Meaning and Medicine: A Reader in the Philosophy of Health Care / Edition 1

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A chief aim of this resource is to rekindle interest in seeing health care not solely as a set of practices so problematic as to require ethical analysis by philosophers and other scholars, but as a field whose scrutiny is richly rewarding for the traditional concerns of philosophy.

Disc. bioethics in terms of health care issues, incl. disa- bility, dementia, distributive justice, rationing, more.

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Product Details

  • ISBN-13: 9780415919166
  • Publisher: Taylor & Francis
  • Publication date: 8/17/1999
  • Series: Reflective Bioethics Series
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 416
  • Product dimensions: 7.00 (w) x 10.00 (h) x 0.85 (d)

Meet the Author

James Lindemann Nelson is Professor of Philosophy at the University of Tennessee Medical Center in Knoxville. Hilde Lindemann Nelson is Director of the Center for Applied and Professional Ethics at the University of Tennessee, Knoxville, and is editor of Feminism and Families (Routledge 1997). They are the authors of The Patient in the Family (Routledge 1995) and Alzheimer's: Answers to Hard Questions for Families (1996).

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Table of Contents

Sect. I Metaphysics
The Disease of Masturbation: Values and the Concept of Disease 5
On the Distinction between Disease and Illness 16
(In)Equality, (Ab)Normality, and the Americans with Disabilities Act 28
Free Will and the Genome Project 38
Dworkin on Dementia: Elegant Theory, Questionable Policy 47
Sect. II Epistemology
Knowing and Acting in Medical Practice: The Epistemological Politics of Outcomes Research 61
Clinical Judgment, Expert Programs, and Cognitive Style: A Counter-Essay in the Logic of Diagnosis 73
The Role of Decision Analysis in Informed Consent: Choosing between Intuition and Systematicity 80
Incommensurability: Its Implications for the Patient/Physician Relationship 95
Knowledge at the Bedside: A Feminist View of What's Happening with This Patient 106
Sect. III Ethics
How Medicine Saved the Life of Ethics 121
Getting Down to Cases: The Revival of Casuistry in Bioethics 133
The "Four-Principles" Approach 147
A Critique of Principlism 156
Moving Forward in Bioethical Theory: Theories, Cases, and Specified Principlism 167
From the Ethicist's Point of View: The Literary Nature of Ethical Inquiry 186
Why a Feminist Approach to Bioethics? 199
Sect. IV Social Philosophy
Health Care Needs and Distributive Justice 215
Moral Justice and Legal Justice in Managed Care: The Ascent of Contributive Justice 236
Meeting the Challenges of Justice and Rationing 265
Justice in the Allocation of Health Care Resources: A Feminist Account 289
Sect. V Postmodernity
Medical Practice and Social Authority 307
Christian Science, Rational Choice, and Alternative Worldviews 321
"Ambiguous Sex" or Ambivalent Medicine? Ethical Issues in the Treatment of Intersexuality 332
Keeping Moral Space Open: New Images of Ethics Consulting 347
Letting the Deaf Be Deaf: Reconsidering the Use of Cochlear Implants in Prelingually Deaf Children 360
Research Bioethics in the Ugandan Context: A Program Summary 371
About the Contributors 381
Permissions 383
Index 385
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