By Jurrit Bergsma Ph.D., David C. Thomasma Ph.D. (auth.)
This ebook arises from a two-fold conviction. the 1st is that autonomy, regardless of contemporary reviews approximately its value in bioethics and philosophy of medication, and the conventional resistance of medication to its "intrusion" into the doctor-patient relation, is a basic construction block of an individual's identification and mechanisms for facing ailment, disorder, and inability. As such it truly is an integral part within the overall healthiness care professional's armamentarium hired to lead to therapeutic. Furthennore, it services similarly to help the healthcare professional in his or her family to the in poor health and injured. the second one conviction follows from the fITst. Autonomy is much extra complicated than looks from the philosophical use of the idea that. during this conviction we sign up for those that have criticized the over-reliance on autonomy in modem, secular bioethics originating within the usa, yet gaining ascendancy in different cultures. This critique depends on appeals to the richer contexts of folks' lives. in different places the modern critique of autonomy appears to be like in numerous substitute moral versions like narrative ethics, casuist ethics, and contextualism. certainly, postmodern feedback of all bioethics argues that there's no defensible origin for claims that one should admire autonomy or the other precept as a fashion of making sure that one is ethical.
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Extra info for Autonomy and Clinical Medicine: Renewing the Health Professional Relation with the Patient
Our patients were interviewed according to the theoretical design models proposed, for example, by Glaser and Strauss (1970), and, later highlighted more extensively, by Denzin and Lincoln (1994). Analysis ofabout 200 interviews with both patients, healthy people and also with professional health care providers about their everyday problems in living, on future life-plans, and problem-solving now and before becoming a patient (for those who are now patients), confirmed the original distinction of four basic patterns of problem-solving behavior.
Patient interviews confIrmed the relationship between problem-solving strategies in daily life and a patient's problem-solving style when he or she became seriously ill, or faced other life-threatening events (Retera 1986; Bergsma 1998). Nevertheless, disease may be different from other problems people encounter in life. Sometimes disease represents a threat to life and calls into question the whole pattern and meaning of one's life. In those cases disease functions as a challenging invitation to reevaluate one's life.
The aversion towards their own condition becomes a central issue: the body refuses to act in the way the patient wants it to; the fear of loss of control creates uncertainty and anger at the same time. " Incongruence within oneself creates feelings of alienation. Not surprisingly, such feelings support the subsequent feelings of anxiety and aggression. This is the time that professionals and family experience the patient as being ungrateful. In fact, and of course, the patient is ungrateful. Most often there is good reason for the ingratitude since the situation he or she is in is not acceptable.
Autonomy and Clinical Medicine: Renewing the Health Professional Relation with the Patient by Jurrit Bergsma Ph.D., David C. Thomasma Ph.D. (auth.)