Dependence and Autonomy in Old Age: An Ethical Framework for Long-term Care
Autor George Agichen Limba Engleză Paperback – 6 aug 2003
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Specificații
ISBN-13: 9780521009201
ISBN-10: 0521009200
Pagini: 218
Dimensiuni: 155 x 229 x 13 mm
Greutate: 0.38 kg
Ediția:Rev
Editura: Cambridge University Press
Colecția Cambridge University Press
Locul publicării:Cambridge, United Kingdom
ISBN-10: 0521009200
Pagini: 218
Dimensiuni: 155 x 229 x 13 mm
Greutate: 0.38 kg
Ediția:Rev
Editura: Cambridge University Press
Colecția Cambridge University Press
Locul publicării:Cambridge, United Kingdom
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Cuprins
1. Introduction; Long-term care images; Autonomy; Autonomy and long-term care: the problem; 2. The liberal theory of autonomy; Pluralism, toleration, and neutrality; The State and positive autonomy; Some problems of positive autonomy; Liberal principles in long-term care; Nursing home admission practices; The use of restraints; The perils of liberal theory; Communitarianism and the contextualist alternative; Practical implications of the debate over the foundation of ethics; Conflict and conversation; The function of rights; Limitation of rights; Paternalism and the development of persons; From paternalism to parentalism; Summary; 3. Long-term care: myth and reality; Myths of old age; Nursing homes; Therapeutic relationships; Concepts of illness and disease; Models of care; The concept of a practice; Home care; Summary; 4. Actual autonomy; Result-oriented theories; Action-oriented theories; The concrete view of persons; Autonomy: a developmental perspective; Narrative approaches; Dependence in human development; Sickness as dependence; Autonomy and identification; The paradox of development and problems of identification; Implications for long-term care; Summary; 5. A phenomenological view of social action; Sociality and the everyday world; General Features of the social nature of persons; Space; Time; Communication; Affectivity; Summary; 6. Autonomy and long-term care: another look; Social reality of Eastside; Appeal to autonomy as independence; A phenomenologically informed analysis; Lessons from Eastside; Conclusion; Bibliography; Index.
Recenzii
'This book has been hailed by critics as a milestone in medical ethics ... It challenges clinicians to reexamine many of the ethical principles on which they have based their interactions with patients in long-term care.' New England Journal of Medicine
'The most important contribution to the maturation of our thinking about autonomy that has yet been offered. Those who labor in long-term care will be rewarded, but so too will a broad audience of health professionals and ethicists. The clear, sometimes lyrical writing makes the reading easy. The message is very important.' Annals of Internal Medicine
Intellectually important, revelatory, and suggestive, offers insights that must be the basis on which real reform is crafted.' Medical Humanities Review
'This is an excellent text on an important topic … The author's emphatic understanding of the issues involved in the long-term care of frail older individuals makes this book one not only of useful instruction but also of spiritual inspiration. Its quality is further enhanced by a comprehensive list of reference texts and suggestions for further reading, as well as a detailed index.' Nursing Ethics
'I found this book to be a fascinating read, one that made me pause, examine and re-examine the author's premises.' Doody's
'… this very thoughtful and stimulating book helps to rethink the everyday ethics of long term care.' Bulletin of Mental Health in Old Age
'Agich's book is a revision of Autonomy and Long-term Care (1993) and the slight change of name is revealing. This book is a relatively accessible paperback for a wide audience, but it has an important and complex philosophical point: to spell out the contextual meaning of autonomy in the 'nooks and crannies' of everyday situations … Agich argues convincingly that all of us are dependent on various structures and various people at different stages in our lives. Rather than autonomy increasing from childhood to adulthood and then decreasing again into old age, we should speak about the nature of our autonomy and our dependencies changing and changing in perfectly normal ways.' Ethical Theory and Moral Practice
'The most important contribution to the maturation of our thinking about autonomy that has yet been offered. Those who labor in long-term care will be rewarded, but so too will a broad audience of health professionals and ethicists. The clear, sometimes lyrical writing makes the reading easy. The message is very important.' Annals of Internal Medicine
Intellectually important, revelatory, and suggestive, offers insights that must be the basis on which real reform is crafted.' Medical Humanities Review
'This is an excellent text on an important topic … The author's emphatic understanding of the issues involved in the long-term care of frail older individuals makes this book one not only of useful instruction but also of spiritual inspiration. Its quality is further enhanced by a comprehensive list of reference texts and suggestions for further reading, as well as a detailed index.' Nursing Ethics
'I found this book to be a fascinating read, one that made me pause, examine and re-examine the author's premises.' Doody's
'… this very thoughtful and stimulating book helps to rethink the everyday ethics of long term care.' Bulletin of Mental Health in Old Age
'Agich's book is a revision of Autonomy and Long-term Care (1993) and the slight change of name is revealing. This book is a relatively accessible paperback for a wide audience, but it has an important and complex philosophical point: to spell out the contextual meaning of autonomy in the 'nooks and crannies' of everyday situations … Agich argues convincingly that all of us are dependent on various structures and various people at different stages in our lives. Rather than autonomy increasing from childhood to adulthood and then decreasing again into old age, we should speak about the nature of our autonomy and our dependencies changing and changing in perfectly normal ways.' Ethical Theory and Moral Practice
Notă biografică
Descriere
In this influential book, George Agich abandons comfortable abstractions to reveal the concrete threats to personal autonomy in long-term care.