Observing Bioethics examines the history of bioethics as a discipline related not only to modern biology, medicine, and biotechnology, but also to the core values and beliefs of American society and its courts, legislatures, and media. The book is written from the perspective of two social scientists--a sociologist of medicine(Renee C. Fox) and a historian of medicine (Judith P. Swazey)--who have participated in bioethics since the emergence of this multidisciplinary field more than 30 years ago. Fox and Swazey draw on first-hand observations and experiences in a variety of American bioethical settings; face-to-face interviews with first- and second-generation figures in the genesis and early unfolding of bioethics; a detailed examination of the theatrical media coverage of what was considered to be a banner event in the annals of bioethics (the creation and birth of the cloned sheep, Dolly); case studies of how bioethics has internationally developed; and a large corpus of primary documents and secondary source materials. While recognizing the intellectual, moral, and sociological importance of American bioethics, Fox and Swazey are critical of its characteristics. Foremost among these are what they identify as the problems of thinking socially, culturally, and internationally in American bioethics; the 'tenuous interdisciplinarity' of the field; and the troubling extent to which the 'culture wars' have penetrated bioethics. This book will appeal to a wide range of doctors, scientists, and academics who are involved in the history and sociology of bioethics.
The essays in this volume pay tribute to the achievements of RenÚe C. Fox in the fields of medicine and sociology. Many of the contributors are Fox's colleagues and former students from medicine, sociology, nursing, and bioethics. The title--Society and Medicine--reflects the leitmotif in Fox's work: her studies of and teaching about the nature of medicine and medical research; the training and work of their practitioners; the interrelationships between medicine and the societies and cultures of which it is a part; and, above all, the moral and spiritual dimensions of the healing arts.
The title of this profound work conveys the bold, uncertain, and often dangerous adventure in which medical professionals and their organ transplant and dialysis patients are engaged. Built around a series of case studies, The Courage to Fail is the product of collaborative first-hand research concerned with various social phenomena generated by transplantation and dialysis. The authors examine the individuals involved and the workings and atmosphere of some of the medical centers in which these forms of therapy have been developed. They examine ""gift-exchange"" dimensions of transplantation: the transcendent and tyrannical aspects of the ""gift of life"" that transplants entail for donors and recipients-and for medical professionals as well. They also analyze the dilemma of uncertainty inherent in medicine, which occurs with particular force in the development of such experimental techniques.Since publication of the original edition, the authors have continued to follow social and medical developments surrounding organ transplants and dialysis. In their new introduction, they discuss transplantation as a gift of life, how and when death occurs, efforts to procure more organs, and organ replacement and issues of equity. This book will be of interest to physicians, medical students, medical sociologists, and anyone interested in the history of and issues surrounding organ transplantation and dialysis.
For a reader interested in the contemporary history of medicine, we can recommend no book more highly than The Courage to Fail.It is beautifully and clearly written; it is fascinating in its treatment of the history of one of the most publicized of the new medical technologies-organ transplant and renal dialysis." -Journal of History and Medicine "This book is a 'must' for every young physician and surgeon who is involved with the trial of the new procedures in the environment of the modern teaching hospital."-New England Journal of Medicine The title of this profound work conveys the bold, uncertain, and often dangerous adventure in which medical professionals and their organ transplant and dialysis patients are engaged. Built around a series of case studies, The Courage to Fail is the product of collaborative first-hand research concerned with various social phenomena generated by transplantation and dialysis. The authors examine the individuals involved and the workings and atmosphere of some of the medical centers in which these forms of therapy have been developed. They examine "gift-exchange" dimensions of transplantation: the transcendent and tyrannical aspects of the "gift of life" that transplants entail for donors and recipients-and for medical professionals as well. They also analyze the dilemma of uncertainty inherent in medicine, which occurs with particular force in the development of such experimental techniques. Since publication of the original edition, the authors have continued to follow social and medical developments surrounding organ transplants and dialysis. In their new introduction, they discuss transplantation as a gift of life, how and when death occurs, efforts to procure more organs, and organ replacement and issues of equity. This book will be of interest to physicians, medical students, medical sociologists, and anyone interested in the history of and issues surrounding organ transplantation and dialysis. Rene Fox is professor of sociology in the departments of Sociology, Psychiatry, and Medicine, and is the Annenberg Professor of the Social Sciences, at the University of Pennsylvania. Judith P. Swazey is professor in the Department of Socio-Medical Sciences and Community Medicine at the Boston University School of Medicine.
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