Children, Ethics, and Modern Medicine

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Indiana University Press, Jun 18, 2003 - Medical - 328 pages
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"Because the discipline of medical ethics has developed with autonomy as its foundation, the field has ignored pediatric ethics. The book is resoundingly successful in its effort to rectify this problem.... [A] pleasure to read." -- Eric D. Kodish, M.D., Director, Rainbow Center for Pediatric Ethics, Case Western Reserve University

Using a form of medical ethnography to investigate a variety of pediatric contexts, Richard B. Miller tests the fit of different ethical approaches in various medical settings to arrive at a new paradigm for how best to care for children. Miller contends that the principle of beneficence must take priority over autonomy in the treatment of children. Yet what is best for the child is a decision that doctors cannot make alone. In making and implementing such decisions, Miller argues, doctors must become part of a "therapeutic alliance" with families and the child undergoing medical care to come up with the best solution.

Children, Ethics, and Modern Medicine combines strong philosophical argumentation with firsthand knowledge of the issues facing children and families in pediatric care. This book will be an invaluable asset to medical ethicists and practitioners in pediatric care, as well as parents struggling with ethical issues in the care of their children.

 

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Contents

1 Parental Responsibility in Fear and Trembling
15
2 The Duty to Care
25
3 Pediatric Paternalism
51
4 Representing Patients
84
5 Basic Interests
118
Technologically TetheredRetaining Fluids on Steroids Sedated and Four Years Old
149
On What Grounds?
164
8 Erickas Sepsis Lias Convulsions and Cultural Differences
181
Screening Organ Donations from Strangers
203
10 The Politics and Ethics of a Hospital Ethics Committee
220
11 Ethical Issues in Pediatric Research
238
On Liberal Care
268
Notes
275
Index
301
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About the author (2003)

Richard B. Miller is Director of the Poynter Center for the Study of Ethics and American Institutions and Professor in the Department of Religious Studies at Indiana University, Bloomington. He is the author of Interpretations of Conflict: Ethics, Pacifism, and the Just-War Tradition (1991) and Casuistry and Modern Ethics: A Poetics of Practical Reasoning (1996). He has edited War in the Twentieth Century: Sources in Theological Ethics (1993) and has written articles in social philosophy and religious ethics.

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