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Stories and Their Limits
Narratives have always played a prominent role in both bioethics and medicine; the fields have attracted much storytelling, ranging from great literature to humbler stories of sickness and personal histories. And all bioethicists work with cases--from court cases that shape policy matters to case studies that chronicle sickness. But how useful are these various narratives for sorting out moral matters? What kind of ethical work can stories do--and what are the limits to this work? The new essays in Stories and Their Limits offer insightful reflections on the relationship between narratives and ethics.
How Doctors Think
"Although physicians make use of science, this book argues that medicine is not itself a science, but rather an interpretive practice that relies heavily on clinical reasoning." "In How Doctors Think, Kathryn Montgomery contends that assuming medicine is strictly a science can have adverse effects. She suggests these can be significantly reduced by recognizing the vital role of clinical judgment."--BOOK JACKET.
A Practical Guide to Clinical Ethics Consulting
A Practical Guide to Clinical Ethics Consulting reasserts the philosophical method as foundational to ethics consulting. It does so in response to extensive attacks from social scientists, lawyers, theologians, and especially practitioners, all of whom disparage philosophy's reliance on abstract theory and conceptual analysis. Using clinical ethics consulting as an exemplar, Christopher Meyers argues that while many of the attacks are well founded, they are only partly so and not in the most important respects. Ethics consulting that relies too heavily on abstract analysis is of little use to practitioners; consultants must have adequate grounding in, and appreciation of, the concrete realit...
Speaking for the Dying
Seven in ten Americans over the age of age of sixty who require medical decisions in the final days of their life lack the capacity to make them. For many of us, our biggest, life-and-death decisions—literally—will therefore be made by someone else. They will decide whether we live or die; between long life and quality of life; whether we receive heroic interventions in our final hours; and whether we die in a hospital or at home. They will determine whether our wishes are honored and choose between fidelity to our interests and what is best for themselves or others. Yet despite their critical role, we know remarkably little about how our loved ones decide for us. Speaking for the Dying ...
Thieves of Virtue
An argument against the “lifeboat ethic” of contemporary bioethics that views medicine as a commodity rather than a tradition of care and caring. Bioethics emerged in the 1960s from a conviction that physicians and researchers needed the guidance of philosophers in handling the issues raised by technological advances in medicine. It blossomed as a response to the perceived doctor-knows-best paternalism of the traditional medical ethic and today plays a critical role in health policies and treatment decisions. Bioethics claimed to offer a set of generally applicable, universally accepted guidelines that would simplify complex situations. In Thieves of Virtue, Tom Koch contends that bioeth...
Handbook on Medical Student Evaluation and Assessment
The Alliance for Clinical Education (ACE) is proud to announce its newest text, the Handbook on Medical Student Evaluation and Assessment. This comprehensive book derives from some chapters in the indispensable fourth edition of the Guidebook for Clerkship Directors, but expands upon those chapters and contains critical new information about milestones, professionalism, and program evaluation. It is useful not only for clerkship directors, but also for preclinical educators, teachers of electives and subinternships, the dean's office, the student affairs office, residency and fellowship program directors, and anyone who teaches, advises, or mentors medical students. It discusses all aspects of assessing learners, with well‐referenced presentations starting from basic definitions, progressing through various assessment methods, and including reviews of the legal aspects of assessments.
Seeking Medicine’s Moral Centre
For the first time in two millennia, the Hippocratic ethic of medical care has been supplanted by a new bioethics. The bottom-up set of injunctions to care, of the patient and for society, ha been replaced by a top-down, commercial ethic focused on patient autonomy in a limited system of medical care. To understand this transformation, and its the effect, Seeking Medicine’s Moral Centre focuses on the issue of “medical aid in dying,” (MAiD) in Canada. Uniquely, it introduces ethnography as a tool to parse a set of academic and public articles reflecting the changing face of medical ethics from 1996 to the present. In doing so it joins the professional and the popular as a single dataset. It is the first book to seriously critique bioethics as a medical ethic through its focus on medical aid in dying as a still contested program in care of the chronically ill and fragile. Key audiences include journalists, medical anthropologists and sociologists; ethicists and bioethicists; medical and scientific researchers and policy makers.
Making Medical Decisions for the Profoundly Mentally Disabled
A legal and moral analysis of medical decision making on behalf of those with such severe cognitive impairments that they cannot exercise self-determination. In this book, Norman Cantor analyzes the legal and moral status of people with profound mental disabilities—those with extreme cognitive impairments that prevent their exercise of medical self-determination. He proposes a legal and moral framework for surrogate medical decision making on their behalf. The issues Cantor explores will be of interest to professionals in law, medicine, psychology, philosophy, and ethics, as well as to parents, guardians, and health care providers who face perplexing issues in the context of surrogate medi...
Bioethics and Disability
Bioethics and Disability provides tools for understanding the concerns, fears and biases that have convinced some people with disabilities that the health care setting is a dangerous place and some bioethicists that disability activists have nothing to offer bioethics. It wrestles with the charge that bioethics as a discipline devalues the lives of persons with disabilities, arguing that reconciling the competing concerns of the disability community and the autonomy-based approach of mainstream bioethics is not only possible, but essential for a bioethics committed to facilitating good medical decision making and promoting respect for all persons, regardless of ability. Through in-depth case studies involving newborns, children and adults with disabilities, it proposes a new model for medical decision making that is both sensitive to and sensible about the fact of disability in medical cases.
