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The Body Multiple
Ontology in Medical Practice
Annemarie Mol
Duke University Press, 2002
The Body Multiple is an extraordinary ethnography of an ordinary disease. Drawing on fieldwork in a Dutch university hospital, Annemarie Mol looks at the day-to-day diagnosis and treatment of atherosclerosis. A patient information leaflet might describe atherosclerosis as the gradual obstruction of the arteries, but in hospital practice this one medical condition appears to be many other things. From one moment, place, apparatus, specialty, or treatment, to the next, a slightly different “atherosclerosis” is being discussed, measured, observed, or stripped away. This multiplicity does not imply fragmentation; instead, the disease is made to cohere through a range of tactics including transporting forms and files, making images, holding case conferences, and conducting doctor-patient conversations.

The Body Multiple juxtaposes two distinct texts. Alongside Mol’s analysis of her ethnographic material—interviews with doctors and patients and observations of medical examinations, consultations, and operations—runs a parallel text in which she reflects on the relevant literature. Mol draws on medical anthropology, sociology, feminist theory, philosophy, and science and technology studies to reframe such issues as the disease-illness distinction, subject-object relations, boundaries, difference, situatedness, and ontology. In dialogue with one another, Mol’s two texts meditate on the multiplicity of reality-in-practice.

Presenting philosophical reflections on the body and medical practice through vivid storytelling, The Body Multiple will be important to those in medical anthropology, philosophy, and the social study of science, technology, and medicine.

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The Christian Virtues in Medical Practice
Edmund D. Pellegrino and David C. Thomasma
Georgetown University Press, 1996

Christian health care professionals in our secular and pluralistic society often face uncertainty about the place religious faith holds in today's medical practice. Through an examination of a virtue-based ethics, this book proposes a theological view of medical ethics that helps the Christian physician reconcile faith, reason, and professional duty.

Edmund D. Pellegrino and David C. Thomasma trace the history of virtue in moral thought, and they examine current debate about a virtue ethic's place in contemporary bioethics. Their proposal balances theological ethics, based on the virtues of faith, hope, and charity, with contemporary medical ethics, based on the principles of beneficence, justice, and autonomy. The result is a theory of clinical ethics that centers on the virtue of charity and is manifest in practical moral decisions.

Using Christian bioethical principles, the authors address today's divisive issues in medicine. For health care providers and all those involved in the fields of ethics and religion, this volume shows how faith and reason can combine to create the best possible healing relationship between health care professional and patient.

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The Process of Neurologic Care in Medical Practice
Thomas H. Glick
Harvard University Press, 1984

Most neurology is done by general physicians rather than by neurologists. Still, neurology is perceived by doctors to be one of the most troublesome and difficult medical specialties. Neurologic symptoms are often vague and uncertain, and seemingly insignificant symptoms can reflect frightening disorders.

Thomas Glick, a superb teacher as well as an experienced clinician, has written this book in the belief that errors in handling neurologic cases stem not so much from a failure to command a daunting body of knowledge as from inadequate clinical reasoning. Dr. Glick shows how the skills of the primary-care physician can be applied to the special problems of neurologic history-taking and physical examination. He emphasizes time-saving ways to focus the exam and avoid diagnostic error. The book describes clear procedures for cases that the generalist can handle comfortably and offers guidelines on when (and how) to seek the advice of the consultant neurologist. Case histories, scattered liberally throughout the text, highlight the discussions and give the reader a rich sampling of specific methods of problem solving.

Clinicians who feel skeptical about the effectiveness of neurologic therapy or frustrated by its application will find here a commonsense approach to therapeutic planning. Chapters on ambulatory and chronic neurologic care also convey a positive sense of the broader therapeutic possibilities that exist in neurologic practice. Neurologic residents, senior medical students, psychiatrists, and allied health professionals, as well as primary caregivers, will benefit from the insights contained in this sensitive and articulate book.

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The Therapeutic Perspective
Medical Practice, Knowledge, and Identity in America, 1820-1885
John Harley Warner
Harvard University Press, 1986


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