Timothy Quill
- Published in print:
- 2001
- Published Online:
- November 2011
- ISBN:
- 9780195139402
- eISBN:
- 9780199999859
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195139402.001.0001
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Palliative Medicine and Older People
In this book, the author uses his wide range of clinical experience caring for severely ill patients and their families to illustrate the challenges and potential of end-of-life care. Section One ...
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In this book, the author uses his wide range of clinical experience caring for severely ill patients and their families to illustrate the challenges and potential of end-of-life care. Section One utilizes the near-death experiences of two patients to explore values underlying medical humanism, and then presents the case of “Diane” to explore the fundamental clinical commitments of partnership and non-abandonment. Section Two explores, illustrates, and provides practical guidance for clinicians, patients, and families about critical communication issues including delivering bad news, discussing palliative care, and exploring the wish to die. In Section Three, difficult ethical and policy challenges inherent in hospice work, including the rule of double effect, terminal sedation, and physician-assisted suicide, are explored using a mix of real cases and an analysis of underlying clinical, ethical, and policy issues. In the final chapter, the author discusses the tragic death of his brother, which occurred as this book was being completed, and how his family made the most emotionally challenging decisions of their lives. The author exposes readers to an internally consistent and practical way of thinking by simultaneously embracing the potential of palliative care, and also acknowledging that it has limitations. His philosophy of offering forthright discussions with patient and family, mutual decision making, ensuring medical and palliative care expertise, and committing to see the dying process through to the patient's death, is vividly illustrated.Less
In this book, the author uses his wide range of clinical experience caring for severely ill patients and their families to illustrate the challenges and potential of end-of-life care. Section One utilizes the near-death experiences of two patients to explore values underlying medical humanism, and then presents the case of “Diane” to explore the fundamental clinical commitments of partnership and non-abandonment. Section Two explores, illustrates, and provides practical guidance for clinicians, patients, and families about critical communication issues including delivering bad news, discussing palliative care, and exploring the wish to die. In Section Three, difficult ethical and policy challenges inherent in hospice work, including the rule of double effect, terminal sedation, and physician-assisted suicide, are explored using a mix of real cases and an analysis of underlying clinical, ethical, and policy issues. In the final chapter, the author discusses the tragic death of his brother, which occurred as this book was being completed, and how his family made the most emotionally challenging decisions of their lives. The author exposes readers to an internally consistent and practical way of thinking by simultaneously embracing the potential of palliative care, and also acknowledging that it has limitations. His philosophy of offering forthright discussions with patient and family, mutual decision making, ensuring medical and palliative care expertise, and committing to see the dying process through to the patient's death, is vividly illustrated.
Samuel K. Cohn
- Published in print:
- 2009
- Published Online:
- February 2010
- ISBN:
- 9780199574025
- eISBN:
- 9780191722530
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199574025.003.0002
- Subject:
- History, European Early Modern History
Chapter 1 shows quantitatively the effect of the 1575–8 plague on medical writing and publishing. In two years alone, 1576 and 1577, almost half the century's published writings on plague appeared. ...
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Chapter 1 shows quantitatively the effect of the 1575–8 plague on medical writing and publishing. In two years alone, 1576 and 1577, almost half the century's published writings on plague appeared. This pattern was unique to Italy not only for these years but across the history of plague in Europe from the Black Death to at least the seventeenth century and probably beyond. In addition, the language of plague writing, whether composed by academic physicians or others, shifted abruptly from a majority in Latin (fuelled by the revival in classical medical writing over the past century—medical humanism) to an overwhelming preponderance in the vernacular.Less
Chapter 1 shows quantitatively the effect of the 1575–8 plague on medical writing and publishing. In two years alone, 1576 and 1577, almost half the century's published writings on plague appeared. This pattern was unique to Italy not only for these years but across the history of plague in Europe from the Black Death to at least the seventeenth century and probably beyond. In addition, the language of plague writing, whether composed by academic physicians or others, shifted abruptly from a majority in Latin (fuelled by the revival in classical medical writing over the past century—medical humanism) to an overwhelming preponderance in the vernacular.
- Published in print:
- 2006
- Published Online:
- March 2013
- ISBN:
- 9780226620879
- eISBN:
- 9780226620862
- Item type:
- chapter
- Publisher:
- University of Chicago Press
- DOI:
- 10.7208/chicago/9780226620862.003.0003
- Subject:
- History, History of Science, Technology, and Medicine
The discipline of natural history was invented in the sixteenth century, but Renaissance naturalists drew upon ancient and medieval predecessors in the study of nature. Steeped in medical humanism, ...
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The discipline of natural history was invented in the sixteenth century, but Renaissance naturalists drew upon ancient and medieval predecessors in the study of nature. Steeped in medical humanism, the first generation of naturalists turned naturally to the Roman and especially Greek classics to delineate their subject and defend their methods. Subsequent generations pursued lines of inquiry set out by ancient and medieval authors, even as those authors' works received less and less attention. Like any invention, natural history was not created ex nihilo. Naturalists creatively appropriated elements of the ancient and medieval tradition, turning them to new ends. In large part, though, the ancient and medieval tradition was itself invented by Renaissance naturalists. Out of a congeries of texts produced over the course of two millennia, Renaissance naturalists forged a unitary tradition, a series of naturalists like themselves who were engaged in a common project.Less
The discipline of natural history was invented in the sixteenth century, but Renaissance naturalists drew upon ancient and medieval predecessors in the study of nature. Steeped in medical humanism, the first generation of naturalists turned naturally to the Roman and especially Greek classics to delineate their subject and defend their methods. Subsequent generations pursued lines of inquiry set out by ancient and medieval authors, even as those authors' works received less and less attention. Like any invention, natural history was not created ex nihilo. Naturalists creatively appropriated elements of the ancient and medieval tradition, turning them to new ends. In large part, though, the ancient and medieval tradition was itself invented by Renaissance naturalists. Out of a congeries of texts produced over the course of two millennia, Renaissance naturalists forged a unitary tradition, a series of naturalists like themselves who were engaged in a common project.
Roger Cooter and Claudia Stein
- Published in print:
- 2013
- Published Online:
- October 2013
- ISBN:
- 9780300186635
- eISBN:
- 9780300189438
- Item type:
- chapter
- Publisher:
- Yale University Press
- DOI:
- 10.12987/yale/9780300186635.003.0008
- Subject:
- History, Historiography
This chapter presents an analysis of an essay on bioethics in history and discourse. It explains that this essay was intended as an update on some of the literature on bioethics published since the ...
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This chapter presents an analysis of an essay on bioethics in history and discourse. It explains that this essay was intended as an update on some of the literature on bioethics published since the mid-1990s and discusses historians' rationales for the study of bioethics. It discusses the threat posed by bioethics to the funding of medical history and argues that historians of medical ethics and bioethics have remained locked in medicine's own project of medical humanism.Less
This chapter presents an analysis of an essay on bioethics in history and discourse. It explains that this essay was intended as an update on some of the literature on bioethics published since the mid-1990s and discusses historians' rationales for the study of bioethics. It discusses the threat posed by bioethics to the funding of medical history and argues that historians of medical ethics and bioethics have remained locked in medicine's own project of medical humanism.
- Published in print:
- 2006
- Published Online:
- March 2013
- ISBN:
- 9780226620879
- eISBN:
- 9780226620862
- Item type:
- chapter
- Publisher:
- University of Chicago Press
- DOI:
- 10.7208/chicago/9780226620862.003.0002
- Subject:
- History, History of Science, Technology, and Medicine
This chapter explores the formation of natural history in the late Renaissance. Over the course of a little more than a century, natural history developed out of medical humanism into a distinct ...
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This chapter explores the formation of natural history in the late Renaissance. Over the course of a little more than a century, natural history developed out of medical humanism into a distinct scholarly discipline, practiced by a self-identified group of naturalists, most of whom were tightly integrated into local communities of naturalists centered on universities or courts; those communities, in turn, were closely connected through correspondence and travel. Naturalists imagined themselves as a distinct community and as part of a broader Republic of Letters. Such was not the case in classical antiquity and the Middle Ages. What would become “natural history” in the Renaissance sense comprised three distinct traditions: natural philosophy, pharmacy, and agriculture. Renaissance naturalists drew upon these traditions in their own work, but they did more: they retrospectively invented a unitary tradition out of distinct ancient and medieval strands in order to justify and legitimate the activities of their imagined community. It is this double story—the ancient and medieval background and Renaissance naturalists' creative interpretation of it—that the next chapter relates.Less
This chapter explores the formation of natural history in the late Renaissance. Over the course of a little more than a century, natural history developed out of medical humanism into a distinct scholarly discipline, practiced by a self-identified group of naturalists, most of whom were tightly integrated into local communities of naturalists centered on universities or courts; those communities, in turn, were closely connected through correspondence and travel. Naturalists imagined themselves as a distinct community and as part of a broader Republic of Letters. Such was not the case in classical antiquity and the Middle Ages. What would become “natural history” in the Renaissance sense comprised three distinct traditions: natural philosophy, pharmacy, and agriculture. Renaissance naturalists drew upon these traditions in their own work, but they did more: they retrospectively invented a unitary tradition out of distinct ancient and medieval strands in order to justify and legitimate the activities of their imagined community. It is this double story—the ancient and medieval background and Renaissance naturalists' creative interpretation of it—that the next chapter relates.
Megan Coyer
- Published in print:
- 2017
- Published Online:
- September 2017
- ISBN:
- 9781474405607
- eISBN:
- 9781474405621
- Item type:
- chapter
- Publisher:
- Edinburgh University Press
- DOI:
- 10.3366/edinburgh/9781474405607.003.0004
- Subject:
- Literature, 19th-century and Victorian Literature
This chapter examines the construction of David Macbeth Moir (1798–1851), a prolific Blackwoodian author and surgeon, as a medical poet, by himself and others, both within Blackwood’s and beyond, as ...
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This chapter examines the construction of David Macbeth Moir (1798–1851), a prolific Blackwoodian author and surgeon, as a medical poet, by himself and others, both within Blackwood’s and beyond, as a key component of a redemptive counter-discourse of medical humanism. The idealistic image of the ‘humanistic’ literary medical man is read as developing, in part, as a counter to the negative cultural representations of medicine exacerbated by the anatomy murders as well as the growing divisions between medico-scientific and literary cultures and the perceived negative consequences of the ‘march of intellect’. Moir’s place within a tradition of literary medical men in Scotland and his role in debates surrounding the reform of medical education are discussed, as are key projects, including essays published in Blackwood’s and Fraser’s Magazine for Town and Country, his Outlines of the Ancient History of Medicine (1831), and his poetry.Less
This chapter examines the construction of David Macbeth Moir (1798–1851), a prolific Blackwoodian author and surgeon, as a medical poet, by himself and others, both within Blackwood’s and beyond, as a key component of a redemptive counter-discourse of medical humanism. The idealistic image of the ‘humanistic’ literary medical man is read as developing, in part, as a counter to the negative cultural representations of medicine exacerbated by the anatomy murders as well as the growing divisions between medico-scientific and literary cultures and the perceived negative consequences of the ‘march of intellect’. Moir’s place within a tradition of literary medical men in Scotland and his role in debates surrounding the reform of medical education are discussed, as are key projects, including essays published in Blackwood’s and Fraser’s Magazine for Town and Country, his Outlines of the Ancient History of Medicine (1831), and his poetry.
Brian W. Ogilvie
- Published in print:
- 2006
- Published Online:
- March 2013
- ISBN:
- 9780226620879
- eISBN:
- 9780226620862
- Item type:
- book
- Publisher:
- University of Chicago Press
- DOI:
- 10.7208/chicago/9780226620862.001.0001
- Subject:
- History, History of Science, Technology, and Medicine
Out of the diverse traditions of medical humanism, classical philology, and natural philosophy, Renaissance naturalists created a new science devoted to discovering and describing plants and animals. ...
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Out of the diverse traditions of medical humanism, classical philology, and natural philosophy, Renaissance naturalists created a new science devoted to discovering and describing plants and animals. Drawing on published natural histories, manuscript correspondence, garden plans, travelogues, watercolors, and drawings, this book reconstructs the evolution of this discipline of description through four generations of naturalists. In the late fifteenth and early sixteenth centuries, naturalists focused on understanding ancient and medieval descriptions of the natural world, but by the mid-sixteenth century naturalists turned toward distinguishing and cataloguing new plant and animal species. To do so, they developed new techniques of observing and recording, created botanical gardens and herbaria, and exchanged correspondence and specimens within an international community. By the early seventeenth century, naturalists began the daunting task of sorting through the wealth of information they had accumulated, putting a new emphasis on taxonomy and classification. Illustrated with woodcuts, engravings, and photographs, this book presents a broad interpretation of Renaissance natural history.Less
Out of the diverse traditions of medical humanism, classical philology, and natural philosophy, Renaissance naturalists created a new science devoted to discovering and describing plants and animals. Drawing on published natural histories, manuscript correspondence, garden plans, travelogues, watercolors, and drawings, this book reconstructs the evolution of this discipline of description through four generations of naturalists. In the late fifteenth and early sixteenth centuries, naturalists focused on understanding ancient and medieval descriptions of the natural world, but by the mid-sixteenth century naturalists turned toward distinguishing and cataloguing new plant and animal species. To do so, they developed new techniques of observing and recording, created botanical gardens and herbaria, and exchanged correspondence and specimens within an international community. By the early seventeenth century, naturalists began the daunting task of sorting through the wealth of information they had accumulated, putting a new emphasis on taxonomy and classification. Illustrated with woodcuts, engravings, and photographs, this book presents a broad interpretation of Renaissance natural history.
