Eric Cassell - Böcker

Clearing the Path is a collection of clinical stories that illustrate practical, applicable communication tools for professionals in work with end-of-life patients and families. These vignettes from practice demonstrate how impending death, death itself, and the loss of a relationship affect the lives and grief of both patients and survivors. Written 13 years after its companion volume The Weeping Willow, the book brings even more complex encounters and nuanced emotions from additional years of experience in the field. The stories are woven in with the counseling process, thought process, and dilemmas of the counselor. Each story is then followed by "Notes to the Practitioner" with clear, practical and professional advice on navigating various communication issues and end with "Conclusions" which are short summaries of each vignette's teachings. At the end of each chapter the reader will find recent, annotated references for those who wish to read more about the topic. Chapters provide new, in-depth tools for dealing with death, grief, and loss from both the griever and the counselor or medical professional's perspective. What is unique to this book is the insight into the authentic human emotions experienced by both counselors and clients in these encounters with dying and grieving, making it useful for both the caregivers and the recipients of end-of-life care. Acknowledging that communication is individual and dependent on all the involved parties, these stories were selected to demonstrate many ways of communication through a range of situations, as well as the various attitudes, harmful and helpful, revealed in responses from people surrounding the patient or griever. Clearing the Path is not a conventional "how- to" book and it aims instead to teach by example from the hands-on counseling experiences of two experts who have worked in the field of field of death and dying, grieving and loss with responsibility and care. For professionals at all levels of experience those looking to navigate the difficulties of end-of-life care, this is the perfect guide.

The renewal of medical curricula generally arises from emerging pedagogies (e.g. problem-based learning), new technologies (e.g. high fidelity simulation), or prevailing sociocultural forces (e.g. complexity of health care delivery and team-based care). Approximately 15 years ago, a team of physicians and administrators sought to take this further: by considering the very nature of medical practice and the patient-physician relationship that is the context and conduit of caring and care, they restructured the composition and function of medical education. This book, Physicianship and the Rebirth of Medical Education, is the authoritative publication on the philosophy, design, and implementation of this new curriculum. From first year to graduation, this book reimagines the education of medical students in its entire scope. It discusses the epistemology of clinical practice and pedagogical methods and addresses pragmatic issues of curricular implementation. The educational blueprint presented in the book rests on a new definition of sickness, one focused on impairments of function as the primary issue of concern for both patients and their care givers. This perspective avoids the common shift of medical attention from persons to diseases, and thus provides the basis for an authentic and robust patient-centered mindset. The title of the book refers to a "rebirth." This implies that there was a previous "birth." Indeed, the critical ingredients of medical education were articulated historically and many features emanate from a time-honored apprenticeship model. This book recognizes in William Osler and his "natural method of teaching the subject of medicine" the foundational elements for teaching physicianship. The practice of medicine is indelibly relational and, in turn, medical education is an intellectual and an emotional journey that is rooted in clinical relationships. As this book shows, medicine must unfold in the context of patient care; patients, not diseases, should be the center of attention.

Clinical medicine, as a thinking discipline, is concerned not only with what clinicians do, but why. When physicians act in medicine they have some purpose or goal in mind. What they actually do and how they go about it is in the service of their purposes and their goals. Such goals cover a wide range of topics centering on patients, the doctor-patient relationship, the acts of doctoring patients, and the goals involved in being a physician among other physicians working within the institutions of medicine.The Nature of Clinical Medicine takes its direction from a catalog of goals of medicine that range from the expected diagnosis and treatment of diseases to wider concerns for patients, for physicians, and for medicine itself. The chapters are specific in teaching the kinds of knowledge that clinicians require in order to be able to achieve these goals. The central focus of the clinician and of this book is the patient. According to Eric Cassell, everything else, including the disease, is secondary.Using many examples from real-life medical practice, each chapter examines the different kinds of thought involved in caring for the patient. Cassell takes on a variety of difficult issues, from thinking about values to developing wisdom. The care of the dying, what thinking itself is, and finally, why would one want to do this exciting and rewarding but difficult work, come under discussion in this book.