Women and children in health care: an unequal majority
Although women and children comprise the majority of health caregivers and patients, they often do not receive equal treatment. This book addresses that discrepancy by focusing on health care issues that particularly affect women and children. Topics considered include gender stereotypes in medicine...
Gespeichert in:
1. Verfasser: | |
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Format: | Buch |
Sprache: | English |
Veröffentlicht: |
New York u.a.
Oxford Univ. Press
1993
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Schlagworte: | |
Online-Zugang: | Inhaltsverzeichnis |
Zusammenfassung: | Although women and children comprise the majority of health caregivers and patients, they often do not receive equal treatment. This book addresses that discrepancy by focusing on health care issues that particularly affect women and children. Topics considered include gender stereotypes in medicine and in adolescent socialization, fertility curtailment and enhancement, coercive treatment during pregnancy, fetal tissue transplantation, decisions regarding newborns, decision-making by minors, the feminization of poverty and its impact on women's and children's health, and the meaning and role of "family" in health care decisions. Women and Children in Health Care examines these topics, often using actual cases to develop the analysis. The author describes a care-based model of reasoning while warning of its possible use as a rationale for exploitation of women in the context of health care. Different versions of feminism are explained and applied to different issues, with the author advocating an egalitarian perspective that involves the use of one's power to empower others. Health care approaches that affect the lives of women and children are some of the most controversial yet genuinely humanitarian issues facing society today. Because of the timeliness of the topics covered and the depth of detail, this book is necessary reading for all those interested in bioethics, health care, women, and children. |
Beschreibung: | XXII, 281 S. |
ISBN: | 0195063465 |
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520 | 3 | |a Although women and children comprise the majority of health caregivers and patients, they often do not receive equal treatment. This book addresses that discrepancy by focusing on health care issues that particularly affect women and children. Topics considered include gender stereotypes in medicine and in adolescent socialization, fertility curtailment and enhancement, coercive treatment during pregnancy, fetal tissue transplantation, decisions regarding newborns, decision-making by minors, the feminization of poverty and its impact on women's and children's health, and the meaning and role of "family" in health care decisions. Women and Children in Health Care examines these topics, often using actual cases to develop the analysis. The author describes a care-based model of reasoning while warning of its possible use as a rationale for exploitation of women in the context of health care. Different versions of feminism are explained and applied to different issues, with the author advocating an egalitarian perspective that involves the use of one's power to empower others. Health care approaches that affect the lives of women and children are some of the most controversial yet genuinely humanitarian issues facing society today. Because of the timeliness of the topics covered and the depth of detail, this book is necessary reading for all those interested in bioethics, health care, women, and children. | |
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Datensatz im Suchindex
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adam_text | Contents
List of Cases xxi
1. An Egalitarian Overview 3
Underlying Concepts of Women, Men, and Children 5
The Concept of Equality 7
An Egalitarian Perspective 10
Positions on Gender Equality 14
A Feminine Model of Moral Reasoning 16
Self Consciousness and the Experiential Gap 17
2. Sex Roles and Stereotypes in Health Care 24
Common Stereotypic Features 26
Models of the Physician Patient Relationship 28
A Parentalist Model 32
Feminist Criticisms 35
Different Roles in Different Contexts 37
3. Obstetrics Gynecology: A Unique Specialty 42
Role of the Obstetrician Gynecologist 43
Persistent Ethical Issues 45
xviii Contents
Applicable Principles 48
Newer Ethical Issues 52
Assessing the Alternatives 54
4. Abortion: Complexity and Conflict 59
A Range of Cases 60
A Critique of Labels 61
The Pregnant Woman, the Fetus, and Their Relationship 63
Operative Definitions of Abortion 65
Applying an Egalitarian Perspective 67
Feminism and Abortion 72
5. Fertility Curtailment: Selected Issues 76
Contraception, Sterilization, and Natural Law 76
Responsibility for Contraception 79
Sterilization of the Retarded 80
Sex Selection: Before and After Conception 83
Genetic Counseling, Eugenics, and Fetal Reduction 87
6. Fertility Enhancement and the Right to Have a Baby 93
Rights and Rights Language 93
A Right to Have a Baby ? 96
Artificial Insemination by Donors 97
Egg Donation 102
Surrogate Gestation and the Case of Baby M 104
7. In Vitro Development and Childbirth 114
In Vitro Fertilization 115
Responsiblities for In Vitro Zygotes or Embryos 117
Midwifery and Childbirth 122
8. Coercive Treatment After Fetal Viability 131
The Right to Privacy 132
Viability 134
Contents xix
Illustrative Cases Involving Cesarean Section without Consent 137
Arguments Supporting Court Ordered Cesarean Sections 139
Arguments Opposing Court Ordered Cesarean Sections 141
Consistency in the Face of Complexity 143
9. Fetal Tissue Transplantation 148
Empirical Status of the Source of Tissue 149
Different Purposes, Sites of Tissue Retrieval, and Sites of Implantation 151
Therapeutic Potential of Fetal Tissue Transplantation 153
How Human Fetal Tissue Becomes Available 154
Possible Donors, Recipients, and Motives for Donation 157
A Spectrum of Positions 159
10. Decisions Regarding Disabled Newborns 167
Historical and Current Context 167
The Doe Babies 170
Who Should Decide ? 172
Prolonging Life in Others Interests 175
An Infant s Right to Die 177
Giving Priority to Infants Interests 179
Babies Doe Revisited 181
11. Children and Moral Agency 186
What Is Meant by Moral Agency ? 186
The Child s Capacity for Moral Agency 188
Variables Affecting Moral Agency in Specific Situations 192
Children s Concepts of Illness and Death 194
Implications for Pediatric Practice 196
12. Gender Socialization and Adolescents 202
Sex Role Socialization Among Teenagers 202
Growth Hormone Therapy for Boys 205
Anorexia Nervosa and a Feminine Ideal of Thinness 208
Tallness, Thinness, and Their Disparate Consequences 213
xx Contents
13. The Feminization of Poverty: Its Impact on Women s and
Children s Health 217
Poverty and Its Feminization 217
Effects of Poverty on Health and Health Care 220
Cocaine (Crack) Use, AIDS, and Pregnancy 221
Feminist Views of Poverty 224
Ageism and Socialist Feminism 227
14. The Family and Health Care 236
The Notion of Family and Feminist Concerns 238
Teenage Pregnancy 242
Abortion and Parental Notification 245
Family Considerations in Moral Decision Making 249
15. Just Caring: Power for Empowerment 255
The Meaning and Role of Power in Professional Life 256
Moral Assessment of the Exercise of Power 258
The Social Power of American Medicine 260
Collaboration and Parentalism 261
Conclusion: Toward a More Egalitarian (Less Inegalitarian) Future 263
Name Index 273
Subject Index 276
List of Cases
A moviegoer s nearsightedness 18 19
A neonatologist in the delivery room 38
Pregnancy severely threatens a woman s health 60
Pregnancy due to rape 60
Pregnancy as a means to independence 60
Pregnancy as hindrance to professional advancement 61
Fetus may be disabled 61
Contraception to promote health 79
Contraception to avoid parenthood 79
Fetal reduction to avoid twins 89
Fetal reduction to promote live birth 89
Insemination of a single woman 100
Insemination of a surrogate by her friend 106
Baby M 107 9
Maternal altruism and a viable fetus 125
Obstetric intervention and a nonviable fetus 125 26
Angela Carder 131 32
A possible zygote in the sink 119
Refusal of surgical delivery recommended for the fetus 137
Refusal of surgical delivery recommended for the woman 137
An unconscious pregnant patient at term 137 38
xxii List of Cases
Refusal of surgical delivery recommended for both pregnant woman and
fetus 138
Doe babies 170 71
When therapy is futile 177
When life is devoid of capacity for satisfaction 178
When prolongation of life is doubtful 178
Children s capacity for moral agency 189
A critically ill mother wants to see her critically ill child 197
A 12 year old chooses surgery 198 99
A 15 year old refuses surgery 199
A child s interests versus those of an elderly adult 227
Preterm infants versus geriatric patients 229
Adolescent pregnancy in a dysfunctional family 249 50
|
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spelling | Mahowald, Mary Briody Verfasser aut Women and children in health care an unequal majority Mary Briody Mahowald New York u.a. Oxford Univ. Press 1993 XXII, 281 S. txt rdacontent n rdamedia nc rdacarrier Although women and children comprise the majority of health caregivers and patients, they often do not receive equal treatment. This book addresses that discrepancy by focusing on health care issues that particularly affect women and children. Topics considered include gender stereotypes in medicine and in adolescent socialization, fertility curtailment and enhancement, coercive treatment during pregnancy, fetal tissue transplantation, decisions regarding newborns, decision-making by minors, the feminization of poverty and its impact on women's and children's health, and the meaning and role of "family" in health care decisions. Women and Children in Health Care examines these topics, often using actual cases to develop the analysis. The author describes a care-based model of reasoning while warning of its possible use as a rationale for exploitation of women in the context of health care. Different versions of feminism are explained and applied to different issues, with the author advocating an egalitarian perspective that involves the use of one's power to empower others. Health care approaches that affect the lives of women and children are some of the most controversial yet genuinely humanitarian issues facing society today. Because of the timeliness of the topics covered and the depth of detail, this book is necessary reading for all those interested in bioethics, health care, women, and children. Gezondheidszorg gtt Kinderen gtt Vrouwen gtt Frau Gesundheitswesen Kind Politik Child Health Services Child health services Political aspects Women's Health Services Women's health services Political aspects Kind (DE-588)4030550-8 gnd rswk-swf Medizinische Versorgung (DE-588)4038270-9 gnd rswk-swf Gesundheitswesen (DE-588)4020775-4 gnd rswk-swf Feminismus (DE-588)4222126-2 gnd rswk-swf Marginalität (DE-588)4122269-6 gnd rswk-swf Frau (DE-588)4018202-2 gnd rswk-swf Frau (DE-588)4018202-2 s Medizinische Versorgung (DE-588)4038270-9 s Feminismus (DE-588)4222126-2 s DE-604 Gesundheitswesen (DE-588)4020775-4 s Marginalität (DE-588)4122269-6 s Kind (DE-588)4030550-8 s HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=005437873&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
spellingShingle | Mahowald, Mary Briody Women and children in health care an unequal majority Gezondheidszorg gtt Kinderen gtt Vrouwen gtt Frau Gesundheitswesen Kind Politik Child Health Services Child health services Political aspects Women's Health Services Women's health services Political aspects Kind (DE-588)4030550-8 gnd Medizinische Versorgung (DE-588)4038270-9 gnd Gesundheitswesen (DE-588)4020775-4 gnd Feminismus (DE-588)4222126-2 gnd Marginalität (DE-588)4122269-6 gnd Frau (DE-588)4018202-2 gnd |
subject_GND | (DE-588)4030550-8 (DE-588)4038270-9 (DE-588)4020775-4 (DE-588)4222126-2 (DE-588)4122269-6 (DE-588)4018202-2 |
title | Women and children in health care an unequal majority |
title_auth | Women and children in health care an unequal majority |
title_exact_search | Women and children in health care an unequal majority |
title_full | Women and children in health care an unequal majority Mary Briody Mahowald |
title_fullStr | Women and children in health care an unequal majority Mary Briody Mahowald |
title_full_unstemmed | Women and children in health care an unequal majority Mary Briody Mahowald |
title_short | Women and children in health care |
title_sort | women and children in health care an unequal majority |
title_sub | an unequal majority |
topic | Gezondheidszorg gtt Kinderen gtt Vrouwen gtt Frau Gesundheitswesen Kind Politik Child Health Services Child health services Political aspects Women's Health Services Women's health services Political aspects Kind (DE-588)4030550-8 gnd Medizinische Versorgung (DE-588)4038270-9 gnd Gesundheitswesen (DE-588)4020775-4 gnd Feminismus (DE-588)4222126-2 gnd Marginalität (DE-588)4122269-6 gnd Frau (DE-588)4018202-2 gnd |
topic_facet | Gezondheidszorg Kinderen Vrouwen Frau Gesundheitswesen Kind Politik Child Health Services Child health services Political aspects Women's Health Services Women's health services Political aspects Medizinische Versorgung Feminismus Marginalität |
url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=005437873&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
work_keys_str_mv | AT mahowaldmarybriody womenandchildreninhealthcareanunequalmajority |