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The social history of medicine over the last fifteen years has redrawn the boundaries of medical history. Specialised papers and monographs have contributed to our knowledge of how medicine has affected society and how society has shaped medicine. This book synthesises, through a series of essays, some of the most significant findings of this 'new social history' of medicine. The period covered ranges from ancient Greece to the present time. While coverage is not exhaustive, the reader is able to trace how medicine in the West developed from an unlicensed open market place, with many different types of practitioners in the classical period, to the nineteenth- and twentieth-century professionalised medicine of State influence, of hospitals, public health medicine, and scientific medicine. The book also covers innovatory topics such as patient-doctor relationships, the history of the asylum, and the demographic background to the history of medicine.
First published in 1992, this book explores how we come to hold our present attitudes towards health, sickness and the medical profession. Roy Porter argues that the outlook of the age of Enlightenment was crucially important in the creation of modern thinking about disease, doctors and society. To illustrate this viewpoint, he focuses on Thomas Beddoes, a prominent doctor of the eighteenth century and examines his challenging, pugnacious, radical and often amusing views on a wide range of issues concerning the place of illness and medicine in society. Many modern debates in medicine continue to echo the topics which Beddoes himself discussed in his ever-trenchant and provocative manner. This book will be of interest to those studying the history of medicine, social history and the Enlightenment.
Sharp, bold and engaging, this book provides a contemporary account of why medical sociology matters in our modern society. Combining theoretical and empirical perspectives, and applying the pragmatic demands of policy, this timely book explores society′s response to key issues such as race, gender and identity to explain the relationship between sociology, medicine and medical sociology. Each chapter includes an authoritative introduction to pertinent areas of debate, a clear summary of key issues and themes and dedicated bibliography. Chapters include: • social theory and medical sociology • health inequalities • bodies, pain and suffering • personal, local and global. Brimming with fresh interpretations and critical insights this book will contribute to illuminating the practical realities of medical sociology. This exciting text will be of interest to students of sociology of health and illness, medical sociology, and sociology of the body. Hannah Bradby has a visiting fellowship at the Department of Primary Care and Health Sciences, King′s College London. She is monograph series editor for the journal Sociology of Health and Illness and co-edits the multi-disciplinary journal Ethnicity and Health.
Fundamentals of Clinical Practice, Second Edition presents medical students with a comprehensive guide to the social ramifications of a physician's work, and more experienced practitioners with the tools to augment their own patient-centered techniques.
The goals of healthcare and health policy, and the health-related dilemmas facing policy makers, professionals, and citizens are extensively analysed and debated in a range of disciplines including public health, sociology, and applied philosophy. Health and the Good Society is the first full-length work that addresses these debates in a way that cuts across these disciplinary boundaries.Alan Cribb's core argument is that clinical ethics needs to be understood in the context of public health ethics. This entails healthcare ethics embracing 'the social dimension' of health in two overlapping senses: first, the various respects in which health experiences and outcomes are socially determined; and second, the ways in which health-related goods are better understood as social rather then purely individual goods. This broader approach to the Cthics of healthcare includes a concernwith the social construction of both healthcare goods and the roles, ideals, and obligations of agents; that is to say it focuses upon the 'value field' of health-related action and not only upon the ethics of action within this value field. This groundbreaking book thus seeks to 'open up' the agendaof healthcare ethics both methodologically and substantively: it argues that population-oriented perspectives are central to all healthcare ethics, and that everybody has some share of responsibility for securing health-related goods including the good of greater health equality. One of its major conclusions is that the rather limited tradition of health education policy and practice needs a complete re-think.
Reconciling the scientific principles of medicine with the love essential for meaningful care is not an easy task, but it is one that Gregory L. Fricchione performs masterfully in Compassion and Healing in Medicine and Society. At the core of this book is a thought-provoking analysis of the relationship between evolutionary science and neuroscience. Fricchione theorizes that the cries for attachment made by seriously ill patients reflect an underlying evolutionary tenet called the separation challenge–attachment solution process. The pleadings of patients, he explains, are verbal expressions of the history of evolution itself. By exploring the roots of a patient’s attachment needs, we come face to face with a critical component of natural selection and the evolutionary process. Medicine engages with the separation challenge–attachment solution process on many levels of scientific knowledge and human meaning and healing. Fricchione applies these concepts to medical care and encourages physicians to fully understand them so they can better treat their patients. Compassionate humanistic care promotes physical, emotional, and spiritual healing precisely because it is consonant with how life, the brain, and humanity have evolved. It is therefore not a luxury of modern medical care but an essential part of it. Fricchione advocates an attachment-based medical system, one in which physicians evaluate stress and resiliency and prescribe an integrative treatment plan for the whole person designed to accentuate the propensity to health. There is a wisdom or perennial philosophy based on compassionate love that, Fricchione stresses, the medical community must take advantage of in designing future health care—and society must appreciate as it faces its separation challenges.
"Many of the goals of South Africa’s new democracy depend on the production of professionals who have not only the knowledge and skills to make our country globally competitive, but also a commitment to working and living here. Despite numerous reforms, the South African health system, ten years into democracy, remains divided: first world private care that ranks with middle income countries internationally at the one end, and at the other extreme, in the rural public sector in particular, conditions that are superior only to the poorest of African countries. Much work has been done to change medical school curricula in line with the primary health-care focus of government policy, and international trends towards problem-based learning. The student profile in medical schools is now not only more representative of the demographics of South Africa, but also reveals a significant increase in female students. Whether these students will stay in the country after graduating, and serve where they are needed most, remains to be seen."--Publisher's website.
Readings in Health, Medicine, and Society offers students carefully selected readings that provide them with a broad and well-rooted knowledge base in global and U.S. medical sociology. Unit I provides students with an overview of the field and examines select concepts and theoretical perspectives. Unit II illustrates the ways in which culture impacts health and health care systems. Unit III examines inequalities at the individual and societal levels. In Unit IV, students investigate how political and corporate structures impact people's health choices and behaviors. Unit V describes the key variables involved in the socialization of Western doctors, reviews the ways folk medicines differ from the Western paradigm, and illustrates an example of healing practices outside Western medicine. Unit VI provides a review of emerging medical technologies as they relate to sociology and offers a critical analysis of pharmaceutical technology. Unit VII critically examines the history of power building by U.S. doctors. The final unit offers a brief overview of the history of bioethics through a discussion of the Nuremburg Code, followed by an examination of patient autonomy and informed consent. Featuring a unique sociological perspective, Readings in Health, Medicine, and Society is an ideal resource for courses in medical sociology and public health.
There is more to a person than a particular symptom or disease: patients are individuals but they are not isolated, they are part of a family, a community, an environment, and all these factors can affect in many different ways how they manage health and illness. This book provides an introduction to population, sociological and psychological influences on health and delivery of healthcare in the UK and will equip today’s medical students with the knowledge required to be properly prepared for clinical practice in accordance with the outcomes of Tomorrow’s Doctors.