Stories And Their Limits

Narratives have always played a prominent role in both bioethics and medicine; the fields have attracted much storytelling, ranging from great literature to humbler stories of sickness and personal histories. And all bioethicists work with cases--from court cases that shape policy matters to case studies that chronicle sickness. But how useful are these various narratives for sorting out moral matters? What kind of ethical work can stories do--and what are the limits to this work? The new essays in Stories and Their Limits offer insightful reflections on the relationship between narratives and ethics.

Narratives have always played a prominent role in both bioethics and medicine; the fields have attracted much storytelling, ranging from great literature to humbler stories of sickness and personal histories. And all bioethicists work with cases--from court cases that shape policy matters to case studies that chronicle sickness. But how useful are these various narratives for sorting out moral matters? What kind of ethical work can stories do--and what are the limits to this work? The new essays in Stories and Their Limits offer insightful reflections on the relationship between narratives and ethics.

In The Limits of Autobiography, Leigh Gilmore analyzes texts that depict trauma by combining elements of autobiography, fiction, biography, history, and theory in ways that challenge the constraints of autobiography. Astute and compelling readings of works by Michel Foucault, Louis Althusser, Dorothy Allison, Mikal Gilmore, Jamaica Kincaid, and Jeanette Winterson explore how each poses the questions "How have I lived?" and "How will I live?" in relation to the social and psychic forms within which trauma emerges. First published in 2001, this new edition of one of the foundational texts in trauma studies includes a new preface by the author that assesses the gravitational pull between life writing and trauma in the twenty-first century, a tension that continues to produce innovative and artful means of confronting kinship, violence, and self-representation.

When his family exceeds its legal debt limit, thirteen-year-old Matt is sent to the Federal Debt Rehabilitation Agency workhouse, where he discovers illicit activities are being carried out using the children who have been placed there.

“If you’ve run out of Saint-Exupéry and miss the eloquent power of his work, then you are ready to read David Roberts.” —Laurence Gonzales, author of Deep Survival: Who Lives, Who Dies and Why David Roberts has spent his career documenting voyages to the most extreme landscapes on earth. In Limits of the Known, he reflects on humanity’s—and his own—relationship to exploration and extreme risk. Part memoir and part history, this book tries to make sense of why so many have committed their lives to the desperate pursuit of adventure. What compelled Eric Shipton to return, five times, to the ridges of Mt. Everest, plotting the mountain’s most treacherous territory years before Hillary and Tenzing’s famous ascent? What drove Bill Stone to dive 3,000 feet underground into North America’s deepest cave? And what is the future of adventure in a world we have mapped and trodden from end to end? In the wake of his diagnosis with throat cancer, Roberts seeks answers with new urgency and “penetrating self-analysis” (Booklist).

In this book the author explores the shifting philosophical boundaries of modern medical knowledge and practice occasioned by the crisis of quality-of-care, especially in terms of the various humanistic adjustments to the biomedical model. To that end he examines the metaphysical, epistemological, and ethical boundaries of these medical models. He begins with their metaphysics, analyzing the metaphysical positions and presuppositions and ontological commitments upon which medical knowledge and practice is founded. Next, he considers the epistemological issues that face these medical models, particularly those driven by methodological procedures undertaken by epistemic agents to constitute medical knowledge and practice. Finally, he examines the axiological boundaries and the ethical implications of each model, especially in terms of the physician-patient relationship. In a concluding Epilogue, he discusses how the philosophical analysis of the humanization of modern medicine helps to address the crisis-of-care, as well as the question of “What is medicine?” The book’s unique features include a comprehensive coverage of the various topics in the philosophy of medicine that have emerged over the past several decades and a philosophical context for embedding bioethical discussions. The book’s target audiences include both undergraduate and graduate students, as well as healthcare professionals and professional philosophers. “This book is the 99th issue of the Series Philosophy and Medicine...and it can be considered a crown of thirty years of intensive and dynamic discussion in the field. We are completely convinced that after its publication, it can be finally said that undoubtedly the philosophy of medicine exists as a special field of inquiry.”

Medical error is a leading problem of health care in the United States. Each year, more patients die as a result of medical mistakes than are killed by motor vehicle accidents, breast cancer, or AIDS. While most government and regulatory efforts are directed toward reducing and preventing errors, the actions that should follow the injury or death of a patient are still hotly debated. According to Nancy Berlinger, conversations on patient safety are missing several important components: religious voices, traditions, and models. In After Harm, Berlinger draws on sources in theology, ethics, religion, and culture to create a practical and comprehensive approach to addressing the needs of patients, families, and clinicians affected by medical error. She emphasizes the importance of acknowledging fallibility, telling the truth, confronting feelings of guilt and shame, and providing just compensation. After Harm adds important human dimensions to an issue that has profound consequences for patients and health care providers.

Literary criticism produced by Indian scholars from the earliest times to the present age is represented in this book. These include Bharatamuni, Tholkappiyar, Anandavardhana, Abhinavagupta, Jnaneshwara, Amir Khusrau, Mirza Ghalib, Rabindranath Tagore, Sri Aurobindo, B.S. Mardhekar, Ananda Coomaraswamy, and A.K. Ramanujam and Sudhir Kakar among others. Their statements have been translated into English by specialists from Sanskrit, Persian and other languages.