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The Philosophy of Medicine Reborn
Edmund D. Pellegrino has played a central role in shaping the fields of bioethics and the philosophy of medicine. His writings encompass original explorations of the healing relationship, the need to place humanism in the medical curriculum, the nature of the patient’s good, and the importance of a virtue-based normative ethics for health care. In this anthology, H. Tristram Engelhardt, Jr., and Fabrice Jotterand have created a rich presentation of Pellegrino’s thought and its development. Pellegrino’s work has been dedicated to showing that bioethics must be understood in the context of medical humanities, and that medical humanities, in turn, must be understood in the context of the ...
The Virtues in Medical Practice
In recent years, virtue theories have enjoyed a renaissance of interest among general and medical ethicists. This book offers a virtue-based ethic for medicine, the health professions, and health care. Beginning with a historical account of the concept of virtue, the authors construct a theory of the place of the virtues in medical practice. Their theory is grounded in the nature and ends of medicine as a special kind of human activity. The concepts of virtue, the virtues, and the virtuous physician are examined along with the place of the virtues of trust, compassion, prudence, justice, courage, temperance, and effacement of self-interest in medicine. The authors discuss the relationship between and among principles, rules, virtues, and the philosophy of medicine. They also address the difference virtue-based ethics makes in confronting such practical problems as care of the poor, research with human subjects, and the conduct of the healing relationship. This book with the author's previous volumes, A Philosophical Basis of Medical Practice and For the Patient's Good, are part of their continuing project of developing a coherent moral philosophy of medicine.
The Health Care Professional as Friend and Healer
This book illuminates issues in medical ethics revolving around the complex bond between healer and patient, focusing on friendship and other important values in the healing relationship. Embracing medicine, philosophy, theology, and bioethics, it considers whether bioethical issues in medicine, nursing, and dentistry can be examined from the perspective of the healing relationship rather than external moral principles. Distinguished contributors explore the role of the health professional, the moral basis of health care, greater emphasis on the humanities in medical education, and some of the current challenges facing healers today.
For the Patient's Good
In this companion volume to their 1981 work, A Philosophical Basis of Medical Practice, Pellegrino and Thomasma examine the principle of beneficence and its role in the practice of medicine. Their analysis, which is grounded in a thorough-going philosophy of medicine, addresses a wide array of practical and ethical concerns that are a part of health care decision-making today. Among these issues are the withdrawing and withholding of nutrition and hydration, competency assessment, the requirements for valid surrogate decision-making, quality-of-life determinations, the allocation of scarce health care resources, medical gatekeeping, and for-profit medicine. The authors argue for the restorat...
The Christian Virtues in Medical Practice
Christian health care professionals in our secular and pluralistic society often face uncertainty about the place religious faith holds in today's medical practice. Through an examination of a virtue-based ethics, this book proposes a theological view of medical ethics that helps the Christian physician reconcile faith, reason, and professional duty. Edmund D. Pellegrino and David C. Thomasma trace the history of virtue in moral thought, and they examine current debate about a virtue ethic's place in contemporary bioethics. Their proposal balances theological ethics, based on the virtues of faith, hope, and charity, with contemporary medical ethics, based on the principles of beneficence, justice, and autonomy. The result is a theory of clinical ethics that centers on the virtue of charity and is manifest in practical moral decisions. Using Christian bioethical principles, the authors address today's divisive issues in medicine. For health care providers and all those involved in the fields of ethics and religion, this volume shows how faith and reason can combine to create the best possible healing relationship between health care professional and patient.
Controversies in the Determination of Death
Report by the Pres. Council on Bioethics of an inquiry that was occasioned by another forthcoming Council report on ethical questions in organ transplantation. The two reports are linked ethically: most of the organs procured for transplantation in this country come from deceased donors who have been declared dead in accord with the neurological standard (NS). This report is primarily concerned with a careful analysis of the ethical questions raised by the NS, i.e., the clinical determination of ¿whole brain death.¿ Since then, the NS has been accepted as one of two valid standards for determining death and has been adopted in many countries throughout the world. The Council has concluded that the NS remains valid.
Jewish and Catholic Bioethics
Drawing on multiple interconnected scriptural and spiritual sources, the Jewish tradition of ethical reflection is intricate and nuanced. This book presents scholarly Jewish perspectives on suffering, healing, life, and death, and it compares them with contemporary Christian and secular views. The Jewish perspectives presented in this book are mainly those of orthodox scholars, with the responses representing primarily Christian-Catholic points of view. Readers unfamiliar with the Jewish tradition will find here a practical introduction to its major voices, from Spinoza to Jewish religious law. The contributors explore such issues as active and passive euthanasia, abortion, assisted reproduction, genetic screening, and health care delivery. Offering a thoughtful and thought-provoking dialogue between Jewish and Christian scholars, Jewish and Catholic Bioethics is an important contribution to ecumenical understanding in the realm of health care.
Ethics, Trust, and the Professions
The essays in Ethics, Trust, and the Professions probe the nature of the fiduciary relationship that binds client to lawyer, believer to minister, and patient to doctor. Angles of approach include history, sociology, philosophy, and culture, and their very multiplicity reveals how difficult we find it to formulate a code of ethics which will insure a relationship of trust between the professional and the public.
