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Understanding Eating Disorders: Conceptual and Ethical Issues in the Treatment of Anorexia and Bulimia Nervosa [Minkštas viršelis]

4.12/5 (16 ratings by Goodreads)
(University of Manchester)
  • Formatas: Paperback / softback, 314 pages, aukštis x plotis x storis: 235x155x20 mm, weight: 494 g
  • Serija: Issues in Biomedical Ethics
  • Išleidimo metai: 08-Nov-2007
  • Leidėjas: Oxford University Press
  • ISBN-10: 0199232954
  • ISBN-13: 9780199232956
Kitos knygos pagal šią temą:
Understanding Eating Disorders: Conceptual and Ethical Issues in the Treatment of Anorexia and Bulimia NervosaDidesnis paveikslėlis
  • Formatas: Paperback / softback, 314 pages, aukštis x plotis x storis: 235x155x20 mm, weight: 494 g
  • Serija: Issues in Biomedical Ethics
  • Išleidimo metai: 08-Nov-2007
  • Leidėjas: Oxford University Press
  • ISBN-10: 0199232954
  • ISBN-13: 9780199232956
Kitos knygos pagal šią temą:
Pastovi nuoroda: https://www.kriso.lt/db/9780199232956.html
Simona Giordano presents the first full philosophical study of ethical issues in the treatment of anorexia and bulimia nervosa. Beginning with a comprehensive analysis of these conditions and an exploration of their complex causes, she then proceeds to address legal and ethical dilemmas such as a patient's refusal of life-saving treatment. Illustrated with many case-studies, Understanding Eating Disorders is an essential tool for anyone working with sufferers of these much misunderstood conditions, and for all those ethicists, lawyers, and medical practitioners engaged with the widely relevant issues they raise.

Recenzijos

Review from previous edition shows why received analyses of eating disorders are incomplete or inadequate * Lisa Heldke, Notre Dame Philosophical Reviews *

Daugiau informacijos

Winner of *Choice* Outstanding Academic Book 2006.
Introduction 1
1. Autonomy v. Paternalism
3
2. The Value of Autonomy in Psychiatric Health Care
5
3. Understanding Eating Disorders
8
Part
1. Scientific Understanding of Eating Disorders		 13
1. Eating Disorders: Anorexia and Bulimia Nervosa
15
1. Introduction
15
2. 'Anorexia' and 'Bulimia': The Terminology
18
3. Eating Disorders: Epidemiology and Prevalence
19
4. The Family of the Eating-Disordered Person
21
5. The Society of the Eating-Disordered Person
21
6. Diagnosis and Description
22
7. Eating Disorders and Perception of Body Image
23
8. The Effects of Abnormal Eating: Secondary Symptomatology
27
8.1. Endocrine and metabolic changes
27
8.2. Heart disorders
28
8.3. Electrolyte imbalances
28
8.4. Gastrointestinal complications
29
9. Ethical issues
30
2. Paternalism v. Respect for Autonomy
33
1. Introduction
33
2. The Ethics of Paternalism
35
3. Autonomy
36
4. Paternalism
38
5. Freedom of Action and Autonomy: Two Different Types of Paternalism
40
6. Strong and Weak Paternalism
41
7. Autonomy v. life and health
42
8. Practical Similarities between Respect for Autonomy and Protection of Welfare
43
9. Welfare or Autonomy?
44
9.1. The value of autonomy
44
9.1.1. The substantive and formal conception of autonomy
46
9.2. The importance of the process of reasoning and deliberation
50
10. The Value of Autonomy and Weak Paternalism
53
11. Objections
54
12. Conclusions
56
3. Is Pathological Behaviour Caused by Mental Illness?
58
1. Introduction
58
2. 'That man committed suicide because he was mentally ill'
59
3. 'I had to wash my hair ten times today because voices commanded me to do so'
61
4. What do we Mean when we Say that a Person has a Mental Illness?
63
5. The Fallacy of Psychiatric 'Explanations'
65
6. Conclusions
69
4. Scientific Understanding of Eating Disorders
72
1. Introduction
72
2. Genetic and Eating Disorders
74
3. The 'Addiction' Model
76
4. Similarities between Eating Disorders and Substance-Use Disorders
77
5. Are Eating Disorders a Form of Addiction?
79
6. Starvation and Addiction
81
7. Addiction to Sweet Foods: Reactive Hypoglycaemia
82
8. The Role of Central Nervous System Neurotransmitters
83
9. Hypothalamic Abnormalities
84
9.1. Hypothalamo—pituitary—thyroid axis
85
9.2. Hypothalamo—pituitary—gonadal axis
86
9.3. Hypothalamo—pituitary—adrenal axis
86
10. Conclusions
87
Part
2. The Value of Lightness		 91
5. Lightness and Eating Disorders
93
1. Introduction
93
2. The Central Feature of Anorexia Nervosa: The Pursuit of Lightness
94
3. The Pursuit of Lightness and Fear of Intrusions
95
4. The Unbearable Lightness of Being: A Representation of Anorexia Nervosa
97
5. Lightness as a Defence from the Invasions of Personal Space
100
6. Is Lightness a Contemporary Obsession?
101
7. Light Beauties
103
8. The Ancient Myth of Lightness
105
9. Slimness and Lightness in Literature and the Arts
106
6. The Value of Lightness
109
1. Introduction
109
2. Lightness as a Positive State
109
3. 'Dans l'eau de la claire fontaine'
110
4. The Value of Lightness
111
5. The Life and Work of Emily Dickinson: Lightness and Spirituality
112
6. Moral Integrity and Spirituality
115
7. Moral Integrity and Christian Asceticism: The Value of Lightness
118
8. The Moral Value of Lightness
121
9. Food Restriction and the Body/Mind Split
122
10. Kant and the Mortification of the Flesh
126
11. Moral Integrity and Hunger
127
12. The Contemporary Significance of Ancient Moral Values
128
13. Conclusions
131
Part
3. Families, Society, and Eating Disorders		 135
7. The Role of Expectations in the Genesis of Eating Disorders
137
1. Introduction
137
2. The Family of the Eating-Disordered Person
139
3. The Father of the Anorexic Person
141
4. The Mother of the Eating-Disordered Person
142
5. The Family Expectations of the Future Eating-Disordered Person
144
6. Conclusions: The Effects of these Expectations on the Future Eating-Disordered Person and the Struggle for Control
145
8. The Society of the Person with Eating Disorders
146
1. Introduction
146
2. Why Women?
147
3. Factors that are Thought to be Related to the Spread of Eating Disorders
148
4. The Role of Women in Modern Western Societies
149
5. Contradictory Aesthetic Expectations of Women
152
6. Eating Disorders as a Response to Familial and Societal Expectations
153
7. Conclusions
155
9. Victims or Persecutors? The Moral Logic at the Heart of Eating Disorders
157
1. Introduction
158
2. Why are People Made to Suffer by Others' Inappropriate Expectations?
158
3. What Makes People Treat Eating Behaviours as an Instrument of Power?
160
4. Conclusions
162
10. A Critique of the Systemic and Sociological Approaches to Eating Disorders
164
1. Introduction
164
2. The Need for Neutrality in the Analysis of Mental Phenomena
167
3. 'Whatever has a Beginning has also a Cause of Existence': The Logical Fallacy Involved in the Search for the Causes of Eating Disorders
169
4. Eating Disorders: The Role of the Person
171
5. The Role of the Individual in the Articulation of External Influences
172
6. Conclusions
174
Part
4. Law, Ethics, and Ending Lives		 177
11. Eating or Treating? Legal and Ethical Issues Surrounding Eating Disorders
179
1. Introduction
179
2. Hospitalization and Treatment of People with Mental Disorders: Coercive Assessment and Treatment
183
2.1. Ethical considerations
184
3. Can People with Mental Illness be Competent to Make Medical Decisions?
185
4. Competence in English Law
188
5. The Case of Anorexia Nervosa
191
5.1. Ethical considerations
192
6. Eating-Disordered Patients and Competence to Refuse Treatment
193
7. Treatment for Eating Disorders is Enforceable, Irrespective of Patients' Competence
194
8. Force-Feeding can be Enforced under the MHA 1983: The Cases
196
8.1. Ethical considerations
198
9. Force-Feeding is Clinically Appropriate and Ethically Uncontroversial
201
10. Force-Feeding may be Necessary to Render Other Therapies Meaningful
202
11. Coercive Treatment is Always a Clinical Mistake
203
12. Why is a Mental Statute Necessary?
205
13. Conclusions
208
12. Autonomy and Control in Eating Disorders
211
1. Introduction
211
2. Autonomy as Self-Control
213
3. Autonomy and Information in Psychiatry
216
4. Information and Self-Perception
217
5. Information Relating to Food
219
6. Eating Disorders and Beliefs
221
7. The Cognitive Approach to Eating Disorders
224
8. The Ethics of Paternalism towards People with Eating Disorders
226
9. Factors that Limit the Strength of Paternalism towards the Eating-Disorders Sufferer
227
9.1. The first factor: When harmful is harmful enough
227
9.2. The second factor: The value of autonomy
228
9.3. The third factor: Are there true 'dysfunctions or true 'defects' in deliberation?
229
10. Conclusions
232
13. Anorexia Nervosa and Refusal of Life-Saving Interventions
235
1. Introduction
235
2. Can People with Anorexia be Competent to Refuse Naso-Gastric Feeding'?
238
3. Competence
238
4. Following the Arguments
242
5. A Paradoxical Distinction between Passive Euthanasia and Refusal of Treatment
242
6. Refusal of Artificial Feeding is not 'on a Par' with Refusal of Treatment in Debilitating Chronic and Terminal Illnesses
245
7. The Brave Claim
246
8. Why Draper should have Made the Brave Claim
246
9. Draper has not Made the Brave Claim, although She Should Have
247
10. Why Draper has not Made the Brave Claim
248
11. Can we Defend the Brave Claim in the Case of Anorexia Nervosa?
249
12. Conclusions
250
14. Conclusions: The Need for Change
254
Bibliography 265
Index 293