Emotional Aftermath of the Persian Gulf War explores the impact of war from a unique perspective -- it addresses not only the effect of trauma on soldiers in combat but also the toll war takes on families and communities as a whole. In this book, experts from the Department of Defense (including Dick Cheney, former Secretary of Defense, who provides the preface), the Veterans Administration, the National Institute of Mental Health, Israel Defense Forces, and academia provide an integrated look at the psychiatric and psychological effects of war and the treatment of war-related stress and psychiatric disorders. The authors focus on the experience of servicemembers and of their families in response to deployment, separation, and loss, and reintegration after the war. They discuss the treatment of combat casualties, those with and without psychiatric illness, who were rapidly returned home still in the acute stage of their injuries. The authors emphasize providing the best support, both medically and psychologically, for military personnel and their families for the essential mental health and effectiveness of the fighting force and the improved quality of life of individual people. The special needs of families and of reserve and guard members are considered, and models of community outreach programs for coping with the stressors of war are discussed. Unique in terms of the role that technology played -- including live TV coverage, Patriot missiles, and "smart" bombs -- the Gulf War was a part of the day-to-day lives of the fighting forces and their families, communities, and nations.
In April 1982, an infant boy was born in Bloomington, Indiana, with Down syndrome and a defective, but surgically correctable, esophagus. His parents refused to consent to surgery or intravenous feeding. The hospital unsuccessfully sought a court order to force treatment, and appeals to higher courts also failed. The child, identified as Baby Doe by the news media, subsequently died. The events in Bloomington became the catalyst for action by the Reagan administration, the courts, and Congress that culminated in a federal policy that makes failure to treat newborns with disabilities a form of child neglect. This book centers on the public policy aspects of withholding treatment from critically ill newborns who are disabled. Specifically, it deals with why the policy was enacted and what impact it has had on health care workers, families, and infants. Some of the contributors to this book spearheaded the early debate on withholding treatment. Anthony Shaw's New York Times Magazine article in 1972 was the first to address these issues in the popular press. The following year, he published a related article in the New England Journal of Medicine. Also appearing in this same issue of NEJM, was the pathbreaking study, coauthored by A. G. M. Campbell, on withholding treatment in the special care nursery at Yale-New Haven Hospital. Each of these articles promoted much public and professional discussion.
The political and policy implications of recent developments in neuroscience, including new techniques in imaging and neurogenetics. New findings in neuroscience have given us unprecedented knowledge about the workings of the brain. Innovative research—much of it based on neuroimaging results—suggests not only treatments for neural disorders but also the possibility of increasingly precise and effective ways to predict, modify, and control behavior. In this book, Robert Blank examines the complex ethical and policy issues raised by our new capabilities of intervention in the brain. After surveying current knowledge about the brain and describing a wide range of experimental and clinical interventions—from behavior-modifying drugs to neural implants to virtual reality—Blank discusses the political and philosophical implications of these scientific advances. If human individuality is simply a product of a network of manipulable nerve cell connections, and if aggressive behavior is a treatable biochemical condition, what happens to our conceptions of individual responsibility, autonomy, and free will? In light of new neuroscientific possibilities, Blank considers such topics as informed consent, addiction, criminal justice, racism, commercial and military applications of neuroscience research, new ways to define death, and political ideology and partisanship. Our political and social institutions have not kept pace with the rapid advances in neuroscience. This book shows why the political issues surrounding the application of this new research should be debated before interventions in the brain become routine.
This book focuses on the public policy and political dimensions of Alzheimer’s Disease and other dementias (AD/D) in the United States, with coverage of the global dimensions and relevant examples from other countries. Starting off with a discussion on the characteristics of AD/D and competing theories of their causes, their human and financial costs, and the increasing burden they place on all societies as populations age, the book examines in detail the range of policy issues they raise. These include funding policies, payment policy and regulatory functions, long-term services and support (LTCS), public health and prevention policies. The book analyses the big business surrounding AD/D and shows that the strong public fear of developing dementia heightens the likelihood of exploitation of vulnerable people looking for a technological fix. It examines both informal and formal caregivers and the heavy burden placed on families, primarily women, and recent policy attempts to strengthen LTCS. It also examines the latest evidence of potential risk-reduction and prevention strategies and the difficult issues surrounding advance directives, assisted suicide, and definitions of death that increasingly face policy makers. It concludes by analyzing the policy implications on possible technological scenarios.
How can America become a healthy nation, Blank asks, when it is beset by poverty, illiteracy, and crime? No new health care system can succeed unless or until the links between social problems and sickness are understood-and addressed. On the national level, Blank calls for a more aggressive redistribution of social and public health resources to the poor and elderly; at the same time, he describes sanctions that would encourage individuals to be more careful about their own health, and limit or change destructive behavior.
A broad-ranging introduction to the provision, funding and governance of health care across a variety of systems. This revised fifth edition incorporates additional material on low/middle income countries, as well as broadened coverage relating to healthcare outside of hospitals and the ever-increasing diversity of the healthcare workforce today.
Neural grafting, virtual reality, gene therapy, psychotropic drugs As startling new treatments emerge for disorders of the brain, new concerns are arising along with them. In the first book to examine the implications of the full range of revolutionary interventions now possible in the human brain, Robert H. Blank warns that while these new techniques may promise medical wonders, they also raise profound political questions. Our rapidly unfolding knowledge about the brain and the accompanying applications have three main policy dimensions: funding research initiatives, controlling individual use, and assessing social consequences. But underlying these aspects, Blank argues, are more disturbing issues that pose fundamental challenges to our conceptions of equality, autonomy, freedom, responsibility, and human nature itself. Brain Policy makes the key facts from the technical literature readily accessible to social scientists and general readers and points out the implications for our society. Blank first explains the structure and function of the nervous system and current theories of brain operation; he then assesses the uses and potential abuses of various intervention techniques. He identifies the public policy issues raised by discoveries in the neurosciences and calls for intensified scrutiny of the advantages and disadvantages of new technologies. Warning that the risks and dangers of the dramatic developments in neuroscience are potentially large, Blank offers a means of understanding these scientific advances and the philosophical and political issues they entail. This book will be of interest to social scientists, policy analysts, policy makers, bioethicists, scientists who want to see the bigger picture, and the informed reader with an interest in the implications of neuroscience for themselves and society.
Offering a comparative and thematic cross-country analysis of the governance of home care, this book systematically maps out governing arrangements in relation to formal care services, informal care, care workers and users of care across nine countries.
Experts analyze death-related issues and policies in twelve countries, discussing health care costs, advance directives, pain management, cultural, social, and religious factors, and other topics.
A balanced and thoughtful analysis of human reproduction issues in the United States with emphasis on the ethical and policy implications of cutting-edge reproductive technologies. Few subjects are as divisive and partisan as the issues surrounding the propagation of the human species. This thorough examination covers the full scope of the debates and offers an up to the minute survey of the controversial technologies that are at the heart of reproductive rights in the United States. The areas explored range from abortion and sterilization to fetal research and human cloning. The moral, societal, and public policy implications of each subject are examined thoroughly, with emphasis on those areas where cutting-edge technology has raced ahead of public policy, thereby creating new concerns for ethicists and policy-makers. Legislative oversight or the freedom to pursue reproductive technologies at any cost, this debate is far from over.
In the spirit of Cyril Barber's classic work from the 1970s, The Minister's Library, Robert Yost provides students and pastors with expert guidance on building a working ministerial library. From Old and New Testament languages, lexical aids, and grammatical tools, to commentaries and theologies as well as pastoral resources, Yost is a trustworthy guide through the multiplicity of books that seem to just keep rolling off the presses. Far more than just a guide to commentaries as are so many works today, this resource is a balanced pastoral tool for pastors and students who are overwhelmed by the proliferation of literature in the fields of biblical and pastoral studies.
Rapid advances in cognitive neuroscience and converging technologies have led to a vigorous debate over cognitive enhancement. This book outlines the ethical and social issues, but goes on to focus on the policy dimensions, which until now have received much less attention. As the economic, social and personal stakes involved with cognitive enhancement are so high, and the advances in knowledge so swift, we are likely to see increasing demands for government involvement in cognitive enhancement techniques. The book therefore places these techniques in a political context and brings the subsequent considerations and divisions to the forefront of the debate, situating their resolution within the milieu of interest group politics. The book will provide a starting point from which readers can develop a balanced policy framework for addressing such concerns.
Explains in laymen's terms why we need to control costs, come to terms with rationing in the near future, and take more individual responsibility for health. Lamm and Blank explain why "blank check" medicine-unchecked spending and use of technology-is bad for our collective health. [from publisher description].
This thoughtful book grapples with the contentious issue of fetal protection policy in the workplace, contrasting the right of the mother to control her life against the right of the fetus to occupy a risk-free environment. By describing the history of sex discrimination in the American workplace and examining current research on workplace dangers to reproductive health, Blank critically assesses fetal protection policies established by corporations in the last two decades. After explaining the U.S. government's response--both regulatory and judicial--Blank concludes that current means of redress for fetal injuries in the workplace are woefully inadequate. Blank argues for a practicable strategy that will maximize women's employment choices and reproductive health and at the same time keep to a minimum the risks associated with fetal harm. He turns to alternatives to exclusionary policies that are more likely to ensure the birth of children with sound minds and bodies. These include increased maternal leaves, guaranteed prenatal care, expanded research on workplace hazards, and an accidental compensation fund that relieves employers of the yet unrealized fear of liability for fetal harm. Fetal Protection in the Workplace confronts a controversial topic in biomedical policy, law, and women's studies, provides clear suggestions for future policy options, and explains this ongoing conflict involving women's rights and employment and concern for the needs of the unborn.
Human genetic technology has advanced rapidly in recent years to the point where amniocentesis is commonplace and in vitro fertilization has been successful. On the horizon looms the specter of human cloning and genetic engineering, raising a storm of new moral and ethical questions. These questions, asserts the author, are not the only ones to be considered; the impact and role of public policy are equally critical. What part should the state play in human genetic intervention? To what extent does a democratic society have the duty to take steps to reduce genetic disease and improve the quality of life through genetic engineering? If society has such responsibility, at what stage does societal good preempt individual rights? What is society's obligation toward future generations and is genetic manipulation justifiable on these grounds? After surveying the state of the art, the author grapples with these questions, contending that decisions ultimately will not be based on ethical and moral grounds –they will be fought out in the political arena.
Since 1898, when Tigerstadt and Bergman first extracted renin from rabbit kidney, the reninrugs, Enzymes and Receptors of the Renin is designed to highlight molecular and clinical approaches to understanding the renin Chapter topics have been specifically chosen to cover selected contemporary, controversial and unresolved issues. A novel and uni
This book examines critical social-policy issues emerging from recent developments in human reproductive technology. Although considerable attention has been focused on the ethical dimensions of these developments, the policy dimension has largely been obscured.Dr. Blank now provides a far-ranging overview of the cumulative impact on society of a wide array of new reproductive technologies and the social patterns that accompany or precede their application.The book begins with a description of the current context of reproductive decision making. Dr. Blank demonstrates how emerging technologies are producing complex and intense social-policy concerns,then reviews in detail human reproductive technologies, and illustrates the significant consequences of technological innovations for political and legal concepts of rights and obligations. (Examples include recent cases involving torts for wrongful life.) He analyzes possible alterations in the moral and legal status of the fetus in light of apparent technological and social-policy trends and presents a paradigm of fetal rights that reflects these changes. A final case is made for a comprehensive assessment of reproductive technologies, as well as for the urgent need to refine concepts of human life that in the past have been taken for granted, but that now are being challenged.
This book demonstrates the increasing interest of some social scientists in the theories, research and findings of life sciences in building a more interdisciplinary approach to the study of politics. It discusses the development of biopolitics as an academic perspective within political science, reviews the growing literature in the field and presents a coherent view of biopolitics as a framework for structuring inquiry across the current subfields of political science.
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