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The nature of suffering and the goals of medicine

New York: Oxford University Press (2004)

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  1. The Aim of Medicine. Sanocentricity and the Autonomy Thesis.Somogy Varga - 2023 - Pacific Philosophical Quarterly (4):720-745.
    Recent criticisms of medicine converge on fundamental questions about the aim of medicine. The main task of this paper is to propose an account of the aim of medicine. Discussing and rejecting the initially plausible proposal according to which medicine is pathocentric, the paper presents and defends the Autonomy Thesis, which holds that medicine is not pathocentric, but sanocentric, aiming to promote health with the final aim to enhance autonomy. The paper closes by considering the objection that the Autonomy Thesis (...)
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  • The criticism of medicine at the end of its “golden age”.Somogy Varga - 2022 - Theoretical Medicine and Bioethics 43 (5):401-419.
    Medicine is increasingly subject to various forms of criticism. This paper focuses on dominant forms of criticism and offers a better account of their normative character. It is argued that together, these forms of criticism are comprehensive, raising questions about both medical science and medical practice. Furthermore, it is shown that these forms of criticism mainly rely on standards of evaluation that are assumed to be internal to medicine and converge on a broader question about the aim of medicine. Further (...)
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  • A Buddha Land in This World: Philosophy, Utopia, and Radical Buddhism.Lajos L. Brons - 2022 - Earth: punctum.
    In the early twentieth century, Uchiyama Gudō, Seno’o Girō, Lin Qiuwu, and others advocated a Buddhism that was radical in two respects. Firstly, they adopted a more or less naturalist stance with respect to Buddhist doctrine and related matters, rejecting karma or other supernatural beliefs. And secondly, they held political and economic views that were radically anti-hegemonic, anti-capitalist, and revolutionary. Taking the idea of such a “radical Buddhism” seriously, A Buddha Land in This World: Philosophy, Utopia, and Radical Buddhism asks (...)
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  • Liminality: A major category of the experience of cancer illness.Miles Little, Christopher F. C. Jordens, Kim Paul, Kathleen Montgomery & Bertil Philipson - 2022 - Journal of Bioethical Inquiry 19 (1):37-48.
    Narrative analysis is well established as a means of examining the subjective experience of those who suffer chronic illness and cancer. In a study of perceptions of the outcomes of treatment of cancer of the colon, we have been struck by the consistency with which patients record three particular observations of their subjective experience: the immediate impact of the cancer diagnosis and a persisting identification as a cancer patient, regardless of the time since treatment and of the presence or absence (...)
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  • Theravada Buddhism and Roman Catholicism on the Moral Permissibility of Palliative Sedation: A Blurred Demarcation Line.Asmat Ara Islam - 2021 - Journal of Religion and Health 61:1-13.
    Although Theravada Buddhism and Roman Catholicism agree on the moral justification for palliative sedation, they differ on the premises underlying the justification. While Catholicism justifies palliative sedation on the ground of the Principle of Double Effect, Buddhism does so on the basis of the Third Noble Truth. Despite their theological differences, Buddhism and Catholicism both value the moral significance of the physician’s intent to reduce suffering and both respect the sanctity of life. This blurs the demarcation line between Buddhism and (...)
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  • Hermeneutical Healing: Physical Therapy with a Gadamerian Twist.Casey Rentmeester - 2021 - Journal of Applied Hermeneutics 1 (2021):1-14.
    In recent decades, phenomenology has been utilized not only as a conceptual framework from which to understand medical encounters in healthcare settings, but also to guide medical professionals in providing care. In the realm of physical therapy, phenomenology has been touted as a philosophically-based avenue to aid in helping to understand what it means to be a patient. The works of Edmund Husserl and Martin Heidegger have been utilized as paths to approach phenomenologically-informed care in physical therapy. However, to our (...)
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  • Philosophy of mental time — A theme introduction.Lajos Brons & Takashi Iida - 2019 - Annals of the Japan Association for Philosophy of Science 28:1-8.
    (First paragraphs.) — The notion of “mental time” refers to the experience and awareness of time, including that of past, present, and future, and that of the passing of time. This experience and awareness of time raises a number of puzzling questions. How do we experience time? What exactly do we experience when we experience time? Do we actually experience time? Or do we infer time from something in, or some aspect of our experience? And so forth. These and many (...)
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  • “When the Fall Is All There Is…”: Refocusing on the Critical (Unique?) Characteristic of “Dying” in Physician Aid-in-Dying.Stuart G. Finder & Virginia L. Bartlett - 2019 - American Journal of Bioethics 19 (10):43-46.
    Volume 19, Issue 10, October 2019, Page 43-46.
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  • Physician Aid-in-Dying and Suicide Prevention in Psychiatry: A Moral Crisis?Margaret Battin & Brent M. Kious - 2019 - American Journal of Bioethics 19 (10):29-39.
    Involuntary psychiatric commitment for suicide prevention and physician aid-in-dying (PAD) in terminal illness combine to create a moral dilemma. If PAD in terminal illness is permissible, it should also be permissible for some who suffer from nonterminal psychiatric illness: suffering provides much of the justification for PAD, and the suffering in mental illness can be as severe as in physical illness. But involuntary psychiatric commitment to prevent suicide suggests that the suffering of persons with mental illness does not justify ending (...)
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  • The World According to Suffering.Antti Kauppinen - 2019 - In Michael S. Brady, David Bain & Jennifer Corns (eds.), Philosophy of Suffering: Metaphysics, Value, and Normativity. London: Routledge.
    On the face of it, suffering from the loss of a loved one and suffering from intense pain are very different things. What makes them both experiences of suffering? I argue it’s neither their unpleasantness nor the fact that we desire not to have such experiences. Rather, what we suffer from negatively transforms the way our situation as a whole appears to us. To cash this out, I introduce the notion of negative affective construal, which involves practically perceiving our situation (...)
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  • What’s Good for Them? Best Interests and Severe Disorders of Consciousness.Jennifer Hawkins - 2016 - In Walter Sinnott-Armstrong (ed.), Finding Consciousness: The Neuroscience, Ethics, and Law of Severe Brain Damage. Oxford University Press USA. pp. 180-206.
    I consider the current best interests of patients who were once thought to be either completely unaware (to be in PVS) or only minimally aware (MCS), but who, because of advanced fMRI studies, we now suspect have much more “going on” inside their minds, despite no ability to communicate with the world. My goal in this chapter is twofold: (1) to set out and defend a framework that I think should always guide thinking about the best interests of highly cognitively (...)
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  • The alleviation of suffering as the goal of psychological care.Jordi Cabos - 2014 - Ramon Llull Journal of Applied Ethics 5 (5):205-220.
    It would seem quite clear that what gives meaning to psychological care is the alleviation of patient suffering. But this affirmation is not so evident in some cases. In fact, some psychological care practices overlook suffering. This article explores why suffering is overlooked in some of these practices: first of all, the search for a psychological care which is free from moral judgments; secondly, the incompatibility between suffering and the prevailing psychological care models and thirdly, the professionalisation of the relief (...)
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  • Suffering Pains.Olivier Massin - 2019 - In Michael S. Brady, David Bain & Jennifer Corns (eds.), Philosophy of Suffering: Metaphysics, Value, and Normativity. London: Routledge. pp. 76-100.
    The paper aims at clarifying the distinctions and relations between pain and suffering. Three negative theses are defended: 1. Pain and suffering are not identical. 2. Pain is not a species of suffering, nor is suffering a species of pain, nor are pain and suffering of a common (proximate) genus. 3. Suffering cannot be defined as the perception of a pain’s badness, nor can pain be defined as a suffered bodily sensation. Three positive theses are endorsed: 4. Pain and suffering (...)
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  • Being a Doctor and Being a Hospital.Rosamond Rhodes & Michael Danziger - 2018 - American Journal of Bioethics 18 (7):51-53.
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  • When Religion and Medicine Clash: Non-beneficial Treatments and Hope for a Miracle.Philip M. Rosoff - 2019 - HEC Forum 31 (2):119-139.
    Patient and family demands for the initiation or continuation of life-sustaining medically non-beneficial treatments continues to be a major issue. This is especially relevant in intensive care units, but is also a challenge in other settings, most notably with cardiopulmonary resuscitation. Differences of opinion between physicians and patients/families about what are appropriate interventions in specific clinical situations are often fraught with highly strained emotions, and perhaps none more so when the family bases their desires on religious belief. In this essay, (...)
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  • Death and Dying, theories of.Andrzej Klimczuk & Artur Fabiś - 2017 - In Bryan S. Turner (ed.), The Wiley-Blackwell Encyclopedia of Social Theory. Hoboken: Wiley-Blackwell. pp. 1--7.
    Death is a state of the total disappearance of life. Dying is a process of decay of the vital system, which ends with clinical death. In current perspectives there are several approaches to research on death and dying; these are the clinical, the humanistic, the philosophical, the psychological, the anthropological, and the sociological perspective.
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  • Conceptualizing suffering and pain.Noelia Bueno-Gómez - 2017 - Philosophy, Ethics, and Humanities in Medicine 12:7.
    BackgroundThis article aims to contribute to a better conceptualization of pain and suffering by providing non-essential and non-naturalistic definitions of both phenomena. Contributions of classical evidence-based medicine, the humanistic turn in medicine, as well as the phenomenology and narrative theories of suffering and pain, together with certain conceptions of the person beyond them are critically discussed with such purpose.MethodsA philosophical methodology is used, based on the review of existent literature on the topic and the argumentation in favor of what are (...)
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  • Psychopathy: Morally Incapacitated Persons.Heidi Maibom - 2017 - In Thomas Schramme & Steven Edwards (eds.), Handbook of the Philosophy of Medicine. Springer. pp. 1109-1129.
    After describing the disorder of psychopathy, I examine the theories and the evidence concerning the psychopaths’ deficient moral capacities. I first examine whether or not psychopaths can pass tests of moral knowledge. Most of the evidence suggests that they can. If there is a lack of moral understanding, then it has to be due to an incapacity that affects not their declarative knowledge of moral norms, but their deeper understanding of them. I then examine two suggestions: it is their deficient (...)
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  • Ethical Issues in Fecal Microbiota Transplantation in Practice.Yonghui Ma, Jiayu Liu, Catherine Rhodes, Yongzhan Nie & Faming Zhang - 2017 - American Journal of Bioethics 17 (5):34-45.
    Fecal microbiota transplantation has demonstrated efficacy and is increasingly being used in the treatment of patients with recurrent Clostridium difficile infection. Despite a lack of high-quality trials to provide more information on the long-term effects of FMT, there has been great enthusiasm about the potential for expanding its applications. However, FMT presents many serious ethical and social challenges that must be addressed as part of a successful regulatory policy response. In this article, we draw on a sample of the scientific (...)
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  • (1 other version)Clinical evidence and the absent body in medical phenomenology: On the need for a new phenomenology of medicine.Maya J. Goldenberg - 2010 - International Journal of Feminist Approaches to Bioethics 3 (1):43-71.
    The once animated efforts in medical phenomenology to integrate the art and science of medicine (or to humanize scientific medicine) have fallen out of philosophical fashion. Yet the current competing medical discourses of evidencebased medicine and patient-centered care suggest that this theoretical endeavor requires renewed attention. In this paper, I attempt to enliven the debate by discussing theoretical weaknesses in the way the “lived body” has operated in the medical phenomenology literature—the problem of the absent body—and highlight how evidence-based medicine (...)
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  • Neurosurgery for Psychopaths? An Ethical Analysis.Dietmar Hübner & Lucie White - 2016 - American Journal of Bioethics Neuroscience 7 (3):140-149.
    Recent developments in neuroscience have inspired proposals to perform deep brain stimulation on psychopathic detainees. We contend that these proposals cannot meet important ethical requirements that hold for both medical research and therapy. After providing a rough overview of key aspects of psychopathy and the prospects of tackling this condition via deep brain stimulation, we proceed to an ethical assessment of such measures, referring closely to the distinctive features of psychopathic personality, particularly the absence of subjective suffering and a lack (...)
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  • Physicians Should “Assist in Suicide” When it is Appropriate.Timothy E. Quill - 2012 - Journal of Law, Medicine and Ethics 40 (1):57-65.
    In my career as a primary care physician and as a palliative care consultant, I have assisted many patients to die with their full consent. None of them wanted to die, and all would have chosen other paths had their disease not been so severe and irreversible. To a person, none of these patients thought of themselves as “suicidal,” and they would have found that label preposterous and demeaning. In fact, the kind of personal disintegration that the label implies is (...)
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  • The Role of Philosophy in Modern Medicine.Mbih Jerome Tosam - 2014 - Open Journal of Philosophy 4 (1):75-84.
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  • Mental Illness, Lack of Autonomy, and Physician-Assisted Death.Jukka Varelius - 2015 - In Jukka Varelius & Michael Cholbi (eds.), New Directions in the Ethics of Assisted Suicide and Euthanasia. Cham: Springer Verlag. pp. 59-77.
    In this chapter, I consider the idea that physician-assisted death might come into question in the cases of psychiatric patients who are incapable of making autonomous choices about ending their lives. I maintain that the main arguments for physician-assisted death found in recent medical ethical literature support physician-assisted death in some of those cases. After assessing several possible criticisms of what I have argued, I conclude that the idea that physicianassisted death can be acceptable in some cases of psychiatric patients (...)
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  • Sub-Abstract Bodies: The Epistemic and Ethical Role of the Body-Mind Relationship in Adorno’s Philosophy.Owen Hulatt - 2015 - International Journal of Philosophical Studies 23 (4):460-478.
    The aim of this paper is threefold. In the first place, I should like to show that Adorno’s philosophy is dependent, to a degree perhaps not always directly recognized in the literature, on a deeply contentious view on the relationship between the mind and the body. In order to show this, I explore and bring out the epistemic and ethical stakes for Adorno’s theory of the relationship between mind and body. Secondly, I move to better articulate precisely what Adorno’s view (...)
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  • Bioethics: History, Scope, Object.A. F. Cascais - 1997 - Global Bioethics 10 (1):9-24.
    A comprehensive analysis of the evolving conditions that provided for the emergence and autonomization of the field of bioethical inquiry, as well as the social, cultural and political background against which its birth can be set, should enlighten us about the problematic nature that characterises it from its very onset. Those conditions are: abuses in experimentation on human subjects, availability of new biomedical technologies, the challenging of prevalent medical paradigms and the ultimate meaning and purpose of medical care, new scientific (...)
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  • Narrative Medicine and Healthcare Reform.Bradley E. Lewis - 2011 - Journal of Medical Humanities 32 (1):9-20.
    Narrative medicine is one of medicine’s most important internal reforms, and it should be a critical dimension of healthcare debate. Healthcare reform must eventually ask not only how do we pay for healthcare and how do we distribute it, but more fundamentally, what kind of healthcare do we want? It must ask, in short, what are the goals of medicine? Yet, even though narrative medicine is crucial to answering these pivotal and inescapable questions, it is not easy to describe. Many (...)
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  • Clinical evaluation: constructing a new model for post‐normal medicine.Kieran Sweeney Ma Mphil Frcgp & David Kernick Md Mrcgp - 2002 - Journal of Evaluation in Clinical Practice 8 (2):131-138.
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  • Communicating with Sufferers: Lessons from the Book of Job.Joseph Tham - 2013 - Christian Bioethics 19 (1):82-99.
    This article looks at the question of sin and disease in bioethics with a spiritual-theological analysis from the book of Job. The biblical figure Job is an innocent and just man who suffered horrendously. His dialogues with others—his wife, his friends, and God—can give many valuable insights for patients who suffer and for those who interact with them. Family, friends, physicians, nurses, chaplains, and pastoral workers can learn from Job how to communicate properly with sufferers. The main question for Job (...)
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  • Science: a limited source of knowledge and authority in the care of patients*. A Review and Analysis of: ‘How Doctors Think. Clinical Judgement and the Practice of Medicine.’Montgomery, K. [REVIEW]Andrew Miles - 2007 - Journal of Evaluation in Clinical Practice 13 (4):545-563.
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  • Treating Patients as Persons: A Capabilities Approach to Support Delivery of Person-Centered Care.Vikki A. Entwistle & Ian S. Watt - 2013 - American Journal of Bioethics 13 (8):29-39.
    Health services internationally struggle to ensure health care is “person-centered” (or similar). In part, this is because there are many interpretations of “person-centered care” (and near synonyms), some of which seem unrealistic for some patients or situations and obscure the intrinsic value of patients’ experiences of health care delivery. The general concern behind calls for person-centered care is an ethical one: Patients should be “treated as persons.” We made novel use of insights from the capabilities approach to characterize person-centered care (...)
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  • What is Patient-Centered Care? A Typology of Models and Missions.Sandra J. Tanenbaum - 2015 - Health Care Analysis 23 (3):272-287.
    Recently adopted health care practices and policies describe themselves as “patient-centered care.” The meaning of the term, however, remains contested and obscure. This paper offers a typology of “patient-centered care” models that aims to contribute to greater clarity about, continuing discussion of, and further advances in patient-centered care. The paper imposes an original analytic framework on extensive material covering mostly US health care and health policy topics over several decades. It finds that four models of patient-centered care emphasize: patients versus (...)
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  • The principle of proportionality revisited: interpretations and applications. [REVIEW]Göran Hermerén - 2012 - Medicine, Health Care and Philosophy 15 (4):373-382.
    The principle of proportionality is used in many different contexts. Some of these uses and contexts are first briefly indicated. This paper focusses on the use of this principle as a moral principle. I argue that under certain conditions the principle of proportionality is helpful as a guide in decision-making. But it needs to be clarified and to be used with some flexibility as a context-dependent principle. Several interpretations of the principle are distinguished, using three conditions as a starting point: (...)
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  • The desire for health and the promises of medicine.Roberto Mordacci - 1998 - Medicine, Health Care and Philosophy 1 (1):21-30.
    The varieties of meaning in which we use the terms illness and health requires that we develope a conceptualization allowing us to maintain a unity between the differences. In fact, the experiences of health and illness are complex ones and they need to be understood in their different levels so that the need for help of patients and their desire for health is adequately faced. At its roots, the experience of illness is that of a threat posed to the unreflective (...)
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  • The naturalness of the artificial and our concepts of health, disease and medicine.Y. Michael Barilan & Moshe Weintraub - 2001 - Medicine, Health Care and Philosophy 4 (3):311-325.
    This article isolates ten prepositions, which constitute the undercurrent paradigm of contemporary discourse of health disease and medicine. Discussion of the interrelationship between those prepositions leads to a systematic refutation of this paradigm. An alternative set is being forwarded. The key notions of the existing paradigm are that health is the natural condition of humankind and that disease is a deviance from that nature. Natural things are harmonious and healthy while human made artifacts are coercive interference with natural balance. It (...)
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  • Towards welfare biology: Evolutionary economics of animal consciousness and suffering. [REVIEW]Yew-Kwang Ng - 1995 - Biology and Philosophy 10 (3):255-285.
    Welfare biology is the study of living things and their environment with respect to their welfare. Despite difficulties of ascertaining and measuring welfare and relevancy to normative issues, welfare biology is a positive science. Evolutionary economics and population dynamics are used to help answer basic questions in welfare biology : Which species are affective sentients capable of welfare? Do they enjoy positive or negative welfare? Can their welfare be dramatically increased? Under plausible axioms, all conscious species are plastic and all (...)
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  • Dualism and its importance for medicine.Irene Switankowsky - 2000 - Theoretical Medicine and Bioethics 21 (6):567-580.
    Cartesian dualism has been viewed by medical theorists to be oneof the chief causes of a reductionist/mechanistic treatment ofthe patient. Although I aver that Cartesian dualism is one culprit for the misapprehension of the genuine treatment of patients in termsof both mind and body, I argue that interactive dualism whichstresses the interaction of mind and body is essential to treatpatients with dignity and compassion. Thus, adequate medical carethat is humanistic in nature is difficult (if not impossible)to achieve without physicians adhering (...)
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  • Human dignity and the ethics and aesthetics of pain and suffering.Daryl Pullman - 2002 - Theoretical Medicine and Bioethics 23 (1):75-94.
    Inasmuch as unmitigated pain and suffering areoften thought to rob human beings of theirdignity, physicians and other care providersincur a special duty to relieve pain andsuffering when they encounter it. When pain andsuffering cannot be controlled it is sometimesthought that human dignity is compromised.Death, it is sometimes argued, would bepreferred to a life without dignity.Reasoning such as this trades on certainpreconceptions of the nature of pain andsuffering, and of their relationships todignity. The purpose of this paper is to laybare these (...)
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  • “Nobody Understands”: On a Cardinal Phenomenon of Palliative Care.Tomasz Okon - 2006 - Journal of Medicine and Philosophy 31 (1):13 – 46.
    In the clinical practice of palliative medicine, recommended communication models fail to approximate the truth of suffering associated with an impending death. I provide evidence from patients' stories and empiric research alike to support this observation. Rather than attributing this deficiency to inadequate training or communication skills, I examine the epistemological premises of the biomedical language governing the patient-physician communication. I demonstrate that the contemporary biomedicine faces a fundamental aporetic occlusion in attempting to examine death. This review asserts that the (...)
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  • Proportionality, terminal suffering and the restorative goals of medicine.Lynn A. Jansen & Daniel P. Sulmasy - 2002 - Theoretical Medicine and Bioethics 23 (4-5):321-337.
    Recent years have witnessed a growing concern that terminally illpatients are needlessly suffering in the dying process. This has ledto demands that physicians become more attentive in the assessment ofsuffering and that they treat their patients as `whole persons.'' Forthe most part, these demands have not fallen on deaf ears. It is nowwidely accepted that the relief of suffering is one of the fundamentalgoals of medicine. Without question this is a positive development.However, while the importance of treating suffering has generally (...)
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  • El dolor futuro como preocupación presente.Adaora Onaga - 2022 - Estudios de Filosofía (Universidad de Antioquia) 65:133-152.
    Pain is multidimensional, complex; it affects the ontological structures of the human being and exceeds spatio-temporal boundaries. Therefore, it is universally felt with an impact in the past, moving to the present, and projecting to the future. There are efforts to ease or completely eliminate the impact of pain, however, a good understand- ing of its biological and anthropological dimensions is necessary for proper orientation of such undertakings. This article identifies some social, cultural, medical-scientific, and individual factors that account for (...)
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  • Medicine’s metaphysical morass: how confusion about dualism threatens public health.Diane O’Leary - 2020 - Synthese 2020 (December):1977-2005.
    What position on dualism does medicine require? Our understanding of that ques- tion has been dictated by holism, as defined by the biopsychosocial model, since the late twentieth century. Unfortunately, holism was characterized at the start with con- fused definitions of ‘dualism’ and ‘reductionism’, and that problem has led to a deep, unrecognized conceptual split in the medical professions. Some insist that holism is a nonreductionist approach that aligns with some form of dualism, while others insist it’s a reductionist view (...)
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  • Pain and the field of affordances: an enactive approach to acute and chronic pain.Sabrina Coninx & Peter Stilwell - 2021 - Synthese 199 (3-4):7835-7863.
    In recent years, the societal and personal impacts of pain, and the fact that we still lack an effective method of treatment, has motivated researchers from diverse disciplines to try to think in new ways about pain and its management. In this paper, we aim to develop an enactive approach to pain and the transition to chronicity. Two aspects are central to this project. First, the paper conceptualizes differences between acute and chronic pain, as well as the dynamic process of (...)
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  • Encountering Suffering at Work in Health Religious Organizations: A Partial Least Squares Path Modeling Case-Study.Maria Isabel Sánchez-Hernández, Eduardo Gismera-Tierno, Jesus Labrador-Fernández & José Luis Fernández-Fernández - 2020 - Frontiers in Psychology 11.
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  • Physician Aid-in-Dying and Suicide Prevention in Psychiatry: A Moral Imperative Over a Crisis.Keith M. Swetz & Bethany C. Calkins - 2019 - American Journal of Bioethics 19 (10):68-70.
    Volume 19, Issue 10, October 2019, Page 68-70.
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  • Human Rights and Global Mental Health: Reducing the Use of Coercive Measures.Kelso Cratsley, Marisha Wickremsinhe & Timothy K. Mackey - 2021 - In A. Dyer, B. Kohrt & P. J. Candilis (eds.), Global Mental Health: Ethical Principles and Best Practices. pp. 247-268.
    The application of human right frameworks is an increasingly important part of efforts to accelerate progress in global mental health. Much of this has been driven by several influential legal and policy instruments, most notably the United Nations’ Convention on the Rights of Persons with Disabilities, as well as the World Health Organization’s QualityRights Tool Kit and Mental Health Action Plan. Despite these significant developments, however, much more needs to be done to prevent human rights violations. This chapter focuses on (...)
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  • Professing clinical medicine in an evolving health care network.James A. Marcum - 2019 - Theoretical Medicine and Bioethics 40 (3):197-215.
    For at least the past several decades, medicine has been embroiled in a crisis concerning the nature of its professionalism. The fundamental questions that drive this ongoing crisis are primarily three. First, what is the nature of medical professionalism? Second, who are medical professionals? Third, what does medicine or these professionals profess or promise? In this paper, the professionalism crisis vis-à-vis these questions is examined and analyzed chiefly in terms of both Francis Peabody’s and Edmund Pellegrino’s writings. Based on their (...)
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  • Hope for health and health care.William E. Stempsey - 2015 - Medicine, Health Care and Philosophy 18 (1):41-49.
    Virtually all activities of health care are motivated at some level by hope. Patients hope for a cure; for relief from pain; for a return home. Physicians hope to prevent illness in their patients; to make the correct diagnosis when illness presents itself; that their prescribed treatments will be effective. Researchers hope to learn more about the causes of illness; to discover new and more effective treatments; to understand how treatments work. Ultimately, all who work in health care hope to (...)
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  • The phenomenology of chronic pain: embodiment and alienation.Fredrik Svenaeus - 2015 - Continental Philosophy Review 48 (2):107-122.
    This article develops a phenomenological exploration of chronic pain from a first-person perspective that can serve to enrich the medical third-person perspective. The experience of chronic pain is found to be a feeling in which we become alienated from the workings of our own bodies. The bodily-based mood of alienation is extended, however, in penetrating the whole world of the chronic pain sufferer, making her entire life unhomelike. Furthermore, the pain mood not only opens up the world as having an (...)
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  • Mere anecdote: evidence and stories in medicine.Robin Nunn - 2011 - Journal of Evaluation in Clinical Practice 17 (5):920-926.
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