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Complementary and Alternative Medicine examines the real-life implications of patient issues and the healthcare system in which care is delivered. Because complementary and alternative medicine (CAM) are not presently considered to be a part of conventional medicine, this book discusses the effect that CAM has on patients, physicians, healthcare, and policymakers. Also included are the implications that CAM has on traditional patient-physician relationships as well as the physician's ethical obligations on this subject.

Medical ethics. --- Physician and patient --- Moral and ethical aspects. --- Doctor and patient --- Doctor-patient relationships --- Patient and doctor --- Patient and physician --- Patient-doctor relationships --- Patient-physician relationships --- Patients and doctors --- Patients and physicians --- Physician-patient relationships --- Physicians and patients --- Interpersonal relations --- Fear of doctors --- Narrative medicine --- Biomedical ethics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Medicine --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- Moral and ethical aspects

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In this remarkable book, Gary Wright brings his thirty years of experience as a physician in pediatric and family medicine together with his Ph.D. in philosophy to address the important problem of the nature of good medical reasoning. His intimate experiential knowledge of the founding assumptions of managed health care in America today is abundantly evident in his powerful critique of the overly simplistic models of medical judgment that ground most of our health programs. Writing with exceptional clarity, heart-felt compassion for the physical and emotional suffering of patients, and deep philosophical insight into the nature of human cognition, Wright uses the conceptual tools of recent cognitive science to analyze and critique some of the most basic underlying conceptions of contemporary medical care. To make it clear why we desperately need a richer, more nuanced account of medical reasoning, Wright gives a brilliant analysis of the complex internal structure of our concepts of health and disease, showing that our present models are wholly incapable of dealing with the realities of actual human disease. He then shows the error of assuming that we always know in advance what the medical and moral ends are for any medical situation. This leads to a radical questioning of so-called "rational actor" or "economic" models of rationality that are popular in medicine today. However, Wright’s project is not merely critical. More constructively, he draws extensively on empirical research coming out of the cognitive sciences concerning the nature of concepts, reasoning, and judgment, and he then appropriates this research into a broader pragmatist philosophical framework developed by the American philosopher John Dewey. Wright finds in Dewey’s theories of mind, thought, and experience a comprehensive account of human thinking that adequately captures the complexity of actual human conceptualization and reasoning. At the heart of this new view lies an acknowledgment of the central role of imagination and values in all of our thinking. He shows how we actually make sense of our experience by employing cognitive prototypes, metaphorically-defined concepts, radially structured categories, and other processes of imaginative reflection and evaluation. The result of Wright’s alternative view of mind and medical judgment is a practically useful model of medical reasoning that, although not specifiable by a set of fixed rules, can yet give realistic guidance for medical decisions. It is a sensitive model that each of us would want our own physicians to adopt. Prof. Mark Johnson, Department of Philosophy, University of Oregon 'This is one of the best books I have read that addresses Dewey's method of intelligence in the context of practical, including clinical, decision-making. I loved it.' Prof. Griffin Trotter, Center for Health Care Ethics, Saint Louis University, USA .

Medicine --- Medical logic. --- Philosophy. --- Medical logic --- Clinical reasoning --- Logic, Medical --- Medical reasoning --- Diagnosis --- Philosophy --- Medicine-Philosophy. --- Pragmatism. --- Ethics. --- Medical ethics. --- Economic theory. --- Philosophy of Medicine. --- Theory of Medicine/Bioethics. --- Economic Theory/Quantitative Economics/Mathematical Methods. --- Economic theory --- Political economy --- Social sciences --- Economic man --- Biomedical ethics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- Deontology --- Ethics, Primitive --- Ethology --- Moral philosophy --- Morality --- Morals --- Philosophy, Moral --- Science, Moral --- Values --- Idealism --- Knowledge, Theory of --- Philosophy, Modern --- Positivism --- Realism --- Utilitarianism --- Experience --- Reality --- Truth --- Moral and ethical aspects --- Health Workforce --- Medicine—Philosophy.

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Informed consent is a central topic in contemporary biomedical ethics. Yet attempts to set defensible and feasible standards for consenting have led to persistent difficulties. In Rethinking Informed Consent in Bioethics, first published in 2007, Neil Manson and Onora O'Neill set debates about informed consent in medicine and research in a fresh light. They show why informed consent cannot be fully specific or fully explicit, and why more specific consent is not always ethically better. They argue that consent needs distinctive communicative transactions, by which other obligations, prohibitions, and rights can be waived or set aside in controlled and specific ways. Their book offers a coherent, wide-ranging and practical account of the role of consent in biomedicine which will be valuable to readers working in a range of areas in bioethics, medicine and law.

Informed Consent --- Informed consent (Medical law) --- Bioethics. --- Medicine --- Consentement éclairé (Droit médical) --- Bioéthique --- Médecine --- ethics. --- Research --- Moral and ethical aspects. --- Recherche --- Aspect moral --- Bioethics --- Moral and ethical aspects --- Informed consent (Medical law). --- Consentement éclairé (Droit médical) --- Bioéthique --- Médecine --- Health Workforce --- Consent, Informed --- Consent to treatment --- Disclosure, Medical --- Medical disclosure --- Treatment, Consent to --- Consent (Law) --- Medical ethics --- Medical personnel --- Patient education --- Involuntary treatment --- Patient refusal of treatment --- Biology --- Biomedical ethics --- Life sciences --- Life sciences ethics --- Science --- Research&delete& --- Malpractice --- Arts and Humanities --- Philosophy --- Medicine - Research - Moral and ethical aspects --- Droit médical

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Researchers into HIV/AIDS face a gamut of ethical as well as scientific challenges. By viewing the gathering of data as a reciprocal activity between researchers, participants, and their communities, the expert contributors to Case Studies in Ethics and HIV Research bring these challenges to the fore. Studies from the United States and abroad depict the ongoing balance of risks and benefits while analyzing issues that range from confidentiality and informed consent to conducting studies with minority and other marginalized populations, from dealing with government and other funding agencies to ownership of findings. The book’s 25 collaborators offer readers new templates for devising and conducting studies that are valid, meaningful, and morally sound, with critical implications for all research involving human subjects. Twelve case studies illuminate key ethical issues in HIV research and real-world approaches to addressing them, including: Recruiting and selecting study participants. Providing proper standards of care to control groups. Improving researcher safety in the field. Special issues in conducting research: activity-identified populations (e.g., IV drug users), children, cognitively-impaired persons, multiple sites. Community outreach in service evaluation. Training the new generation of researchers. Improved study design and methodology, and improved outcomes for participants are important steps on the way to preventing and stopping the spread of AIDS. For professionals in public health research, the collective knowledge of Case Studies in Ethics and HIV Research will help to map out the road ahead.

HIV infections --- Research --- Moral and ethical aspects. --- Moral and ethical aspects --- Methodology --- Research. --- Methodology. --- HIV (Viruses) infections --- HTLV-III infections --- HTLV-III-LAV infections --- Human T-lymphotropic virus III infections --- Lentivirus infections --- Sexually transmitted diseases --- Medical ethics. --- Medicine. --- Epidemiology. --- Theory of Medicine/Bioethics. --- Public Health. --- Health Promotion and Disease Prevention. --- Diseases --- Public health --- Clinical sciences --- Medical profession --- Human biology --- Life sciences --- Medical sciences --- Pathology --- Physicians --- Biomedical ethics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Medicine --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- Health Workforce --- Public health. --- Health promotion. --- Health promotion programs --- Health promotion services --- Promotion of health --- Wellness programs --- Preventive health services --- Health education --- Community health --- Health services --- Hygiene, Public --- Hygiene, Social --- Public health services --- Public hygiene --- Social hygiene --- Health --- Human services --- Biosecurity --- Health literacy --- Medicine, Preventive --- National health services --- Sanitation

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East Asian medicine, biomedical research, and health care policy are framed by their own set of moral and cultural commitments. Chief among these is the influence of Confucian ideas. A rich portrayal is offered of the implications of Confucian moral and ontological understandings for medical decision-making, human embryonic stem cell research, and health care financing. What is offered is a multifaceted insight into what distinguishes East Asian bioethical reflections. This volume opens with an exploration of the Confucian recognition of the family as an entity existing in its own right and which is not reducible to its members or their interests. As the essays in this volume show, this recognition of the family supports a notion of family autonomy that contrasts with Western individualistic accounts of proper medical decision-making. There are analyses of basic concepts as well as explorations of their implications for actual medical practice. The conflicts in East Asian countries between traditional Confucian and Western bioethics are explored as well as the tension between the new reproductive technologies and traditional understandings of the family. The studies of East Asian reflections concerning the moral status of human embryos and the morality of human embryo stem cell research disclose a set of concerns quite different from those anchored in Christian and Muslim cultural perspectives. The volume closes with an exploration of how Confucian cultural resources can be drawn upon to meet the contemporary challenges of health care financing.

Medical ethics --- Bioethics --- Families --- Biotechnology --- Genetic engineering --- Cross-cultural studies --- Moral and ethical aspects. --- Family --- Family life --- Family relationships --- Family structure --- Relationships, Family --- Structure, Family --- Social institutions --- Birth order --- Domestic relations --- Home --- Households --- Kinship --- Marriage --- Matriarchy --- Parenthood --- Patriarchy --- Biology --- Biomedical ethics --- Life sciences --- Life sciences ethics --- Science --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Medicine --- Professional ethics --- Nursing ethics --- Social medicine --- Social aspects --- Social conditions --- Moral and ethical aspects --- Medicine. --- Biotechnology. --- Medicine-Philosophy. --- Ethics. --- Biomedicine general. --- Sociology of Family, Youth and Aging. --- Philosophy of Medicine. --- Medicine/Public Health, general. --- Clinical sciences --- Medical profession --- Human biology --- Medical sciences --- Pathology --- Physicians --- Deontology --- Ethics, Primitive --- Ethology --- Moral philosophy --- Morality --- Morals --- Philosophy, Moral --- Science, Moral --- Philosophy --- Values --- Chemical engineering --- Health Workforce --- Social groups. --- Family. --- Medicine—Philosophy. --- Biomedicine, general. --- Association --- Group dynamics --- Groups, Social --- Associations, institutions, etc. --- Social participation