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بایگانی‌های 2946 - خانه اخلاق پژوهان جوان
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Scanlon and Contractualism

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Subject: Contractarianism (Ethics),

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Medicine, money, and morals

by Marc A. Rodwin

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Subject: Conflict Of Interests, Medical Care, Medical Care, Cost Of, Medical Ethics,

Marc A. Rodwin draws on his own experience as a health lawyer–and his research in health ethics, law, and policy–to reveal how financial conflicts of interest can and do negatively affect the quality of patient care. He shows that the problem has become worse over the last century and provides many actual examples of how doctors’ decisions are influenced by financial considerations. We learn how two California physicians, for example, resumed referrals to Pasadena General Hospital only after the hospital started paying $70 per patient (their referrals grew from 14 in one month to 82 in the next). As Rodwin writes, incentives such as this can inhibit a doctor from taking action when a hospital fails to provide proper service, and may also lead to the unnecessary hospitalization of patients. We also learn of a Wyeth-Ayerst Labs promotion in which physicians who started patients on INDERAL (a drug for high blood pressure, angina, and migraines) received 1000 mileage points on American Airlines for each patient (studies show that promotions such as this have a direct effect on a doctor’s choice of drug). Rodwin reveals why the medical community has failed to regulate conflicts of interest: peer review has little authority, state licensing boards are usually ignorant of abuses, and the AMA code of ethics has historically been recommended rather than required. He examines what can be learned from the way society has coped with the conflicts of interest of other professionals –lawyers, government officials, and businessmen–all of which are held to higher standards of accountability than doctors. And he recommends that efforts be made to prohibit and regulate certain kinds of activity (such as kickbacks and self-referrals), to monitor and regulate conduct, and to provide penalties for improper conduct. Our failure to face physicians’ conflicts of interest has distorted the way medicine is practiced, compromised the loyalty of doctors to patients, and harmed society, the integrity of the medical profession, and patients. For those concerned with the quality of health care or medical ethics, Medicine, Money and Morals is a provocative look into the current health care crisis and a powerful prescription for change.

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Addictive Thinking

by Abraham J. Twerski MD

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Subject: Alcoholism, Codependents, Drug Addiction, Self-deception,

Addictive thought is inherently self-deceptive, yet offers a superficial logic that can be misleading to the addict as well as to the addict’s family members.Abnormal thinking in addiction was originally recognized by members of Alcoholics Anonymous, who coined the term “stinking thinking.” Addictive thinking often appears rational, but only on a superficial level. Addicts, as well as their family members, are easily seduced by the attendant–and erroneous–reasoning process it can foster. In Addictive Thinking, author Abraham Twerski reveals how self-deceptive thought can undermine self-esteem and threaten the sobriety of a recovering individual. This timely revision of the original classic includes updated information and research on depression and affective disorders, the relationship between addictive thinking and relapse, and the origins of addictive thought. Ultimately, Addictive Thinking offers hope to those seeking a healthy and rewarding life in recovery. Dr. Twerski is founder and medical director of the Gateway Rehabilitation Center in Pittsburgh, Pennsylvania. A rabbi, psychiatrist, and chemical dependency counselor, he is the author of numerous journal articles and books including Self Discovery in Recovery, I Didn’t Ask to be in This Family: Sibling Relationships and How They Shame Adult Behavior and Dependencies, and with “Peanuts” cartoonist Charles Schulz, When Do the Good Things Start?

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FUNDAMENTALS OF PHILOSOPHY

by John Shand

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Subject: Philosophy,

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