The nature of suffering and the goals of medicine

書誌事項

The nature of suffering and the goals of medicine

Eric J. Cassell

Oxford University Press, c2004

2nd ed

  • : pbk

タイトル別名

The nature of suffering

The nature of suffering, and the goals of medicine

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注記

Includes bibliographical references (p. 293-306) and index

収録内容

  • Ideas in conflict : the rise and fall of new views of disease
  • The changing concept of the ideal physician
  • The nature of suffering
  • Suffering in chronic illness
  • The mysterious relationship between doctor and patient
  • How to understand diseases
  • The pursuit of disease or the care of the sick?
  • Treating the disease, the body, or the patient
  • The doctor and the patient
  • Who is this person?
  • The measure of the person
  • The clinician's experience : power versus magic in medicine
  • Mind and body
  • The illness called dying
  • Pain and suffering
  • Epilogue : the care of the suffering patient

内容説明・目次

内容説明

This is a revised and expanded edition of a classic in palliative medicine, originally pulished in 1991. With three new chapters and a new preface summarizing the progress in the area of pain management, this is a must-have for those in palliative medicine and hospice care. The obligation of physicians to relieve human suffering stretches back into antiquity. But what exactly is suffering? One patient with metastatic cancer of the stomach, from which he knew he would shortly die, said he was not suffering. Another, someone who had been operated on for a minor problem - in little pain and not seemingly distressed, said that even coming into the hospital had been a source of pain and suffering. With such varied responses to the problem of suffering, inevitable questions arise. Is it the doctor's responsbility to treat the disease or the patient? What is the relationship between suffering and the goals of medicine? According to Dr Eric Cassell these are cruical questions, but unfortunately have remained only queries void of adequate solutions. It is time for the sick person, Cassell believes, to be not merely an important concern for physicians but the central focus of medicine. With this in mind, Cassell argues for an understanding of what changes should be made in order to successfully treat the sick while alleviating suffering, and how to actually go about making these changes with the methods and training techniques firmly rooted in the doctor's relationship with the patient. Dr Cassell offers an incisive critique of the approach of modern medicine. Drawing on a number of evocative patient narratives, he writes that the goal of medicine must be to treat an individual's suffering, and not just the disease. In addition, Cassell's thoughtful and incisive argument will appeal to psychologists and psychiatrists interested in the nature of pain and suffering.

目次

EPILOGUE: THE CARE OF THE SUFFERING PATIENT

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