The Social Medicine Reader

"A wonderful collection that in its impressive breadth and depth gives a full account of a nation's contemporary medicine as it has been shaped by the events of the late 20th century."--Robert Coles

Table des matières

Preface ix

Introduction 1

Part I. A Cultural Perspective of Experiences of Illness, Disability, nd Deviance

Introduction / Sue Estroff 6

1. Culture, Health, and Illness 12

The Nature of Suffering and the Goals of Medicine / Eric J. Cassell 13

Cancer, Control, and Causality: Talking about Cancer in a Working-Class Community / Martha Belshem 23

Coming to Terms with Advanced Breast Cancer: Black Women's Narratives from Eastern North Carolina / Holly F. Matthews, Donald R. Lannin, and James P. Mitchell 43

2. Illness Experiences and Illness Narratives 61

The Deer at Providencia / Annie Dillard 63

The Cost of Appearances / Arthur Frank 66

Silver Water / Amy Bloom 69

3. Experiences of Deviance, Chronic Illness, and Disability 75

Self, Identity, and the Naming Question: Reflections on the Language of Disability / Irving Kenneth Zola 77

Finch the Spastic Speaks / Gordon Weaver 87

Tell Me, Tell Me / Irving Kenneth Zola 95

Part II. The Influence of Social Factors on Health and Illness

Introduction / Gail E. Henderson 100

1. The Relationship between Social Class, Race/Ethnicity, and Health 108

Socioeconomic Inequalities in Health: No Easy Solution / Nancy E. Adler 109

"Where Crowded Humanity Suffers and Sickens": The Banes Family and Their Neighborhood / Laurie K. Abraham 121

One Drop of Blood / Lawrence Wright 131

2. Gender and Health 142

Women Have Headaches, Men Have Backaches: Patterns of Illness in an Appalachian Community / Claire F. Horton 143

Spence + Lila (excerpts) / Bobbie Ann Mason 156

The Mother-in-Law / Doris Betts 163

3. Old Age 167

Trends, Issues, Perspectives, and Values for the Aging of the Baby Boom Cohorts (excerpts) / John M. Cornman and Eric R. Kingson 168

What Do Children Owe Elderly Parents? / Daniel Callahan 175

Decision Making, Responsibility, and Advocacy in Geriatric Medicine: Physician Dilemmas with Elderly in the Community / Sharon R. Kaufman 184

We Are Nighttime Travelers / Ethan Canin 196

Part III. The Culture of Medicine and Medical Practice

Introduction / Ronald P. Strauss 205

The Socialization of Physicians 209

Basic Clinical Skills: The First Encounters / Melvin Konner 210

Becoming a Doctor: Critical-Incident Reports from Third-Year Medical Students / William Branch, Richard J. Pels, Robert S. Lawrence, and Ronald Arky 223

Invasions / Perri Klass 227

Ethical Dilemmas fro House Staff Physicians: The Care of Critically Ill and Dying Patients / William Winkenwerder Jr. 230

A Student's View of a Medical Teaching Exercise / Abenaa Brewster 236

The Libby Zion Case: One Step Forward or Two Steps Backward? / David A. Asch and Ruth M. Parker 238

2. Medical Practice in Social Context 244

Presidential Address: The Boundaries of Medicine / Donald W. Seldin 244

The Boundaries of Medicine / Gerald T. Perkoff 254

The Changing Demography of the Medical Profession / Arnold S. Relman 263

Medicine is No Longer a Man's Profession: Or, When the Men's Club Goes Coed It's Time to Change the Regs / Carola Eisenberg 266

The Doctors of Hoyland / Sir Arthur Conan Doyle 270

3. Relationships between Doctors and Patients 277

The Basic Models of the Doctor-Patient Relationship / Thomas S. Szasz and Marc H. Hollender 278

Facing Our Mistakes / David Hilfiker 287

Simple Living and Hard Choices / Maureen A. Flannery 293

The Paid Nurse / William Carlos Williams 300

Part IV. Health Care Ethics and the Provider's Role

Introduction / Nancy M. P. King 304

1. The Provider-Patient Relationship 309

Bioethics in Social Context / Larry R. Churchill 310

The Use of Force / William Carlos Williams 320

Case Study: The "Student Doctor" and a Wary Patient / Marc D. Basson, Gerald Dworkin, and Eric J. Cassell 323

Truth Telling to the Patient / Antonella Surbone 326

Is Truth Telling to the Patient a Cultural Artifact? / Edmund D. Pellegrino 330

Offering Truth: One Ethical Approach to the Uninformed Cancer Patient / Benjamin Freedman 333

What the Doctor Said / Raymond Carver 341

Informed Consent, Cancer, and Truth in Prognosis / George J. Annas 341

Swapping Stories: A Matter of Ethics / Judith Andre 346

Case Study: Please Don't Tell / Leonard Fleck and Marcia Angell 349

2. Interests in Conflict 353

Cesareans and Samaritans / Nancy K. Rhoden 354

Justified Limits on Refusing Intervention / Frank A. Chervenak and Laurence B. McCullough 365

Faith (Healing), Hope, and Charity at the FDA: The Politics of AIDS Drug Trials / George J. Annas 375

Case Study: The Doctor's Unproven Beliefs and the Subjects Informed Choice / Don Marquis 386

3. Choices about Treatment 391

Disconnecting a Ventilator at the Request of a Patient Who Knows He Will Then Die: The Doctor's Anguish / Miles J. Edwards and Susan W. Tolle 393

The Last Words of My English Grandmother / William Carlos Williams 398

Death and Dignity: A Case of Individualized Decision Making / Timothy E. Quill 399

Informed Demand for "Non-Beneficial" Medical Treatment / Steven H. Miles 403

The Case of Helga Wanglie: A New Kind of "Right to Die" Case / Marcia Angell 407

Part V. Medical Care Financing, Rationing, and Managed Care

Introduction / Larry R. Churchill 410

1. Medical Care Financing 415

Paying for Medical Care in America / Donald L. Madison 415

Reforming the Health Care System: The Universal Dilemma / Uwe E. Reinhardt 446

2. Rationing: The Dilemmas of Fair Distribution 460

The "Rationing" of Medical Care / Victor R. Fuchs 461

The Prostitute, the Playboy, and the Poet: Rationing Schemes for Organ Transplantation / George J. Annas 464

Ethics of Queuing for Coronary Artery Bypass Grafting in Canada / Jafna L. Cox 469

Rationing in Practice: The Case of In Vitro Fertilisation / Sharon Redmayne and Rudolf Klein 475

3. Managed Care and the Physician's Changing Role 481

Hippocrates and the Health Maintenance Organization: A Discussion of Ethical Issues / Gail Povar and Jonathan Moreno 482

Physicians and Business Managers: A Clash of Cultures / Arnold S. Relman 491

Preserving the Physician-Patient Relationship in the Era of Managed Care / Ezekiel J. Emanuel and Nancy Neveloff Dubler 495

Bibliography 510

Acknowledgment of Copyrights 514

Index to Authors 517

A propos de l'auteur

Gail E. Henderson, Nancy M. P. King, Ronald P. Strauss, Sue E. Estroff, and Larry R. Churchill, eds.

Résumé

Defines the meaning of the social medicine perspective and offers an approach for teaching it. Looking at medicine from a variety of perspectives, this anthology features fiction, medical reports, essays, poetry, and case studies. It is of interest to those who teach anthropology of medicine, medical sociology, public health, and medical ethics.

Détails du produit

• Auteurs: Gail E. Henderson
• Collaboration: Larry R Churchill (Editeur), Larry R. Churchill (Editeur), Sue E Estroff (Editeur), Sue E. Estroff (Editeur), Gail E Henderson (Editeur), Gail E. Henderson (Editeur), Nancy M P King (Editeur), Nancy M. P. King (Editeur), Ronald P Strauss (Editeur), Ronald P. Strauss (Editeur)
• Edition: Duke University Press
• Langues: Anglais
• Format d'édition: Livre Relié
• Sortie: 02.06.1997
• EAN: 9780822319573
• ISBN: 978-0-8223-1957-3
• Pages: 528
• Illustrations: 19 tables, 6 graphs
• Catégories: Livres de conseils > Santé; Sciences naturelles, médecine, informatique, technique > Médecine > Général; Sciences sociales, droit, économie > Sociologie > Autres; Familie und Gesundheit, HEALTH & FITNESS / General, MEDICAL / Public Health, MEDICAL / Health Care Delivery, Diet / Health / Fitness