The Patient as Victim and Vector

Ethics and Infectious Disease

Author: M. Pabst Battin

Publisher: Oxford University Press


Category: Medical

Page: 561

View: 440

Bioethics emerged at a time when infectious diseases were not a major concern. Thus bioethics never had to develop a normative framework sensitive to situations of disease transmission. The Patient as Victim and Vector explores how traditional and new issues in clinical medicine, research, public health, and health policy might look different in infectious disease were treated as central. The authors argue that both practice and policy must recognize that a patient with a communicable infectious disease is not only a victim of that disease, but also a potential vector- someone who may transmit an illness that will sicken or kill others. Bioethics has failed to see one part of this duality, they document, and public health the other: that the patient is both victim and vector at one and the same time. The Patient as Victim and Vector is jointly written by four authors at the University of Utah with expertise in bioethics, health law, and both clinical practice and public health policy concerning infectious disease. Part I shows how the patient-centered ethic that was developed by bioethics- especially the concept of autonomy- needs to change in the context of public health, and Part II develops a normative theory for doing so. Part III examines traditional and new issues involving infectious disease: the ethics of quarantine and isolation, research, disease screening, rapid testing, antibiotic use, and immunization, in contexts like multi-drug-resistant tuberculosis, syphilis, hepatitis, HIV/AIDS, and HPV. Part IV, beginning with a controversial thought experiment, considers constraint in the control of infectious disease, include pandemics, and Part V 'thinks big' about the global scope of infectious disease and efforts to prevent, treat, or eradicate it. This volume should have a major impact in the fields of bioethics and public health ethics. It will also interest philosophers, lawyers, health law experts, physicians, and policy makers, as well as those concerned with global health.

Beyond Gender

From Subject to Drive

Author: Paul Verhaeghe

Publisher: Other PressLlc


Category: Psychology

Page: 168

View: 664

In this volume, Paul Verhaeghe's lectures on the development of psychoanalytic theory between Freud and Lacan are reproduced as a written work of astonishing versatility, which stands at the vanguard of Lacanian studies. Beyond Gender examines Freud's discovery of the unconscious and Lacan's elaboration of this discovery as a gap in the subject between what (s)he knows and the real driving forces in the psyche. The implications of this gap are manifold, and their impact on areas of study and practice from gender theory to obsessional neurosis, trauma, hysteria, and dream interpretation are profound. It is Verhaeghe's contention that, far from being the bedrock of gender differentiation, castration masks another anxiety: anxiety over another original lack that is beyond gender. This book moves past the classic binary opposition between body and psyche, and challenges the reader to reexamine both the sexual relationship and the troublesome notion of gender identity. Paul Verhaeghe is one of the most brilliant of those few writers who can relate questions found in Freud and Lacan to the passions and suffering of everyday life. These essays present a variety of concepts, all of them at the heart of the psychoanalytic enterprise. He constructs a pathway whose staging posts are desire and the dream, the body and love. Here you will find described the fabric of human engagement, the real conditions under which men and women attempt to construct relations of sexual love.Bernard Burgoyne, professor at the Institute of Social Science Research, Middlesex University, London.This book finally sets the record straight. Psychoanalysis is not about gender, nor is it about sex. It is not even about thesignifier. It is about the impossibility of bridging the gap between the body and the drive. Verhaeghe, with his usual, methodical, pedagogical, and refreshingly calm approach, uncovers for us the truths of Freuds discoveries and the unexpected clarity of Lacans theoretical formulation.Judith Feher Gurewich, director of Lacans Seminar, Harvard University

The Patient as Victim and Vector, New Edition

Ethics and Infectious Disease

Author: Margaret P. Battin

Publisher: Oxford University Press


Category: Medical


View: 549

This book-first published a decade before the COVID-19 pandemic erupted-is the first authored volume on ethical issues in infectious disease, "monumental" for its competence and comprehensiveness. It is augmented here with a new Preface on COVID-19. The book develops an ethical framework for exploring contagious infectious disease, the patient-as-victim-and-vector view, grounded in the biological fact that a person with a communicable infectious disease is not only a victim of that disease, but at the same time also a potential vector. The patient may be both threatened, someone made ill or facing death, but also a threat, someone who may transmit an illness that will sicken or kill others. Clinical medicine has tended to see one part of this duality and public health the other; the victim-AND-vector view insists on both, at one and the same time. Against a background of methods from the long human history of contagious infectious disease-quarantine, isolation, cordon sanitaire, surveillance and contact tracing, testing by both archaic and modern methods, lockdown, and immunization-the victim-and-vector view spotlights ethical challenges for clinical medicine, research, public health, and health policy. These insights are probed in the new Preface on COVID-19 and are essential in our continuing struggle to address not only the current coronavirus pandemic, but the next, and the next after that.


A Guide for Hospital Preparedness

Author: Joseph R. Masci, M.D.

Publisher: CRC Press


Category: Medical

Page: 392

View: 357

In the battle against bioterrorism, one of the greatest challenges is finding the ideal balance between complacency and overreaction. The goal is to be so well prepared that we can prevent catastrophic outcomes in the event of a bioterrorist attack, while strengthening our ability to prevent and treat naturally-occurring infectious diseases. Bioterrorism: A Guide for Hospital Preparedness provides critical guidelines for health providers on effectively preparing for bioterrorism. The book presents information on all aspects of dealing with bioterrorism including the likeliest biological agents to be used, means of determining that an attack is taking place, diagnosis and management of specific diseases, and mechanisms of reporting to public health authorities. The text reviews cooperative planning for private practitioners, methods for protecting hospital and office staff and other patients in the event of an attack, approaches to handling the psychological effects of terrorism, special considerations concerning the care of children, and strategies for answering questions posed by the public and the media. It also includes data from national and regional exercises in assessing preparedness, with suggestions for implementing lessons learned from these exercises. With bioterrorism on the fine line between risk and reality, it is essential for health care providers to be properly equipped for every situation. This comprehensive guide features solid strategies for establishing and maintaining an attainable level of preparation in the ever-present risk of bioterrorism.

Emergency Nursing

A Guide to Comprehensive Care

Author: Janet Gren Parker

Publisher: John Wiley & Sons


Category: Emergency nursing

Page: 624

View: 158

Psychotherapeutic Treatment of Cancer Patients

Author: Albert Bandura

Publisher: Routledge


Category: Medical

Page: 396

View: 170

When this book first appeared in 1981, it was the first to deal comprehensively with major issues in the psychotherapeutic treatment of cancer patients. It remains the standard volume in the field, drawing together a broad spectrum of work using psychological approaches to treatment of cancer patients and to understanding the disease's sociological and psychological implications. Distinguished contributors from medicine, psychiatry, psychoanalysis, psychology, social work, family and group therapy, and nursing examine key issues, including the role of aggression in the onset and treatment of cancer; sexual functioning of patients; cancer as an emotionally regressive experience, cancer in children, and the countertransference responses of a therapist working with a cancer patient. This volume will be of particular value to helping professionals who deal with cancer patients and their families.