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This book is a contribution to the current philosophical discussion on the nature of health and illness. It contains a comparative analysis and reevaluation of four influential contemporary theories in this field. These are the biostatistical theory of Christopher Boorse which represents the mainstream thinking in medicine, and three versions of a holistic and normative understanding of health and illness which are the theories of Lawrie Reznek, K. W. M. Fulford, and Lennart Nordenfelt. In this unusual volume of assessment, Nordenfelt critically reexamines his own theory, and George Khushf and K. W. M. Fulford contribute critical responses.
This book challenges the unchallenged methods in medicine, such as "evidence-based medicine," which claim to be, but often are not, scientific. It completes medical care by adding the comprehensive humanistic perspectives and philosophy of medicine. No specific or absolute recommendations are given regarding medical treatment, moral approaches, or legal advice. Given rather is discussion about each issue involved and the strongest arguments indicated. Each argument is subject to further critical analysis. This is the same position as with any philosophical, medical or scientific view. The argument that decision-making in medicine is inadequate unless grounded on a philosophy of medicine is not meant to include all of philosophy and every philosopher. On the contrary, it includes only sound, practical and humanistic philosophy and philosophers who are creative and critical thinkers and who have concerned themselves with the topics relevant to medicine. These would be those philosophers who engage in practical philosophy, such as the pragmatists, humanists, naturalists, and ordinary-language philosophers. A new definition of our own philosophy of life emerges and it is necessary to have one. Good lifestyle no longer means just abstaining from cigarettes, alcohol and getting exercise. It also means living a holistic life, which includes all of one's thinking, personality and actions. This book also includes new ways of thinking. In this regard the "Metaphorical Method" is explained, used, and exemplified in depth, for example in the chapters on care, egoism and altruism, letting die, etc.
This book shows how accessible communication, and especially easy-to-understand languages, should be designed in order to become instruments of inclusion. It examines two well-established easy-to-understand varieties: Easy Language and Plain Language, and shows that they have complementary profiles with respect to four central qualities: comprehensibility, perceptibility, acceptability and stigmatisation potential. The book introduces Easy and Plain Language and provides an outline of their linguistic, sociological and legal profiles: What is the current legal framework of Easy and Plain Language? What do the texts look like? Who are the users? Which other groups are involved in the production and use of Easy and Plain Language offers? Which qualities are a hazard to acceptability and, thus, enhance their stigmatisation potential? The book also proposes another easy-to-understand variety: Easy Language Plus. This variety balances the four qualities and is modelled in the present book.
What counts as health or ill health? How do we deal with the fallibility of our own bodies? Should illness and disease be considered simply in biological terms, or should considerations of its emotional impact dictate our treatment of it? Our understanding of health and illness had become increasingly more complex in the modern world, as we are able to use medicine not only to fight disease but to control other aspects of our bodies, whether mood, blood pressure, or cholesterol. This collection of essays foregrounds the concepts of health and illness and patient experience within the philosophy of medicine, reflecting on the relationship between the ill person and society. Mental illness is considered alongside physical disease, and the important ramifications of society's differentiation between the two are brought to light. Health, Illness and Disease is a significant contribution to shaping the parameters of the evolving field of philosophy of medicine and will be of interest to medical practitioners and policy-makers as well as philosophers of science and ethicists.
Edited by four leading members of the new generation of medical and healthcare ethicists working in the UK, respected worldwide for their work in medical ethics, Principles of Health Care Ethics, Second Edition is a standard resource for students, professionals, and academics wishing to understand current and future issues in healthcare ethics. With a distinguished international panel of contributors working at the leading edge of academia, this volume presents a comprehensive guide to the field, with state of the art introductions to the wide range of topics in modern healthcare ethics, from consent to human rights, from utilitarianism to feminism, from the doctor-patient relationship to xenotransplantation. This volume is the Second Edition of the highly successful work edited by Professor Raanan Gillon, Emeritus Professor of Medical Ethics at Imperial College London and former editor of the Journal of Medical Ethics, the leading journal in this field. Developments from the First Edition include: The focus on ‘Four Principles Method’ is relaxed to cover more different methods in health care ethics. More material on new medical technologies is included, the coverage of issues on the doctor/patient relationship is expanded, and material on ethics and public health is brought together into a new section.
From antiquity to the early modern period, many philosophers also studied anatomy and medicine, or were medical doctors themselves -- yet the history of philosophy and of medicine are pursued as separate disciplines. This book departs from that practice, gathering contributions by both historians of philosophy and of medicine to trace the concept of health from ancient Greece and China, through the Islamic world and to modern thinkers such as Descartes and Freud. Through this interdisciplinary approach, Health demonstrates the synchronicity and overlapping histories of these two disciplines. From antiquity to the Renaissance, contributors explore the Chinese idea of qi or circulating "vital breath," ideas about medical methodology in antiquity and the middle ages, and the rise and long-lasting influence of Galenic medicine, with its insistence that health consists in a balance of four humors and the proper use of six "non-naturals" including diet, exercise, and sex. In the early modern period, mechanistic theories of the body made it more difficult to explain what health is and why it is more valuable than other physical states. However, philosophers and doctors maintained an interest in the interaction between the good condition of the mind and that of the body, with Descartes and his followers exploring in depth the idea of "medicine for the mind" despite their notorious mind-body dualism. In the eighteenth and nineteenth centuries, scientific improvements in public health emerged along with new ideas about the psychology of health, notably with the concept of "sensibility" and Freud's psychoanalytic theory. The volume concludes with a critical survey of recent philosophical attempts to define health, showing that both "descriptive," or naturalistic, and "normativist" approaches have fallen prey to objections and counterexamples. As a whole, Health: A History shows that notions of both physical and mental health have long been integral to philosophy and a powerful link between philosophy and the sciences.
This volume synthesizes material and evidence on how best to plan and deliver child and adolescent mental health care services, providing a one-stop reference guide for all those with responsibilty for these services. It includes a concise update on the most common child psychiatric conditions.
This volume covers a wide range of conceptual, epistemological and methodological issues in the philosophy of science raised by reflection upon medical science and practice. Several chapters examine such general meta-scientific concepts as discovery, reduction, theories and models, causal inference and scientific realism as they apply to medicine or medical science in particular. Some discuss important concepts specific to medicine (diagnosis, health, disease, brain death). A topic such as evidence, for instance, is examined at a variety of levels, from social mechanisms for guiding evidence-based reasoning such as evidence-based medicine, consensus conferences, and clinical trials, to the more abstract analysis of experimentation, inference and uncertainty. Some chapters reflect on particular domains of medicine, including psychiatry, public health, and nursing. The contributions span a broad range of detailed cases from the science and practice of medicine, as well as a broad range of intellectual approaches, from conceptual analysis to detailed examinations of particular scientific papers or historical episodes. - Chapters view philosophy of medicine from quite different angles - Considers substantive cases from both medical science and practice - Chapters from a distinguished array of contributors
Medicine raises numerous philosophical issues. This volume approaches the philosophy of medicine from the broad naturalist perspective. This holds that philosophy must be continuous with, constrained by, and relevant to empirical results of the natural and social sciences. The upshot is a unique volume that ties medicine to contemporary issues in philosophy of science and metaphysics.