The Social Medicine Reader

Herausgeber: Henderson, Gail E; Churchill, Larry R; Estroff, Sue E; Strauss, Ronald P; King, Nancy M P

• Gebundenes Buch

Produktbeschreibung

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.

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"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

Produktdetails

• Verlag: Duke University Press
• Seitenzahl: 528
• Erscheinungstermin: 2. Juni 1997
• Englisch
• ISBN-13: 9780822319573
• ISBN-10: 0822319578
• Artikelnr.: 34757745

Autorenporträt

Gail E. Henderson, Associate Professor of Social Medicine and Adjunct Professor of Sociology at the University of North Carolina at Chapel Hill, is the author of The Chinese Hospital: A Socialist Work Unit. Nancy M. P. King, Associate Professor of Social Medicine at the University of North Carolina at Chapel Hill, is the author of Making Sense of Advance Directives. Ronald P. Strauss is Professor of Dental Ecology and Social Medicine at the University of North Carolina at Chapel Hill and is author of numerous articles on social and ethical issues in the care of chronic illness. Sue E. Estroff is Professor of Social Medicine and Adjunct Professor of Anthropology and Psychiatry at the University of North Carolina at Chapel Hill. She is the author of Making It Crazy: An Ethnography of Psychiatric Clients in an American Community. Larry R. Churchill is Professor of and Chair of the Department of Social Medicine at the University of North Carolina at Chapel Hill. He is the author of Self-Interest and Universal Health Care: Why Well-Insured Americans Should Support Coverage for Everyone and Rationing Health Care in America: Perceptions and Principles of Justice.

Inhaltsangabe

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