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Volumn 21, Issue 1, 1997, Pages 1-26

Construction and practice of medical responsibility: Dilemmas and narratives from geriatrics

Author keywords

Bioethics; Geriatric medicine; Narrative analysis

Indexed keywords

AGED; ARTICLE; BIOETHICS; BIOETHICS AND PROFESSIONAL ETHICS; COMPARATIVE STUDY; CULTURAL FACTOR; EMPIRICAL APPROACH; FEMALE; GERIATRICS; HUMAN; LONG TERM CARE; MALE; MEDICAL ETHICS; MENTAL CAPACITY; MORALITY; PATIENT CARE; PHYSICIAN; PHYSICIAN ATTITUDE; PSYCHOLOGICAL ASPECT; RIGHT TO DIE; SOCIAL BEHAVIOR; UNITED STATES;

EID: 0031088783     PISSN: 0165005X     EISSN: None     Source Type: Journal    
DOI: 10.1023/A:1005345716123     Document Type: Article
Times cited : (30)

References (72)
  • 4
    • 0004194398 scopus 로고
    • Chicago: University of Chicago Press
    • Bosk, Charles 1979 Forgive and Remember. Chicago: University of Chicago Press. 1992 All God's Mistakes. Chicago: University of Chicago Press.
    • (1979) Forgive and Remember
    • Bosk, C.1
  • 5
    • 0003788817 scopus 로고
    • Chicago: University of Chicago Press
    • Bosk, Charles 1979 Forgive and Remember. Chicago: University of Chicago Press. 1992 All God's Mistakes. Chicago: University of Chicago Press.
    • (1992) All God's Mistakes
  • 6
    • 0009563414 scopus 로고
    • New York: Simon and Schuster
    • Callahan, Daniel 1987 Setting Limits. New York: Simon and Schuster. 1993 The Troubled Dream of Life. New York: Simon and Schuster.
    • (1987) Setting Limits
    • Callahan, D.1
  • 7
    • 0003525437 scopus 로고
    • New York: Simon and Schuster
    • Callahan, Daniel 1987 Setting Limits. New York: Simon and Schuster. 1993 The Troubled Dream of Life. New York: Simon and Schuster.
    • (1993) The Troubled Dream of Life
  • 8
    • 0020494955 scopus 로고
    • Can Applied Ethics Be Effective in Health Care and Should it Strive to Be?
    • Caplan, Arthur L. 1983 Can Applied Ethics Be Effective in Health Care and Should it Strive to Be? Ethics 93: 312.
    • (1983) Ethics , vol.93 , pp. 312
    • Caplan, A.L.1
  • 9
    • 0025359781 scopus 로고
    • Interpretive Bioethics: The Way of Discernment
    • Carson, Ronald A. 1990 Interpretive Bioethics: The Way of Discernment. Theoretical Medicine 11: 51-60.
    • (1990) Theoretical Medicine , vol.11 , pp. 51-60
    • Carson, R.A.1
  • 12
    • 84995019949 scopus 로고
    • Attending to Patients' Stories: Reframing the Clinical Task
    • Clark, Jack A. and Elliot G. Mishler 1992 Attending to Patients' Stories: Reframing the Clinical Task. Sociology of Health and Illness 14: 344-372.
    • (1992) Sociology of Health and Illness , vol.14 , pp. 344-372
    • Clark, J.A.1    Mishler, E.G.2
  • 13
    • 0026028908 scopus 로고
    • Bringing Social Structure Back into Clinical Decision-Making
    • Clark, Jack A., Deborah A. Potter, and John B. McKinlay 1991 Bringing Social Structure Back into Clinical Decision-Making. Social Science and Medicine 32: 853-866.
    • (1991) Social Science and Medicine , vol.32 , pp. 853-866
    • Clark, J.A.1    Potter, D.A.2    McKinlay, J.B.3
  • 14
    • 0027293398 scopus 로고
    • Defining Needs, Defining Systems: A Critical Analysis
    • Dill, Ann 1993 Defining Needs, Defining Systems: A Critical Analysis. The Gerontologist 33: 453-460.
    • (1993) The Gerontologist , vol.33 , pp. 453-460
    • Dill, A.1
  • 16
    • 0004272718 scopus 로고
    • Chicago: University of Chicago Press
    • Frank, Arthur 1995 The Wounded Storyteller. Chicago: University of Chicago Press.
    • (1995) The Wounded Storyteller
    • Frank, A.1
  • 17
    • 85052002303 scopus 로고
    • Chicago: University of Chicago Press
    • Frohock, F.M. 1986 Special Care. Chicago: University of Chicago Press.
    • (1986) Special Care
    • Frohock, F.M.1
  • 19
    • 0002054513 scopus 로고
    • "Learning Medicine": The Constructing of Medical Knowledge at Harvard Medical School
    • Shirley Lindenbaum and Margaret Lock, eds., Berkeley: University of California Press
    • Good, Byron J. and Mary-Jo DelVecchio Good 1993 "Learning Medicine": The Constructing of Medical Knowledge at Harvard Medical School. In Knowledge, Power and Practice, Shirley Lindenbaum and Margaret Lock, eds., pp. 81-107. Berkeley: University of California Press.
    • (1993) Knowledge, Power and Practice , pp. 81-107
    • Good, B.J.1    Good, M.-J.D.2
  • 23
    • 0001120540 scopus 로고
    • The Ethics of Ambiguity and Concealment around Cancer
    • Patricia Benner, ed., Thousand Oaks, CA: Sage
    • Gordon, Deborah R. 1994 The Ethics of Ambiguity and Concealment around Cancer. In Interpretive Phenomenology, Patricia Benner, ed., pp. 279-317. Thousand Oaks, CA: Sage.
    • (1994) Interpretive Phenomenology , pp. 279-317
    • Gordon, D.R.1
  • 26
    • 0026493866 scopus 로고
    • Can Ethnography Save the Life of Medical Ethics?
    • Hoffmaster, Barry 1992 Can Ethnography Save the Life of Medical Ethics? Social Science and Medicine 35: 1421-1431.
    • (1992) Social Science and Medicine , vol.35 , pp. 1421-1431
    • Hoffmaster, B.1
  • 27
    • 0027932420 scopus 로고
    • The Forms and Limits of Medical Ethics
    • 1994 The Forms and Limits of Medical Ethics. Social Science and Medicine 39: 1155-1164.
    • (1994) Social Science and Medicine , vol.39 , pp. 1155-1164
  • 29
    • 0346371304 scopus 로고
    • Washington, D.C.: Institute of Medicine
    • Institute of Medicine Committee for a Feasibility Study on Care at the End of Life. 1993 IOM Workshop: Dying, Decision-Making, and Appropriate Care. Washington, D.C.: Institute of Medicine.
    • (1993) IOM Workshop: Dying, Decision-Making, and Appropriate Care
  • 30
    • 0022668455 scopus 로고
    • Casuistry in Clinical Ethics
    • Jonsen, Albert 1986 Casuistry in Clinical Ethics. Theoretical Medicine 7: 65-74.
    • (1986) Theoretical Medicine , vol.7 , pp. 65-74
    • Jonsen, A.1
  • 32
    • 85006605271 scopus 로고
    • Toward a Phenomenology of Boundaries in Medicine: Chronic Illness Experience in the Case of Stroke
    • Kaufman, Sharon R. 1988 Toward a Phenomenology of Boundaries in Medicine: Chronic Illness Experience in the Case of Stroke. Medical Anthropology Quarterly 2: 338-354. 1994 Old Age, Disease, and the Discourse on Risk: Geriatric Assessment in U.S. Health Care. Medical Anthropology Quarterly 8: 76-93. 1995 Decision Making, Responsibility, and Advocacy in Geriatric Medicine: Physician Dilemmas with Elderly in the Community. The Gerontologist 35: 481-488.
    • (1988) Medical Anthropology Quarterly , vol.2 , pp. 338-354
    • Kaufman, S.R.1
  • 33
    • 85013966182 scopus 로고
    • Old Age, Disease, and the Discourse on Risk: Geriatric Assessment in U.S. Health Care
    • Kaufman, Sharon R. 1988 Toward a Phenomenology of Boundaries in Medicine: Chronic Illness Experience in the Case of Stroke. Medical Anthropology Quarterly 2: 338-354. 1994 Old Age, Disease, and the Discourse on Risk: Geriatric Assessment in U.S. Health Care. Medical Anthropology Quarterly 8: 76-93. 1995 Decision Making, Responsibility, and Advocacy in Geriatric Medicine: Physician Dilemmas with Elderly in the Community. The Gerontologist 35: 481-488.
    • (1994) Medical Anthropology Quarterly , vol.8 , pp. 76-93
  • 34
    • 0029080750 scopus 로고
    • Decision Making, Responsibility, and Advocacy in Geriatric Medicine: Physician Dilemmas with Elderly in the Community
    • Kaufman, Sharon R. 1988 Toward a Phenomenology of Boundaries in Medicine: Chronic Illness Experience in the Case of Stroke. Medical Anthropology Quarterly 2: 338-354. 1994 Old Age, Disease, and the Discourse on Risk: Geriatric Assessment in U.S. Health Care. Medical Anthropology Quarterly 8: 76-93. 1995 Decision Making, Responsibility, and Advocacy in Geriatric Medicine: Physician Dilemmas with Elderly in the Community. The Gerontologist 35: 481-488.
    • (1995) The Gerontologist , vol.35 , pp. 481-488
  • 35
    • 0025007745 scopus 로고
    • The Use of Nasogastric Feeding Tubes in Nursing Homes
    • Kayser-Jones, Jeanie 1990 The Use of Nasogastric Feeding Tubes in Nursing Homes. The Gerontologist 30: 469-479.
    • (1990) The Gerontologist , vol.30 , pp. 469-479
    • Kayser-Jones, J.1
  • 36
    • 0003975161 scopus 로고
    • New York: Basic Books
    • Kleinman, Arthur 1988 The Illness Narratives. New York: Basic Books. 1992 Pain and Resistance: The Delegitimation and Relegitimation of Local Worlds. In Pain as Human Experience, Mary-Jo DelVecchio Good, Paul E. Brodwin, Byron J. Good, and Arthur Kleinman, eds., pp. 169-197. Berkeley: University of California Press. 1995 Writing at the Margin, pp. 41-67. Berkeley: University of California Press.
    • (1988) The Illness Narratives
    • Kleinman, A.1
  • 37
    • 0002453415 scopus 로고
    • Pain and Resistance: The Delegitimation and Relegitimation of Local Worlds
    • Mary-Jo DelVecchio Good, Paul E. Brodwin, Byron J. Good, and Arthur Kleinman, eds., Berkeley: University of California Press
    • Kleinman, Arthur 1988 The Illness Narratives. New York: Basic Books. 1992 Pain and Resistance: The Delegitimation and Relegitimation of Local Worlds. In Pain as Human Experience, Mary-Jo DelVecchio Good, Paul E. Brodwin, Byron J. Good, and Arthur Kleinman, eds., pp. 169-197. Berkeley: University of California Press. 1995 Writing at the Margin, pp. 41-67. Berkeley: University of California Press.
    • (1992) Pain as Human Experience , pp. 169-197
  • 38
    • 0003902671 scopus 로고
    • Berkeley: University of California Press
    • Kleinman, Arthur 1988 The Illness Narratives. New York: Basic Books. 1992 Pain and Resistance: The Delegitimation and Relegitimation of Local Worlds. In Pain as Human Experience, Mary-Jo DelVecchio Good, Paul E. Brodwin, Byron J. Good, and Arthur Kleinman, eds., pp. 169-197. Berkeley: University of California Press. 1995 Writing at the Margin, pp. 41-67. Berkeley: University of California Press.
    • (1995) Writing at the Margin , pp. 41-67
  • 39
    • 0026228357 scopus 로고
    • Suffering and Its Professional Transformation: Toward an Ethnography of Interpersonal Experience
    • Kleinman, Arthur, and Joan Kleinman 1991 Suffering and Its Professional Transformation: Toward an Ethnography of Interpersonal Experience. Culture, Medicine and Psychiatry 15: 275-301.
    • (1991) Culture, Medicine and Psychiatry , vol.15 , pp. 275-301
    • Kleinman, A.1    Kleinman, J.2
  • 40
    • 0002636866 scopus 로고
    • The Technological Imperative in Medical Practice: The Social Creation of a "Routine" Practice
    • Margaret Lock and Deborah Gordon, eds., Boston: Kluwer Academic Publishers
    • Koenig, Barbara A. 1988 The Technological Imperative in Medical Practice: The Social Creation of a "Routine" Practice. In Biomedicine Examined, Margaret Lock and Deborah Gordon, eds., pp. 465-496. Boston: Kluwer Academic Publishers. 1993 Cultural Diversity in Decision-making about Care at the End of Life. Paper prepared for Institute of Medicine Workshop: Dying, Decisionmaking, and Appropriate care. Washington, D.C.: Institute of Medicine.
    • (1988) Biomedicine Examined , pp. 465-496
    • Koenig, B.A.1
  • 41
    • 0346371303 scopus 로고
    • Cultural Diversity in Decision-making about Care at the End of Life
    • Washington, D.C.: Institute of Medicine
    • Koenig, Barbara A. 1988 The Technological Imperative in Medical Practice: The Social Creation of a "Routine" Practice. In Biomedicine Examined, Margaret Lock and Deborah Gordon, eds., pp. 465-496. Boston: Kluwer Academic Publishers. 1993 Cultural Diversity in Decision-making about Care at the End of Life. Paper prepared for Institute of Medicine Workshop: Dying, Decisionmaking, and Appropriate care. Washington, D.C.: Institute of Medicine.
    • (1993) Paper Prepared for Institute of Medicine Workshop: Dying, Decisionmaking, and Appropriate Care
  • 42
    • 85050848525 scopus 로고
    • What Kind of Medicine?
    • Lawlor, Edward F. 1992 What Kind of Medicine? The Gerontologist 32: 131-133.
    • (1992) The Gerontologist , vol.32 , pp. 131-133
    • Lawlor, E.F.1
  • 44
    • 0028787809 scopus 로고
    • Improving Care Near the End of Life
    • Lo, Bernard 1995 Improving Care Near the End of Life. JAMA 274: 1634-1636.
    • (1995) JAMA , vol.274 , pp. 1634-1636
    • Lo, B.1
  • 46
    • 0026252041 scopus 로고
    • The Narrative Nature of Clinical Reasoning
    • Mattingly, Cheryl 1991a The Narrative Nature of Clinical Reasoning. Am. J. Occupational Therapy 45: 998-1005. 1991b What is Clinical Reasoning? Am. J. Occupational Therapy 45: 979-986. 1993 What is "the Good" for this Patient? Paper presented at the annual meeting of the American Anthropological Association. Washington, D.C. 1994 The Concept of Therapeutic 'Emplotment.' Soc. Sci. Med. 38: 811-822.
    • (1991) Am. J. Occupational Therapy , vol.45 , pp. 998-1005
    • Mattingly, C.1
  • 47
    • 0026246955 scopus 로고
    • What is Clinical Reasoning?
    • Mattingly, Cheryl 1991a The Narrative Nature of Clinical Reasoning. Am. J. Occupational Therapy 45: 998-1005. 1991b What is Clinical Reasoning? Am. J. Occupational Therapy 45: 979-986. 1993 What is "the Good" for this Patient? Paper presented at the annual meeting of the American Anthropological Association. Washington, D.C. 1994 The Concept of Therapeutic 'Emplotment.' Soc. Sci. Med. 38: 811-822.
    • (1991) Am. J. Occupational Therapy , vol.45 , pp. 979-986
  • 48
    • 0026252041 scopus 로고
    • What is "the Good" for this Patient?
    • Washington, D.C.
    • Mattingly, Cheryl 1991a The Narrative Nature of Clinical Reasoning. Am. J. Occupational Therapy 45: 998-1005. 1991b What is Clinical Reasoning? Am. J. Occupational Therapy 45: 979-986. 1993 What is "the Good" for this Patient? Paper presented at the annual meeting of the American Anthropological Association. Washington, D.C. 1994 The Concept of Therapeutic 'Emplotment.' Soc. Sci. Med. 38: 811-822.
    • (1993) Annual Meeting of the American Anthropological Association
  • 49
    • 0028069592 scopus 로고
    • The Concept of Therapeutic 'Emplotment.'
    • Mattingly, Cheryl 1991a The Narrative Nature of Clinical Reasoning. Am. J. Occupational Therapy 45: 998-1005. 1991b What is Clinical Reasoning? Am. J. Occupational Therapy 45: 979-986. 1993 What is "the Good" for this Patient? Paper presented at the annual meeting of the American Anthropological Association. Washington, D.C. 1994 The Concept of Therapeutic 'Emplotment.' Soc. Sci. Med. 38: 811-822.
    • (1994) Soc. Sci. Med. , vol.38 , pp. 811-822
  • 50
    • 0021955680 scopus 로고
    • Sounding Board: Public Perception of Medicine
    • Mechanic, David 1985 Sounding Board: Public Perception of Medicine. NEJM 312: 181-183.
    • (1985) NEJM , vol.312 , pp. 181-183
    • Mechanic, D.1
  • 52
    • 0003085342 scopus 로고
    • The Analysis of Interview Narratives
    • T. Sarbin, ed., New York: Praeger
    • Mishler, Elliot G. 1984 The Discourse of Medicine: Dialectics of Medical Interviews. Norwood, NJ: Ablex. 1986 The Analysis of Interview Narratives. In T. Sarbin, ed., Narrative Psychology: The Storied Nature of Human Conduct. New York: Praeger.
    • (1986) Narrative Psychology: The Storied Nature of Human Conduct
  • 53
  • 54
    • 84970298517 scopus 로고
    • Anthropology, Bioethics, and Medicine: A Provocative Trilogy
    • Muller, Jessica H. 1994 Anthropology, Bioethics, and Medicine: A Provocative Trilogy. Medical Anthropology Quarterly 8: 448-467.
    • (1994) Medical Anthropology Quarterly , vol.8 , pp. 448-467
    • Muller, J.H.1
  • 55
    • 0012785601 scopus 로고
    • On the Boundary of Life and Death: The Definition of Dying by Medical Residents
    • Margaret Lock and Deborah Gordon, eds., Boston: Kluwer
    • Muller, Jessica H., and Barbara Koenig 1988 On the Boundary of Life and Death: The Definition of Dying by Medical Residents. In Biomedicine Examined, Margaret Lock and Deborah Gordon, eds., pp. 351-374. Boston: Kluwer.
    • (1988) Biomedicine Examined , pp. 351-374
    • Muller, J.H.1    Koenig, B.2
  • 57
    • 0001080913 scopus 로고
    • The Four-Principles and the Doctor-Patient Relationship
    • R. Gillon, ed., Chichester, UK: John Wiley and Sons
    • Pellegrino, Edmund G. 1994 The Four-Principles and the Doctor-Patient Relationship. In Principles of Health Care Ethics. R. Gillon, ed., pp. 353-366. Chichester, UK: John Wiley and Sons.
    • (1994) Principles of Health Care Ethics , pp. 353-366
    • Pellegrino, E.G.1
  • 58
    • 0010565138 scopus 로고
    • Accounting for Amniocentesis
    • Shirley Lindenbaum and Margaret Lock, eds., Berkeley: University of California Press
    • Rapp, Rayna 1993 Accounting for Amniocentesis. In Knowledge, Power and Practice, Shirley Lindenbaum and Margaret Lock, eds., pp. 55-76. Berkeley: University of California Press.
    • (1993) Knowledge, Power and Practice , pp. 55-76
    • Rapp, R.1
  • 59
    • 0002528478 scopus 로고
    • The Shape of Action: Practice in Public Psychiatry
    • Shirley Lindenbaum and Margaret Lock, eds., Berkeley: University of California Press
    • Rhodes, Lorna A. 1993 The Shape of Action: Practice in Public Psychiatry. In Knowledge, Power and Practice, Shirley Lindenbaum and Margaret Lock, eds., pp. 129-146. Berkeley: University of California Press.
    • (1993) Knowledge, Power and Practice , pp. 129-146
    • Rhodes, L.A.1
  • 60
    • 0026756833 scopus 로고
    • The Negotiation of Death: Clinical Decision Making at the End of Life
    • Slomka, Jacquelyn 1992 The Negotiation of Death: Clinical Decision Making at the End of Life. Soc. Sci. Med. 35: 251-259.
    • (1992) Soc. Sci. Med. , vol.35 , pp. 251-259
    • Slomka, J.1
  • 63
    • 0025238466 scopus 로고
    • Changing Attitudes and Practices in Forgoing Life-Sustaining Treatments
    • Sprung, Charles L. 1990 Changing Attitudes and Practices in Forgoing Life-Sustaining Treatments. JAMA 263: 2211-2215.
    • (1990) JAMA , vol.263 , pp. 2211-2215
    • Sprung, C.L.1
  • 64
    • 0001475487 scopus 로고
    • A Controlled Trial to Improve Care for Seriously Ill Hospitalized Patients
    • Support Principal Investigators 1995 A Controlled Trial to Improve Care for Seriously Ill Hospitalized Patients. JAMA 274: 1591-1634.
    • (1995) JAMA , vol.274 , pp. 1591-1634
  • 65
    • 0040289151 scopus 로고
    • Physicians and the Disclosure of Undesirable Information
    • Margaret Lock and Deborah R. Gordon, eds., Dordrecht: Kluwer
    • Taylor, Kathryn M. 1988 Physicians and the Disclosure of Undesirable Information. In Biomedicine Examined, Margaret Lock and Deborah R. Gordon, eds., pp. 441-464, Dordrecht: Kluwer.
    • (1988) Biomedicine Examined , pp. 441-464
    • Taylor, K.M.1
  • 68
    • 0004232736 scopus 로고
    • Menlo Park, CA: Henry J. Kaiser Family Foundation
    • White, Kerr L. 1988 The Task of Medicine. Menlo Park, CA: Henry J. Kaiser Family Foundation.
    • (1988) The Task of Medicine
    • White, K.L.1
  • 69
    • 0347631962 scopus 로고
    • Edgework: Frame and Boundary in the Phenomenology of Narrative Communication
    • Young, Katharine 1982 Edgework: Frame and Boundary in the Phenomenology of Narrative Communication. Semiotica 41: 277-315. 1987 Taleworlds and Storyrealms: The Phenomenology of Narrative. Dordrecht: Martinus Nijhoff. 1989 Narrative Embodiments: Enclaves of the Self in the Realm of Medicine. In Texts of Identity, John Shattor and Kenneth Gergen, eds., pp. 152-165, London: Sage.
    • (1982) Semiotica , vol.41 , pp. 277-315
    • Young, K.1
  • 70
    • 0347631962 scopus 로고
    • Dordrecht: Martinus Nijhoff
    • Young, Katharine 1982 Edgework: Frame and Boundary in the Phenomenology of Narrative Communication. Semiotica 41: 277-315. 1987 Taleworlds and Storyrealms: The Phenomenology of Narrative. Dordrecht: Martinus Nijhoff. 1989 Narrative Embodiments: Enclaves of the Self in the Realm of Medicine. In Texts of Identity, John Shattor and Kenneth Gergen, eds., pp. 152-165, London: Sage.
    • (1987) Taleworlds and Storyrealms: The Phenomenology of Narrative
  • 71
    • 0347631962 scopus 로고
    • Narrative Embodiments: Enclaves of the Self in the Realm of Medicine
    • John Shattor and Kenneth Gergen, eds., London: Sage
    • Young, Katharine 1982 Edgework: Frame and Boundary in the Phenomenology of Narrative Communication. Semiotica 41: 277-315. 1987 Taleworlds and Storyrealms: The Phenomenology of Narrative. Dordrecht: Martinus Nijhoff. 1989 Narrative Embodiments: Enclaves of the Self in the Realm of Medicine. In Texts of Identity, John Shattor and Kenneth Gergen, eds., pp. 152-165, London: Sage.
    • (1989) Texts of Identity , pp. 152-165
  • 72
    • 0004326715 scopus 로고
    • Chicago: University of Chicago Press
    • Zussman, Robert 1992 Intensive Care. Chicago: University of Chicago Press.
    • (1992) Intensive Care
    • Zussman, R.1


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