Autonomy and Clinical Medicine: Renewing the Health Professional Relation with the Patient / Edition 1

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This book is the result of a long-standing clinical and educational co operation between a medical psychologist (Bergsma) and a medical ethic ist/philosopher (Thomasma). It is thoroughly interdisciplinary in its examination of the difficulties of honoring the patient's and the phys ician's autonomy, especially in light of the changes in health care wo rldwide today. Although autonomy has become the primary standard of bi oethics, little has been done to link it to the ways people actually b ehave, nor to its roots in the healing relationship. Combining as it d oes the disciplines of psychology and philosophy, this book is a step in that direction.

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Table of Contents

Dedication. Acknowledgments. Introduction. Part One: The Dynamics of Autonomy. 1. Autonomy as a Behavioral Concept. 2. Autonomy, Identity, and Physical Disruption. 3. Autonomy in the Doctor-Patient Encounter. Part Two: Reflections on Autonomy. 4. Modes of Autonomy: Psychology Meets Philosophy. 5. Freedom and the Social Aspect of Medicine. 6. Moving Beyond Autonomy to the Person with Illness. 7. Autonomy and Ethical Models of the Doctor-Patient Relationship. Part Three: Conclusion. 8. Reconstituting the Doctor-Patient Encounter. Bibliography. Index.

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