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Medical Paternalism
Medical paternalism is a set of attitudes and practices in medicine in which a physician determines the course of treatment based on the doctor's judgment of what is best for the patient, largely discounting or ignoring the wishes and preferences of the patient under the assumption that the doctor knows what is best for the individual. These practices were current through the early to mid 20th century, and were characterised by a paternalistic attitude, Surrogate decision-maker, surrogate decision-making and a lack of respect for patient autonomy. It is almost exclusively undertaken with the intention of benefiting the patient, although this is not always the case. In the past, paternalism was considered an absolute medical necessity, as there was little to no public understanding of medical procedures and practices. However, in recent years, paternalism has become limited and blind faith in doctors' decisions has come to be frowned upon. By the end of the 20th century and into the 2 ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Medicine
Medicine is the science and Praxis (process), practice of caring for patients, managing the Medical diagnosis, diagnosis, prognosis, Preventive medicine, prevention, therapy, treatment, Palliative care, palliation of their injury or disease, and Health promotion, promoting their health. Medicine encompasses a variety of health care practices evolved to maintain and restore health by the prevention (medical), prevention and treatment of illness. Contemporary medicine applies biomedical sciences, biomedical research, medical genetics, genetics, and medical technology to diagnosis (medical), diagnose, treat, and prevent injury and disease, typically through pharmaceuticals or surgery, but also through therapies as diverse as psychotherapy, splint (medicine), external splints and traction, medical devices, biologic medical product, biologics, and Radiation (medicine), ionizing radiation, amongst others. Medicine has been practiced since Prehistoric medicine, prehistoric times, and ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Josef Breuer
Josef Breuer ( ; ; 15 January 1842 – 20 June 1925) was an Austrian physician who made discoveries in neurophysiology, and whose work during the 1880s with his patient Bertha Pappenheim, known as Anna O., led to the development of the "cathartic method" (also referred to as the " talking cure") for psychiatric disorders. The method was a major initiatory factor for psychoanalysis, as developed by Breuer's friend and collaborator Sigmund Freud. Early life Born in Vienna, his father, Leopold Breuer, taught religion in Vienna's Jewish community. Breuer's mother died when he was quite young, and he was raised by his maternal grandmother and educated by his father until the age of eight. He graduated from the Akademisches Gymnasium of Vienna in 1858 and then studied at the university for one year before enrolling in the medical school of the University of Vienna. He passed his medical examinations in 1867 and went to work as assistant to the internist Johann Oppolzer at the univ ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Shared Decision-making
Shared decision-making in medicine (SDM) is a process in which both the patient and physician contribute to the medical decision-making process and agree on treatment decisions. Health care providers explain treatments and alternatives to patients and help them choose the treatment option that best aligns with their preferences as well as their unique cultural and personal beliefs. In contrast to SDM, the traditional biomedical care system placed physicians in a position of authority with patients playing a passive role in care. Physicians instructed patients about what to do, and patients rarely took part in the treatment decision. History One of the first instances where the term ''shared decision-making'' was employed was in a report on ethics in medicine by Robert Veatch in 1972. It was used again in 1982 in the "President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research". This work built on the increasing interest in ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Patient Participation
Patient participation is a trend that arose in answer to medical paternalism. Informed consent is a process where patients make decisions informed by the advice of medical professionals. In recent years, the term ''patient participation'' has been used in many different contexts. These include, for example, clinical contexts in the form of shared decision-making, or patient-centered care. A nuanced definition of which was proposed in 2009 by the president of the Institute for Healthcare Improvement, Donald Berwick: "The experience (to the extent the informed, individual patient desires it) of transparency, individualization, recognition, respect, dignity, and choice in all matters, without exception, related to one's person, circumstances, and relationships in health care" are concepts closely related to patient participation. Patient participation is also used when referring to collaborations with patients within health systems and organisations, such as in the context of par ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Harm Reduction
Harm reduction, or harm minimization, refers to a range of intentional practices and public health policies designed to lessen the negative social and/or physical consequences associated with various human behaviors, both legal and illegal. Harm reduction is used to decrease negative consequences of recreational drug use and sexual activity without requiring abstinence, recognizing that those unable or unwilling to stop can still make positive change to protect themselves and others. Harm reduction is most commonly applied to approaches that reduce adverse consequences from drug use, and harm reduction programs now operate across a range of services and in different regions of the world. As of 2020, some 86 countries had one or more programs using a harm reduction approach to substance use, primarily aimed at reducing blood-borne infections resulting from use of contaminated injecting equipment. Needle-exchange programmes reduce the likelihood of people who use heroin and ot ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Voluntary Euthanasia
Voluntary euthanasia is the purposeful ending of another person's life at their request, in order to relieve them of suffering. Voluntary euthanasia and physician-assisted suicide (PAS) have been the focus of intense debate in the 21st century, surrounding the idea of a right to die. Some forms of voluntary euthanasia are legal in Australia, Belgium, Canada, Colombia, Luxembourg, the Euthanasia in the Netherlands, Netherlands, New Zealand, and Spain. Voluntary Terminal dehydration, refusal of food and fluids (VRFF), also called voluntarily stopping eating and drinking (VSED) or Terminal illness#Refusal of nutrition and hydration, Patient Refusal of Nutrition and Hydration (PRNH), will similarly result in death. Some authors classify this voluntary action as a form of ''passive'' euthanasia, while others treat it separately because it is treated differently from legal point of view, and often perceived as a more ethical option. VRFF is sometimes suggested as a legal alternative t ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Journal Of The Royal Society Of Medicine
The ''Journal of the Royal Society of Medicine'' is a peer-reviewed medical journal. It is the flagship journal of the Royal Society of Medicine, located in London, with full editorial independence. Its continuous publication history dates back to 1809. Since July 2005 the editor-in-chief is Kamran Abbasi, who succeeded Robin Fox who was editor for almost 10 years. History The journal was established in 1806 as the ''Medico-Chirurgical Transactions'' published by the Royal Medical and Chirurgical Society of London. It was renamed to ''Proceedings of the Royal Society of Medicine'' in 1907, following the merger that led to the formation of the Royal Society of Medicine and with volume numbering restarting at 1, before obtaining its current name in 1978. Abstracting and indexing The journal is abstracted and indexed in MEDLINE/PubMed, Science Citation Index, EMBASE, CAB International, and Elsevier Biobase. According to the ''Journal Citation Reports'', the journal has a 2021 imp ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Patients' Rights
Patient rights consist of enforceable duties that healthcare professionals and healthcare business persons owe to patients to provide them with certain services or benefits. When such services or benefits become rights instead of simply privileges, then a patient can expect to receive them and can expect the support of people who enforce organization policies or legal codes to intervene on the patient's behalf if the patient does not receive them. A patient's bill of rights is a list of guarantees for those receiving medical care. It may take the form of a law or a non-binding declaration. Typically a patient's bill of rights guarantees patients information, fair treatment, and autonomy over medical decisions, among other rights. India Under the direction of the Ministry of Health and Family Welfare (MOHFW), India's National Human Rights Commission drafted a Charter of Patients' Rights in 2018. Following a recommendation by the National Council of Clinical Establishments, MOHFW ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Thomas Szasz
Thomas Stephen Szasz ( ; ; 15 April 1920 – 8 September 2012) was a Hungarian-American academic and psychiatrist. He served for most of his career as professor of psychiatry at the State University of New York Upstate Medical University. A distinguished lifetime fellow of the American Psychiatric Association and a life member of the American Psychoanalytic Association, he was best known as a social critic of the moral and scientific foundations of psychiatry, as what he saw as the social control aims of medicine in modern society, as well as scientism. Szasz maintained throughout his career that he was not anti-psychiatry but rather that he opposed coercive psychiatry. He was a staunch opponent of civil commitment and involuntary psychiatric treatment, but he believed in and practiced psychiatry and psychotherapy between consenting adults. Life and death Szasz was born on April 15, 1920, in Budapest, Hungary, the second son of Jewish parents Gyula and Lily Szász. In ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Jay Katz
Jacob "Jay" Katz (October 20, 1922 – November 17, 2008) was an American physician and Yale Law School professor whose career was devoted to addressing complex issues of medical ethics and other ethical problems involving the overlaps of ethics, law, medicine and psychology. Early life Katz was born in Zwickau, Germany on October 20, 1922, where his father owned a department store. After Adolf Hitler came to power in 1933, Nazi Germany implemented rules stripping the family of their German citizenship. His father obtained a Czechoslovakian passport, which he used to leave Germany and travel to Prague as a 16-year-old. He made it to New York City through Italy and England, with his parents and brother joining him in the United States in 1940.Hevesi, Dennis"Dr. Jay Katz, 86, Dies; Explorer of Ethics Issues" ''The New York Times'', November 19, 2008. Accessed November 20, 2008. He graduated from The University of Vermont in 1944 and was awarded his Doctor of Medicine degree in ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Sigmund Freud
Sigmund Freud ( ; ; born Sigismund Schlomo Freud; 6 May 1856 – 23 September 1939) was an Austrian neurologist and the founder of psychoanalysis, a clinical method for evaluating and treating psychopathology, pathologies seen as originating from conflicts in the Psyche (psychology), psyche, through dialogue between patient and psychoanalyst, and the distinctive theory of mind and human agency derived from it. Freud was born to Galician Jews, Galician Jewish parents in the Moravian town of Příbor, Freiberg, in the Austrian Empire. He qualified as a doctor of medicine in 1881 at the University of Vienna. Upon completing his habilitation in 1885, he was appointed a docent in neuropathology and became an affiliated professor in 1902. Freud lived and worked in Vienna having set up his clinical practice there in 1886. Following the Anschluss, German annexation of Austria in March 1938, Freud left Austria to escape Nazi persecution. He died in exile in the United Kingdom in 1939. In ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Prefrontal Lobotomy
A lobotomy () or leucotomy is a discredited form of neurosurgical treatment for psychiatric disorder or neurological disorder (e.g. epilepsy, depression) that involves severing connections in the brain's prefrontal cortex. The surgery causes most of the connections to and from the prefrontal cortex, the anterior part of the frontal lobes of the brain, to be severed. In the past, this treatment was used for handling psychiatric disorders as a mainstream procedure in some countries. The procedure was controversial from its initial use, in part due to a lack of recognition of the severity and chronicity of severe and enduring psychiatric illnesses, so it was said to be an inappropriate treatment. The originator of the procedure, Portuguese neurologist António Egas Moniz, shared the Nobel Prize for Physiology or Medicine of 1949 for the "discovery of the therapeutic value of leucotomy in certain psychoses", although the awarding of the prize has been subject to controversy. A ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
