The book challenges the values of much of contemporary bioethics and health care policy by confronting their failure to secure the moral norms they seek to apply.

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)

The standard medical case report often reduces patients and caregivers to complexes of medical facts and clinical decisions. Restructuring the genre itself to acknowledge the human dimensions of both patients and physicians allows questions of human values to regain their stature as integral components of the discourse.

No study in the philosophy of science created such controversy in the seventies as Paul Feyerabend's Against Method. In this work, Feyerabend reviews that controversy, and extends his critique beyond the problem of scientific rules and methods, to the social function and direction of science today. In the first part of the book, he launches a sustained and irreverent attack on the prestige of science in the West. The lofty authority of the "expert" claimed by scientists is, he argues, incompatible (...) with any genuine democracy, and often merely serves to conceal entrenched prejudices and divided opinions with the scientific community itself. Feyerabend insists that these can and should be subjected to the arbitration of the lay population, whose closes interests they constantly affect—as struggles over atomic energy programs so powerfully attest. Calling for far greater diversity in the content of education to facilitate democratic decisions over such issues, Feyerabend recounts the origin and development of his own ideas—successively engaged by Brecht, Ehrenhaft, Popper, Mill and Lakatos—in a spirited intellectual self-portrait. Science in a Free Society is a striking intervention into one of the most topical debates in contemporary culture and politics. (shrink)

Attempts to show that traditional definitions of "science" and "technology" fail to capture the complex discursive construction of scientific knowledge. Argues (accompanied by many literary and philosphical examples) that science, technology, and the humanities developed in concert with each other, and that their reciprocal relationship transcends traditional disciplinary boundaries. Cloth edition (unseen), $35. Annotation copyrighted by Book News, Inc., Portland, OR.

Redefining, redrawing, and resetting the respective domains of philosophy, medicine, and health care, this book provides a conceptual point of departure from which the radical changes that will be required of health care in the next century can be envisioned and acted upon. It provides critical analyses of the conceptual apparatus that informs the many dimensions of health care practices, challenging the fundamental relationships of authority that exist between patients and health care practitioners, questioning the tradition of using classical ethical (...) theories within the domain of health care, and suggesting a set of different directions in which health care should develop. (shrink)