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Trust in Medicine: Its Nature, Justification, Significance, and Decline [Kietas viršelis]

(Keele University), (Universität Basel, Switzerland)
  • Formatas: Hardback, 268 pages, aukštis x plotis x storis: 235x155x18 mm, weight: 510 g, Worked examples or Exercises; 2 Tables, black and white; 1 Halftones, black and white; 4 Line drawings, black and white
  • Serija: Cambridge Bioethics and Law
  • Išleidimo metai: 22-Aug-2019
  • Leidėjas: Cambridge University Press
  • ISBN-10: 110848719X
  • ISBN-13: 9781108487191
Kitos knygos pagal šią temą:
  • Formatas: Hardback, 268 pages, aukštis x plotis x storis: 235x155x18 mm, weight: 510 g, Worked examples or Exercises; 2 Tables, black and white; 1 Halftones, black and white; 4 Line drawings, black and white
  • Serija: Cambridge Bioethics and Law
  • Išleidimo metai: 22-Aug-2019
  • Leidėjas: Cambridge University Press
  • ISBN-10: 110848719X
  • ISBN-13: 9781108487191
Kitos knygos pagal šią temą:
Over the past decades, public trust in medical professionals has steadily declined. This decline of trust and its replacement by ever tighter regulations is increasingly frustrating physicians. However, most discussions of trust are either abstract philosophical discussions or social science investigations not easily accessible to clinicians. The authors, one a surgeon-turned-philosopher, the other an analytical philosopher working in medical ethics, joined their expertise to write a book which straddles the gap between the practical and theoretical. Using an approach grounded in the methods of conceptual analysis found in analytical philosophy which also draws from approaches to medical diagnosis, the authors have conceived an internally coherent and comprehensive definition of trust to help elucidate the concept and explain its decline in the medical context. This book should appeal to all interested in the ongoing debate about the decline of trust - be it as medical professionals, medical ethicists, medical lawyers, or philosophers.

Jointly written by an academic surgeon and an analytic philosopher with a special interest in medical ethics, Trust in Medicine should appeal to those participating in the ongoing debate about the nature and decline of trust - be it as medical professionals, medical ethicists, medical lawyers, or philosophers.

Recenzijos

'Is a lack of trust in your doctor bad for your health? This book examines this question and the nature of trust. While doctors haven't become more fallible, trust in them is said to be declining. Is this decline real or imaginary, and what is responsible? How can trust be restored? The authors leave no stone unturned in answering these questions and exploring the interplay between expectation, risk and competence.' Daniel Simmen, Klinik Hirslanden, Zurich 'This book, Trust in Medicine: Its Nature, Justification, Significance, and Decline, is now the starting point for all future work on trust in medicine. It is a significant and original contribution to the analysis and understanding of the concept of trust and its proper role in patient care. The collaboration between the authors, a physician and a philosopher, mean that the discussion is both theoretically rich but always tied to the realities of modern health care. This is exemplary bioethics, advancing the field and stimulating new avenues for future scholarship.' Angus Dawson, The University of Sydney 'I thoroughly enjoyed reading Trust in Medicine: Its Nature, Justification, Significance, and Decline by Wolfensberger and Wrigley. It is a very clear example of how to do philosophical bioethics that engages closely with the empirical context and with practical clinical issues. The book thoroughly considers the philosophical literature on Trust and then, in a careful and strategic manner applies the lessons of that literature to the clinical context and the doctor- patient relationship. It is an extended piece of bioethics that will engage and challenge philosophers, bioethicists and clinicians. When we imagine applied philosophical bioethics, this is the kind of work that should come to mind.' Mark Sheehan, University of Oxford

Daugiau informacijos

Examines trust, its definition, value, and decline from the perspective of a physician and a medical ethicist.
List of Figures
xi
List of Tables
xii
Preface xiii
Acknowledgements xvi
A Note on Usage xvii
PART I Introduction
1(18)
1 Introduction
3(8)
1.1 Everyday Use of `Trust'
3(1)
1.2 Two Model Case Histories
4(2)
1.3 A Brief Explanation of Changing Views on Trust
6(3)
1.4 Outline and Structure
9(2)
2 Empirical Evidence for the Decline of Trust
11(8)
PART II The Nature of Trust
19(76)
3 A Critical Analysis of Existing Definitions of Trust in Medicine
21(10)
3.1 Types of Definition
21(4)
3.2 Analysis of Existing Definitions of Trust
25(5)
3.3 Summary and Conclusions
30(1)
4 Proposing a New Type of Definition: The Pattern-Based Definition
31(8)
4.1 Clinical Diagnosis by Recognising the Pattern of the Symptoms and Signs of a Disease
31(2)
4.2 Recognising the Pattern that All Examples of a Concept Share
33(4)
4.3 Summary and Conclusions
37(2)
5 A Pattern-Based Definition of Trust
39(33)
5.1 Preliminary Outline
39(5)
5.2 Trust as a (Specific) Expectation
44(4)
5.3 Trust Presupposes Uncertainty and Risk
48(6)
5.4 Trust as Free Choice
54(13)
5.5 The Feeling of Betrayal after a Breach of Trust
67(1)
5.6 Trust as Relationship
68(2)
5.7 Summary and Conclusions
70(2)
6 Differentiating Trust from Related Concepts
72(17)
6.1 Mistrust and Distrust
72(4)
6.2 Confidence, Reliance, Hope, and Belief-In
76(11)
6.3 Summary and Conclusions
87(2)
7 Adapting the Definition of Trust to Different Situations
89(6)
7.1 Maximally Comprehensive versus Lowest Common Denominator
89(4)
7.2 Summary and Conclusions
93(2)
PART III Justification of Trust
95(48)
8 Justification of Epistemic Trust
97(22)
8.1 Defining Testimony
99(4)
8.2 Epistemic Trust Is Inevitable
103(3)
8.3 Epistemic Trust Is Often Responsible
106(1)
8.4 Epistemic Trust Is Justified
107(11)
8.5 Summary and Conclusions
118(1)
9 Justification of Patients' Trust in Physicians
119(24)
9.1 Professionalism and `Status Trust'
120(3)
9.2 Assessing Trustworthiness and `Merit Trust'
123(18)
9.3 Summary and Conclusions
141(2)
PART IV Significance of Trust
143(28)
10 Instrumental Utility of Trust
145(17)
10.1 Advantages of Trusting
148(3)
10.2 Consequences of the Decline of Trust
151(5)
10.3 The Contractual Model as Alternative to the Trust-Based Model
156(4)
10.4 Summary and Conclusions
160(2)
11 The Moral Value of Trust
162(9)
11.1 Feeling of Betrayal Implies that Trust Is a Moral Concept
163(5)
11.2 Justification of the Belief in a Moral Obligation to Be Trustworthy
168(2)
11.3 Summary and Conclusions
170(1)
PART V The Decline of Trust
171(34)
12 Reasons for the Decline of Trust
173(32)
12.1 The Discrediting of Professionalism: Physicians' Loss of `Professional Authority'
177(7)
12.2 The Difficulty of Assessing Trustworthiness: Physicians' Loss of `Merit-Based Authority'
184(3)
12.3 The Crisis of Modern Medicine: Physicians' Loss of `Medical Authority'
187(6)
12.4 The Commodification of Medicine: Physicians' Loss of `Directive Authority'
193(3)
12.5 Changes of Risk Perception and Risk Acceptance
196(6)
12.6 Summary and Conclusions
202(3)
PART VI Perspectives
205(20)
13 Can We Restore Trust?
207(18)
13.1 Can External Regulations of the Medical Profession Restore Status Trust?
211(2)
13.2 Can We Improve Merit Trust?
213(7)
13.3 Can We Improve Trust in Managed Care?
220(3)
13.4 Conclusions
223(2)
References 225(16)
Index 241
Markus Wolfensberger is Emeritus Professor of Otorhinolaryngology at the Universität Basel, Switzerland. Until his retirement in 2010, he was Head of the Department of Otorhinolaryngology, Head and Neck Surgery as well as Director of the Head Neck Tumour Centre at the University Hospital of Basle. He also holds a doctorate in medical ethics and was, for many years, chair of the Clinical Ethics Advisory Board at the University Hospital of Basle. His particular interest, both as a surgeon and as a researcher, was in cancer of the head and neck. As a clinical ethicist one of his major interests was in preventing unnecessary and over-aggressive treatment. Anthony Wrigley is Professor of Ethics at the Centre for Professional Ethics (PEAK), School of Law, Keele University. He is a philosopher with a special interest in issues in biomedical ethics. His particular area of interest is the analysis of key concepts in bioethics, including vulnerability, hope, harm, personhood, mental illness, consent for others, moral authority, and the nature of moral expertise. His work includes contribution to the European Textbook on Ethics in Research (with Jonathan Hughes et al., 2010), Ethics, Law and Society: Volume V: Ethics of Care, Theorising the Ethical, and Body Politics (edited with Nicky Priaulx, 2013), and Loss, Dying and Bereavement in the Criminal Justice System (edited with Sue Read and Sotirios Santatzoglou, 2018).