Daniel P. Sulmasy - Böcker

The study and practice of end-of-life care has seen an increasing understanding of the need for care that integrates clinical, psychosocial, spiritual, cultural, and ethical expertise. Yet, no one existing volume pulls together perspectives from a diverse array of religions with ethical dilemmas and clinical problems in view. Safe Passage coaches clinicians and others on the front lines of care on understanding how to incorporate different traditions of thinking into the most difficult of moments around the end of life. The book is structured around five major moments of realization - when disease progresses, when emergencies happen, when dying will be a long process, the time of death, and when grieving begins. Each decision point is introduced with a research summary and an extensive case example that describes disease processes, health care delivery possibilities, and the end-of-life dilemmas involved so as to apply across the varying cultural, socio-economic, and spiritual contexts. The case example is followed by a clinical commentary written by a palliative care specialist, an ethical commentary written by an ethicist, and three short essays written by religious thinkers of different traditions. Each situation is concluded by remarks on potential approaches that respect religious and spiritual beliefs, values, and practices at the end of life across all contexts, and a bibliography. The five decision points are bookended by an introductory section that explores broad historical and cultural perspectives and a conclusion section that summarizes the book and provides guidance for further reading and study.

"The Rebirth of the Clinic" begins with a bold assertion: the doctor-patient relationship is sick. Fortunately, as this engrossing book demonstrates, the damage is not irreparable. Today, patients voice their desires to be seen not just as bodies, but as whole people. Though not willing to give up scientific progress and all it has to offer, they sense the need for more. Patients want a form of medicine that can heal them in body and soul. This movement is reflected in medical school curricula, in which courses in spirituality and health care are taught alongside anatomy and physiology. But how can health care workers translate these concepts into practice? And how can they strike an appropriate balance, integrating and affirming spirituality without abandoning centuries of science or unwittingly adopting pseudoscience? Physician and philosopher Daniel Sulmasy is uniquely qualified to guide readers through this terrain. At the outset of this accessible, engaging volume, he explores the nature of illness and healing, focusing on health care's rich history as a spiritual practice and on the human dignity of the patient.Combining sound theological reflection with doses of healthy skepticism, he goes on to describe empirical research on the effects of spirituality on health, including scientific studies of the healing power of prayer, emphasizing that there are reasons beyond even promising research data to attend to the souls of patients. Finally, Sulmasy devotes special attention and compassion to the care of people at the end of life, incorporating the stories of several of his patients. Throughout, the author never strays from the theme that, for physicians, attending to the spiritual needs of patients should not be a moral option, but a moral obligation. This book is an essential resource for scholars and students of medicine and medical ethics and especially medical students and health care professionals.

Once rarely discussed in medical circles, the relationship between spirituality and health has become an important topic in health care. This change is evidenced in courses on religion and medicine taught in most medical schools, articles in journals such as the "New England Journal of Medicine", and conferences being held all over the country. Yet, much of the discussion of the role of religion and spirituality in health care keeps the critical distance of only being about spirituality. "A Balm for Gilead" goes further, offering a work of spirituality. Sulmasy moves between the poetic and the speculative, addressing his subject in the tradition of great spiritual writers like Augustine and Bonaventure. He draws from philosophical and theological sources - specifically, Hebrew and Christian scripture - to illuminate how the art of healing is integrally tied to a sense of the divine and our ultimate interconnectedness. Health care professionals - and anyone else involved with the care of the sick and dying - will find this series of meditations both inspiring and instructive.Sulmasy addresses the spiritual malaise that physicians, nurses, and other health care workers experience in their professional lives, and explores how these Christian healers can be inspired to persevere in the care of the sick. Drawing on the parable of the prodigal son, for instance, Sulmasy illustrates how some physicians have put financial gain ahead of their patients, and how genuine spirituality might change their hearts. He examines both enigmatic topics such as the relationship between sinfulness, sickness, and suffering and the spirituality of more routine topics such as preventive medicine. In one especially stirring and poignant meditation, he reflects on the spirituality of dying in the light of Christian hope. "A Balm for Gilead" interweaves prayer and reflection, pointing the way to a twenty-first-century spirituality for health care professionals and their patients.

Medical ethics draws upon methods from a wide array of disciplines, including anthropology, economics, epidemiology, health services research, history, law, medicine, nursing, philosophy, psychology, sociology, and theology. In this influential book, outstanding scholars in medical ethics bring these many methods together in one place to be systematically described, critiqued, and challenged. Newly revised and updated chapters in this second edition include philosophy, religion and theology, virtue and professionalism, casuistry and clinical ethics, law, history, qualitative research, ethnography, quantitative surveys, experimental methods, and economics and decision science. This second edition also includes new chapters on literature and sociology, as well as a second chapter on philosophy which expands the range of philosophical methods discussed to include gender ethics, communitarianism, and discourse ethics. In each of these chapters, contributors provide descriptions of the methods, critiques, and notes on resources and training."Methods in Medical Ethics" is a valuable resource for scholars, teachers, editors, and students in any of the disciplines that have contributed to the field. As a textbook and reference for graduate students and scholars in medical ethics, it offers a rich understanding of the complexities involved in the rigorous investigation of moral questions in medical practice and research.

An essential overview of the methods of bioethics scholarship and practice—updated, expanded, and revisedThe pioneering first edition of Methods in Medical Ethics was the first systematic examination of how the methods of a wide variety of disciplines can inform the analysis and understanding of issues in medical ethics. This new edition has been updated to correspond with bioethics today, covering a broader range of disciplinary perspectives and methods, not only for bioethics research but also for bioethics practice.Bioethicists and editors Sugarman and Sulmasy have solicited chapter contributions from outstanding scholars around the globe representing a range of major disciplines that contribute to bioethics. These chapters describe important conceptual and empirical methods (e.g., qualitative and quantitative survey techniques, experiments in real-world settings, and digital ethics) used in the field. A new section on practical ethics includes chapters covering clinical ethics, research ethics, public health ethics, and public bioethics. The book emphasizes that what counts as "good" work in bioethics is determined in large part by the proper application of methods to the issues at hand. As such, it will be invaluable for students, established scholars, practitioners, and readers of the bioethics literature.

An essential overview of the methods of bioethics scholarship and practice—updated, expanded, and revisedThe pioneering first edition of Methods in Medical Ethics was the first systematic examination of how the methods of a wide variety of disciplines can inform the analysis and understanding of issues in medical ethics. This new edition has been updated to correspond with bioethics today, covering a broader range of disciplinary perspectives and methods, not only for bioethics research but also for bioethics practice.Bioethicists and editors Sugarman and Sulmasy have solicited chapter contributions from outstanding scholars around the globe representing a range of major disciplines that contribute to bioethics. These chapters describe important conceptual and empirical methods (e.g., qualitative and quantitative survey techniques, experiments in real-world settings, and digital ethics) used in the field. A new section on practical ethics includes chapters covering clinical ethics, research ethics, public health ethics, and public bioethics. The book emphasizes that what counts as "good" work in bioethics is determined in large part by the proper application of methods to the issues at hand. As such, it will be invaluable for students, established scholars, practitioners, and readers of the bioethics literature.

Unlike Nazi medical experiments, euthanasia during the Third Reich is barely studied or taught. Often, even asking whether euthanasia during the Third Reich is relevant to contemporary debates about physician-assisted suicide (PAS) and euthanasia is dismissed as inflammatory. Physician-Assisted Suicide and Euthanasia: Before, During, and After the Holocaust explores the history of euthanasia before and during the Third Reich in depth and demonstrate how Nazi physicians incorporated mainstream Western philosophy, eugenics, population medicine, prevention, and other medical ideas into their ideology. This book reveals that euthanasia was neither forced upon physicians nor wantonly practiced by a few fanatics, but widely embraced by Western medicine before being sanctioned by the Nazis. Contributors then reflect on the significance of this history for contemporary debates about PAS and euthanasia. While they take different views regarding these practices, almost all agree that there are continuities between the beliefs that the Nazis used to justify euthanasia and the ideology that undergirds present-day PAS and euthanasia. This conclusion leads our scholars to argue that the history of Nazi medicine should make society wary about legalizing PAS or euthanasia and urge caution where it has been legalized.