Understanding eating disorders: conceptual and ethical issues in the treatment of anorexia and bulimia nervosa
Simona Giordano presents the first full philosophical study of ethical issues in the treatment of anorexia and bulimia nervosa. Beginning with a comprehensive analysis of these conditions and an exploration of their complex causes, she then proceeds to address legal and ethical dilemmas such as a pa...
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Oxford
Clarendon Press
2005
|
| Ausgabe: | 1. publ. |
| Schriftenreihe: | Issues in biomedical ethics
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Zusammenfassung: | Simona Giordano presents the first full philosophical study of ethical issues in the treatment of anorexia and bulimia nervosa. Beginning with a comprehensive analysis of these conditions and an exploration of their complex causes, she then proceeds to address legal and ethical dilemmas such as a patient's refusal of life-saving treatment. Illustrated with many case-studies, Understanding Eating Disorders is an essential tool for anyone working with sufferers of these much misunderstood conditions, and for all those ethicists, lawyers, and medical practitioners engaged with the widely relevant issues they raise. |
| Beschreibung: | XIII, 297 S. |
| ISBN: | 9780199269747 0199269742 |
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| 520 | 3 | |a Simona Giordano presents the first full philosophical study of ethical issues in the treatment of anorexia and bulimia nervosa. Beginning with a comprehensive analysis of these conditions and an exploration of their complex causes, she then proceeds to address legal and ethical dilemmas such as a patient's refusal of life-saving treatment. Illustrated with many case-studies, Understanding Eating Disorders is an essential tool for anyone working with sufferers of these much misunderstood conditions, and for all those ethicists, lawyers, and medical practitioners engaged with the widely relevant issues they raise. | |
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Datensatz im Suchindex
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| adam_text | CONTENTS INTRODUCTION 1 1. AUTONOMY V. PATERNALISM 3 2. THE VALUE OF
AUTONOMY IN PSYCHIATRIC HEALTH CARE 5 3. UNDERSTANDING EATING DISORDERS
8 PART 1. SCIENTIFIC UNDERSTANDING OF EATING DISORDERS 13 1. EATING
DISORDERS: ANOREXIA AND BULIMIA NERVOSA 15 1. INTRODUCTION 15 2.
ANOREXIA AND BULIMIA : THE TERMINOLOGY 18 3. EATING DISORDERS:
EPIDEMIOLOGY AND PREVALENCE 19 4. THE FAMILY OF THE EATING-DISORDERED
PERSON 21 5. THE SOCIETY OF THE EATING-DISORDERED PERSON 21 6. DIAGNOSIS
AND DESCRIPTION 22 7. EATING DISORDERS AND PERCEPTION OF BODY IMAGE 23
8. THE EFFECTS OF ABNORMAL EATING: SECONDARY SYMPTOMATOLOGY 27 8.1.
ENDOCRINE AND METABOLIC CHANGES 27 8.2. HEART DISORDERS 28 8.3.
ELECTROLYTE IMBALANCES 28 8.4. GASTROINTESTINAL COMPLICATIONS 29 9.
ETHICAL ISSUES 30 2. PATERNALISM V. RESPECT FOR AUTONOMY 33 1.
INTRODUCTION 33 2. THE ETHICS OF PATERNALISM 35 3. AUTONOMY 36 4.
PATERNALISM 38 5. FREEDOM OF ACTION AND AUTONOMY: TWO DIFFERENT TYPES OF
PATERNALISM 40 6. STRONG AND WEAK PATERNALISM 41 VIII CONTENTS 7.
AUTONOMY V. LIFE AND HEALTH 42 8. PRACTICAL SIMILARITIES BETWEEN RESPECT
FOR AUTONOMY AND PROTECTION OF WELFARE 43 9. WELFARE OR AUTONOMY? 44
9.1. THE VALUE OF AUTONOMY 44 9.1.1. THE SUBSTANTIVE AND FORMAL
CONCEPTION OF AUTONOMY 46 9.2. THE IMPORTANCE OF THE PROCESS OF
REASONING AND DELIBERATION 50 10. THE VALUE OF AUTONOMY AND WEAK
PATERNALISM 53 11. OBJECTIONS 54 12. CONCLUSIONS 56 3. IS PATHOLOGICAL
BEHAVIOUR CAUSED BY MENTAL ILLNESS? 58 1. INTRODUCTION 58 2. THAT MAN
COMMITTED SUICIDE BECAUSE HE WAS MENTALLY ILL 1 59 3. I HAD TO WASH MY
HAIR TEN TIMES TODAY BECAUSE VOICES COMMANDED ME TO DO SO 61 4. WHAT DO
WE MEAN WHEN WE SAY THAT A PERSON HAS A MENTAL ILLNESS? 63 5. THE
FALLACY OF PSYCHIATRIC EXPLANATIONS 65 6. CONCLUSIONS 69 4. SCIENTIFIC
UNDERSTANDING OF EATING DISORDERS 72 1. INTRODUCTION 72 2. GENETIC AND
EATING DISORDERS 74 3. THE ADDICTION MODEL 76 4. SIMILARITIES BETWEEN
EATING DISORDERS AND SUBSTANCE-USE DISORDERS 77 5. ARE EATING DISORDERS
A FORM OF ADDICTION? 79 6. STARVATION AND ADDICTION 81 7. ADDICTION TO
SWEET FOODS: REACTIVE HYPOGLYCAEMIA 82 8. THE ROLE OF CENTRAL NERVOUS
SYSTEM NEUROTRANSMITTERS 83 9. HYPOTHALAMIC ABNORMALITIES 84 9.1.
HYPOTHALAMO PITUITARY-THYROID AXIS 85 9.2. HYPOTHALAMO-PITUITARY-GONADAL
AXIS 86 9.3. HYPOTHALAMO-PITUITARY ADRENAL AXIS 86 10. CONCLUSIONS 87
CONTENTS IX PART 2. THE VALUE OF LIGHTNESS 91 5. LIGHTNESS AND EATING
DISORDERS 93 1. INTRODUCTION 93 2. THE CENTRAL FEATURE OF ANOREXIA
NERVOSA: THE PURSUIT OF LIGHTNESS 94 3. THE PURSUIT OF LIGHTNESS AND
FEAR OF INTRUSIONS 95 4. THE UNBEARABLE LIGHTNESS OF BEING: A
REPRESENTATION OF ANOREXIA NERVOSA 97 5. LIGHTNESS AS A DEFENCE FROM THE
INVASIONS OF PERSONAL SPACE 100 6. IS LIGHTNESS A CONTEMPORARY
OBSESSION? 101 7. LIGHT BEAUTIES 103 8. THE ANCIENT MYTH OF LIGHTNESS
105 9. SLIMNESS AND LIGHTNESS IN LITERATURE AND THE ARTS 106 6. THE
VALUE OF LIGHTNESS 109 1. INTRODUCTION 109 2. LIGHTNESS AS A POSITIVE
STATE 109 3. DANS L EAU DE LA CLAIRE FONTAINE 110 4. THE VALUE OF
LIGHTNESS 111 5. THE LIFE AND WORK OF EMILY DICKINSON: LIGHTNESS AND
SPIRITUALITY 112 6. MORAL INTEGRITY AND SPIRITUALITY 115 7. MORAL
INTEGRITY AND CHRISTIAN ASCETICISM: THE VALUE OF LIGHTNESS 118 8. THE
MORAL VALUE OF LIGHTNESS 121 9. FOOD RESTRICTION AND THE BODY/MIND SPLIT
122 10. KANT AND THE MORTIFICATION OF THE FLESH 126 11. MORAL INTEGRITY
AND HUNGER 127 12. THE CONTEMPORARY SIGNIFICANCE OF ANCIENT MORAL VALUES
128 13. CONCLUSIONS 131 X CONTENTS PART 3. FAMILIES, SOCIETY, AND EATING
DISORDERS 135 7. THE ROLE OF EXPECTATIONS IN THE GENESIS OF EATING
DISORDERS 137 1. INTRODUCTION 137 2. THE FAMILY OF THE EATING-DISORDERED
PERSON 139 3. THE FATHER OF THE ANOREXIC PERSON 141 4. THE MOTHER OF THE
EATING-DISORDERED PERSON 142 5. THE FAMILY EXPECTATIONS OF THE FUTURE
EATING- DISORDERED PERSON 144 6. CONCLUSIONS: THE EFFECTS OF THESE
EXPECTATIONS ON THE FUTURE EATING-DISORDERED PERSON AND THE STRUGGLE FOR
CONTROL 145 8. THE SOCIETY OF THE PERSON WITH EATING DISORDERS 146 1.
INTRODUCTION 146 2. WHY WOMEN? 147 3. FACTORS THAT ARE THOUGHT TO BE
RELATED TO THE SPREAD OF EATING DISORDERS 148 4. THE ROLE OF WOMEN IN
MODERN WESTERN SOCIETIES 149 5. CONTRADICTORY AESTHETIC EXPECTATIONS OF
WOMEN 152 6. EATING DISORDERS AS A RESPONSE TO FAMILIAL AND SOCIETAL
EXPECTATIONS 153 7. CONCLUSIONS 155 9. VICTIMS OR PERSECUTORS? THE MORAL
LOGIC AT THE HEART OF EATING DISORDERS 157 1. INTRODUCTION 158 2. WHY
ARE PEOPLE MADE TO SUFFER BY OTHERS INAPPROPRIATE EXPECTATIONS? 158 3.
WHAT MAKES PEOPLE TREAT EATING BEHAVIOURS AS AN INSTRUMENT OF POWER? 160
4. CONCLUSIONS 162 CONTENTS XI 10. A CRITIQUE OF THE SYSTEMIC AND
SOCIOLOGICAL APPROACHES TO EATING DISORDERS 164 1. INTRODUCTION 164 2.
THE NEED FOR NEUTRALITY IN THE ANALYSIS OF MENTAL PHENOMENA 167 3.
WHATEVER HAS A BEGINNING HAS ALSO A CAUSE OF EXISTENCE : THE LOGICAL
FALLACY INVOLVED IN THE SEARCH FOR THE CAUSES OF EATING DISORDERS 169 4.
EATING DISORDERS: THE ROLE OF THE PERSON 171 5. THE ROLE OF THE
INDIVIDUAL IN THE ARTICULATION OF EXTERNAL INFLUENCES 172 6. CONCLUSIONS
174 PART 4. LAW, ETHICS, AND ENDING LIVES 177 11. EATING OR TREATING?
LEGAL AND ETHICAL ISSUES SURROUNDING EATING DISORDERS 179 1.
INTRODUCTION 179 2. HOSPITALIZATION AND TREATMENT OF PEOPLE WITH MENTAL
DISORDERS: COERCIVE ASSESSMENT AND TREATMENT 183 2.1. ETHICAL
CONSIDERATIONS 184 3. CAN PEOPLE WITH MENTAL ILLNESS BE COMPETENT TO
MAKE MEDICAL DECISIONS? 185 4. COMPETENCE IN ENGLISH LAW 188 5. THE CASE
OF ANOREXIA NERVOSA 191 5.1. ETHICAL CONSIDERATIONS 192 6.
EATING-DISORDERED PATIENTS AND COMPETENCE TO REFUSE TREATMENT 193 7.
TREATMENT FOR EATING DISORDERS IS ENFORCEABLE, IRRESPECTIVE OF PATIENTS
COMPETENCE 194 8. FORCE-FEEDING CAN BE ENFORCED UNDER THE MHA 1983: THE
CASES 196 8.1. ETHICAL CONSIDERATIONS 198 9. FORCE-FEEDING IS CLINICALLY
APPROPRIATE AND ETHICALLY UNCONTROVERSIAL 201 10. FORCE-FEEDING MAY BE
NECESSARY TO RENDER OTHER THERAPIES MEANINGFUL 202 XII CONTENTS 11.
COERCIVE TREATMENT IS ALWAYS A CLINICAL MISTAKE 203 12. WHY IS A MENTAL
STATUTE NECESSARY? 205 13. CONCLUSIONS 208 12. AUTONOMY AND CONTROL IN
EATING DISORDERS 211 1. INTRODUCTION 211 2. AUTONOMY AS SELF-CONTROL 213
3. AUTONOMY AND INFORMATION IN PSYCHIATRY 216 4. INFORMATION AND
SELF-PERCEPTION 217 5. INFORMATION RELATING TO FOOD 219 6. EATING
DISORDERS AND BELIEFS 221 7. THE COGNITIVE APPROACH TO EATING DISORDERS
224 8. THE ETHICS OF PATERNALISM TOWARDS PEOPLE WITH EATING DISORDERS
226 9. FACTORS THAT LIMIT THE STRENGTH OF PATERNALISM TOWARDS THE
EATING-DISORDERS SUFFERER 227 9.1. THE FIRST FACTOR: WHEN HARMFUL IS
HARMFUL ENOUGH 227 9.2. THE SECOND FACTOR: THE VALUE OF AUTONOMY 228
9.3. THE THIRD FACTOR: ARE THERE TRUE DYSFUNCTIONS OR TRUE DEFECTS
IN DELIBERATION? 229 10. CONCLUSIONS 232 13. ANOREXIA NERVOSA AND
REFUSAL OF LIFE-SAVING INTERVENTIONS 235 1. INTRODUCTION 235 2. CAN
PEOPLE WITH ANOREXIA BE COMPETENT TO REFUSE NASO-GASTRIC FEEDING? 238 3.
COMPETENCE 238 4. FOLLOWING THE ARGUMENTS 242 5. A PARADOXICAL
DISTINCTION BETWEEN PASSIVE EUTHANASIA AND REFUSAL OF TREATMENT 242 6.
REFUSAL OF ARTIFICIAL FEEDING IS NOT ON A PAR WITH REFUSAL OF
TREATMENT IN DEBILITATING CHRONIC AND TERMINAL ILLNESSES 245 7. THE
BRAVE CLAIM 246 8. WHY DRAPER SHOULD HAVE MADE THE BRAVE CLAIM 246 9.
DRAPER HAS NOT MADE THE BRAVE CLAIM, ALTHOUGH SHE SHOULD HAVE 247
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| spelling | Giordano, Simona Verfasser aut Understanding eating disorders conceptual and ethical issues in the treatment of anorexia and bulimia nervosa Simona Giordano 1. publ. Oxford Clarendon Press 2005 XIII, 297 S. txt rdacontent n rdamedia nc rdacarrier Issues in biomedical ethics Simona Giordano presents the first full philosophical study of ethical issues in the treatment of anorexia and bulimia nervosa. Beginning with a comprehensive analysis of these conditions and an exploration of their complex causes, she then proceeds to address legal and ethical dilemmas such as a patient's refusal of life-saving treatment. Illustrated with many case-studies, Understanding Eating Disorders is an essential tool for anyone working with sufferers of these much misunderstood conditions, and for all those ethicists, lawyers, and medical practitioners engaged with the widely relevant issues they raise. Behandeling gtt Eetstoornissen gtt Ethische aspecten gtt Ethik Eating disorders Eating disorders Treatment Moral and ethical aspects Eating disorders Patients Legal status, laws, etc. Essstörung (DE-588)4113475-8 gnd rswk-swf Essstörung (DE-588)4113475-8 s DE-604 SWB Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=013146013&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Giordano, Simona Understanding eating disorders conceptual and ethical issues in the treatment of anorexia and bulimia nervosa Behandeling gtt Eetstoornissen gtt Ethische aspecten gtt Ethik Eating disorders Eating disorders Treatment Moral and ethical aspects Eating disorders Patients Legal status, laws, etc. Essstörung (DE-588)4113475-8 gnd |
| subject_GND | (DE-588)4113475-8 |
| title | Understanding eating disorders conceptual and ethical issues in the treatment of anorexia and bulimia nervosa |
| title_auth | Understanding eating disorders conceptual and ethical issues in the treatment of anorexia and bulimia nervosa |
| title_exact_search | Understanding eating disorders conceptual and ethical issues in the treatment of anorexia and bulimia nervosa |
| title_full | Understanding eating disorders conceptual and ethical issues in the treatment of anorexia and bulimia nervosa Simona Giordano |
| title_fullStr | Understanding eating disorders conceptual and ethical issues in the treatment of anorexia and bulimia nervosa Simona Giordano |
| title_full_unstemmed | Understanding eating disorders conceptual and ethical issues in the treatment of anorexia and bulimia nervosa Simona Giordano |
| title_short | Understanding eating disorders |
| title_sort | understanding eating disorders conceptual and ethical issues in the treatment of anorexia and bulimia nervosa |
| title_sub | conceptual and ethical issues in the treatment of anorexia and bulimia nervosa |
| topic | Behandeling gtt Eetstoornissen gtt Ethische aspecten gtt Ethik Eating disorders Eating disorders Treatment Moral and ethical aspects Eating disorders Patients Legal status, laws, etc. Essstörung (DE-588)4113475-8 gnd |
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