The Social Medicine Reader

Front Cover
Gail Henderson
Duke University Press, 1997 - Medical - 516 pages
To meet the needs of the rapidly changing world of health care, future physicans and health care providers will need to be trained to become wiser scientists and humanists in order to understand the social and moral as well as technological aspects of health and illness. The Social Medicine Reader is designed to meet this need.
Based on more than a decade of teaching social medicine to first-year medical students at the pioneering Department of Social Medicine at the University of North Carolina, The Social Medicine Reader defines the meaning of the social medicine perspective and offers an approach for teaching it. Looking at medicine from a variety of perspectives, this anthology features fiction, medical reports, scholarly essays, poetry, case studies, and personal narratives by patients and doctors--all of which contribute to an understanding of how medicine and medical practice is profoundly influenced by social, cultural, political, and economic forces.
What happens when a person becomes a patient? How are illness and disability experienced? What causes disease? What can medicine do? What constitutes a doctor/patient relationship? What are the ethical obligations of a health care provider? These questions and many others are raised by The Social Medicine Reader, which is organized into sections that address how patients experience illness, cultural attitudes toward disease, social factors related to health problems, the socialization of physicians, the doctor/patient relationship, health care ethics and the provider's role, medical care financing, rationing, and managed care.
 

Contents

The Basic Models of the DoctorPatient
86
Finch the Spastic Speaks Gordon Weaver
87
Tell Me Tell Me Irving Kenneth Zola
95
OF EXPERIENCES OF ILLNESS No Easy Solution Nancy E Adler et al
109
Culture Health and Illness 12 One Drop of Blood Lawrence Wright
131
The Nature of Suffering and the Goals
142
Black Womens Narratives from Spence + Lila excerpts Bobbie Ann Mason
156
3
167
One Step Forward William Carlos Williams 320
238
The Boundaries of Is Truth Telling to the Patient a Cultural
330
Medicine Is No Longer a Mans Profession
341
Justified Limits on Refusing Intervention
460
Ethics of Queuing for Coronary Artery
469
Disconnecting a Ventilator at the Sharon Redmayne and Rudolf Klein
475
William Carlos Williams 398 Changing Role
481
A New Kind
491

The Cost of Appearances Arthur Frank 66 What Do Children Owe Elderly Parents?
175
Simple Living and Hard Choices
209
CriticalIncident PART IV
223
PART V
506
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About the author (1997)

Gail E. Henderson, Associate Professor of Social Medicine and Adjunct Professor of Sociology at the University of North Carolina at Chapel Hill, is the author of The Chinese Hospital: A Socialist Work Unit.Nancy M. P. King, Associate Professor of Social Medicine at the University of North Carolina at Chapel Hill, is the author of Making Sense of Advance Directives.Ronald P. Strauss is Professor of Dental Ecology and Social Medicine at the University of North Carolina at Chapel Hill and is author of numerous articles on social and ethical issues in the care of chronic illness.Sue E. Estroff is Professor of Social Medicine and Adjunct Professor of Anthropology and Psychiatry at the University of North Carolina at Chapel Hill. She is the author of Making It Crazy: An Ethnography of Psychiatric Clients in an American Community.Larry R. Churchill is Professor of and Chair of the Department of Social Medicine at the University of North Carolina at Chapel Hill. He is the author of Self-Interest and Universal Health Care: Why Well-Insured Americans Should Support Coverage for Everyone and Rationing Health Care in America: Perceptions and Principles of Justice.

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