In this book Dr. Waitzkin offers a comprehensive analysis of the current problems of costs, coverage, and access to medical care in the United States. He takes the reader into the examination room with vivid patient-doctor encounters that portray dilemmas patients frequently face. Dr. Waitzkin describes how changes in medical care have affected the decision making of doctors, as well as communication between patients and doctors. He offers an analysis of how spiraling costs, managed care organizations, declining coverage, and new technologies have changed the decisions and the course of care chosen. Visit our website for sample chapters!
The recent financial meltdown has brought notable changes to the global practice of health care changes that have often escaped the American news media. Although Western managed-care corporations previously had strengthened their influence abroad, now many countries are considering new approaches to health care for their citizens.The untold story of how corporations have influenced global health care and the impacts now in America as the system rapidly shifts is Dr. Waitzkin s subject in his provocative new book. We now live in a new era in which the prospects for more humane approaches to health care are taking root. Strengthening access and improving public health are at the heart of the many previously little-noted struggles and actions by individuals, groups, and whole nations to put control back in the hands of patients and practitioners, as Americans of many political stripes seem to universally seek. The impacts of these changes in the United States are considerable, and they are amply illustrated by Dr. Waitzkin as the United States attempts to reorient its own system of care.Selected as the 2012 winner of the Freidson Outstanding Publication Award by the American Sociological Association for its "bold and timely analysis of the global political economy of contemporary crises in health and medical care. By presenting the lessons learned from social medicine (past and present), [it] outlines a macro-sociologically informed response to these crises.
Since the appearance of Waitzkin’s The Second Sickness, a landmark book of the 1980s, American medicine has been dramatically transformed. Waitzkin’s earlier edition used qualitative research to take readers inside the “black box” of medical decisionmaking. This new, fully updated and expanded edition retains the earlier edition's vivid approach and adds timely analysis of how managed care and other economic and social forces influence medical practice today.
The complaints that patients bring to their doctors often have roots in social issues that involve work, family life, gender roles and sexuality, aging, substance use; or other problems of nonmedical origin. In this book, physician/sociologist Howard Waitzkin examines interactions between patients and doctors to show how physicians' focus on physical complaints often fails to address patients' underlying concerns and also reinforces the societal problems that cause or aggravate these maladies. A progressive doctor-patient relationship, Waitzkin argues, fosters social change. Waitzkin provides a pathbreaking analysis of medical encounters, applying perspectives from structuralism, post-structuralism, and critical literary theory to transcripts of recorded conversations between doctors and patients. He demonstrates how doctors unintentionally maintain dominance in their dealings with patients, encourage conforming social behavior and attitudes, and marginalize patients' concerns with social problems. Waitzkin urges physicians to attend to the social as well as the medical problems that emerge from patients' narratives and suggests ways to restructure the manner in which patients and doctors communicate with each other. Physicians and patients, for example, should work together to demystify medical discourse, should refrain from medicalizing social problems through medications or reassurances that dull socially caused pain, and should be prepared to call on advocacy organizations seeking to change the social conditions that create personal distress. This book will influence and challenge physicians scholars, and students in the social sciences and humanities, as well as anyone concerned about the present problems and future direction of medicine.
Social medicine, starting two centuries ago, has shown that social conditions affect health and illness more than biology does, and social change affects the outcomes of health and illness more than health services do. Understanding and exposing sickness-generating structures in society helps us change them. This first book providing a critical introduction to social medicine sheds light on an increasingly important field. The authors draw on examples worldwide to show how principles based on solidarity and mutual aid have enabled people to participate collaboratively to construct health-promoting social conditions. The book offers vital information and analysis to enhance our understanding regarding the promotion of health through social and individual means; the micro-politics of medical encounters; the social determination of illness; the influences of racism, class, gender, and ethnicity on health; health and empire; and health praxis, reform, and sociomedical activism. Illustrations are included throughout the book to convey these key themes and important issues, as well as on Routledge’s webpage for the book, under the Support Materials tab. The authors offer compelling ways to understand and to change the social dimensions of health and health care. Students, teachers, practitioners, activists, policy makers, and people concerned about health and health care will value this book, which goes beyond the usual approaches of texts in public health, medical sociology, health economics, and health policy.
Answering the question of how to get from A to B, capitalism to post-capitalism, is a task that we "audaciously" need to pursue now. This pamphlet is one among several others, intended to clarify our struggle 1) to bring down capitalism; and 2) to create a path toward eco-socialism. Those of us oppressed by capitalism engage in some peculiar forms of actions and inactions. In our actions, we take part in struggles to improve key problems generated by capitalism without confronting capitalism. In other words, our actions confront effects rather than causes. In addition to our contradictory actions, our inactions involve consent. We consent by not challenging or even trying to change our simple economic behaviors that perpetuate the capitalist economic system. As a result, we ordinary people continue to serve as the main financiers of the capitalist system. Why do oppressed people consent to their oppression? Repression usually is not enough, as Gramsci observed while imprisoned by Italian fascism. "Hegemonic" ideas explain and justify the oppressive circumstances of our lives. Rinky-dink revolution involves actions and inactions that are easy, safe, mundane, unglamorous, and feasible within every person's life. The history of revolutions shows that the activists who bring them about number much fewer than countries' entire populations. The estimate of 7 to 11 million people required to achieve revolutionary transformation in the United States comes from a simple calculation, which may be off, but probably not way off. "We" who struggle against capitalism have become much more diverse and numerous than the protagonists envisioned by Marx and Engels. "They" who fight to preserve capitalism make up a tiny minority of the world's population. Revolutionary strategy requires clarifying what specific characteristics of capitalism are oppressive and have to go, as opposed to what characteristics of social and economic organization are not oppressive and can stay. What post-capitalist society looks like has become much clearer. Rinky-dink revolution includes withholding consent to processes that capitalism needs to maintain itself and grow, plus several creatively constructive and destructive efforts in which millions of people, but still a minority of the population, participate. The transition to post-capitalism is already happening throughout the world in the creative construction of communal organizations that govern themselves and that act to assure the survival and well-being of their participants. Moving beyond the capitalist state, including the welfare state as part of the capitalist state, entails moving beyond the state itself. The solidarity economy first of all finds ways to create cheap, small-scale, cooperative, pleasant, and comfortable housing units that require very little money, with collaborative solutions to exploitative rent, debt, taxes, and insurance. Second, communal organizations solve the food problem through local production and distribution of nutritious food, achieving independence from capitalist agriculture.
Since the appearance of Waitzkin’s The Second Sickness, a landmark book of the 1980s, American medicine has been dramatically transformed. Waitzkin’s earlier edition used qualitative research to take readers inside the “black box” of medical decisionmaking. This new, fully updated and expanded edition retains the earlier edition's vivid approach and adds timely analysis of how managed care and other economic and social forces influence medical practice today.
The recent financial meltdown has brought notable changes to the global practice of health care changes that have often escaped the American news media. Although Western managed-care corporations previously had strengthened their influence abroad, now many countries are considering new approaches to health care for their citizens.The untold story of how corporations have influenced global health care and the impacts now in America as the system rapidly shifts is Dr. Waitzkin s subject in his provocative new book. We now live in a new era in which the prospects for more humane approaches to health care are taking root. Strengthening access and improving public health are at the heart of the many previously little-noted struggles and actions by individuals, groups, and whole nations to put control back in the hands of patients and practitioners, as Americans of many political stripes seem to universally seek. The impacts of these changes in the United States are considerable, and they are amply illustrated by Dr. Waitzkin as the United States attempts to reorient its own system of care.Selected as the 2012 winner of the Freidson Outstanding Publication Award by the American Sociological Association for its "bold and timely analysis of the global political economy of contemporary crises in health and medical care. By presenting the lessons learned from social medicine (past and present), [it] outlines a macro-sociologically informed response to these crises.
Social medicine, starting two centuries ago, has shown that social conditions affect health and illness more than biology does, and social change affects the outcomes of health and illness more than health services do. Understanding and exposing sickness-generating structures in society helps us change them. This first book providing a critical introduction to social medicine sheds light on an increasingly important field. The authors draw on examples worldwide to show how principles based on solidarity and mutual aid have enabled people to participate collaboratively to construct health-promoting social conditions. The book offers vital information and analysis to enhance our understanding regarding the promotion of health through social and individual means; the micro-politics of medical encounters; the social determination of illness; the influences of racism, class, gender, and ethnicity on health; health and empire; and health praxis, reform, and sociomedical activism. Illustrations are included throughout the book to convey these key themes and important issues, as well as on Routledge’s webpage for the book, under the Support Materials tab. The authors offer compelling ways to understand and to change the social dimensions of health and health care. Students, teachers, practitioners, activists, policy makers, and people concerned about health and health care will value this book, which goes beyond the usual approaches of texts in public health, medical sociology, health economics, and health policy.
In this book Dr. Waitzkin offers a comprehensive analysis of the current problems of costs, coverage, and access to medical care in the United States. He takes the reader into the examination room with vivid patient-doctor encounters that portray dilemmas patients frequently face. Dr. Waitzkin describes how changes in medical care have affected the decision making of doctors, as well as communication between patients and doctors. He offers an analysis of how spiraling costs, managed care organizations, declining coverage, and new technologies have changed the decisions and the course of care chosen. Visit our website for sample chapters!
The complaints that patients bring to their doctors often have roots in social issues that involve work, family life, gender roles and sexuality, aging, substance use; or other problems of nonmedical origin. In this book, physician/sociologist Howard Waitzkin examines interactions between patients and doctors to show how physicians' focus on physical complaints often fails to address patients' underlying concerns and also reinforces the societal problems that cause or aggravate these maladies. A progressive doctor-patient relationship, Waitzkin argues, fosters social change. Waitzkin provides a pathbreaking analysis of medical encounters, applying perspectives from structuralism, post-structuralism, and critical literary theory to transcripts of recorded conversations between doctors and patients. He demonstrates how doctors unintentionally maintain dominance in their dealings with patients, encourage conforming social behavior and attitudes, and marginalize patients' concerns with social problems. Waitzkin urges physicians to attend to the social as well as the medical problems that emerge from patients' narratives and suggests ways to restructure the manner in which patients and doctors communicate with each other. Physicians and patients, for example, should work together to demystify medical discourse, should refrain from medicalizing social problems through medications or reassurances that dull socially caused pain, and should be prepared to call on advocacy organizations seeking to change the social conditions that create personal distress. This book will influence and challenge physicians scholars, and students in the social sciences and humanities, as well as anyone concerned about the present problems and future direction of medicine.
The flaws in today's healthcare systems and practices are well-documented: millions remain far from optimal health due to a variety of psychological and social factors; large numbers of patients do not fully cooperate with medical advice; errors in medical decision-making -- some stemming from flaws in interpersonal relations -- regularly lead to needless suffering and death. Further, the effects of emotions, personality, and motivation on healing are not well incorporated into traditional medical care. The Oxford Handbook of Health Psychology compiles the most relevant scholarship from psychology, medicine, and public health to offer a thorough and authoritative model of the biopsychosocial approach to health. A collection of international contributors addresses all relevant concepts in this model, including its applications to health promotion, health behavior change, and treatment.
Communication across Cultures explores how cultural context affects the use and (mis)interpretation of language. It provides an accessible and interdisciplinary introduction to language and language variation in intercultural communication by drawing on both classic and cutting-edge research from pragmatics, discourse analysis, sociolinguistics, linguistic anthropology and politeness studies. This new edition has been comprehensively updated to incorporate recent research, with an emphasis on the fluid and emergent practice of intercultural communication. It provides increased coverage of variation in language within and between cultures, drawing on real-world examples of spoken and written communication. The authors review classic concepts like 'face', 'politeness' and 'speech acts', but also critique these concepts and introduce more recent approaches. Each chapter provides a set of suggested readings, questions and exercises to enable the student to work through concepts and consolidate their understanding of intercultural communication. This is an excellent resource for students of linguistics and related disciplines.
Although the physician's use and misuse of power have been discussed in the social sciences and in literature, they have never been explored in medical ethics until now. In this book, Dr. Howard Brody argues that the central task is not to reduce the physician's power, as others have suggested, but to develop guidelines for its use, so that the doctor shares with the patient both information and the responsibility for deciding on appropriate treatment." "Dr. Brody first reviews literary works dealing with medical power, from Dostoevsky's "The Grand Inquisitor" to stories by William Carlos Williams, Vonda McIntyre, and Richard Selzer. These works, he shows, reveal the healers' ambivalence over their own power and patients' fears of the abuse of power. Dr. Brody then points out important but neglected ethical issues that emerge from an analysis of power, such as the tension between care of individual patients and the pressures of the doctor's workload; the rescue fantasy that impels some physicians to extraordinary lengths to save a life; and the economic system, which rewards surgeons and other specialists more than it does physicians who spend time talking with patients about their problems. He also shows how the perspective of shared power can shed new light on standard topics in medical ethics--from informed consent and confidentiality to resource allocation and cost containment."--BOOK JACKET.Title Summary field provided by Blackwell North America, Inc. All Rights Reserved
This 2nd Edition takes a problem-oriented approach to all aspects of the preoperative, perioperative, and postoperative medical care of the surgical patient. An easy-to-use format with tables, charts, and graphs makes reference simple. Features updated and expanded coverage throughout, plus much more.
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