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12 rights of patients
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The establishment of Nick Jewson’s paper about the disappearance of the sick-man from the medical cosmology is one of the most important papers in the medical field. In Jewson’s paper, he claimed that there is a transformation in medical cosmology from the 18th century to the 19th century, which causes the disappearance of sick-man (Jewson, 2009). Jewson’s paper is an important contribution in the medical field. This paper will be concerned about the contributions of Jewson’s model. I will do this by first, reviewing on Jewson’s thesis and then providing my points about his contributions. According to Jewson, there are three types of cosmology used during the 18th and 19th century, mainly the Bedside Medicine, Hospital Medicine and Laboratory …show more content…
One of the contributions is that people in modern days are able to understand more about the history of medicine. The Jewson’s paper clearly listed out the changes and transformation of the medical cosmologies. It indicates the evolution in the medical field throughout the centuries and also those who have contributed in the medical field such as the Hippocrates, who had contributed in the Bedside Medicine (Bynum, 2008). This helps us to be able to understand the development of the medicine and link the cosmologies in olden days to the modern era in medicine. The way Jewson describes instead of just being an idea or notion, the sick-man is also a symbol that shows the relationship between the medical investigators and the way they treat their patients (Prior, 2009). The Jewson’s thesis presents the connection between the transformation in the olden days and the development of the medicine which are available in the current years. It could help researchers to trace back whether a particular treatment is created in which era and whether the treatment is reliable or not. The development of methodologies in the history of science and sociology of knowledge are equally sounded in Jewson’s presentation on the medical knowledge, practices and politics (Pickstone, 2009). Therefore, I believe that Jewson’s paper is an important source for people who would want to know about the history …show more content…
During the transformation of the medical cosmologies, as the voice of the patients became less important, the doctors or medical investigators started to ignore about moral ethics or social responsibilities. During the era of Laboratory Medicine, doctors and medical investigators treat the sickness based on the particular cell instead of looking the patients’ body system (Jewson, 2009). They focus more on the cell that is related to the sickness and hope that they could discover new things that could help them attract sponsorship. During the implication of Hospital Medicine, medical investigators would disclose their discoveries in order to attract the attention of sponsors, unlike during the era of Bedside Medicine when discoveries were confidential (Jewson, 2009). This action is considered unethical towards the patients. Therefore, in order to prevent unethical behaviour among the doctors, solutions are carried out in modern days. For example, the Graduate Australian Medical School Admission Test (GAMSAT) contains one section that is tested on the reasoning in humanities and social science (GAMSAT, 2014). This is to emphasis on the thinking, logical and plausible reasoning and thus could show the suitability of a person in being a doctor. The Patients’ Right Act established to also ensure that the patients’
Principles of Biomedical Ethics, by Tom Beauchamp and James F. Childress, has for many critics in medical ethics exemplified the worse sins of "principlism." From its first edition, the authors have argued for the importance and usefulness of general principles for justifying ethical judgments about policies and cases in medical ethics. The organization of their book reflects this conviction, dividing discussion of particular ethical problems under the rubrics of the key ethical principles which the authors believe should govern our moral judgments: principles of autonomy, nonmaleficence, beneficence and justice.
Pfeiffer, Carl J. The Art and Practice of Western Medicine in the Early Nineteenth Century. Jefferson, NC, and London: McFarland, 1985.
Since the inception of this mode of research, peoples’ perception of what constitutes moral behavior towards patients and specifically harvesting cells from patients has changed. Over time, other doctors would take cells from patients without patient consent and use them for research. Coming from this, people began to think about how ethical this was, and especially if the potential for scientific or medical advances outweighs the injustices imposed by the lack of obtaining patient consent. One could argue that in the area of ethical behavior and medical advances, it might be necessary and acceptable to take cells or tissue samples without patient consent. And even though these cells and the research of these cells might not affect the patient, what advantages and disadvantages could come from obtaining or not obtaining patient consent?
The clinical gaze is a term derived from Michel Foucault’s The Birth of the Clinic. He explained that the clinical encounter changed drastically from the eighteenth to the nineteenth century and best described the new structure with the doctor asking the patient “Where does it hurt?” as opposed to previously asking the patient a question like “What is the matter with you?” He says that it was no longer considered necessary for doctors to listen to patients describe their experience of illness and their symptoms in order for the doctor to diagnose and treat them. Instead, doctors began to focus on the isolated, diseased organs, treating the patient as a body, a series of anatomical objects, and ignoring the social and personal realities of the patient. Furthermore, in the paradigm of the clinical gaze, physicians examine and talk about the patient’s diseases, while the patient usually remains silent. This can definitely be seen as the beginning of modern positivist science in which human, social, and historical contexts are considered completely irrelevant. (Holmes, pg.
Medical ethics in general is not a modern term; it goes back in time to the 12th century to the Hippocratic Oath. Recently in the 21st century the interest in medical ethics was provoked by a series of medical scandals: Nazi medical experiments, the infamous Tuskegee syphilis studies and so on. After which autonomy in the form of an informed consent was obligatory for minor and major procedures. (2, 3)
In the Renaissance, some aspects of medicine and doctors were still in a Dark Age. Outbreaks of disease were common, doctors were poor, medicine was primitive and many times doctors would kill a patient with a severe treatment for a minor disease! But, there were other sections where medicine and the use of medications improved greatly. This paper is written to illustrate the "light and dark" sides of medicine in the Renaissance.
...e gap in attitudes between pre-medicalized and modern time periods. The trends of technological advancement and human understanding project a completely medicalized future in which medical authorities cement their place above an intently obedient society.
Preventative medicine comes with the potential for making our lives both better and worse. Today the world in which we live in has faced steady medicalization of daily existence. Many factors have contributed to the rise of medicalization. For instance the loss in religion, the increase of faith in science, rationality, progress, increased prestige and the power of the medical profession. The medical profession and the expansion of medical jurisdiction were prime movers for medicalization. Medicalization has also occurred through social movements. Doctors are not the only ones involved in medicalization now, patients are active collaborators in the medicalization of their problem. Critics try to argue for or against the idea that this leads to a favorable versus a non -favorable outcome. This increased establishment and development of medicine, including technoscience, has resulted in a major threat to health. The medicalization of normal conditions, risks the creation of medical diagnoses that are widely inclusive and that hold the potential for further expansion. Many biologically normal conditions, like shortness, menopause, and infertility, are currently considered medical problems. These naturally occurring states are now regarded as undesirable and deviant. This process is referred to as medicalization. Although they are considered deviant, however, the process of medicalization also removes culpability: a person’s problems can be ascribed to a chemical imbalance rather than seen as reflecting his or her character or accomplishments. Some of the articles I will be looking into are Dumit’s “Drugs for life” as well as Healy’s “Pharmageddon” and Cassel’s “Selling Sickness” to explore if this process of overmedicalization has le...
Kleinman, Arthur M. “What Kind of Model for the Anthropology of Medical Systems?” American Anthropologist, New Series, Vol. 80, No. 3 (Sep, 1978), pp. 661-665.
The knowledge of medicine grew drastically during the Renaissance period (Siralisi 189). Research conducted during the Renaissance period by Andreas Vesalius, Matteo Realdo Colombo, Geronimo Fabrious, Ambroise Pare, and William Harvey has given us a better understanding of the human anatomy ("Renaissance medicine"). Once the Renaissance period hit, anatomists were able to work through the scientific method and find the flaws in Galen’s theories(“The Impact of the Renaissance on Medicine”).
The concepts discussed within the article regarding medicalization and changes within the field of medicine served to be new knowledge for me as the article addressed multiple different aspects regarding the growth of medicalization from a sociological standpoint. Furthermore, the article “The Shifting Engines of Medicalization” discussed the significant changes regarding medicalization that have evolved and are evidently practiced within the contemporary society today. For instance, changes have occurred within health policies, corporatized medicine, clinical freedom, authority and sovereignty exercised by physicians has reduced as other factors began to grow that gained importance within medical care (Conrad 4). Moreover, the article emphasized
Ethics refers to the values and customs of a community at a particular point in time. At present, the term ethics is guided by the moral principles that guide our everyday actions. These moral principles guide the researcher into deciding what is ‘right’ or ‘wrong’. The foundation of medical ethics is governed by two philosophical frameworks that are deontology, and utilitarianism. However ultimately the ethics committees need to balance the risks, and benefits for the participants and the community associated with the particular research proposal. This balance is quite important as the well being of participants is at risk.7
In this diverse society we are confronted everyday with so many ethical choices in provision of healthcare for individuals. It becomes very difficult to find a guideline that would include a border perspective which might include individual’s beliefs and preference across the world. Due to these controversies, the four principles in biomedical ethic which includes autonomy, beneficence, non-maleficence and justice help us understand and explain which medical practices are ethical and acceptable. These principles are not only used to protect the rights of a patient but also the physician from being violated.
According to Foucault and Illich (in Van Krieken et al. 2006: 351-352), doctors and the medical profession have traditionally been empowered by their knowledge as the authority that society defers to with regards to the definition of disease and health. With improvements in medical technology as well as the advent of the hospital, an evolution...
Of all the scientists to emerge from the nineteenth and twentieth centuries there is one whose name is known by almost all living people. While most of these do not understand this mans work, everyone knows that his impact on the world is astonishing.