Quiet Desperation
نویسندگان
چکیده
منابع مشابه
Desperation May Affect Autonomy but Not Informed Consent
Dunn and colleagues (2011) provide an interesting analysis of the ethical issues involved in deep brain stimulation (DBS) for peoplewith treatment-resistant depression (TRD). I agree with the conclusions the authors draw regarding TRD patients’ capacity to consent but would like to take up the authors’ call for greater examination of theway inwhich desperation may affect patients’ decision maki...
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The question could have been posed by any patient: a depressed suburban housewife, a melodramatic college student, or a homeless drug addict about to hit rock bottom. On that day, it was posed by J.M. (not his real initials), my patient of about 5 months, during our weekly psychotherapy hour on the maximum-security inpatient unit of the state hospital. It was a serious question, and it had the ...
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Off label prescribing—that is, prescribing a medicine for an indication not listed in the product information, or for a patient outside the approved age range—is common, but controversial. On the one hand, it can promote clinical innovation and provide options for patients for whom no other alternatives are available. On the other hand, it can be harmful, because safety data are often lacking; ...
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Both physicians and patients want deeply healing doctor-patient relationships. Too often, though, the ever-expanding demands of medical practice combine with the defenses of the patient to create doctor-patient isolation. Eastern and Western cosmologies and traditions may encourage different approaches to human interaction and healing. At times, probing the patient with more questions may open ...
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D URING A WALK ABOUT THE ONCOLOGY unit where I was receiving antibiotics for pneumonia, I encountered an elderly woman, her arm splinted and wrapped by a sling and burdened by intravenous and oxygen tubing. She was slowly and painfully making her way to the family lounge with her nurse and daughter. I helped them into the room, and then we all sat down. I asked her about her arm. She told me th...
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ژورنال
عنوان ژورنال: The Iowa Review
سال: 1982
ISSN: 0021-065X,2330-0361
DOI: 10.17077/0021-065x.2880