Disrupted Dialogue
Medical Ethics and the Collapse of Physician/Humanist Communication, 1770-1980
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Product details:
- Publisher OUP USA
- Date of Publication 28 October 2004
- ISBN 9780195169768
- Binding Hardback
- No. of pages344 pages
- Size 160x234x22 mm
- Weight 626 g
- Language English 0
Categories
Short description:
This book tells the critical story of how and why a breakdown in communication between physicians and humanists occurred two centuries ago and how it was repaired in the past three decades when new developments in medicine together with a social revolution forced the leaders of these two fields to resume their dialogue. Veatch sees the origin of this renewal in the shift from acute to chronic disease as the dominant pattern of illness, the rights revolution of the 1960s, and the increasing dominance between physician ethics and ethics outside medicine.
MoreLong description:
Medical ethics changed dramatically in the past 30 years because physicians and humanists actively engaged each other in discussions that sometimes led to confrontation and controversy, but usually have improved the quality of medical decision-making. Before then medical ethics had been isolated for almost two centuries from the larger philosophical, social, and religious controversies of the time. There was, however, an earlier period where leaders in medicine and in the humanities worked closely together and both fields were richer for it.
This volume begins with the 18th century Scottish Enlightenment when professors of medicine such as John Gregory, Edward Percival, and the American, Benjamin Rush, were close friends of philosophers like David Hume, Adam Smith, and Thomas Reid. They continually exchanged views on matters of ethics with each other in print, at meetings of elite intellectual groups, and at the dinner table. Then something happened, physicians and humanists quit talking with each other. In searching for the causes of the collapse, this book identifies shifts in the social class of physicians, developments in medical science, and changes in the patterns of medical education. Only in the past three decades has the dialogue resumed as physicians turned to humanists for help just when humanists wanted their work to be relevant to real-life social problems. Again, the book asks why, finding answers in the shift from acute to chronic disease as the dominant pattern of illness, the social rights revolution of the 1960's, and the increasing dissonance between physician ethics and ethics outside medicine. The book tells the critical story of how the breakdown in communication between physicians and humanists occurred and how it was repaired when new developments in medicine together with a social revolution forced the leaders of these two fields to resume their dialogue.
Table of Contents:
Part 1: Scotland
Medical ethics in the Scottish enlightenment
The beginnings of medicine as an isolated science
Part 2: England
Eighteenth-century England's integration of medicine and the humanities
Isolation of the English physician
Part 3: The United States, Canada and New Zealand
Physician-humanist interaction in the eighteenth century in the United States
The scientizing of medicine in the United States
Some physicians who almost confront the humanities
Diverging traditions: professional and religious medical ethics of the nineteenth century
Medical ethics in New Zealand and Nova Scotia: test cases
Part 4: The reconvergence of physicians and humanists
The end of the isolation: hints of reconvergence
The new enlightenment: the 1970s
Afterword: the 1980s and beyond
