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  • Book
    Larry R. Churchill, Joseph B. Fanning, and David Schenck.
    Summary: Being a patient is a unique interpersonal experience but it is also a universal human experience. The relationships formed when we are patients can also teach some of life's most important lessons, and these relationships provide a special window into ethics, especially the ethics of healthcare professionals. This book answers two basic questions: As patients see it, what things allow relationships with healthcare providers to become therapeutic? What can this teach us about healthcare ethics? This volume presents detailed descriptions and analyses of 50 interviews with 58 patients, representing a wide spectrum of illnesses and clinician specialties. The authors argue that the structure, rhythm, and horizon of routine patient care are ultimately grounded in patient vulnerability and clinician responsiveness. From the short interview segments, the longer vignettes and the full patient stories presented here emerge the neglected dimensions of healthcare and healthcare ethics. What becomes visible is an ethics of everyday interdependence, with mutual responsibilities that follow from this moral symbiosis. Both professional expressions of healthcare ethics and the field of bioethics need to be informed and reformed by this distinctive, more patient-centered, turn in how we understand both patient care as a whole and the ethics of care more specifically. The final chapters present revised codes of ethics for health professionals, as well as the implications for medical and health professions education.

    Contents:
    Being a patient and living a life
    Clinical space and traits of healing
    False starts and frequent failures
    Three journeys
    Being a patient : the moral field
    Rethinking healthcare ethics : the patient's moral authority.
  • Article
    Wenderlein JM.
    MMW Munch Med Wochenschr. 1978 Jun 16;120(24):835-8.
    After exclusion of clinical causes for intermittent mastalgia, psychosocial factors should be thought of as a study of 533 women showed: 1. Women with intermittent pains in the breast differed statistically significantly from other women without mastalgia in 8 out of 12 personality characteristics (FPI). 2. Mastalgia occurred more frequently with increasing age, in women without partners, in painful experiences with menarche and menstruation. 3. Women with mastalgia examined their breasts regularly, they were confident that they could feel nodules and went more frequently for medical treatment of their breasts. 4. In mastectomy patients with a history of mastalgia particular attention should be paid to a psycho-social status.
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