Reconsidering Medicine


Book Description

This is an original book on the philosophy of medicine. It considers philosophy of medicine as a subdiscipline of philosophy of science. This volume is grounded on an epistemological bottom-up account that arises from the clinical situation, the epidemiologic, and the resulting public health account. It is not a review of the literature, and it is not intended to frame the debates, or to analyze and compare the various number of viewpoints. Medicine is the human activity, which begins by a linguistic act that identifies the negative norms of health: it begins with a first distinction that splits biological processes into three conventional parts, normal, abnormal and pathologic. Neither of them is a natural kind. Being abnormal is intrinsically bad and admits of degrees, while being pathologic is dichotomous. Being normal is factitious and counterfactual much the same as frictionless planes in physics. Leaving apart the ethical aspects, this book endeavors to uncover the implicit conceptual network, the chief junctures of medicine, should they be found, and their articulations with clinical and community medicine. It results that medicine is pervaded with dichotomous concepts such as scientific vs pragmatic discourse, function and malfunction, abnormal and pathologic, needs and wants, causation and explanation, clinical vs community-oriented care, physical vs psychiatric diseases, mental illness vs deviancy, and so on. Medical thinking has two dimensions intrinsically interweaved, namely a constant amalgam and admixture of biological and normative aspects, so that this essential hybrid nature of the grammar of medicine endorses opposite approaches, naturalistic or normativist, biological or value-laden, realist or instrumental, reductionist or holistic, phenomenological or analytic.




Reconsidering Drugs


Book Description

Lawrence Driscoll's fresh examination of the meaning of drugs from the Victorians to the present asks us to listen to historical and current voices whose positions on drugs are at variance with our "truths." Driscoll draws on the work of figures as diverse as William Burroughs, Sigmund Freud, Conan Doyle, and Anna Kavan to shed light on different or silenced ways of talking about drugs and to offer us a historical counter-memory. The result of his work is to unsettle and disturb the familiar parameters that frame our discussion of drugs, revealing that others are available: positions which expose our own constructions as surprisingly limited.




Reconsidering Patient Centred Care


Book Description

Through the detailed examination of a large corpus of healthcare interactions collected from a range of settings over a 25 year period, Pilnick illustrates the ways in which there are good organisational and interactional reasons for what may look from a PCC perspective like ‘bad’ healthcare practice.




Reconsidering Race


Book Description

Race is one of the most elusive phenomena of social life. While we generally know it when we see it, it's not an easy concept to define. Social science literature has argued that race is a Western concept that emerged with the birth of modern imperialism, whether in the sixteenth century (the Age of Discovery) or the eighteenth century (the Age of Enlightenment). This book points out that there is a disjuncture between the way race is conceptualized in the social sciences and in recent natural science literature. In the view of some proponents of natural-scientific perspectives, race has a biological- and not just a purely social - dimension. The book argues that, to more fully understand what we mean by race, social scientists need to engage these new perspectives coming from genomics, medicine, and health policy. To be sure, the long, dark shadow of eugenics and the Nazi use of scientific racism cast a pall over the effort to understand the complicated relationship between social science and medical science understandings of race. While this book rejects pseudoscientific and hierarchical ways of looking at race and affirms that it is rooted in social grounds, it makes the claim that it is time to move beyond merely repeating the "race is a social construct" mantra. The chapters in this book consider three fundamental tensions in thinking about race: one between theories that see race as fixed and those that see it as malleable; a second between Western (especially US-based) and non-Western perspectives that decenter the US experience; and a third between sociopolitical and biomedical concepts of race. The book will help shed light on multiple contemporary concerns, such as the place of race in identity formation, ethno- political conflict, immigration policy, social justice, biomedical ethics, and the carceral state.




The Question of Competence


Book Description

Medical competence is a hot topic surrounded by much controversy about how to define competency, how to teach it, and how to measure it. While some debate the pros and cons of competence-based medical education and others explain how to achieve various competencies, the authors of the seven chapters in The Question of Competence offer something very different. They critique the very notion of competence itself and attend to how it has shaped what we pay attention to—and what we ignore—in the education and assessment of medical trainees. Two leading figures in the field of medical education, Brian D. Hodges and Lorelei Lingard, drew together colleagues from the United States, Canada, and the Netherlands to explore competency from different perspectives, in order to spark thoughtful discussion and debate on the subject. The critical analyses included in the book’s chapters cover the role of emotion, the implications of teamwork, interprofessional frameworks, the construction of expertise, new directions for assessment, models of self-regulation, and the concept of mindful practice. The authors juxtapose the idea of competence with other highly valued ideas in medical education such as emotion, cognition and teamwork, drawing new insights about their intersections and implications for one another.




Reconsidering Sputnik


Book Description

This book explores Russia's stunning success of ushering in the space age by launching Sputnik and beating the United States into space. It also examines the formation of NASA, the race for human exploration of the moon, the reality of global satellite communications, and a new generation of scientific spacecraft that began exploring the universe. An introductory essay by Pulitzer Prize winner Walter A. McDougall sets the context for Sputnik and its significance at the end of the twentieth century.




Reconsidering Intellectual Disability


Book Description

Drawing on the controversial case of “Ashley X,” a girl with severe developmental disabilities who received interventionist medical treatment to limit her growth and keep her body forever small—a procedure now known as the “Ashley Treatment”—Reconsidering Intellectual Disability explores important questions at the intersection of disability theory, Christian moral theology, and bioethics. What are the biomedical boundaries of acceptable treatment for those not able to give informed consent? Who gets to decide when a patient cannot communicate their desires and needs? Should we accept the dominance of a form of medicine that identifies those with intellectual impairments as pathological objects in need of the normalizing bodily manipulations of technological medicine? In a critical exploration of contemporary disability theory, Jason Reimer Greig contends that L'Arche, a federation of faith communities made up of people with and without intellectual disabilities, provides an alternative response to the predominant bioethical worldview that sees disability as a problem to be solved. Reconsidering Intellectual Disability shows how a focus on Christian theological tradition’s moral thinking and practice of friendship with God offers a way to free not only people with intellectual disabilities but all people from the objectifying gaze of modern medicine. L'Arche draws inspiration from Jesus's solidarity with the "least of these" and a commitment to Christian friendship that sees people with profound cognitive disabilities not as anomalous objects of pity but as fellow friends of God. This vital act of social recognition opens the way to understanding the disabled not as objects to be fixed but as teachers whose lives can transform others and open a new way of being human.




Sándor Ferenczi


Book Description

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Reconsidering Change Management


Book Description

Despite the popularity of organizational change management, the question arises whether its prescriptions and dominant beliefs and practices are based on solid and convergent evidence. Organizational change management entails interventions intended to influence the task-related behavior and associated results of an individual, team, or entire organization. There is a perception that a lot of change initiatives fail and limited understanding about what works and what does not and why. Drawing on the field of psychology and based on primary research, Reconsidering Change Management identifies 18 popular and relevant commonly held assumptions with regard to change management that are then analyzed and compared to the four specific themes laid out in the book (people, leadership, organization, and change process), resulting in their own set of assumptions. Each assumption will have a brief introduction in which its relevance and popularity is explained. By studying the scientific evidence, in particular meta-analytic evidence, the book provides students and academics in the fields of change management, organizational behavior, and business strategy the best available evidence for the acceptance or dropping of certain (change) management assumptions and their accompanying practices. By exploring the topics people, leadership, organization, and process, and the related assumptions, change management is restructured and reframed in a prudent, positive, and practical way.




Reconsidering Feminist Research in Educational Leadership


Book Description

Ten prominent feminist researchers from diverse backgrounds examine educational leadership by focusing on critical questions about the theories, methods, and epistemologies feminist researchers use. The contributors analyze the impact of research on participants and assess the ethical and political implications of researching across groups. They explore the types of strategies feminist researchers have developed to address the problems of the field and propose alternative epistemologies that provide for more sensitive research methods and more complex research results. The book provides a timely examination of how gender inequalities were created and structured within U.S. systems of school administration, how they are maintained and perpetuated, and how they might best be understood and dismantled.