The Silent World Of Doctor And Patient

Historically, the doctor-patient relationship has been based on a one-way trust--despite recent judicial attempts to give patients a greater voice. Seeing a growing need for more honest and complete communication between physician and patient, Dr. Jay Katz advocates a new, informed dialogue that respects the rights and needs of both sides. A new Preface outlines changes since the book's publication in 1984.

A timely and hardhitting critique of the medical profession today, showing the conflicts of interest between doctors, patients and public health and pointing towards their resolution.

Different people feel different emotions when they are diagnosed with cancer. Both today and a century ago, fear and hope, shame and disgust, sadness and joy are and were the emotions experienced by many cancer patients and their loved ones. But these emotions do not just have significance for the people who feel them. They have also exerted a surprisingly profound influence on how hospitals and laboratories dealt with cancer, how early detection campaigns portrayed it, and how doctors talked about it with their patients. Bettina Hitzer details the history of cancer and emotions in twentieth-century Germany and thus follows the cancer-associated transformations of emotional regimes, emotional politics, and emotional experiences through five different political systems. In doing so, the study underscores that political caesuras resonate in the immediate corporeality of the history of emotions.

For the first time, a book considers the doctor/patient relationship in the long period and from a broad geographical perspective. Historians, anthropologists and doctors reflect on the factors that, from the Classical age until the present, have altered the care relationship and the power relations embedded within it. The book also highlights that communication and narration, understood as constitutive aspects of care, are the elements which link the past to the present. From the encounter between religion and medicine to the centuries-long struggle between doctors and patients in defence of their respective positions, from medical dramas to efforts to humanize medicine, the book describes the doctor/patient relationship in all its cultural, transnational and transtemporal dimensions.

With attention to the manner in which information of various types is withheld and the truth concealed on both sides of the doctor-patient relationship, the author explores the boundaries between what is said and what is left unsaid, and between those who are given information and those who are lied to. Considering the misunderstandings that occur in the course of medical exchanges and the differences between the lies told by doctors and patients, An Anthropology of Lying: Information in the Doctor-Patient Relationship analyses the role of lies in the exercise of, and resistance to power.

It is generally accepted in legal and bioethical discourse that the patient has a right to self-determination. In practice though, this is often not the case. Paternalism is waning and it is increasingly recognised that there are values other than medical factors which determine the choices that patients make. Unfortunately, these developments have not resulted in huge advances for patient self-determination, which is largely because the consent model has fundamental flaws that constrain its effectiveness. This book sets out to offer an alternative model to consent. In the property model proposed here, the patient’s bodily integrity is protected from unauthorised invasion, and their legitimate expectation to be provided with the relevant information to make an informed decision is taken to be a proprietary right. It is argued that the property model potentially overcomes the limitations of the consent model, including the obstacle caused by the requirement to prove causation in consent cases. The author proposes that this model could in the future provide an alternative or complementary approach for the courts to consider when dealing with cases relating to self-determination in health care.

"This book traces the changing definitions, perceptions, and medical management of intersex in America from the colonial period to the present"--