Better Than Well: American Medicine Meets the American Dream


Book Description

An examination of "enhancement technologies" in America considers the pervasiveness of self-improvement drugs and procedures in spite of society's general unease about their use.




Our Present Complaint


Book Description

At a time when clinical care and biomedical research generate as much angst as they offer cures, this volume provides valuable insight into how the practice of medicine has evolved, where it is going, and how lessons from history can improve its prognosis.--Thomas S. Huddle, M.D., Ph.D. "Journal of the History of Medicine"




A Philosophical Disease


Book Description

Drawing on the work of Ludwig Wittgenstein and novelists such as Walker Percy, Paul Auster and Graham Greene, A Philosophical Disease brings to the bioethical discussion larger philosophical questions about the sense and significance of human life. Carl Elliott moves beyond the standard menu of bioethical issues to explore the relationship of illness to identity, and of mental illness to spiritual illness. He also examines the treatment of children born with ambiguous genitalia, the claims of Deaf culture, and the morality of self-sacrifice. This book focuses on a different sensibility in bioethics; how we use concepts, and how they relate to our own particular social institutions.




White Coat, Black Hat


Book Description

By New Yorker and Atlantic writer Carl Elliott, a readable and even funny account of the serious business of medicine. A tongue-in-cheek account of the changes that have transformed medicine into big business. Physician and medical ethicist Carl Elliott tracks the new world of commercialized medicine from start to finish, introducing the professional guinea pigs, ghostwriters, thought leaders, drug reps, public relations pros, and even medical ethicists who use medicine for (sometimes huge) financial gain. Along the way, he uncovers the cost to patients lost in a health-care universe centered around consumerism.




Better Than Well?


Book Description

Is it possible, through use of existing psychiatric medications or talk therapy, to treat someone who has become slightly to severely mentally ill, and not only eliminate symptoms of his illness but also leave him better than well? This is a question with which eminent American psychiatrist, Peter Kramer, grappled in his landmark 1993 book, Listening to Prozac. Kramer concluded, based largely on responses of his own patients to the then relatively new antidepressant Prozac, that better than well may indeed be attainable in some persons. Not surprisingly, this is a controversial conclusion that has been met with a large degree of skepticism, including in a number of books that have since appeared. The current book explores this issue in detail, including analysis of cutting edge neuroscience and psychiatric research, concluding that "better than well" may indeed be attainable in some individuals. If so, this phenomenon may have broad reaching implications for medicine and society in general.




Prozac as a Way of Life


Book Description

Prozac and its chemical cousins, Paxil, Celexa, and Zoloft, are some of the most profitable and most widely used drugs in America. Their use in the treatment of a multitude of disorders--from generalized anxiety disorder and premenstrual syndrome to eating disorders and sexual compulsions--has provoked a whirlwind of public debate. Talk shows ask, Why is Prozac so popular? What, exactly, do these drugs treat? But sustained critical discussion among bioethicists and medical humanists has been surprisingly absent. The eleven essays in Prozac as a Way of Life provide the groundwork for a much-needed philosophical discussion of the ethical and cultural dimensions of the popularity of SSRI antidepressants. Focusing on the increasing use of medication as a means of self-enhancement, contributors from the fields of psychiatry, psychology, bioethics, and the medical humanities address issues of identity enhancement, the elasticity of psychiatric diagnosis, and the aggressive marketing campaigns of pharmaceutical companies. They do not question the fact that these antidepressants can, in some cases, provide great benefit to alleviate real suffering. What they do question is the abundant popularity of these drugs and that popularity's relationship to American culture and ideas of selfhood. Contributors: Tod Chambers, Northwestern University Feinberg School of Medicine, Chicago David DeGrazia, George Washington University James C. Edwards, Furman University Carl Elliott, University of Minnesota Center for Bioethics David Healy, University of Wales College of Medicine Laurence J. Kirmayer, McGill University Peter D. Kramer, Brown University Erik Parens, The Hastings Center Lauren Slater, AfterCare Services, Boston Susan Squier, Pennsylvania State University Laurie Zoloth, Northwestern University Center for Genetic Medicine, Chicago




Our Grandchildren Redesigned


Book Description

A panoramic overview of biotechnologies that can endlessly boost human capabilities and the drastic changes these “superhuman” traits could trigger Biotechnology is moving fast. In the coming decades, advanced pharmaceuticals, bioelectronics, and genetic interventions will be used not only to heal the sick but to boost human physical and mental performance to unprecedented levels. People will have access to pills that make them stronger and faster, informatic devices will interface seamlessly with the human brain, and epigenetic modification may allow people to reshape their own physical and mental identities at will. Until recently, such major technological watersheds—like the development of metal tools or the industrialization of manufacturing—came about incrementally over centuries or longer. People and social systems had time to adapt: they gradually developed new values, norms, and habits to accommodate the transformed material conditions. But contemporary society is dangerously unprepared for the dramatic changes it is about to experience down this road on which it is already advancing at an accelerating pace. The results will no doubt be mixed. People will live longer, healthier lives, will fine-tune their own thought processes, and will generate staggeringly complex and subtle forms of knowledge and insight. But these technologies also threaten to widen the rift between rich and poor, to generate new forms of social and economic division, and to force people to engage in constant cycles of upgrades and boosts merely to keep up. Individuals who boost their traits beyond a certain threshold may acquire such extreme capabilities that they will no longer be recognized as unambiguously human. In this important and timely book, prize-winning historian Michael Bess provides a clear, nontechnical overview of cutting-edge biotechnology and paints a vivid portrait of a near-future society in which bioenhancement has become a part of everyday life. He surveys the ethical questions raised by the enhancement enterprise and explores the space for human agency in dealing with the challenges that these technologies will present. Headed your way over the coming decades: new biotechnologies that can powerfully alter your body and mind. The possibilities are tantalizing: • Rejuvenation therapies offering much longer lives (160 and even beyond) in full vigor and mental acuity • Cognitive enhancement through chemical or bioelectronic means (the rough equivalent of doubling or tripling IQ scores) • Epigenetic tools for altering some of your genetically influenced traits at any point in your lifetime (body shape, athletic ability, intelligence, personality) • Bioelectronic devices for modulating your own brain processes, including your “pleasure centers” (a potentially non-stop high) • Direct control of machines by thought, and perhaps direct communication with other people, brain-to-brain (a new dimension of sharing and intimacy) But some of the potential consequences are also alarming: • A growing rift between the biologically enhanced and those who can’t afford such modifications • A constant cycle of upgrades and boosts as the bar of “normal” rises ever higher—“Humans 95, Humans XP, Humans 8” • The fragmentation of humankind into rival “bioenhancement clusters” • A gradually blurring boundary between “person” and “product” • Extreme forms of self-modification, with some individuals no longer recognized as unambiguously human




Hearers and Doers


Book Description

The foundation of discipleship is sound, scriptural doctrine. The value of sound doctrine is often misunderstood by the modern church. While it can be dry and dull, when it flows from the story of Scripture, it can be full of life and love. This kind of doctrine, steeped in Scripture, is critical for disciple-making. And it's often overlooked by modern pastors. In Hearers and Doers, Kevin Vanhoozer makes the case that pastors, as pastor- theologians, ought to interpret Scripture theologically to articulate doctrine and help cultivate disciples. scriptural doctrine is vital to the life of the church, and local pastor-theologians should be the ones delivering it to their communities. With arresting prose and striking metaphors, Vanhoozer addresses the most pressing problems in the modern church with one answer: teach sound, scriptural doctrine to make disciples.




Me Medicine vs. We Medicine


Book Description

Technologies such as direct-to-consumer genetic testing, pharmacogenetically developed therapies in cancer care, private umbilical cord blood banking, and neurocognitive enhancement claim to cater to an individual's specific biological character, and, in some cases, these technologies have shown powerful potential. Yet in others they have produced negligible or even negative results. Donna Dickenson examines the economic and political factors fueling the Me Medicine phenomenon and explores how, over time, this paradigm shift in how we approach our health might damage our individual and collective well-being. Drawing on the latest findings from leading scientists, social scientists, and political analysts, she critically examines four possible hypotheses driving the Me Medicine moment: a growing sense of threat; a wave of patient narcissism; corporate interests driving new niche markets; and the dominance of personal choice as a cultural value. She concludes with insights from political theory that emphasize a conception of the commons and the steps we can take to restore its value to modern biotechnology.




Clones, Fakes and Posthumans


Book Description

Clones, Fakes and Posthumans: Cultures of Replication explores cloning and related phenomena that inform each other, like twins, fakes, replica, or homogeneities, through a cultural prism. What could it mean to think of a cloning mentality? Could it be that a “cloning culture” has made biotechnological cloning desirable in the first place, and vice versa that biotechnological cloning then enforces technologies of social and cultural cloning? What does it mean to say that a culture replicates? If biotechnological cloning has to do with choice and repetitive reproduction of selected characteristics, how are those kinds of desires expressed socially, politically and culturally? Lifting the issue of cloning above the biotechnological domain, we problematize the cultural context, including modernity’s readiness to imitate and manipulate nature, and the skewed privileging of desirable socialities as a basis for exclusive replication. We also explore possible relations between a cloning mentality and a consumer society that fosters a brand-name mentality. The construction and (coercive) implementation of copy-prone technological and symbolic items are at the very heart of the consumer society and its modes of mass production as they have emerged from and seek to articulate, define, and refine modernity and modernization.