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The inadequacy of role models for educating medical students in ethics with some reflections on virtue theory. 品德理论对医学生道德教育中的榜样缺失的几点思考。
Theoretical medicine Pub Date : 1997-03-01
E L Erde
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引用次数: 0
Philosophy of medical practice: a discursive approach. 医学实践哲学：一种话语方法。
Theoretical medicine Pub Date : 1997-03-01
E Van Leeuwen, G K Kimsma
{"title":"Philosophy of medical practice: a discursive approach.","authors":"E Van Leeuwen, G K Kimsma","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In spite of the seminal work A Philosophical Basis of Medical Practice, the debate on the task and goals of philosophy of medicine still continues. From an European perspective it is argued that the main topics dealt with by Pellegrino and Thomasma are still particularly relevant to medical practice as a healing practice, while expressing the need for a philosophy of medicine. Medical practice is a discursive practice which is highly influenced by other discursive practices like science, law and economics. Philosophical analysis of those influences is needed to discern their effect on the goals of medicine and on the ways in which the self-image of man may be changed. The nature of medical practice and discourse itself makes it necessary to include different philosophical disciplines, like philosophy of science, of law, ethics, and epistemology. Possible scenario's of euthanasia and the human genome project in the USA and Europe are used to exemplify how philosopy of medicine can contribute to a realistic understanding of the problems which are related to the goals of medicine and health care.</p>","PeriodicalId":77444,"journal":{"name":"Theoretical medicine","volume":"18 1-2","pages":"99-112"},"PeriodicalIF":0.0,"publicationDate":"1997-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20077622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
PHRONESIS, CLINICAL REASONING, AND PELLEGRINO's PHILOSOPHY OF MEDICINE 临床推理和佩莱格里诺的医学哲学
Theoretical medicine Pub Date : 1997-01-01 DOI: 10.1023/A:1005709722944
F. Davis
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引用次数: 35
Editors' Note 编者注
Theoretical medicine Pub Date : 1997-01-01 DOI: 10.1023/A:1017991600980
Tomas Larsson
{"title":"Editors' Note","authors":"Tomas Larsson","doi":"10.1023/A:1017991600980","DOIUrl":"https://doi.org/10.1023/A:1017991600980","url":null,"abstract":"","PeriodicalId":77444,"journal":{"name":"Theoretical medicine","volume":"18 1","pages":"V"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1023/A:1017991600980","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57173842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Marc A. Rodwin. Medicin, Money, and Morals: Physicians' Conflicts of Interest Marc A. Rodwin。医学、金钱和道德:医生的利益冲突
Theoretical medicine Pub Date : 1997-01-01 DOI: 10.1023/A:1005821025660
K. D. De Ville
{"title":"Marc A. Rodwin. Medicin, Money, and Morals: Physicians' Conflicts of Interest","authors":"K. D. De Ville","doi":"10.1023/A:1005821025660","DOIUrl":"https://doi.org/10.1023/A:1005821025660","url":null,"abstract":"","PeriodicalId":77444,"journal":{"name":"Theoretical medicine","volume":"18 1","pages":"303-307"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1023/A:1005821025660","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57097833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The crisis of virtue: arming for the cultural wars and Pellegrino at the limes. 美德的危机:为文化战争和佩莱格里诺做准备。
Theoretical medicine Pub Date : 1997-01-01 DOI: 10.1007/978-94-017-3364-9_12
H. Tristram Engelhardt
{"title":"The crisis of virtue: arming for the cultural wars and Pellegrino at the limes.","authors":"H. Tristram Engelhardt","doi":"10.1007/978-94-017-3364-9_12","DOIUrl":"https://doi.org/10.1007/978-94-017-3364-9_12","url":null,"abstract":"","PeriodicalId":77444,"journal":{"name":"Theoretical medicine","volume":"18 1-2 1","pages":"165-72"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51042732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
“DAMAGED HUMANITY”: THE CALL FOR A PATIENT-CENTERED MEDICAL ETHIC IN THE MANAGED CARE ERA “受损的人性”:管理式医疗时代对以病人为中心的医学伦理的呼唤
Theoretical medicine Pub Date : 1997-01-01 DOI: 10.1023/A:1005769723154
L. Churchill
{"title":"“DAMAGED HUMANITY”: THE CALL FOR A PATIENT-CENTERED MEDICAL ETHIC IN THE MANAGED CARE ERA","authors":"L. Churchill","doi":"10.1023/A:1005769723154","DOIUrl":"https://doi.org/10.1023/A:1005769723154","url":null,"abstract":"","PeriodicalId":77444,"journal":{"name":"Theoretical medicine","volume":"18 1","pages":"113-126"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1023/A:1005769723154","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57095299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
The gastroenterologist and his endoscope: the embodiment of technology and the necessity for a medical ethics. 胃肠病学家和他的内窥镜:技术的体现和医学伦理的必要性。
Theoretical medicine Pub Date : 1996-12-01 DOI: 10.1007/BF00489682
M W Cooper
{"title":"The gastroenterologist and his endoscope: the embodiment of technology and the necessity for a medical ethics.","authors":"M W Cooper","doi":"10.1007/BF00489682","DOIUrl":"https://doi.org/10.1007/BF00489682","url":null,"abstract":"<p><p>The purpose of this essay is to argue for the necessity of an ethics of the practice of the specialist-technologist in medicine. In the first part I sketch three stages of medical ethics, each with a particular viewpoint regarding the technology of medicine. I focus on Brody's consideration of the \"physician's power\" as a example of contemporary medical ethics which explicitly excludes the specialist-technologist as a locus of development of medical ethics. Next, the philosophy of Heidegger is examined to suggest an approach to the problem, and, finally, some of Levinas' contributions regarding the \"other\" are introduced to suggest a preliminary approach to a medical ethics of the specialist-technologist.</p>","PeriodicalId":77444,"journal":{"name":"Theoretical medicine","volume":"17 4","pages":"379-98"},"PeriodicalIF":0.0,"publicationDate":"1996-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00489682","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19962899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
The social concept of disease. 疾病的社会概念。
Theoretical medicine Pub Date : 1996-12-01 DOI: 10.1007/BF00489680
J Räikkä
{"title":"The social concept of disease.","authors":"J Räikkä","doi":"10.1007/BF00489680","DOIUrl":"https://doi.org/10.1007/BF00489680","url":null,"abstract":"<p><p>In the discussion of such social questions as \"how should alcoholics be treated by society?\" and \"what kind of people are responsible in the face of the law?\", is \"disease\" a value-free or value-laden notion, a natural or a normative one? It seems, for example, that by the utterance \"alcoholism should be classified as a disease' we mean something like the following: the condition called alcoholism is similar in morally relevant respects to conditions that we uncontroversially label diseases, and therefore we have a moral obligation to consider alcoholism a disease. So there are grounds to think that, in the discussion of social questions, our concept of disease is strongly value-laden. However, it does not follow that the medical concept of disease is likewise value-laden. In this paper I distinguish between the medical and social concepts of disease, arguing that the naturalist-normativist debate is concerned with the former, but not the latter. Therefore, we need not settle the naturalist-normativist debate in order to conclude that the social concept of disease is value-laden.</p>","PeriodicalId":77444,"journal":{"name":"Theoretical medicine","volume":"17 4","pages":"353-61"},"PeriodicalIF":0.0,"publicationDate":"1996-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00489680","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19962897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 19
Phronesis in clinical ethics. 临床伦理学中的Phronesis
Theoretical medicine Pub Date : 1996-12-01 DOI: 10.1007/BF00489678
G McGee
{"title":"Phronesis in clinical ethics.","authors":"G McGee","doi":"10.1007/BF00489678","DOIUrl":"https://doi.org/10.1007/BF00489678","url":null,"abstract":"<p><p>This essay argues that while we have examined clinical ethics quite extensively in the literature, too little attention has been paid to the complex question of how clinical ethics is learned. Competing approaches to ethics pedagogy have relied on outmoded understandings of the way moral learning takes place in ethics. It is argued that the better approach, framed in the work of Aristotle, is the idea of phronesis, which depends on a long-term mentorship in clinical medicine for either medical students or clinical ethics students. Such an approach is articulated and defended.</p>","PeriodicalId":77444,"journal":{"name":"Theoretical medicine","volume":"17 4","pages":"317-28"},"PeriodicalIF":0.0,"publicationDate":"1996-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00489678","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19962895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 15
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