Uncaring

Uncaring PDF

Author: Robert Pearl

Publisher: PublicAffairs

Published: 2021-05-18

Total Pages: 400

ISBN-13: 1541758250

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Doctors are taught how to cure people. But they don’t always know how to care for them. Hardly anyone is happy with American healthcare these days. Patients are getting sicker and going bankrupt from medical bills. Doctors are burning out and making dangerous mistakes. Both parties blame our nation’s outdated and dysfunctional healthcare system. But that’s only part of the problem. In this important and timely book, Dr. Robert Pearl shines a light on the unseen and often toxic culture of medicine. Today’s physicians have a surprising disdain for technology, an unhealthy obsession with status, and an increasingly complicated relationship with their patients. All of this can be traced back to their earliest experiences in medical school, where doctors inherit a set of norms, beliefs, and expectations that shape almost every decision they make, with profound consequences for the rest of us. Uncaring draws an original and revealing portrait of what it’s actually like to be a doctor. It illuminates the complex and intimidating world of medicine for readers, and in the end offers a clear plan to save American healthcare.

Patients and Healers in the Context of Culture

Patients and Healers in the Context of Culture PDF

Author: Arthur Kleinman

Publisher: Univ of California Press

Published: 2023-04-28

Total Pages: 446

ISBN-13: 0520340841

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From the Preface, by Arthur Kleinman:Patients and Healers in the Context of Culture presents a theoretical framework for studying the relationship between medicine, psychiatry, and culture. That framework is principally illustrated by materials gathered in field research in Taiwan and, to a lesser extent, from materials gathered in similar research in Boston. The reader will find this book contains a dialectical tension between two reciprocally related orientations: it is both a cross-cultural (largely anthropological) perspective on the essential components of clinical care and a clinical perspective on anthropological studies of medicine and psychiatry. That dialectic is embodied in my own academic training and professional life, so that this book is a personal statement. I am a psychiatrist trained in anthropology. I have worked in library, field, and clinic on problems concerning medicine and psychiatry in Chinese culture. I teach cross-cultural psychiatry and medical anthropology, but I also practice and teach consultation psychiatry and take a clinical approach to my major cross-cultural teaching and research involvements. The theoretical framework elaborated in this book has been applied to all of those areas; in turn, they are used to illustrate the theory. Both the theory and its application embody the same dialectic. The purpose of this book is to advance both poles of that dialectic: to demonstrate the critical role of social science (especially anthropology and cross-cultural studies) in clinical medicine and psychiatry and to encourage study of clinical problems by anthropologists and other investigators involved in cross-cultural research.

Medicine & Culture

Medicine & Culture PDF

Author: Lynn Payer

Publisher: Orion

Published: 1989

Total Pages: 204

ISBN-13: 9780575047907

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A classic comparative study of medicine and national culture, Medicine and Culture shows us that while doctors regard themselves as servants of science, they are often prisoners of custom.

Biomedicalization and the Practice of Culture

Biomedicalization and the Practice of Culture PDF

Author: Mari Armstrong-Hough

Publisher: UNC Press Books

Published: 2018-11-12

Total Pages: 187

ISBN-13: 1469646692

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Over the last twenty years, type 2 diabetes skyrocketed to the forefront of global public health concern. In this book, Mari Armstrong-Hough examines the rise in and response to the disease in two societies: the United States and Japan. Both societies have faced rising rates of diabetes, but their social and biomedical responses to its ascendance have diverged. To explain the emergence of these distinctive strategies, Armstrong-Hough argues that physicians act not only on increasingly globalized professional standards but also on local knowledge, explanatory models, and cultural toolkits. As a result, strategies for clinical management diverge sharply from one country to another. Armstrong-Hough demonstrates how distinctive practices endure in the midst of intensifying biomedicalization, both on the part of patients and on the part of physicians, and how these differences grow from broader cultural narratives about diabetes in each setting.

Faith in the Great Physician

Faith in the Great Physician PDF

Author: Heather D. Curtis

Publisher: JHU Press

Published: 2007-11-30

Total Pages: 456

ISBN-13: 1421402017

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This history of evangelical faith healing in nineteenth-century America examines the nation’s shifting attitudes about sickness, suffering, and health. Faith in the Great Physician tells the story of how participants in the divine healing movement transformed the ways Americans coped with physical affliction and pursued bodily wellbeing. Heather D. Curtis offers critical reflection on the theological, cultural, and social forces that come into play when one questions the purpose of suffering and the possibility of healing. Belief in divine healing ran counter to a deep-seated Christian ethic that linked physical suffering with spiritual holiness. By engaging in devotional disciplines and participating in social reform efforts, proponents of faith cure embraced a model of spiritual experience that endorsed active service, rather than passive endurance, as the proper Christian response to illness and pain. Emphasizing the centrality of religious practices to the enterprise of divine healing, Curtis sheds light on the relationship among Christian faith, medical science, and the changing meanings of suffering and healing in American culture. Recipient of the Frank S. and Elizabeth D. Brewer Prize of the American Society of Church History for 2007

Medicine and Culture

Medicine and Culture PDF

Author: Lynn Payer

Publisher: Macmillan

Published: 1996-11-15

Total Pages: 222

ISBN-13: 9780805048032

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The author concludes that medical decisions are often based on cultural biases and philosophies, suggesting a revaluation of American medical practices is warranted.

The Spirit Catches You and You Fall Down

The Spirit Catches You and You Fall Down PDF

Author: Anne Fadiman

Publisher: Macmillan

Published: 2012-04-24

Total Pages: 370

ISBN-13: 0374533407

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Winner of the National Book Critics Circle Award for Nonfiction, this brilliantly reported and beautifully crafted book explores the clash between a medical center in California and a Laotian refugee family over their care of a child.

A Doctor's Dozen

A Doctor's Dozen PDF

Author: Catherine Florio Pipas, MD, MPH

Publisher: Dartmouth College Press

Published: 2018-09-04

Total Pages: 242

ISBN-13: 1512603007

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Burnout affects a third of our population and over half of our health professionals. For the second group, the impact is magnified, as consequences play out not only on a personal level, but also on a societal level and lead to medical errors, suboptimal care, low levels of patient satisfaction, and poor clinical outcomes. Achieving wellbeing requires strategies for change. In this book, Dr. Pipas shares twelve lessons and strategies for improved health that she has learned from patients, students, and colleagues over her twenty years working as a family physician. Each lesson is based on observation and research, and begins with a story of an exemplary patient whose challenges and successes reflect the theme of the lesson. Along with the lessons, the author offers plans for action, which taken together create the framework for a healthy life. Each lesson concludes with resources and a "health challenge."

The Vanishing Physician-Scientist?

The Vanishing Physician-Scientist? PDF

Author: Andrew I. Schafer

Publisher: Cornell University Press

Published: 2011-06-15

Total Pages: 304

ISBN-13: 0801462428

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Throughout history, physicians have played a vital role in medical discovery. These physician-scientists devote the majority of their professional effort to seeking new knowledge about health and disease through research and represent the entire continuum of biomedical investigation. They bring a unique perspective to their work and often base their scientific questions on the experience of caring for patients. Physician-scientists also effectively communicate between researchers in the "pure sciences" and practicing health care providers. Yet there has been growing concern in recent decades that, due to complex changes, physician-scientists are vanishing from the scene. In this book, leading physician-scientists and academic physicians examine the problem from a variety of perspectives: historical, demographic, scientific, cultural, sociological, and economic. They make valuable recommendations that—if heeded—should preserve and revitalize the community of physician-scientists as the profession continues to evolve and boundaries between doctors and researchers shift.

The Culture of Death: The Assault on Medical Ethics in America (Large Print 16pt)

The Culture of Death: The Assault on Medical Ethics in America (Large Print 16pt) PDF

Author: Wesley J. Smith

Publisher: ReadHowYouWant.com

Published: 2010-10-06

Total Pages: 474

ISBN-13: 145877841X

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When his teenaged son Christopher, brain-damaged in an auto accident, developed a 106-degree fever following weeks of unconsciousness, John Campbell asked the attending physician for help. The doctor refused. Why bother? The boy's life was effectively over. Campbell refused to accept this verdict. He demanded treatment and threatened legal action. The doctor finally relented. With treatment, Christopher's temperature subsided almost immediately. Soon afterwards he regained consciousness and today he is learning to walk again. This story is one of many Wesley Smith recounts in his groundbreaking new book, The Culture of Death. Smith believes that American medicine ''is changing from a system based on the sanctity of human life into a starkly utilitarian model in which the medically defenseless are seen as having not just a 'right' but a 'duty' to die.'' Going behind the current scenes of our health care system, he shows how doctors withdraw desired care based on Futile Care Theory rather than provide it as required by the Hippocratic Oath. And how ''bioethicists'' influence policy by considering questions such as whether organs may be harvested from the terminally ill and disabled. This is a passionate, yet coolly reasoned book about the current crisis in medical ethics by an author who has made ''the new thanatology'' his consuming interest.