Healthcare Ethics and Human Values

K. W. M. (Bill) Fulford is Professor of Philosophy and Mental Health at the University of Warwick, and Honorary Consultant Psychiatrist at the University of Oxford. He is the founder and editor of the first international journal for philosophy and mental health, PPP: Philosophy, Psychiatry and Psychology. He has published widely on philosophical and ethical aspects of mental health, in particular Moral Theory and Medical Practice. Donna L. Dickenson is John Ferguson professor of Global Ethics at the University of Birmingham, UK, and Director of the Centre for the Syudy of Global Ethics , the first such institute in Britain. Her recent books include Property, Woman and Politics (1997), In Two Minds: Case Studies in Psychiatric Ethics (with bill Fulford, 2000), and The Combridge Medical Ethics Workbook Ethic (with Michel Parker, 2001). Thomas H. Murray is President of The Hastings Center in Garrison, New York. He is a founding editor of the journal Medical Humanities Review, author of The Worth of a Child (1996), and editor, with Maxwell J. Mehlman, of The Encyclopedia of Ethical, Legal and policy Issues in Biotechnology (2002).

Acknowledgments. Introduction.

Many Voices: Human Values in Healthcare Ethics.

Part I: Healthcare Ethics: Multidisciplinary Approaches.

Introduction.

1. Towards a Feminist Ethics of Health Care. (Susan Sherwin).

2. A Deliberative Approach to Bioethics. (Michael Parker).

3. Bodies and Persons. (S. Kay Toombs).

4. Alternatives to Principlism: Phenomenology, Deconstruction, and Hermeneutics. (Guy A. M. Widdershoven).

5. Questions of Personal Autonomy. (Morwenna Griffiths).

6. A Different Voice in Psychiatric Ethics. (Gwen Adshead).

7. Can there be an Ethics of Care? (Peter Allmark).

8. The Literary Nature of Ethical Inquiry. (Tod Chambers).

9. Two Theories of Modernity. (Charles Taylor).

Part II: Staying Well: Screening and Preventive Medicine.

Introduction.

10. What Counts as Success in Genetic Counseling? (Ruth F. Chadwick).

11. The Genetic Underclass. (Jay Rayner).

12. Ethical Issues in Pre-Cancer Testing: The Parallel with Huntington's Disease. (Donna L Dickenson).

13. Eugenics and Public Health in American History. (Martin S. Pernick).

14. Parental Choice? Letter from a Doctor as a Dad. (Julian Savulescu).

15. Do We Really Want to Know the Odds? (David Runciman).

Part III. Falling Ill.

Introduction.

16. Premonition. (Jenny Lewis).

17. Emotional Disturbance: Philip and Lucy. (Priscilla Alderson and Chris Goodey).

18. Healing and Incurable Illness. (S. Kay Toombs).

19. "My Story is Broken; Can You Help Me Fix It?": Medical Ethics and the Joint Construction of Narrative (Howard Brody).

20. Spiritual Experience and Psychopathology. (Mike Jackson and K. W. M. Fulford).

21. The Occurrence of High Levels of Acute Behavioral Distress in Children and Adolescents Undergoing Routine Venipunctures. (G. Bennett Humphrey et al.).

22. Benjamin's Story. (Eric D. Kodish).

Part IV: First Contact.

Introduction.

23. Doctor. (Jenny Lewis).

24. Confidentiality in Child Psychiatry. (Emilio Mordini).

25. Diagnostic Styles in Clinical Relationships. (Guy A. M. Widdershoven and Wies Weijts).

26. "Not Clinically Indicated": Patients' Interests or Resource Allocation? (Tony Hope, David Sprigings, and Roger Crisp).

27. Body Language. (Priscilla Alderson).

28. Baby Poop. (Perri Klass).

29. Ethnicity and Attitudes Toward Patient Autonomy. (Leslie J. Blackwell et al).

30. Power Plays. (Perri Klass).

31. The "Kinder Egg": Some Intrapsychic, Interpersonal and Ethical Implications of Infertility Treatment and Gamete Donation. (Joan Raphael-Leff).

32. Gynecological Gatekeepers. (Naomi Pfeffer).

33. Fertility Zone. (Patricia Eakins).

Part V: Deciding What the Problem Is.

Introduction.

34. Becoming an Amazon. (Jenny Lewis).

35. The Hundred Secret Senses. (Amy Tan).

36. The Abortion. (Anne Sexton).

37. Consent as Empowerment: The Roles of Postmodern and Narrative Ethics. (John McMillan and Grant Gillett).

38. Life-Size. (Jenefer Shute).

39. But Didn't You Have the Tests? (Joanna Richards).

40. Capable People: Empowering the Patient in the Assessment of Capacity. (Dermot Feenan).

41. Kelly. (Rafael Campo).

Part VI: Negotiating a Treatment Plan.

Introduction.

42. Understanding the Enemy. (Jenny Lewis).

43. Patient-controlled Analgesia: Advantages, Disadvantages, and Ethical Issues in the Management of Pain in Sickle Cell Disease. (Veronica Thomas).

44. Grief Is Carved In Stone. (Sandra Gilbert).

45. Decisions, Decisions: How Do Parents View the Decision They Made About a Randomized Clinical Trial? (Claire Snowdon, Jo Garcia, and Diana Elbourne).

46. The Ethics of Social Research With Children: An Overview. (Virginia Morrow and Martin Richards).

47. Consent, Refusal and Emotional Disturbance: Philip and Lucy. (Priscilla Alderson and Chris Goodey).

48. "Partnership" is Not Enough: Professional–Client Relations Revisited. (Paul Cain.

49. Experiencing Care: Steve Ersser).

50. Organ Salvage Policies: A Need for Better Data and More Insightful Ethics. (Thomas H. Murray and Stuart J. Younger).

51. Rationing, Justice, and Ageism. (John Keown).

52. Cardiopulmonary Resuscitation. (Paul Cain).

53. An Analysis of CPR Decision-making by Elderly Patients. (Gwen M Sayers, Irene Schofield, and Michael Aziz).

54. Can the Elderly Tolerate Endoscopy Without Sedation? (Sam A. Solomon, Vijay K. Kajla, and Arup. K. Banerjee).

55. Fighting Spirit: The Stories of Women in the Bristol Breast Cancer Survey. (Myles Harris, Vicki Harris and Heather Goodare).

56. What We Want from Crisis Services. (Peter Campbell).

Part VII: Continuing Contact: Getting Well.

Introduction.

57. Wounded in Action. (Jenny Lewis).

58. Flee On Your Donkey. (Anne Sexton).

59. Quickening. (Oliver Sacks).

60. Emotional and Behavioural Disturbance: Philip and Lucy. (Priscilla Alderson and Chris Goodey).

61. Sonnet LXXIII. (William Shakespeare).

62. When You Are Old. (W. B. Yeats).

63. Setting Limits: Medical Goals in an Aging Society. (Daniel Callahan).

64. Going Blind. (Rainer Maria Rilke).

65. The Decision to Have Reconstructive Surgery. (Margaret Allott).

66. Survivor or Expert? Some Thoughts on Being Both. (Gill de la Cour).

67. A Story About the Body. (Robert Hass).

Part VIII: Continuing Contact: Chronic Illness, Disability, Deformity, Remission, and Relapse:.

Introduction.

68. The Way to Freedom. (Jenny Lewis).

69. Privacy and Display: Issues of Good Practice for Dermatologists. (Terence J. Ryan and Vineet Kaur).

70. The Politics of AIDS. (Virginia van der Vliet).

71. The Avon Mental Health Measure.

72. My Husband the Stranger: Part I. (Elizabeth Forsythe).

73. Caretakers' Views on Responsibilities for the Care of the Demented Elderly. (Mary Howell).

74. Who Defines Futility? (Stuart J. Youngner).

75. Nobody Nowhere. (Donna Williams).

76. The Body in Multiple Sclerosis: A Patient's Perspective. (S. Kay Toombs).

77. A Living Death. (Peter Lennon).

78. Across the Disability Divide: Whose Tragedy? (Sally French and John Swain).

79. AIDS: May Sarton.

Part IX: Continuing Contact: Dying.

Introduction.

80. Epilogue. (Jenny Lewis).

81. Selection from The Death of Ivan Ilyich. (Leo Tolstoy).

82. Subjective Values, Objective Good, and Incompetent Patients. (Tom Buller).

83. Falls. (Edward Lowbury).

84. Decisions Near the End of Life: Council on Ethical and Judicial Affairs, American Medical Association.

85. On The Suicide Threshold. (Kate Hill).

86. My Husband the Stranger: Part 2. (Elizabeth Forsythe).

87. A Death of One's Own. (Martin Hollis).

88. Selection from The Death of Ivan Ilyich. (Leo Tolstoy).

89. The Coevolution of Bioethics and the Medical Humanities with Palliative Medicine, 1967–97. (David Barnard).

90. Why I Don't Have a Living Will. (Joanne Lynn).

91. Mama Day. (Gloria Naylor).

92. The Devil. (Guy de Maupassant).

93. Talking to the Family. (John Stone).

94. To the Foot from Its Child. (Neruda).

Index.