• View author and book videos on our YouTube channel.

  • Index to Authors 291

    About the Editors 293

    Preface to the Second Edition ix

    Introduction 1

    Part I: The Experience of Illness

    The Nature of Suffering and the Goals of Medicine / Eric J. Cassell 7

    Lilacs in September / Katha Pollitt 21

    Diabetes / James Dickey 22

    The Cost of Appearances / Arthur Frank 26

    Betting Your Life / Alice Stewart Trillin 32

    The Want of Control: Ideas and Ideals in the Management of Diabetes / Chris Feudtner 41

    Spence + Lila / Bobbie Ann Mason 60

    Silver Water / Amy Bloom 71

    The Mother-in-Law / Doris Betts 80

    Part II: The Culture of Medicine and the Physician-Patient Relationship

    Basic Clinical Skills: The First Encounters / Melvin Konner 89

    The Learning Curve / Atul Gawande 102

    Case Study: The “Student Doctor and a Wary Patient / Marc D. Basson, Gerald Dworkin, and Eric J. Cassell 121

    A Students’ View of a Medical Teaching Exercise / Abenaa Brewster 127

    Primum non tacere: An Ethics of Speaking Up / James Dwyer 130

    Perspective Shift / Daniel Shapiro 143

    Facing Our Mistakes / David Hilfiker 145

    God at the Bedside / Jerome Groopman 154

    Part III: Health Care Ethics and the Clinician’s Role

    Glossary of Basic Ethical Concepts in Health Care and Research / Nancy M. P. King 161

    Ethics in Medicine: An Introduction to Moral Tools and Traditions / Larry R. Churchill, Nancy M. P. King, and David Schenck 169

    Historical and Contemporary Codes of Ethics: The Hippocratic Oath, Maimonides’ Prayer, the Declaration of Geneva, and the AMA Principles of Medical Ethics
    Case Study: Please Don’t Tell! / Leonard Fleck and Marcia Angell 186

    Case Study: Please Don't Tell! / Leonard Fleck and Marcia Angell 191

    Invasions / Perri Klass 196

    The Use of Force / William Carlos Williams 201

    The Lie / Lawrence D. Grouse 205

    Informed Consent, Cancer, and Truth in Prognosis / George J. Annas 208

    Offering Truth: One Ethical Approach to the Uninformed Cancer Patient / Benjamin Freedman 216

    What the Doctor Said / Raymond Carver 228

    Part IV The End of Life

    A Man in His Life / Yehuda Amichai 230

    End-of-Life Ethics: Some Common Definitions / Larry R. Churchill and Nancy M. P. King 232

    Informed Demand for "Non-Beneficial" Medical Treatment / Steven H. Miles 235

    The Case of Helga Wanglie: A New Kind of "Right to Die" Case / Marcia Angell 241

    Disconnecting a Ventilator at the Request of a Patient Who Knows He Will Then Die: The Doctor's Anguish / Miles J. Edwards and Susan M. Tolle 246

    The Promise / Sharon Olds 254

    Death and Dignity: A Case of Individualized Decision Making / Timothy E. Quill 256

    Correspondence: Death and Dignity: The Case of Diane 263

    Doctor, I Want to Die. Will You Help Me? / Timothy E. Quill 273

    The Chain of Safety / Charles R. Feldstein 286

    Try to Remember Some Details / Yehuda Amichai 288
  • Eric J. Cassell

    Katha Pollitt

    James Dickey

    Alice Stewart Trillin

    Chris Feudtner

    Bobbie Ann Mason

    Amy Bloom

    Melvin Konner

    Atul Gawande

    Marc D. Basson

    Abenaa Brewster

    James Dwyer

    Daniel Shapiro

    David Hilfiker

    Jerome Groopman

    Nancy M. P. King

    Larry R. Churchill

    Leonard Fleck

    Perri Klass

    William Carlos Williams

    Lawrence D. Grouse

    Benjamin Freedman

    Raymond Carver

    Yehuda Amichai

    Steven H. Miles

    Miles J. Edwards

    Sharon Olds

    Timothy E. Quill

    Charles R. Feldstein

    Gerald Dworkin

    David Schenck

    Marcia Angell

    Susan W. Tolle

  • “Overall, this social medicine reader is clear, concise, and somewhat out of the ordinary because it is unlike other sociology readers that focus primarily on one topic or include only one type of entry (e.g., all empirical studies, all personal accounts, all politically-driven articles, etc.). This includes essays, poems, case studies, and other entries that are sure to appeal to a wide range of people. Incorporating this social medicine reader into any of the aforementioned courses should prove to be advantageous for both professors and students.”

    “The academic discipline of social medicine has struggled to find a precise definition for over a century. This struggle is exemplified by the classic social medicine course book, The Social Medicine Reader, edited by faculty from the Department of Social Medicine at the University of North Carolina, Chapel Hill, which offers an expansive view of social medicine's concerns.”

    "These authentic stories of actual events are certain to stimulate students' awareness of the human problems of clinical practice and to prepare them for the future, with its ethical and life-threatening ambiguities. . . . The Social Medicine Reader fulfills its purposes admirably. The selected readings will stimulate critical analysis of the experiences of modern medicine from both professional and patient perspectives."

    Reviews

  • “Overall, this social medicine reader is clear, concise, and somewhat out of the ordinary because it is unlike other sociology readers that focus primarily on one topic or include only one type of entry (e.g., all empirical studies, all personal accounts, all politically-driven articles, etc.). This includes essays, poems, case studies, and other entries that are sure to appeal to a wide range of people. Incorporating this social medicine reader into any of the aforementioned courses should prove to be advantageous for both professors and students.”

    “The academic discipline of social medicine has struggled to find a precise definition for over a century. This struggle is exemplified by the classic social medicine course book, The Social Medicine Reader, edited by faculty from the Department of Social Medicine at the University of North Carolina, Chapel Hill, which offers an expansive view of social medicine's concerns.”

    "These authentic stories of actual events are certain to stimulate students' awareness of the human problems of clinical practice and to prepare them for the future, with its ethical and life-threatening ambiguities. . . . The Social Medicine Reader fulfills its purposes admirably. The selected readings will stimulate critical analysis of the experiences of modern medicine from both professional and patient perspectives."

  • Patients, Doctors, and Illness is a rich collection of classics and good new surprises.” — Kathryn Montgomery, Director of Medical Humanities and Bioethics Program, Northwestern University Feinberg School of Medicine

  • Permission to Photocopy (coursepacks)

    If you are requesting permission to photocopy material for classroom use, please contact the Copyright Clearance Center at copyright.com;

    If the Copyright Clearance Center cannot grant permission, you may request permission from our Copyrights & Permissions Manager (use Contact Information listed below).

    Permission to Reprint

    If you are requesting permission to reprint DUP material (journal or book selection) in another book or in any other format, contact our Copyrights & Permissions Manager (use Contact Information listed below).

    Images/Art

    Many images/art used in material copyrighted by Duke University Press are controlled, not by the Press, but by the owner of the image. Please check the credit line adjacent to the illustration, as well as the front and back matter of the book for a list of credits. You must obtain permission directly from the owner of the image. Occasionally, Duke University Press controls the rights to maps or other drawings. Please direct permission requests for these images to permissions@dukeupress.edu.
    For book covers to accompany reviews, please contact the publicity department.

    Subsidiary Rights/Foreign Translations

    If you're interested in a Duke University Press book for subsidiary rights/translations, please contact permissions@dukeupress.edu. Include the book title/author, rights sought, and estimated print run.

    Disability Requests

    Instructions for requesting an electronic text on behalf of a student with disabilities are available here.

    Rights & Permissions Contact Information

    Email: permissions@dukeupress.edu
    Email contact for coursepacks: asstpermissions@dukeupress.edu
    Fax: 919-688-4574
    Mail:
    Duke University Press
    Rights and Permissions
    905 W. Main Street
    Suite 18B
    Durham, NC 27701

    For all requests please include:
    1. Author's name. If book has an editor that is different from the article author, include editor's name also.
    2. Title of the journal article or book chapter and title of journal or title of book
    3. Page numbers (if excerpting, provide specifics)
    For coursepacks, please also note: The number of copies requested, the school and professor requesting
    For reprints and subsidiary rights, please also note: Your volume title, publication date, publisher, print run, page count, rights sought
  • Description

    Duke University Press is pleased to announce the second edition of the bestselling Social Medicine Reader. The Reader provides a survey of the challenging issues facing today’s health care providers, patients, and caregivers by bringing together moving narratives of illness, commentaries by physicians, debates about complex medical cases, and conceptually and empirically based writings by scholars in medicine, the social sciences, and the humanities. The first edition of The Social Medicine Reader was a single volume. This significantly revised and expanded second edition is divided into three volumes to facilitate use by different audiences with varying interests.

    Praise for the 3-volume second edition of The Social Medicine Reader:
    “A superb collection of essays that illuminate the role of medicine in modern society. Students and general readers are not likely to find anything better.”—Arnold S. Relman, Professor Emeritus of Medicine and Social Medicine, Harvard Medical School

    Praise for the first edition:
    “This reviewer strongly recommends The Social Medicine Reader to the attention of medical educators.”—Samuel W. Bloom, JAMA: The Journal of the American Medical Association

    Volume 1:

    A woman with what is quite probably a terminal illness must choose between courses of treatment based on contradictory diagnoses. A medical student causes acute pain in his patients as he learns to insert a central line. One doctor wonders how to react when a patient asks him to pray with her; another struggles to come to terms with his mistakes. A physician writes in a prominent medical journal about facilitating a dying woman’s wish to end her life on her own terms; letters to the editor reflect passionate responses both in support of and in opposition to his actions. These experiences and many more are vividly rendered in Patients, Doctors, and Illness, which brings together nineteen pieces that appeared in the first edition of The Social Medicine Reader and eighteen pieces new to this edition. This volume examines the roles and training of health care professionals and their relationship with patients, ethics in health care, and end-of-life experiences and decisions. It includes fiction and nonfiction narratives and poetry; definitions and case-based discussions of moral precepts in health care, such as truth telling, informed consent, privacy, and autonomy; and readings that provide legal, ethical, and practical perspectives on many familiar but persistent ethical and social questions raised by illness and care.

    Contributors: Yehuda Amichai, Marcia Angell, George J. Annas, Marc D. Basson, Doris Betts, Amy Bloom, Abenaa Brewster, Raymond Carver, Eric J. Cassell, Larry R. Churchill, James Dickey, Gerald Dworkin, James Dwyer, Miles J. Edwards, Charles R. Feldstein, Chris Feudtner, Leonard Fleck, Arthur Frank, Benjamin Freedman, Atul Gawande, Jerome Groopman, Lawrence D. Grouse, David Hilfiker, Nancy M. P. King, Perri Klass, Melvin Konner, Bobbie Ann Mason, Steven H. Miles, Sharon Olds, Katha Pollitt, Timothy E. Quill, David Schenck, Daniel Shapiro, Susan W. Tolle, Alice Stewart Trillin, William Carlos Williams

    About The Author(s)

    Nancy M. P. King, Associate Professor of Social Medicine at the University of North Carolina at Chapel Hill, is the author of Making Sense of Advance Directives.

    Ronald P. Strauss is Professor of Dental Ecology and Social Medicine at the University of North Carolina at Chapel Hill and is author of numerous articles on social and ethical issues in the care of chronic illness.

    Larry R. Churchill is Professor of and Chair of the Department of Social Medicine at the University of North Carolina at Chapel Hill. He is the author of Self-Interest and Universal Health Care: Why Well-Insured Americans Should Support Coverage for Everyone and Rationing Health Care in America: Perceptions and Principles of Justice.

    Sue E. Estroff is Professor of Social Medicine and Adjunct Professor of Anthropology and Psychiatry at the University of North Carolina at Chapel Hill. She is the author of Making It Crazy: An Ethnography of Psychiatric Clients in an American Community.

    Gail E. Henderson, Associate Professor of Social Medicine and Adjunct Professor of Sociology at the University of North Carolina at Chapel Hill, is the author of The Chinese Hospital: A Socialist Work Unit.

    Jonathan Oberlander is an associate professor of social medicine and an adjunct associate professor of political science at the University of North Carolina at Chapel Hill.

Explore More
Share

Create a reading list or add to an existing list. Sign-in or register now to continue.


Contact Us

  • Duke University Press
  • 905 W. Main St. Ste 18-B
  • Durham, NC 27701
  • U.S. phone (toll-free): 888-651-0122
  • International: 1-919-688-5134
  • orders@dukeupress.edu