A question of choice: bioethical reflections on a spiritual response to the technological imperative
This book examines our understanding of the way in which our society deals with the issues of death and dying. The core of Pamela McGrath's work explores the disciplines of bioethics and palliative care, and looks into alternative community responses to dying, drawing from research from a specific hospice service.
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The postmodern lens
Engaging in the research
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acknowledged affirm alternative argued articulated assumption bioethical biomedical discourse biomedical model biomedicine Buddhist Buddhist philosophy bureaucratic bureaucratisation central challenge chapter charismatic charismatic movements choice clients compassion compassionate concern construction contribution create death and dying deconstruction discourse of KHS discursive practices discussion dominant Elam epistemological ethical explore expressed Fairclough focus Foucaultian health professionals hegemonic holistic hospice/palliative ideas ideological important individual ingredient inscribed insights institutional interpretation interviews issues Karuna Hospice Service KHS's difference KHS's discourse KHS's spiritual discourse language/texts Mahayana mainstream health marginalised medicine members of KHS metanarratives modernist moral notion of spirituality notions of discourse nursing organisation organisation's orientation outlined palliative participants patient person philosophy positive possibility postmodern approach principles privileged professional dominance rationality reality reductionist referred relationship relativism resistance response scientific seen situated social spiritual dimension suggests talk Taoist technological imperative terminally ill texts totalising underpinning understanding values whilst