The Ethics of Diagnosis


Book Description

A major focus of the philosophy of medicine and, in general, of the philosophy of science has been the interplay of facts and values. Nowhere is an evaluation of this interplay more important than in the ethics of diagnosis. Traditionally, diagnosis has been understood as an epistemological activity which is concerned with facts and excludes the intrusion of values. The essays in this volume challenge this assumption. Questions of knowledge in diagnosis are intimately related to the concerns with intervention that characterize the applied science of medicine. Broad social and individual goals, as well as diverse ethical frameworks, are shown to condition both the processes and results of diagnosis. This has significant implications for bioethics, implications that have not previously been developed. With this volume, `the ethics of diagnosis' is established as an important branch of bioethics.




Case Studies in Ethics, Diagnosis & Treatment


Book Description

Every client brings with them a unique set of experiences that need to be understood before any assistance can be properly rendered. This book will draw you into these clients' lives, concerns and worlds, which will allow you to identify the critical client and therapy issues. You will find yourself conceptualizing your own treatment plans as you read, drawing from your own experiences and perspectives. Each case presented provides the opportunity for you to apply ethical codes to real-life situations as well as practice diagnosing clients. These case studies deal with current, true-to-life issues, such as an adolescent deciding whether to join a gang, or a woman experiencing menopause. The richness of these cases will hold your interest, and the clinical complexity will challenge you to apply your own knowledge.




The Ethics of Diagnosis


Book Description

A major focus of the philosophy of medicine and, in general, of the philosophy of science has been the interplay of facts and values. Nowhere is an evaluation of this interplay more important than in the ethics of diagnosis. Traditionally, diagnosis has been understood as an epistemological activity which is concerned with facts and excludes the intrusion of values. The essays in this volume challenge this assumption. Questions of knowledge in diagnosis are intimately related to the concerns with intervention that characterize the applied science of medicine. Broad social and individual goals, as well as diverse ethical frameworks, are shown to condition both the processes and results of diagnosis. This has significant implications for bioethics, implications that have not previously been developed. With this volume, `the ethics of diagnosis' is established as an important branch of bioethics.




Values and Psychiatric Diagnosis


Book Description

In this work, John Z. Sadler examines the nature and significance for practice of the value-content of psychiatric diagnostic classification.




Ethical Dilemmas in Prenatal Diagnosis


Book Description

Technological developments in the life sciences confront us with new facets of a Faustian seduction. Are we „playing God“ more and more, as claimed by critical authors of modernity? Achievements in genetic research produce ethical dilemmas which need to be the subject of reflection and debate in modern societies. Denial of ambivalences that ethical dilemmas arouse constitutes a threat to societies as well as to individuals. The book presents a compilation of some of the results of the interdisciplinary European study “Ethical Dilemmas Due to Prenatal and Genetic Diagnostics” (EDIG), which investigated some of these dilemmas in detail in a field which is particularly challenging: prenatal diagnosis. When results from prenatal diagnosis show fetal abnormalities, women and their partners are confronted with ethical dilemmas regarding: the right to know and the right not to know; decision-making about the remainder of the pregnancy and the desire for a healthy child; responsibility for the unborn child, for its well-being and possible suffering; life and death. This book provides answers from an ethical, psychoanalytical and medical viewpoint.




Disease and Diagnosis


Book Description

The germs of the ideas in this book became implanted in me during my experience as a resident in clinical pathology at Boston University Medical Center. At the time, I had inklings that the test results churned out by our laboratories were more than scientific facts. As a philosophically unsophisticated young physician, however, I had no language or framework to analyze what I saw as a deep philosophical problem, a problem largely unrecognized by most physicians. The test results provided by our laboratories were accurate and of great practical importance for patient care. However, most of the physicians who relied on our test results to diagnose and treat their patients either did not have the time or interest to consider the philosophical issues inherent in diagnosis, or, like me, had inadequate means to further analyze them. It was more than ten years later that I began doctoral studies in philosophy, and I was fortunate to find a faculty that was supportive of my efforts to address the problem. This book began as my doctoral dissertation in the Department of Philosophy at Georgetown University. I would like to acknowledge the assistance of my mentor, Robert Veatch, Ph. D. Our conversations during my Georgetown years led me in new and often fascinating directions. I would also like to acknowledge the help of Kenneth Schaffner, M. D. , Ph. D.




The Ethics of Labeling in Mental Health


Book Description

"The focus of this book is the institution of professional mental health as it operates in America today, specifically addressing how the Diagnostic and Statistical Manual for Mental Disorders (DSMMD), the primary resource used in the mental health profession, has influenced much larger social issues."--Provided by publisher.




Psychiatric Ethics


Book Description

Consideration of ethics has established a firm place in the affairs of psychiatrists. An increased professional commitment to accountability, together with a growing "consumer" movement has paved the way for a creative engagement with the ethical movement. Psychiatric Ethics has carved out a niche for itself as a major comprehensive text and core reference covering the many complex ethical dilemmas which face clinicians and researchers in their everyday practice. This new edition takes a fresh look at recent trends and developments at the interface between ethics and psychiatric practice.For this edition, Sydney Bloch and Paul Chodoff are joined by Stephen Green, a clinical professor in ethics and psychiatry at Georgetown University, in leading 29 of the finest scholars in the field from around the world. Eleven new contributors join the team of authors. They include Drs. Beauchamp, Gutheils, Sabin, McGuffin, Szmulter, Gabbard and Holmes. Since the second edition, the editors have observed several emerging aspects of psychiatric practice requiring coverage. As a result, six new chapters have been added covering the ethical aspects of community psychiatry, managed care, psychiatric genetics, resource allocation, codes of ethics and boundary violations. All others chapters have been fully revised and updated.The book will continue to be essential reading for psychiatrists and other mental health professionals, as well as of interest to ethicists, policy makers, managers and lawyers.




Beyond the DSM Story


Book Description

"Among many of the ethical issues clinicians encounter in their practice, diagnosing someone with a given mental disorder just for the purpose of reimbursement of services is perhaps the number one ethical dilemma. This book is an outstanding review of the conceptual and empirical literature on this particular dilemma. But the most important contribution of this book is that it provides an extensive discussion of clinical strategies and case vignettes that clinicians could use in diagnosing mental disorder and as the same time attending to ethical standards governing their discipline." —Freddy A. Paniagu, University of Texas Medical Branch-Galveston "Eriksen and Kress offer a well-formulated discussion of problems with the American Psychiatric Association′s The Diagnostic and Statistical Manual of Mental Disoders (DSM), Including almost 800 references, this volume covers the literature in the field extremely well." —W.P. Anderson, CHOICE Beyond the DSM Story presents challenges to the Diagnostic Statistical Model (DSM) system from ethical and cultural perspectives, critically evaluating its fit with other professional and theoretical orientations. It offers possible solutions or best practices for addressing ethical, theoretical, and contextual quandaries, along with experiential activities that challenge the reader to think critically about both the problems and the solutions associated with DSM diagnosis. Beyond the DSM Story presents an atheoretical model for incorporating alternative models with DSM assessment. Instructors, students and practitioners will benefit from this critical appraisal of the DSM. Features • Addresses the philosophical discrepancies between a medical model, DSM assessment approach, and most helping philosophies. • provides a thorough framework for utilizing the DSM in a contextually sensitive fashion • Comprehensively reviews the challenges to the DSM system, particularly multicultural and feminist challenges and addressing ethical concerns related to using the DSM system • Provides case studies and experiential/interactive activities that challenge the reader to consider the DSM from a contextual perspective




Ethical Challenges in Cancer Diagnosis and Therapy


Book Description

This book presents in detail the problems and ethical challenges in daily oncological practice. In western industrialized countries, roughly 25 percent of all citizens still die from cancer. Despite significant progress in basic science and in individual areas of clinical care, even in the 21st century, being diagnosed with cancer has lost none of its dread and can still be a death sentence. This situation raises many problems and challenges for medical ethics, e.g., the question of the benefits and risks of prevention programs, or the right to know and not to know. Clinical trials with cancer patients and quality assurance for surgery, radiotherapy and medication also pose a series of ethical dilemmas. Furthermore, cancer treatment is a psychological challenge not only for patients but also for physicians and caregivers. The issues of adequate pain management and good palliative care, of treatment limiting and the question of assisted suicide at the end of life also have to be considered. In order to reflect the subject’s diverse and multifaceted nature, the book incorporates legal, ethnographic, historical and literary perspectives into ethical considerations.