Howard Spiro - Böcker

The treatment of medical illness today depends much more on science and technology than on the physician's ability to listen, comfort, and prescribe. Medicine is not only increasingly technical but is also increasingly involved with legal, governmental, and insurance constraints on patient care, and this state of affairs has done much to distance physicians from their patients. This important book seeks to restore empathy to medical practice, to demonstrate how important it is for doctors to listen to their patients, to experience and understand what their patients are feeling. The book—a collection of essays by physicians, philosophers, and a nurse—is divided into three parts: one deals with how empathy is weakened or lost during the course of medical education and suggests how to remedy this; another describes the historical and philosophical origins of empathy and provides arguments for and against it; and a third section offers compelling accounts of how physicians' empathy for their patients has affected their own lives and the lives of those in their care. We hear, for example, from a physician working in a hospice who relates the ways that the staff tries to listen and respond to the needs of the dying; a scientist who interviews candidates for medical school and tells how qualities of empathy are undervalued by selection committees; a health professional who considers what her profession can teach physicians about empathy; another physician who ponders whether the desire to be empathic can hinder the detachment necessary for objective care; and several contributors who show how literature and art can help physicians to develop empathy. Medicine, asserts most of these authors, is both science and narrative, reason and intuition. Empathy underlies the qualities of the humanistic physician and must frame the skills of all professionals who care for patients. Prepared under the auspices of the Program for Humanities in Medicine, Yale University School of Med

In this book an eminent physician explores how patients and caring doctors can help lessen suffering when illness occurs. Dr. Howard Spiro urges that physicians focus on their patients’ feelings of pain and anxiety as well as on physical symptoms. He also suggests that patients and their doctors be receptive to the emotional relief that may be obtained from nature and from hope.Drawing on his previous highly praised work on the doctor-patient relationship and the problem of pain, Dr. Spiro tells how people can be helped by a combination of alternative medicine and mainstream medicine—a treatment of mind, body, and spirit that energizes patients, strengthens their expectations, and starts them on the road to feeling better. In various forms of alternative medicine, from meditation to massage, from faith healing to folk medicine, from herbology to homeopathy, practitioners heed patients’ complaints and help them to help themselves. Dr. Spiro encourages physicians to talk and listen to their patients as much as they look and measure, to treat the whole patient and not just the disease, and to integrate a scientific approach to medicine with alternative approaches that may alleviate pain and suffering.

We have learned a great deal in recent years about keeping death at bay through medical technology. We are less well informed, however, about how to face death and how to understand or articulate the emotional and spiritual needs of the dying. This profound and eloquent book brings together medical experts and distinguished authorities in the humanities to reflect on medical, cultural, and religious responses to death. The book helps both medical personnel and patients to view death less as an adversary and more as a defining part of life.In the first half of the book, physicians and the founder of Connecticut Hospice discuss the current clinical setting for dying, with attempts to find the balance between alleviating suffering and providing life support, the problem of finding a peaceful death, and the differences the AIDS epidemic has made in our attitudes toward dying. In the second half of the book, theologians, historians of religion, anthropologists, literary scholars, and pastors describe Christian, Judaic, Islamic, Hindu, and Chinese perceptions of death and rituals of mourning. An epilogue considers the resonances between medicine and the humanities, as well as the essential differences in their approaches to death.Prepared under the auspices of The Program for Humanities in Medicine, Yale University School of Med

"Our intent was to provide a book that would let the everyday practitioner understand that he or she had stories to tell, roads to walk, pictures to paint, tunes to play—and that there is life outside, even after, medicine."—from the prefaceThis book examines the lives of twenty-seven physicians—twenty-one men and six women—who have combined the aim to heal with other pursuits such as art, writing, music, or politics. Their fascinating testimonies illustrate the personal gratification and inspiration that can be gained from integrating medicine with another passionately engaging activity.The book includes a wide array of individuals and interests, from the toymaker A. C. Gilbert and the writer Gertrude Stein to a wine grower, an astronaut, a coin collector, a cabaret singer, and a minister. Most of the stories are told by the principals themselves; the lives of the four deceased subjects are related by others. Although a few physicians tell of giving up medical practice for a new field of endeavor, most attest that the partnership between medicine and another interest has invigorated them and given them new energy to care for and relate to patients.Howard M. Spiro, M.D., professor of medicine at Yale University School of Medicine, and Mary G. McCrea Curnen, M.D., D.P.H., clinical professor of epidemiology and pediatrics at Yale University School of Medicine, are director and associate director, respectively, of the Program for Humanities in Medicine. Deborah St. James is manager of editorial services, pharmaceutical division, Bayer Corporation. Prepared under the auspices of the Program for Humanities in Medicine, Yale University School of Med