Art and Science in Medicine -- V: Medical Construction of life Cycle Processes -- Babyhood: The Social Construction of Infant Care as a Medical Problem in England in the Years Around 1900 -- Menopause as Process or Event: The Creation of Definitions in Biomedicine -- On the Boundary of Life and Death: The Definition of Dying by Medical Residents -- VI: Biomedical Knowledge and Practice Across Cultures -- A Nation at Risk: Interpretations of School Refusal in Japan -- Medical Practice in Response to a Folk Illness: The Treatment of Nervios in Costa Rica -- VII: Constructing the “Ordinary” out of the “Extraordinary” -- Physicians and the Disclosure of Undesirable Information -- The Technological Imperative in Medical Practice: The Social Creation of a “Routine” Treatment -- The Social Construction of a Machine: Ritual, Superstition, Magical Thinking and Other Pragmatic Responses to Running a CT Scanner -- List of Contributors -- Author Index.
    Abstract: The culture of contemporary medicine is the object of investigation in this book; the meanings and values implicit in biomedical knowledge and practice and the social processes through which they are produced are examined through the use of specific case studies. The essays provide examples of how various facets of 20th century medicine, including edu­ cation, research, the creation of medical knowledge, the development and application of technology, and day to day medical practice, are per­ vaded by a value system characteristic of an industrial-capitalistic view of the world in which the idea that science represents an objective and value free body of knowledge is dominant. The authors of the essays are sociologists and anthropologists (in almost equal numbers); also included are papers by a social historian and by three physicians all of whom have steeped themselves in the social sci­ ences and humanities. This co-operative endeavor, which has necessi­ tated the breaking down of disciplinary barriers to some extent, is per­ haps indicative of a larger movement in the social sciences, one in which there is a searching for a middle ground between grand theory and attempts at universal explanations on the one hand, and the context-spe­ cific empiricism and relativistic accounts characteristic of many historical and anthropological analyses on the other.
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  • 5
    ISBN: 9789401578073
    Language: English
    Pages: Online-Ressource (XIX, 369 p) , digital
    Edition: Springer eBook Collection. Humanities, Social Sciences and Law
    Series Statement: Philosophy and Medicine 30
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    Keywords: Philosophy (General) ; medicine Philosophy ; Medical ethics ; Endogenous growth (Economics) ; Ethics ; Public health ; Economic development. ; Medicine—Philosophy. ; Bioethics.
    Abstract: Value Conflicts in Allocation and Care -- National Health Care Systems: Conflicting Visions -- National Health Care Systems: Concurring Conflicts -- National Health Care Systems -- An Ethical Evaluation of Health Care in the United States -- The Health Care System of the Federal Republic of Germany: Moral Issues and Public Policy -- The American and West German Health Care Systems: A Physician’s Reflections -- Socialism, Equity, and Cost Containment in Health: The French Experience -- Ethics and Health Policy in the Netherlands -- Health in the U.S.S.R.: Organization, Trends, and Ethics -- The Public and Private Regulation of Health Care Markets -- Justice as Fairness or Fairness as Prudence? -- Macro-Allocation and Micro-Allocation -- Macro-Allocation in Health Care in the Federal Republic of Germany -- The Macro-Allocation of Health Care Resources -- Rights, Reasonable Expectations, and Rationing: A Commentary on the Essays of Ruth Mattheis and Baruch Brody -- Political-Medical Allocations in the Compulsory Health Insurance Program in the Federal Republic of Germany -- Micro-Allocation in the Health Care System: Fiscal Consolidation with Structural Reforms? -- Medical Micro-Allocation: Is and Ought -- Preventive Medicine, Occupational Health, and Future Issues -- Preventive Interventionism and Individual Liberty -- Improving Occupational Health in the Federal Republic of Germany -- A View from a Clinician’s Window -- Epilogue.
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  • 6
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    Dordrecht : Springer
    ISBN: 9789400927070
    Language: English
    Pages: Online-Ressource (292p) , digital
    Edition: Springer eBook Collection. Humanities, Social Sciences and Law
    Series Statement: Philosophy and Medicine 31
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    Keywords: Philosophy (General) ; medicine Philosophy ; Medical ethics ; Public health laws ; Medicine—Philosophy. ; Medical laws and legislation. ; Bioethics.
    Abstract: I / Historical and Conceptual Foundations -- Back from the Grave: Recurring Controversies over Defining and Diagnosing Death In History -- Does Anyone Survive Neocortical Death? -- Reexamining the Definition of Death and Becoming Clearer about What it is to be Alive -- II / Beyond Whole-Brain Criteria of Death: Legal Considerations -- Should the Law Define Death? — A Genuine Question -- Legal Issues Leading to the Notion of Neocortical Death -- III / The President’s Commission and Beyond -- The Report of the President’s Commission on the Uniform Determination of Death Act -- Whole-Brain, Neocortical, and Higher Brain Related Concepts -- Brains and Persons: A Critique of Veatch’s View -- Human Death and the Destruction of the Neocortex -- IV / The Cultural Context -- Beyond a Whole-Brain Definition of Death: Reconsidering the Metaphysics of Death -- The Many Times of Death -- The Element of Choice in Criteria of Death -- Person Perception and the Death of the Person: A New Role for Health Professionals in Cases of Brain Death -- Notes on contributors.
    Abstract: From the tone of the report by the President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Re­ search, one might conclude that the whole-brain-oriented definition of death is now firmly established as an enduring element of public policy. In that report, Defining Death: Medical, Legal and Ethical Issues in the Determination of Death, the President's Commission forwarded a uni­ form determination of death act, which laid heavy accent on the signifi­ cance of the brain stem in determining whether an individual is alive or dead: An individual who has sustained either (1) irreversible cessation of circulatory and respiratory functions, or (2) irreversible cessation of all functions of the entire brain, including the brain stem, is dead. A determination of death must be made in accordance with accepted medical standards ([1], p. 2). The plausibility of these criteria is undermined as soon as one confronts the question of the level of treatment that ought to be provided to human bodies that have permanently lost consciousness but whose brain stems are still functioning.
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  • 7
    ISBN: 9789400927056
    Language: English
    Pages: Online-Ressource (320p) , digital
    Edition: Springer eBook Collection. Humanities, Social Sciences and Law
    Series Statement: Philosophy and Medicine 28
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    Keywords: Philosophy (General) ; medicine Philosophy ; Medical ethics ; Public health laws ; Ethics ; Medical laws and legislation. ; Medicine—Philosophy. ; Bioethics.
    Abstract: Section I / Human Experimentation and the Legacy of Nuremberg -- The Search for Universality in the Ethics of Human Research: Andrew C. Ivy, Henry K. Beecher, and the Legacy of Nuremberg -- Section II / The Development in Medicine of the Imperative to Conduct Research with Human Subjects: an Historical Analysis -- Cultural Contents in the History of the Use of Human Subjects in Research -- Reflections on the History of Human Experimentation -- Comparative Models and Goals for the Regulation of Human Research -- Moral Appropriateness in Human Research -- Public Control over Biomedical Experiments Involving Human Beings: An Israeli Perspective -- Section III / Ethical and Epistemological Issues in Randomized Clinical Trials -- Diagnosing Well and Treating Prudently: Randomized Clinical Trials and the Problem of Knowing Truly -- Research Risks, Randomization, and Risks to Research: Reflections on the Prudential Use of “Pilot” Trials -- Epistemological Presuppositions Involved in the Programs of Human Research -- At What Level of Statistical Certainty Ought a Random Clinical Trial to be Interrupted? -- Comment on Michael Ruse’s Essay -- Section IV / Obligations and the Avoidance of Injury -- Is There an Obligation to Participate in Biomedical Research? -- Physicians Experimenting on Themselves: Some Ethical and Philosophical Considerations -- Protection of Human Subjects: Remedies for Injury -- Israel Health Regulations: Experiments on Human Subjects - 1980 -- Notes on Contributors.
    Abstract: This volume, which has developed from the Fourteenth Trans­ Disciplinary Symposium on Philosophy and Medicine, September 5-8, 1982, at Tel Aviv University, Israel, contains the contributions of a group of distinguished scholars who together examine the ethical issues raised by the advance of biomedical science and technology. We are, of course, still at the beginning of a revolution in our understanding of human biology; scientific medicine and clinical research are scarcely one hundred years old. Both the sciences and the technology of medicine until ten or fifteen years ago had the feeling of the 19th century about them; we sense that they belonged to an older time; that era is ending. The next twenty-five to fifty years of investigative work belong to neurobiology, genetics, and reproductive biology. The technologies of information processing and imaging will make diagnosis and treatment almost incomprehensible by my generation of physicians. Our science and technology will become so powerful that we shall require all of the art and wisdom we can muster to be sure that they remain dedicated, as Francis Bacon hoped four centuries ago, "to the uses of life." It is well that, as philosophers and physicians, we grapple with the issues now when they are relatively simple, and while the pace of change is relatively slow. We require a strategy for the future; that strategy must be worked out by scientists, philosophers, physicians, lawyers, theologians, and, I should like to add, artists and poets.
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  • 8
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    Dordrecht : Springer
    ISBN: 9789400937253
    Language: English
    Pages: Online-Ressource (304p) , digital
    Edition: Springer eBook Collection. Humanities, Social Sciences and Law
    Series Statement: Philosophy and Medicine 22
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    Keywords: Philosophy (General) ; medicine Philosophy ; Medical ethics ; Ethics ; Public health. ; Medicine—Philosophy. ; Bioethics.
    Abstract: Section I: Human Sexuality -- Medical and Psychiatric Perspectives on a ‘Healthy Sexuality’ -- Medical and Psychiatric Perspectives on Human Sexual Behavior -- The Origins of Sexual Identity: A Clinician’s View -- Theories of Transsexualism -- Sex Research and Therapy -- A Survey of Human Reproduction, Infertility Therapy, Fertility Control and Ethical Consequences -- Section II: Sexuality and Sexual Concepts -- Philosophy, Medicine, and Healthy Sexuality -- Concepts of Disease and Sexuality -- Freud and Perversion -- The Politics of The Natural: The Case of Sex Differences -- Heterosex -- Bisexuality: Challenging Our Understanding of Human Sexuality and Sexual Orientation -- Sex and Love: Sexual Dysfunction as a Spiritual Disorder -- Notes on Contributors.
    Abstract: When confronted by the concerns of human sexual function or dys­ function, American medicine finds itself well impaled on the horns of a dilemma. Currently it is acceptable medical practice to treat sexual dysfunctions, disorders, or dissatisfactions that arise from psy­ chogenic etiologies, endocrine imbalances, neurologic defects or are side effects of necessary medication regimes. In addition, implanta­ tion of penile prostheses in cases of organic impotence is an increas­ ingly popular surgical procedure. These clinical approaches to sexual inadequacies, accepted by medicine since 1970, represent one horn of the dilemma. The opposite horn pictures the medical profession firmly backed into a corner by cultural influences. For example, when hospital admissions occur, a significant portion of the routine medical history is the section on system review. A few questions are asked about the cardio-respiratory, the genito-urinary, and the gastro-intestinal sys­ tems. But in a preponderance of hospitals no questions are permitted or, if raised, answers are not recorded about human sexual functioning. Physicians tend to forget that they are victims of cultural imposition first and of professional training a distant second.
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  • 9
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    Dordrecht : Springer
    ISBN: 9789401577687
    Language: English
    Pages: Online-Ressource (XVII, 204 p) , digital
    Edition: Springer eBook Collection. Humanities, Social Sciences and Law
    Series Statement: Philosophy and Medicine 26
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    Keywords: Philosophy (General) ; medicine Philosophy ; Social sciences Philosophy ; Medical ethics ; Anthropology ; Medicine—Philosophy. ; Philosophy and social sciences. ; Bioethics.
    Abstract: 1: Some Basic Issues in the Philosophy of Health -- 2: An Analytic Theory of Health: The Biostatistical Theory (BST) -- 3: Towards a Holistic Theory of Health -- 4: On the Factors Which Compromise Health -- 5: On Some Societal and Scientific Consequences of the Welfare Notion of Health -- 6: Conclusions and Summary of the Welfare Theory of Health -- Appendix: On the Ontology of Diseases -- 1. A Classical Debate — Physiologism Versus Ontologism -- 2. The Problem of Historical Change -- 3. Towards a Reconstruction of Medical Ontology -- 4. Some Modern Definitions of Diseases -- 5. An Analysis of the Disease Concepts -- 6. Summary -- Notes.
    Abstract: GENERAL INTRODUCTION This study of the concept of health is an attempt to combine central ideas in modern philosophy of medicine with certain results from analytical action theory. What emerges from the study is a concept of health based on an action-theoretic foundation. A person's health is characterized as his ability to achieve his vital goals. The general conception is not new. This study has been inspired by a number of scholars, both ancient and modern. The most important influences from the latter have been those of Georges Canguilhem, H. Tristram Engelhardt Jr. , Caroline Whitbeck and Ingmar Pörn. The novel aspect of this book consists of elaborations made to the general conception. First, the action-theoretic platform is analysed in some detail. The nature of the ability involved, as well as the conditions for having that ability, are specified. Second, the vital goals of man are given considerable attention. Some previous attempts to define such vital goals are analysed and criticized. A new characterization is proposed, in which the vital goals are conceptually linked to the notion of happiness. A person's vital goals are such states of affairs as are necessary and together sufficient for his minimal happiness. Third, a number of consequences of this con­ ception are observed and analysed. One issue which is particularly empha­ sized is that ofwhether the concept ofhealth is a theoretical or a normative concept.
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  • 10
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    Dordrecht : Springer
    ISBN: 9789401539432
    Language: English
    Pages: Online-Ressource (312p) , digital
    Edition: Springer eBook Collection. Humanities, Social Sciences and Law
    Series Statement: Philosophy and Medicine 23
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    Keywords: Philosophy (General) ; medicine Philosophy ; Medical ethics ; Ethics ; Medicine—Philosophy. ; Bioethics.
    Abstract: Table of Contents Volume II -- Section I: Reproduction, Medicine, and Morals -- Sexual Ethics: Some Perspectives from the History of Philosophy -- Medicine and the Control of Reproduction -- On the Connection of Sex to Reproduction -- Having Sex and Making Love: The Search for Morality in Eros -- Section II: Society, Sexuality, and Medicine -- Sex, Society, Medicine: An Historical Comment -- The Clinician as Sexual Philosopher -- The Diagnostic and Statistical Manual of the American Psychiatric Association: Classifying Sexual Disorders -- Changing Life-Styles and Medical Practice -- Human Sexuality: Counselling and Treatment in a Family Medicine Practice -- Sex Research and Therapy: On the Morality of the Methods, Practices and Procedures -- Section III: Religion, Medicine, and Moral Controversy -- Theological Approaches to Sexuality: An Overview -- Contemporary Controversies in Sexual Ethics: A Case Study in Post-Vatican II Moral Theology -- Transsexual Surgery: Some Reflections on the Moral Issues Involved -- The Irrelevance of Theology for Sexual Ethics -- Notes on Contributors.
    Abstract: It may be unnecessary to some to publish a text on sexuality in 1986 since the popular press speaks of the sexual revolution as if it were over and was possibly a mistake. Some people characterize society as too sexually obsessed, and there is an undercurrent of desire for a return to a supposedly simpler and happier time when sex was not openly dis­ cussed, displayed, taught or even, presumedly, contemplated. Indeed, we are experiencing something of a backlash against open sexuality and sexual liberation. For example, during the '60s and '70s tolerance of homosexual persons and homosexuality increased. Of late there has been a conservative backlash against gay-rights laws. Sexual intercourse before marriage, which had been considered healthy and good, has been, of late, characterized as promiscuous. In fact, numer­ ous articles have appeared about the growing popularity of sexual abstinence. There is a renewed vigor in the fight against sex education in the schools, and an 'anti-pornography' battle being waged by those on the right and those on the left who organize under the guise of such worthy goals as deterring child abuse and rape, but who are basically uncomfortable with diverse expressions of sexuality. One would hope that such trends, and the ignorance about sex and sexuality that they reflect, would not touch medical professionals. That Dr.
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  • 11
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    Dordrecht : Springer
    ISBN: 9789400947047
    Language: English
    Pages: Online-Ressource (316p) , digital
    Edition: Springer eBook Collection. Humanities, Social Sciences and Law
    Series Statement: Philosophy and Medicine 21
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    Keywords: Philosophy (General) ; medicine Philosophy ; Medical ethics ; Finance ; Medicine—Philosophy. ; Finance, Public. ; Public health. ; Bioethics.
    Abstract: I / Medical Economics and Ethics: Some Theoretical Considerations -- Economics and the Allocation of Resources to Improve Health -- Economic Cost and Moral Value -- II / Costs and Benefits in Medicine: Some Philosophical Views -- Computing the Quality of Life -- CBA, Utilitarianism, and Reliance Upon Intuitions -- Prior Consent and Valuing Life -- Cost-Benefit Analysis, Monetary Value, and Medical Decision -- III / Economics and Ethics in Health Policy -- Intervention Against Genetic Disease: Economic and Ethical Considerations -- Ethical Reflections in Genetic Screening: A Reply to Swint and Kaback -- Rationing Medical Care: Processes for Defining Adequacy -- Comments on “Rationing Medical Care: Processes for Defining Adequacy” -- Rationing and Publicity -- Comments on “Rationing and Publicity” -- IV / Controlling Costs/Maximizing Profit: The Role of Providers -- Physicians and Cost Control -- Shifting Priorities and Values: A Challenge to the Hospital’s Mission -- Shifting the Priorities and Values: A Commentary on Hiller and Gorsky -- Notes on Contributors.
    Abstract: Medicine, morals and money have, for centuries, lived in uneasy cohabitation. Dwelling in the social institution of care of the sick, each needs the other, yet each is embarrassed to admit the other's presence. Morality, in particular, suffers embarrassment, for it is often required to explain how money and medicine are not inimical. Throughout the history of Western medicine, morality's explanations have been con­ sistently ambiguous. Pla.o held that the physician must cultivate the art of getting paid as well as the art of healing, for even if the goal of medicine is healing and not making money, the self-interest of the craftsman is satisfied thereby [4]. Centuries later, a medieval medical moralist, Henri de Mandeville, said: "The chief object of the patient ... is to get cured ... the object of the surgeon, on the other hand, is to obtain his money ... ([5], p. 16). This incompatibility, while general, is not universal. Throughout history, medical practitioners have resolved the problem - either in conscience or to their satisfaction. Some physicians have been so reluctant to make a profit from the ills of those whom they treated that they preferred to live in poverty. Samuel Johnson described his friend, Dr. Robert Levet, a Practiser of Physic: No summons mock'd by chill delay, No petty gain disdain'd by pride; The modest wants of ev'ry day The toil of ev'ry day supplied [3].
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  • 12
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    Dordrecht : Springer
    ISBN: 9789401577236
    Language: English
    Pages: Online-Ressource (XXIV, 315 p) , digital
    Edition: Springer eBook Collection. Humanities, Social Sciences and Law
    Additional Information: Rezensiert in Hendricks, John L. Theology and Bioethics: Exploring the Foundations and Frontiers. Earl E. Shelp 1989
    Series Statement: Philosophy and Medicine 20
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    Keywords: Philosophy (General) ; medicine Philosophy ; Medical ethics ; Ethics ; Medicine—Philosophy. ; Bioethics.
    Abstract: Section I: Theology, Science, and Bioethics -- Religion and the Renaissance of Medical Ethics in the United States: 1965–1975 -- Theology and Science: Their Difference as a Source of Interaction in Ethics -- Scientific and Religious Aspects of Bioethics -- Hartshorne, Theology, and the Nameless God -- The Potential of Theology for Ethics -- The Role of Theology in Bioethics -- Looking for God and Finding the Abyss: Bioethics and Natural Theology -- Section II: Foundations and Frontiers in Religious Bioethics -- Theology and Bioethics: Christian Foundations -- Theological Frontiers: Implications for Bioethics -- Contextuality and Convenant: The Pertinence of Social Theory and Theology to Bioethics -- Feminist Theology and Bioethics -- Doing Ethics in a Plural World -- Section III: Religious Reasoning about Bioethics and Medical Practice -- Salvation and Health: Why Medicine Needs the Church -- Love and Justice in Christian Biomedical Ethics -- Contemporary Jewish Bioethics: A Critical Assessment -- Medical Loyalty: Dimensions and Problems of a Rich Idea -- Responsibility for Life: Bioethics in Theological Perspective -- Epilogue: Does Theology Make a Contribution to Bioethics? -- Notes on Contributors.
    Abstract: We who live in this post-modern late twentieth century culture are still children of dualism. For a variety of rather complex reasons we continue to split apart and treat as radical opposites body and spirit, medicine and religion, sacred and secular, private and public, love and justice, men and women. Though this is still our strong tendency, we are beginning to­ discover both the futility and the harm of such dualistic splitting. Peoples of many ancient cultures might smile at the belatedness of our discovery concerning the commonalities of medicine and religion. A cur­ sory glance back at ancient Egypt, Samaria, Babylonia, Persia, Greece, and Rome would disclose a common thread - the close union of religion and medicine. Both were centrally concerned with healing, health, and wholeness. The person was understood as a unity of body, mind, and spirit. The priest and the physician frequently were combined in the same individual. One of the important contributions of this significant volume of essays is the sustained attack upon dualism. From a variety of vantage points, virtually all of the authors unmask the varied manifestations of dualism in religion and medicine, urging a more holistic approach. Since the editor has provided an excellent summary of each article, I shall not attempt to comment on specific contributions. Rather , I wish to highlight three 1 broad themes which I find notable for theological ethics.
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  • 13
    Online Resource
    Online Resource
    Dordrecht : Springer
    ISBN: 9789400952331
    Language: English
    Pages: Online-Ressource (260p) , digital
    Edition: Springer eBook Collection. Humanities, Social Sciences and Law
    Series Statement: Philosophy and Medicine 19
    Parallel Title: Erscheint auch als
    Parallel Title: Erscheint auch als
    Parallel Title: Erscheint auch als
    Keywords: Philosophy (General) ; medicine Philosophy ; Medical ethics ; Emergency medicine ; Medicine—Philosophy. ; Public health. ; Bioethics.
    Abstract: A Movable Medical Crisis -- Moral Absurdities in Critical Care Medicine: Commentary on a Parable -- Moral Tensions in Critical Care Medicine: “Absurdities” as Indications of Finitude -- “Conceptual Construals” vs. Moral Experience: A Rejoinder -- Can Principles Survive in Situations of Critical Care? -- Coercion, Conversation and the Casuist: A Reply to Jay Katz -- Justice and the Hippocratic Tradition of Acting for the Good of the Sick -- Clinical Ethics and Resource Allocation: The Problem of Chronic Illness in Childhood -- Moral Choice, the Good of the Patient, and the Patient’s Good -- What Good is Another Paper on The Good? No Codes and Dr. Pellegrino -- Allocating Resources Within Health Care: Critical Care vs. Prevention -- Report of the President’s 2003 Commission on the Fall of Medicine -- Triage and Critical Care -- The Ethics of Critical Care in Cross-Cultural Perspective -- Triage: Philosophical and Cross-Cultural Perspectives -- Critical Care in an Historical Context -- Commentary on Stanley J. Reiser’s ‘Critical Care in an Historical Context’ -- Notes on Contributors.
    Abstract: The expense of critical care and emergency medicine, along with widespread expectations for good care when the need arises, pose hard moral and political problems. How should we spend our tax d'ollars, and who should get help? The purpose of this volume is to reflect upon our choices. The authors whose papers appear herein identify major difficulties and offer various solutions to them. Four topics are discussed throughout the volume: First, encounters between patients and health professionals in critical situations in general, and where scarcity makes rationing necessary; second, allocation and social policy, including how much to spend on preventive, chronic or critical care medicine, or for medicine in general compared to other important social projects; third, conflicts between or ranking of important goals and values; and fourth, conceptual issues affecting the choices we make. Since these topics are raised by the authors in almost every essay, we did not divide the papers into separate sections within the volume. Warren Reich begins the volume with a parable illustrating a key problem for contemporary medicine and two very different approaches to its solution. His story begins with the "delivery" of three indigent, critically ill, foreign patients to the emergency room of a large American private hospital. Although the hospital is legally bound to care for these patients, providing long term, high cost care for them and others soon becomes a major financial strain.
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  • 14
    Online Resource
    Online Resource
    Dordrecht : Springer
    ISBN: 9789400952294
    Language: English
    Pages: Online-Ressource (388p) , digital
    Edition: Springer eBook Collection. Humanities, Social Sciences and Law
    Series Statement: Philosophy and Medicine 17
    Parallel Title: Erscheint auch als
    Parallel Title: Erscheint auch als
    Parallel Title: Erscheint auch als
    Keywords: Philosophy (General) ; medicine Philosophy ; Medical ethics ; Medicine—Philosophy. ; Bioethics.
    Abstract: Section I / Historical Analyses -- Virtue and Health/Medicine in Pre-Christian Antiquity -- Virtue and Medicine from Early Christianity Through the Sixteenth Century -- Virtue and Medicine During the Enlightenment in Germany -- Virtues, Etiquette, and Anglo-American Medical Ethics in the Eighteenth and Nineteenth Centuries -- Section II / Theories of Virtue -- Virtue and Vice -- Two Cheers for Meno: The Definition of the Virtues -- Critique of Pure Virtue: Animadversions on a Virtue-Based Ethics -- The Virtues: A Theological Analysis -- Section III / Virtue and medicine -- Virtues and Vices: The Social and Historical Construction of Medical Norms -- The Virtues of Medicine: Meaning and Import -- Virtue and Medicine: A Physician’s Analysis -- The Virtuous Physician, and the Ethics of Medicine -- Virtue and the Practice of Nursing -- The Virtuous Patient -- Virtue and Public Health: Societal Obligation and Individual Need -- Section IV / Critique -- What’s So Special About the Virtues? -- Against Virtue: A Deontological Critique of Virtue Theory in Medical Ethics -- On Medicine and Virtue: A Response -- Notes on Contributors.
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  • 15
    ISBN: 9789400952355
    Language: English
    Pages: Online-Ressource (264p) , digital
    Edition: Springer eBook Collection. Humanities, Social Sciences and Law
    Series Statement: Philosophy and Medicine 18
    Parallel Title: Erscheint auch als
    Parallel Title: Erscheint auch als
    Parallel Title: Erscheint auch als
    Keywords: Philosophy (General) ; medicine Philosophy ; Medical ethics ; Ethics ; Medicine—Philosophy. ; Bioethics.
    Abstract: One/ The Social and Scientific Setting -- I/ The Status of the Physician -- II/ Theories of Health and Disease -- III/ Attitudes Toward Death -- Two/ The Rise of Medical Ethics -- IV/ Who was Hippocrates? -- V/ The Hippocratic Oath -- Three/ Abortion and Euthanasia -- VI/ The Problem of Abortion -- VII/ The Problem of Euthanasia -- VIII/ The Physician’s Moral Responsibility -- IX/ Conclusion -- X/ Epilogue -- Appendices -- Appendix A -- Principles of Medical Ethics -- Appendix B -- A Patient’s Bill of Rights -- Appendix C -- Declaration of Geneva -- Notes -- Select Bibliography.
    Abstract: The idea of reviewing the ethical concerns of ancient medicine with an eye as to how they might instruct us about the extremely lively disputes of our own contemporary medicine is such a natural one that it surprises us to real­ ize how very slow we have been to pursue it in a sustained way_ Ideologues have often seized on the very name of Hippocrates to close off debate about such matters as abortion and euthanasia - as if by appeal to a well-known and sacred authority that no informed person would care or dare to oppose_ And yet, beneath the polite fakery of such reference, we have deprived our­ selves of a familiarity with the genuinely 'unsimple' variety of Greek and Roman reflections on the great questions of medical ethics. The fascination of recovering those views surely depends on one stunning truism at least: humans sicken and die; they must be cared for by those who are socially endorsed to specialize in the task; and the changes in the rounds of human life are so much the same from ancient times to our own that the disputes and agreements of the past are remarkably similar to those of our own.
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