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Part personal documentary, part exercise in medical semantics, this essay brings the analytical tools of a linguist and the human perspective of a patient receiving treatment in the American health care system to bear on the language we use—for the most part unconsciously—to talk about illness and disease. Topics to be explored include linguistic ramifications of the illness/disease distinction; referring expressions for health disorders; the “linguistic construction” of disease (what's in a name?); the “translation” of biomedical information from the specialists' (...) |
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This paper suggests that medical education be revised to assist in diffusing potential ethical dilemmas that arise during health care provision. A revised medical education would emphasize the role of the humanities in the training of physicians, especially in light of recent critiques of the canonical scientific model in general, and more specifically in the use of that model for medical training and practice. |
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Medical language frequently contains linguistic forms that serve to create a social distance between physicians and patients. This distance develops not only out of poor communication with the patient, but also, and more importantly, arises as the language that a physician uses comes to modulate his or her experience of the patient. It is suggested that some of the problem lies in the very nature of language itself, and that further fault can be found in the particular structures of Western (...) |
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In this paper we develop a hermeneutic approach to the concept of competence. Patient competence, according to a hermeneutic approach, is not primarily a matter of being able to reason, but of being able to interpret the world and respond to it. Capacity should then not be seen as theoretical, but as practical. From the perspective of practical rationality, competence and capacity are two sides of the same coin. If a person has the capacity to understand the world and give (...) |
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In summary, the usual elements of a typical health care ethics consultation note might reasonably accommodate the needs and expectations of relevant parties, and would therefore include: 1. identification of the relevant ethical issues, questions, or dilemmas; 2. reference to any relevant facts--medical, nursing, social, psychological, spiritual, legal, political, etc.; 3. a prioritized list of recommendations to improve coordinated care; 4. a clear and concise articulation of relevant arguments, wtih specific reference to the list of recommendations as well as to (...) |
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