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2015 (10)

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Book
Medicine as a Scholarly Field: An Introduction
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ISBN: 9783319190129 3319190113 9783319190112 3319190121 Year: 2015 Publisher: Cham : Springer International Publishing : Imprint: Springer,

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Abstract

This book exposes, and fills, a notable void in the educational content generally covered in modern schools of medicine. It provides an introduction to the field at large in terms of content that is relevant for each of the specialties and subspecialties of medicine; and to this end, it addresses the modern counterpart of the Hippocratic philosophy that was at the root of the genesis of modern medicine. The much-needed but still-missing introductory content for the interdisciplinary 'medical common,' provided in this book, addresses mainly the most elementary concepts and principles of medicine. Those concepts flow, hierarchically, from the essence of (health and) ill-health/illness for one and that of medicine for another, both of these critically formulated; and those principles are dictates of logic and ethics, both specific to medicine. While a modern physician is expected to be competent as a scholar in his/her particular discipline of medicine, study of this book is essential for the development of that competence -- for learning, for example, to make a tenable distinction between scientific medicine and medical science, and between knowledge-based medicine (scientific and other) and its opinion-based substitutes ('evidence-based' and other). "To me it is astonishing and to medicine actually shameful that it has taken up to year 2015 before there is a work in which the essence of medicine is described and discussed." -- J. Steurer, University of Zurich "[In this book], Miettinen beautifully elucidates the concepts and principles of knowledge-based diagnosis, and prognosis, within medicine. Now, after six decades of keen observation and study, and critical reflection on medicine and medical research, Miettinen, in this book, shares the fundamental understandings he has reached; ..." -- T. J. VanderWeele, Harvard University "The aim of this book ... is admirable. The composition of the book -- from the key concepts to logical and ethical principles -- is very clear and systematic. I am convinced that this kind of book is needed." -- I. Niiniluoto, University of Helsinki.


Book
At the Foundations of Bioethics and Biopolitics: Critical Essays on the Thought of H. Tristram Engelhardt, Jr.
Authors: --- ---
ISBN: 3319189646 3319189654 Year: 2015 Publisher: Cham : Springer International Publishing : Imprint: Springer,

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This volume brings together a set of critical essays on the thought of Professor Doctor H. Tristram Engelhardt Jr., Co-Founding Editor of the Philosophy and Medicine book series. Amongst the founders of bioethics, Professor Engelhardt, looms large. Many of his books and articles have appeared in multiple languages, including Italian, Romanian, Portuguese, Spanish, and Chinese. The essays in this book focus critically on a wide swath of his work, in the process elucidating, critiquing, and/or commending the rigor and reach of his thought.  This volume compasses analyses of many different aspects of Engelhardt's work, including social and political philosophy, biopolitics, the philosophy of medicine, and bioethics.  It brings together internationally known scholars to assess key elements of Engelhardt's work.


Book
Le conflit des facultés et autres textes sur la Révolution
Authors: ---
ISBN: 9782228913355 2228913359 Year: 2015 Publisher: Paris: Payot,

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Le titre même de cet ouvrage, Le Conflit des Facultés et autres textes sur la révolution, réalisé par les soins de Christian Ferrié, dit l'ambition de son auteur. Il s'agit de rien moins que de conférer à un texte classiquement considéré comme secondaire - à l'exception de la seconde section - le statut d'oeuvre majeure où se manifeste la cohérence d'un tout, au point que l'on puisse y voir le testament politique de Kant. A cela contribue d'une part l'édition des premières moutures de la seconde section sur le progrès historique du genre humain. C'est le cas d'un Essai sur le progrès comprenant des fragments traduits pour la première fois en français. D'autre part, une interprétation renouvelée de la première section relative au conflit entre la Faculté de théologie et celle de philosophie, selon laquelle serait en jeu la question du théologico-politique, c'est-à-dire l'émancipation du politique à l'égard de la religion, grâce à une critique radicale des différents messianismes qui font obstacle à la pratique pure d'une religion de la raison. Testament politique révolutionnaire où Kant, à suivre l'interprète, se trouverait situé entre Spinoza et l'Ecole de Francfort. En effet, dans cette mise en scène des conflits qui opposent les Facultés supérieures, du côté du pouvoir, à la philosophie, du côté de l'émancipation, se constitue une théorie critique de l'idéologie dominante. A partir de l'enthousiasme que suscite l'événement révolutionnaire chez les spectateurs qui y perçoivent le signe d'un progrès en mieux, Kant affirme une exigence normative à réaliser politiquement, sous la forme de la reconnaissance du droit du peuple inscrit dans une constitution républicaine. Une postface inventive fait crédit à Kant d'avoir élaboré un réformisme révolutionnaire qui, prenant appui sur un diagnostic du présent, révèle sa vision politique d'un monde à venir.


Book
The Mental Mechanisms of Patient Adherence to Long-Term Therapies : Mind and Care
Author:
ISBN: 9783319122649 9783319122656 3319122649 3319122657 Year: 2015 Volume: 118 Publisher: Cham : Springer International Publishing : Imprint: Springer,

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The goal of this book is to describe the mechanisms of patients’ adherence to long-term therapies, whose improvement, according to the World Health Organization (WHO), would be more beneficial than any biomedical progress. For example, approximately half of the patients do not regularly follow medical prescriptions, resulting in deleterious effects on people’s health and a strong impact on health expenditure. This book describes how our beliefs, desires, and emotions intervene in our choices concerning our health, by referring to concepts developed within the framework of the philosophy of mind. In particular, it tries to explain how we can choose between an immediate pleasure and a remote reward—preserving our health and our life. We postulate that such an “intertemporal” choice can be directed by a “principle of foresight” which leads us to give priority to the future. Just like patients’ non-adherence to prescribed medications, doctors often don’t always do what they should: They are non-adherent to good practice guidelines. We propose that what was recently described as “clinical inertia” could also represent a case of myopia: From time to time doctors fail to consider the long-term interests of their patient. Both patients’ non-adherence and doctors’ clinical inertia represent major barriers to the efficiency of care. However, it is also necessary to respect patients’ autonomy. The analysis of relationship between mind and care which is provided in this book sheds new light on the nature of the therapeutic alliance between doctor and patient, solving the dilemma between the ethical principles of beneficence and autonomy.


Book
Trust and Incidents : The Dynamic of Interpersonal Trust between Patients and Practitioners
Author:
ISBN: 9783658096700 3658096691 9783658096694 3658096705 Year: 2015 Publisher: Wiesbaden : Springer Fachmedien Wiesbaden : Imprint: Springer VS,

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Taking an interdisciplinary approach to conceptualise interpersonal trust between patients and medical practitioners, Katja Beitat introduces a unique model to describe the dynamics of trust building and deterioration with particular relevance to incidents in health care. Empirical findings from studies in Australia and Germany, the two systems focused on in this book, broadly support and expand the proposed dynamic model of trust. Specific communication, competence and care related aspects impact on the trust relationship between patients and practitioners which in return is considered essential for other trust relations in health care. Contents Conceptualising Trust Communicating about Health Care Incidents Experiences of Patients and Medical Practitioners Factors Influencing Interpersonal Trust Recommendations for Future Research  Target Groups Lecturers and Students of Medicine, Health Care Law, Clinical Governance, Health Administration, Medical Law, and Health Communication Medical Practitioners Especially in the Field of Surgery and General Medicine, Lawyers Specialised in Medical Law, Health Regulatory Bodies (Ministries of Health), People Working in Hospital Management  The Author Since 2007 Katja Beitat has been working for the NSW Health Care Complaints Commission, an independent statutory body in Sydney/Australia.She completed her PhD thesis at the University of Leipzig/Germany and has been a visiting scholar at the Centre for Health Communication at the University of Technology, Sydney.


Book
The DSM-5 in Perspective : Philosophical Reflections on the Psychiatric Babel
Authors: ---
ISBN: 9789401797658 9401797641 9789401797641 940179765X Year: 2015 Publisher: Dordrecht : Springer Netherlands : Imprint: Springer,

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Since its third edition in 1980, the Diagnostic and Statistical Manual of Mental Disorders (DSM) of the American Psychiatric Association has acquired a hegemonic role in the health care professions and has had a broad impact on the lay public. The publication in May 2013 of its fifth edition, the DSM-5, marked the latest milestone in the history of the DSM and of American psychiatry. In The DSM-5 in Perspective: Philosophical Reflections on the Psychiatric Babel, experts in the philosophy of psychiatry propose original essays that explore the main issues related to the DSM-5, such as the still weak validity and reliability of the classification, the scientific status of its revision process, the several cultural, gender, and sexist biases that are apparent in the criteria, the comorbidity issue, and the categorical vs. dimensional debate. For several decades the DSM has been nicknamed “The Psychiatric Bible.” This volume would like to suggest another biblical metaphor: the Tower of Babel. Altogether, the essays in this volume describe the DSM as an imperfect and unachievable monument – a monument that was originally built to celebrate the new unity of clinical psychiatric discourse, but that ended up creating, as a result of its hubris, ever more profound practical divisions and theoretical difficulties.


Book
Family-Oriented Informed Consent : East Asian and American Perspectives
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ISBN: 9783319121192 9783319121208 3319121197 3319121200 Year: 2015 Publisher: Cham : Springer International Publishing : Imprint: Springer,

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This volume addresses the proper character of patient informed consent to medical treatment and clinical research. The goal is critically to explore the current individually oriented approach to informed consent which grew out of the dominant bioethics movement that arose in the United States in the 1970s. In contrast to that individually oriented approach, this volume explores the importance of family-oriented approaches to informed consent for medical treatment and clinical research. It draws on both East Asian moral resources as well as a critical response to the ways in which the practice of informed consent has developed in the United States.


Book
Handbook of analytic philosophy of medicine
Authors: ---
ISBN: 9789401795784 9789401795791 9401795789 9401795797 Year: 2015 Volume: 119 Publisher: Dordrecht [etc.] Springer

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Medical practice is practiced morality, and clinical research belongs to normative ethics. The present book elucidates and advances this thesis by: 1. analyzing the structure of medical language, knowledge, and theories; 2. inquiring into the foundations of the clinical encounter; 3. introducing the logic and methodology of clinical decision-making, including artificial intelligence in medicine; 4. suggesting comprehensive theories of organism, life, and psyche; of health, illness, and disease; of etiology, diagnosis, prognosis, prevention, and therapy; and 5. investigating the moral and metaphysical issues central to medical practice and research. Many systems of (classical, modal, non-classical, probability, and fuzzy) logic are introduced and applied. Fuzzy medical deontics, fuzzy medical ontology, fuzzy medical concept formation, fuzzy medical decision-making and biomedicine and many other techniques of fuzzification in medicine are introduced for the first time.


Book
Medicine and society, new perspectives in continental philosophy
Authors: ---
ISBN: 9789401798693 9789401798709 9401798699 9401798702 Year: 2015 Volume: 120 Publisher: Dordrecht [etc.] Springer

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This volume addresses some of the most prominent questions in contemporary bioethics and philosophy of medicine: ‘liberal’ eugenics, enhancement, the normal and the pathological, the classification of mental illness, the relation between genetics, disease and the political sphere, the experience of illness and disability, and the sense of the subject of bioethical inquiry itself. All of these issues are addressed from a “continental” perspective, drawing on a rich tradition of inquiry into these questions in the fields of phenomenology, philosophical hermeneutics, French epistemology, critical theory and post-structuralism. At the same time, the contributions engage with the Anglo-American debate, resulting in a fruitful and constructive conversation that not only shows the depth and breadth of continental perspectives in bioethics and medicine, but also opens new avenues of discussion and exploration.   For decades European philosophers have offered important insights into the relation between the practices of medicine, the concept of illness, and society more broadly understood. These interventions have generally striven to be both historically nuanced and accessible to non-experts. From Georges Canguilhem’s seminal The Normal and the Pathological, Michel Foucault’s lectures on madness, sexuality, and biopolitics, Hans Jonas’s deeply thoughtful essays on the right to die, life extension, and ethics in a technological age, Hans-Georg Gadamer’s lectures on The Enigma of Health, and more recently Jürgen Habermas’s carefully nuanced interventions on the question of liberal eugenics, these thinkers have sought to engage the wider public as much as their fellow philosophers on questions of paramount importance to current bioethical and social-political debate. The essays contained here continue this tradition of engagement and accessibility. In the best practices of European philosophy, the contributions in this volume aim to engage with and stimulate a broad spectrum of readers, not just experts. In doing so the volume offers a showcase of the richness and rigor of continental perspectives on medicine and society. .


Book
Clinical Inertia : A Critique of Medical Reason
Author:
ISBN: 9783319098821 3319098810 9783319098814 3319098829 Year: 2015 Publisher: Cham : Springer International Publishing : Imprint: Springer,

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Clinical practice guidelines were initially developed within the context of evidence-based medicine with the goal of putting medical research findings into practice. However, physicians do not always follow them, even when they seem to apply to the particular patient they have to treat. This phenomenon, known as clinical inertia, represents a significant obstacle to the efficiency of care and a major public health problem, the extent of which is demonstrated in this book. An analysis of its causes shows that it stems from a discrepancy between the objective, essentially statistical nature of evidence-based medicine on the one hand and the physician’s own complex, subjective view (referred to here as “medical reason”) on the other. This book proposes a critique of medical reason that may help to reconcile the principles of evidence-based medicine and individual practice. The author is a diabetologist and Professor of Endocrinology, Diabetology and Metabolic Diseases at Paris 13 University. He has authored several books, including one to be published by Springer (Philosophy and Medicine series) under the title: The Mental Mechanisms of Patient Adherence to Long Term Therapies, Mind and Care.

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