In this eye-opening look at the doctor-patient decision-making process, physician and law professor Jay Katz examines the time-honored belief in the virtue of silent care and patient compliance. Historically, the doctor-patient relationship has been based on a one-way trust -- despite recent judicial attempts to give patients a greater voice through the doctrine of informed consent. Katz criticizes doctors for encouraging patients to relinquish their autonomy, and demonstrates the detrimental effect their silence has on good patient care. Seeing a growing (...) need in this age of medical science and sophisticated technology for more honest and complete communication between physician and patients, he advocates a new, informed dialogue that respects the rights and needs of both sides. In a new foreword to this edition of The Silent World of Doctor and Patient , Alexander Morgan Capron outlines the changes in medical ethics practice that have occurred since the book was first published in 1984, paying particular attention to the hotly debated issues of physician-assisted suicide and informed consent in managed care. (shrink)

This book brings together, in systematic and generalized form, the main outlines of a conceptual scheme for the analysis of the structure and processes of social systems. It carries out Pareto's intention by using the "structural-functional" level of analysis.

The importance of trust has long been emphasised by social and political theorists from Locke and Tocqueville to Putnam and civil society theorists. However, individual survey data casts substantial doubt on this powerful tradition of thought. There is little evidence of an overlap between social and political trust, a syndrome of trust and membership of voluntary organizations, and the existence of trusting/distrusting dispositions among individuals. However, at the aggregate national level there is evidence to support the theory, and the author (...) concludes that the classic theory is correct but needs modification and qualification. (shrink)