Chapter 1 FROM ORDER TO DISORDER 5 mins. John enters and goes into his office. He says something very quickly about having made a bad mistake. He had sent the review of a paper. . . . The rest of the sentence is inaudible. 5 mins.

Over the course of its first seven editions, Principles of Biomedical Ethics has proved to be, globally, the most widely used, authored work in biomedical ethics. It is unique in being a book in bioethics used in numerous disciplines for purposes of instruction in bioethics. Its framework of moral principles is authoritative for many professional associations and biomedical institutions-for instruction in both clinical ethics and research ethics. It has been widely used in several disciplines for purposes of teaching in the (...) classroom, during conferences, etc. (shrink)

In this book Bruno Latour brings together these different approaches to provide a lively and challenging analysis of science, demonstrating how social context..

Voici un ouvrage qui surprendra. Car on n'y retrouvera pas les êtres qui nous sont familiers : ici, point de groupes, de classes sociales, d'ouvriers, de cadres, de jeunes, de femmes, d'électeurs auxquels nous ont habitués les sciences sociales ; point de ces personnes sans qualités que philosophie politique et économie nomment individus ; point, non plus, de ces personnages grandeur nature que nous dépeignent histoire et anthropologie. Non, ici, c'est de vous, de nous tous qu'il est question, dès lors (...) que, vivant en société, nous vivons en situation, c'est-à-dire dans les rapports aux autres et aux choses. A chaque instant, nous cherchons à rendre compréhensibles nos conduites, afin d'assurer, à quelque niveau que ce soit - le groupe, l'entreprise, la collectivité -, la coexistence avec autrui par l'accord : tels sont le rôle et la nature de la justification. La sociologie traditionnelle, quelle qu'en soit l'école, prétend que les personnes rationalisent leurs conduites au nom de motifs apparents et fallacieux alors qu'elles sont, en réalité, déterminées par des forces cachées et objectives qu'il revient, bien évidemment, au sociologue de dévoiler... En rupture de ban avec la perspective cavalière que la philosophie politique et la sociologie ont longtemps adoptée face à l'ordre social, Luc Boltanski et Laurent Thévenot ont pris le parti de traiter sérieusement les personnes et leurs prétentions à la justice. Ils ont voulu comprendre quels sont les principes, les équivalences, les valeurs de référence - ce qu'ils appellent les grandeurs - auxquels les acteurs en appellent lorsqu'ils veulent manifester leur désaccord sans recourir à la violence. S'éloignant en cela des théories de la justice, les auteurs montrent comment les personnes prennent appui sur des objets communs, présents dans la situation pour asseoir leurs justifications. Il en résulte un ouvrage original qui construit un cadre permettant d'analyser la relation entre accord et discorde, et qui nourrit ses réflexions de l'analyse serrée de la littérature de management comme de lettres de dénonciation adressées aux grands quotidiens ou de classiques de la philosophie politique. Il en résulte un ouvrage ambitieux qui ouvre la voie à une approche qui ne réduise plus les acteurs à des agents donnés par des forces extérieures, mais qui les étudie en situation de maîtrise de leur conduite et de leur coexistence dans le monde de tous les jours. (shrink)

The Body Multiple is an extraordinary ethnography of an ordinary disease. Drawing on fieldwork in a Dutch university hospital, Annemarie Mol looks at the day-to-day diagnosis and treatment of atherosclerosis. A patient information leaflet might describe atherosclerosis as the gradual obstruction of the arteries, but in hospital practice this one medical condition appears to be many other things. From one moment, place, apparatus, specialty, or treatment, to the next, a slightly different “atherosclerosis” is being discussed, measured, observed, or stripped away. (...) This multiplicity does not imply fragmentation; instead, the disease is made to cohere through a range of tactics including transporting forms and files, making images, holding case conferences, and conducting doctor-patient conversations. The Body Multiple juxtaposes two distinct texts. Alongside Mol’s analysis of her ethnographic material—interviews with doctors and patients and observations of medical examinations, consultations, and operations—runs a parallel text in which she reflects on the relevant literature. Mol draws on medical anthropology, sociology, feminist theory, philosophy, and science and technology studies to reframe such issues as the disease-illness distinction, subject-object relations, boundaries, difference, situatedness, and ontology. In dialogue with one another, Mol’s two texts meditate on the multiplicity of reality-in-practice. Presenting philosophical reflections on the body and medical practice through vivid storytelling, The Body Multiple will be important to those in medical anthropology, philosophy, and the social study of science, technology, and medicine. (shrink)

This text reviews late-1990s published work on the nature and power of reflection-on-practice. It portrays the claims being made for investing in the development of reflective health care practitioners and sets out clearly what reflective practice is and is not.

This classic and controversial book examines the roots of the idea of virtue, diagnoses the reasons for its absence in modern life, and proposes a path for its recovery.

In public debates about the desirability of force feeding in the Netherlands the inclination of people with dementia to refrain from eating and drinking tends to be either taken as their gut-way of expressing their will, or as a symptom of their disease running its natural course. An ethnographic inquiry into daily care, however, gives a quite different insight in fasting by relating it to common practices of eating and drinking in nursing homes. In a nursing home eating and drinking (...) are important social activities that may be shaped quite differently. And while necessary for survival, food and drink also have other qualities: taste, temperature, texture, smell. Whether we want it or not, in the end we all die. But with different modes of care come different modes of dying and of living. (shrink)