The textbook for the course, Medicine and Society, is The Social Medicine Reader, a collection of readings edited by five members of the faculty and recently published (1997) by Duke University Press.
The Reader includes fiction, medical reports, scholarly essays, poetry, case studies, and personal narratives by patients and doctors-all revealing in one way or another how medicine and medical practice is influenced by social, cultural, political, and economic forces.
TABLE OF CONTENTS
Preface
Introduction to the Volume
PART I
A CULTURAL
PERSPECTIVE OF EXPERIENCES
OF ILLNESS, DISABILITY, AND DEVIANCE
Introduction, Sue E. Estroff
Culture, Health, and Illness
Eric J. Cassell, The Nature of Suffering and the Goals of Medicine
Martha Balshem, Cancer, Control, and Causality: Talking About Cancer in a Working-Class Community
Holly Mathews, Donald R. Lannin, and James P. Mitchell, Coming to Terms with Advanced Breast Cancer: Black Women's Narratives from Eastern North Carolina
Illness Experiences and Illness Narratives
Annie Dillard, The Deer at Providencia
Arthur Frank, The Cost of Appearances
Amy Bloom, Silver Water
Experiences of Deviance, Chronic Illness, and Disability
Irving K. Zola, Self, Identity, and the Naming Question: Reflections on the Language of Disability
Gordon Weaver, Finch the Spastic Speaks
Irving K. Zola, Tell Me, Tell Me
PART II
THE INFLUENCE
OF SOCIAL FACTORS
ON HEALTH AND ILLNESS
Introduction, Gail E. Henderson
The Relationship between Social Class, Race/Ethnicity and Health
Nancy E. Adler, W. Thomas Boyce, Margaret A. Chesney, Susan Folkman, and S. Leonard Syme, Socioeconomic Inequalities in Health: No Easy Solution
Laurie K. Abraham, "Where Crowded Humanity Suffers and Sickens": The Banes Family and Their Neighborhood
Lawrence Wright, One Drop of Blood
Gender and Health
Claire F. Horton, Women Have Headaches, Men Have Backaches: Patterns of Illness in an Appalachian Community
Bobbie Ann Mason, Spence + Lila (excerpts)
Doris Betts, The Mother-in-Law
Old Age
John M. Cornman and Eric R. Kingson, Trends, Issues, Perspectives, and Values for the Aging of the Baby Boom Cohorts (excerpts)
Daniel Callahan, What Do Children Owe Elderly Parents?
Sharon R. Kaufman, Decision Making, Responsibility, and Advocacy in Geriatric Medicine: Physician Dilemmas with Elderly in the Community
Ethan Canin, We Are Nighttime Travelers
PART III
THE CULTURE
OF MEDICINE
AND MEDICAL PRACTICE
Introduction, Ronald P. Strauss
The Socialization of Physicians
Melvin Konner, Basic Clinical Skills: The First Encounters
William Branch, Richard J. Pels, Robert S. Lawrence, and Ronald Arky, Becoming a Doctor: Critical-Incident Reports from Third-Year Medical Students
Perri Klass, Invasions
William Winkenwerder, Jr., Ethical Dilemmas for House Staff Physicians: The Care of Critically Ill and Dying Patients
Abenaa Brewster, A Student's View of a Medical Teaching Exercise
David A. Asch and Ruth M. Parker, The Libby Zion Case: One Step Forward or Two Steps Backward?
Medical Practice in Social Context
Donald W. Seldin, Presidential Address: The Boundaries of Medicine
Gerald T. Perkoff, The Boundaries of Medicine
Arnold S. Relman, The Changing Demography of the Medical Profession
Carola Eisenberg, Medicine Is No Longer a Man's Profession: Or, When the Men's Club Goes Coed It's Time to Change the Regs
Sir Arthur Conan Doyle, The Doctors of Hoyland
Relationships Between Doctors and Patients
Thomas S. Szasz and Marc H. Hollender, Basic Models of the Doctor-Patient Relationship
David Hilfiker, Facing our Mistakes
Maureen A. Flannery, Simple Living and Hard Choices
William Carlos Williams, The Paid Nurse
PART IV
HEALTH
CARE ETHICS
AND THE PROVIDER'S ROLE
Introduction, Nancy M. P. King
The Provider-Patient Relationship
Larry R. Churchill, Bioethics in Social Context
William Carlos Williams, The Use of Force
Marc D. Basson, Gerald Dworkin, and Eric J. Cassell, Case Study: The 'Student Doctor' and a Wary Patient
Antonella Surbone, Truth Telling to the Patient
Edmund D. Pellegrino, Is Truth Telling to the Patient a Cultural Artifact?
Benjamin Freedman, Offering Truth: One Ethical Approach to the Uninformed Cancer Patient
Raymond Carver, What the Doctor Said
George J. Annas, Informed Consent, Cancer, and Truth in Prognosis
Judith Andre, Swapping Stories: A Matter of Ethics
Leonard Fleck and Marcia Angell, Case Study: Please Don't Tell!
Interests in Conflict
Nancy K. Rhoden, Cesareans and Samaritans
Frank A. Chervenak and Lawrence B. McCullough, Justified Limits on Refusing Intervention
George J. Annas, Faith (Healing), Hope, and Charity at the FDA:
The Politics of AIDS Drug TrialsDon Marquis, Ron Stephens, Ethel S. Siris, M. Margaret Kemeny, and Robert J. Levine, Case Study: The Doctor's Unproven Beliefs and the Subject's Informed Choice
Choices About Treatment
Miles J. Edwards and Susan W. Tolle, Disconnecting a Ventilator at the Request of a Patient Who Knows He Will Then Die: The Doctor's Anguish
William Carlos Williams, The Last Words of My English Grandmother
Timothy E. Quill, Death and Dignity: A Case of Individualized Decision Making
Steven H. Miles, Informed Demand for "Non-Beneficial" Medical Treatment
Marcia Angell, The Case of Helga Wanglie: A New Kind of "Right to Die" Case
Part V
MEDICAL
CARE FINANCING,
RATIONING AND MANAGED CARE
Introduction, Larry R. Churchill
Medical Care Financing
Donald L. Madison, Paying for Medical Care in America
Uwe E. Reinhardt, Reforming the Health Care System: The Universal Dilemma
Rationing: The Dilemmas of Fair Distribution
Victor R. Fuchs, The "Rationing" of Medical Care
George J. Annas, The Prostitute, the Playboy and the Poet: Rationing Schemes for Organ Transplantation
Jafna L. Cox, Ethics of Queuing for Coronary Artery Bypass Grafting in Canada
Sharon Redmayne and Rudolf Klein, Rationing in Practice: The Case of In Vitro Fertilization
Managed Care and the Physician's Changing Role
Gail Povar and Jonathan Moreno, Hippocrates and the Health Maintenance Organization: A Discussion of Ethical Issues
Arnold S. Relman, Physicians and Business Managers: A Clash of Cultures
Ezekiel J. Emanuel and Nancy Neveloff Dubler, Preserving the Physician-Patient Relationship in the Era of Managed Care