Humanism and the Physician


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What Patients Say, What Doctors Hear


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Can refocusing conversations between doctors and their patients lead to better health? Despite modern medicine’s infatuation with high-tech gadgetry, the single most powerful diagnostic tool is the doctor-patient conversation, which can uncover the lion’s share of illnesses. However, what patients say and what doctors hear are often two vastly different things. Patients, anxious to convey their symptoms, feel an urgency to “make their case” to their doctors. Doctors, under pressure to be efficient, multitask while patients speak and often miss the key elements. Add in stereotypes, unconscious bias, conflicting agendas, and fear of lawsuits and the risk of misdiagnosis and medical errors multiplies dangerously. Though the gulf between what patients say and what doctors hear is often wide, Dr. Danielle Ofri proves that it doesn’t have to be. Through the powerfully resonant human stories that Dr. Ofri’s writing is renowned for, she explores the high-stakes world of doctor-patient communication that we all must navigate. Reporting on the latest research studies and interviewing scholars, doctors, and patients, Dr. Ofri reveals how better communication can lead to better health for all of us.




Doctors, Ambassadors, Secretaries


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In this book, Douglas Biow traces the role that humanists played in the development of professions and professionalism in Renaissance Italy, and vice versa. For instance, humanists were initially quite hostile to medicine, viewing it as poorly adapted to their program of study. They much preferred the secretarial profession, which they made their own throughout the Renaissance and eventually defined in treatises in the late sixteenth and early seventeenth centuries. Examining a wide range of treatises, poems, and other works that humanists wrote both as and about doctors, ambassadors, and secretaries, Biow shows how interactions with these professions forced humanists to make their studies relevant to their own times, uniting theory and practice in a way that strengthened humanism. His detailed analyses of writings by familiar and lesser-known figures, from Petrarch, Machiavelli, and Tasso to Maggi, Fracastoro, and Barbaro, will especially interest students of Renaissance Italy, but also anyone concerned with the rise of professionalism during the early modern period.




The Philosophy of Medicine Reborn


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Edmund D. Pellegrino has played a central role in shaping the fields of bioethics and the philosophy of medicine. His writings encompass original explorations of the healing relationship, the need to place humanism in the medical curriculum, the nature of the patient’s good, and the importance of a virtue-based normative ethics for health care. In this anthology, H. Tristram Engelhardt, Jr., and Fabrice Jotterand have created a rich presentation of Pellegrino’s thought and its development. Pellegrino’s work has been dedicated to showing that bioethics must be understood in the context of medical humanities, and that medical humanities, in turn, must be understood in the context of the philosophy of medicine. Arguing that bioethics should not be restricted to topics such as abortion, third-party-assisted reproduction, physician-assisted suicide, or cloning, Pellegrino has instead stressed that such issues are shaped by foundational views regarding the nature of the physician-patient relationship and the goals of medicine, which are the proper focus of the philosophy of medicine. This volume includes a preface (“Apologia”) by Dr. Pellegrino and a comprehensive Introduction by the editors. Of interest to medical ethicists as well as students, scholars, and physicians, The Philosophy of Medicine Reborn offers fascinating insights into the emergence of a field and the work of one of its pioneers.




Medical Humanism and Natural Philosophy


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Exploring Renaissance humanists’ debates on matter, life and the soul, this volume addresses the contribution of humanist culture to the evolution of early modern natural philosophy so as to shed light on the medical context of the Scientific Revolution.




The Doctor Stories


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Selzer's selection of his own short stories, culled from three decades of writing, includes two new stories and an Introduction detailing his literary beginnings.




Medicine and Humanism in Late Medieval Italy


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This book is the first study to consider the extraordinary manuscript now known as the Carrara Herbal (British Library, Egerton 2020) within the complex network of medical, artistic and intellectual traditions from which it emerged. The manuscript contains an illustrated, vernacular copy of the thirteenth-century pharmacopeia by Ibn Sarābī, an Arabic-speaking Christian physician working in al-Andalus known in the West as Serapion the Younger. By 1290, Serapion’s treatise was available in Latin translation and circulated widely in medical schools across the Italian peninsula. Commissioned in the late fourteenth century by the prince of Padua, Francesco II ‘il Novello’ da Carrara (r. 1390–1405), the Carrara Herbal attests to the growing presence of Arabic medicine both inside and outside of the University. Its contents speak to the Carrara family’s historic role as patrons and protectors of the Studium, yet its form – a luxury book in Paduan dialect adorned with family heraldry and stylistically diverse representations of plants – locates it in court culture. In particular, the manuscript’s form connects Serapion’s treatise to patterns of book collection and rhetorics of self-making encouraged by humanists and practiced by Francesco’s ancestors. Beginning with Petrarch (1304–74) and continuing with Pier Paolo Vergerio (ca. 1369–1444), humanists held privileged positions in the Carrara court, and humanist culture vied with the University’s successes for leading roles in Carrara self-promotion. With the other illustrated books in the prince’s collection, the Herbal negotiated these traditional arenas of family patronage and brought them into confluence, promoting Francesco as an ideal ‘physician prince’ capable of ensuring the moral and physical health of Padua. Considered in this way, the Carrara Herbal is the product of an intersection between the Pan-Mediterranean transmission of medical knowledge and the rise of humanism in the Italian courts, an intersection typically attributed to the later Renaissance.




Attending


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A guide to mindfulness as part of a safe, patient-centered health-care and medical practice describes the author's perspective-changing experiences as a Harvard Medical student at the sides of doctors who practiced in very different ways.




The Philosophy and Practice of Medicine and Bioethics


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This book challenges the unchallenged methods in medicine, such as "evidence-based medicine," which claim to be, but often are not, scientific. It completes medical care by adding the comprehensive humanistic perspectives and philosophy of medicine. No specific or absolute recommendations are given regarding medical treatment, moral approaches, or legal advice. Given rather is discussion about each issue involved and the strongest arguments indicated. Each argument is subject to further critical analysis. This is the same position as with any philosophical, medical or scientific view. The argument that decision-making in medicine is inadequate unless grounded on a philosophy of medicine is not meant to include all of philosophy and every philosopher. On the contrary, it includes only sound, practical and humanistic philosophy and philosophers who are creative and critical thinkers and who have concerned themselves with the topics relevant to medicine. These would be those philosophers who engage in practical philosophy, such as the pragmatists, humanists, naturalists, and ordinary-language philosophers. A new definition of our own philosophy of life emerges and it is necessary to have one. Good lifestyle no longer means just abstaining from cigarettes, alcohol and getting exercise. It also means living a holistic life, which includes all of one's thinking, personality and actions. This book also includes new ways of thinking. In this regard the "Metaphorical Method" is explained, used, and exemplified in depth, for example in the chapters on care, egoism and altruism, letting die, etc.




Psychiatric Nonadherence


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This book explores medical nonadherence to treatment and management of psychiatric disorders across the lifespan. Leading experts in the field, specializing in a range of mental health problems describe the impact of nonadherence in the treatment of children, adolescents, transition age youths, adults, and older adults. The book eloquently articulates the key elements of effective physicians and offers clinical pearls on professionalism, empathy, and the doctor-patient relationship—a key component to solving treatment nonadherence. This volume focuses on solutions for improved clinical outcomes, including communication skills, empathy and building trust, motivational interviewing techniques and the use of technology. Psychiatric Nonadherence is an excellent resource for all clinicians who care for individuals with psychiatric illness. This timely reference will provide guidance to enhance effective treatment adherence for a wide array of medical practitioners, including child and adolescent, adult forensic, and geriatric psychiatrists, addiction medicine specialists, primary care physicians, psychologists and nurses.