PDF-(READ)-The Nature of Suffering and the Goals of Medicine, 2nd Edition

This is a revised and expanded edtion of a classic in palliative medicine originally published in 1991 With three added chapters and a new preface summarizing our progress in the area of pain management this is a musthve for those in palliative medicine and hospice careThe obligation of physicians to relieve human suffering stretches back into antiquity But what exactly is suffering One patient with metastic cancer of the stomach from which he knew he would shortly die said he was not suffering Another someone who had been operated on for a mior probleminlittle pain and not seemingly distressedsaid that even coming into the hospital had been a source of pain and not suffering With such varied responses to the problem of suffering inevitable questions arise Is it the doctors responsibility to treat the disease or the patient And what is therelationship between suffering and the goals of medicineAccording to Dr Eric Cassell these are crucial questions but unfortunately have remained only queries void of adequate solutions It is time for the sick person Cassell believes to be not merely an important concern for physicians but the central focus of medicine With this in mind Cassellargues for an understanding of what changes should be made in order to successfully treat the sick while alleviating suffering and how to actually go about making these changes with the methods and training techniques firmly rooted in the doctors relationship with the patientDr Cassell offers an incisive critique of the approach of modern medicine Drawing on a number of evocative patient narratives he writes that the goal of medicine must be to treat an individuals suffering and not just the disease In addition Cassells thoughtful and incisive argument willappeal to psychologists and psychiatrists interested in the nature of pain and suffering. . by Hermann . Hesse. Background . Hermann . Hesse. Born in . Calw. , Germany, in 1877, he was influenced by his family's mix of background and beliefs. His father, a . Pietist. -Lutheran, believed that man is basically evil and requires austere discipline. . Romans 8.12-25. Biblical examples of suffering…. P. eople suffered . because of self-inflicted misery. . (Adam/Eve & King David). P. eople suffered . by no fault of their own – life is simply hard. About Suffering they were never wrong/ The Old Masters how well they understood/ Its human position, how it takes place/ While someone else is eating…. -- W.H. Auden “Musee de Beaux Arts”. Breugel. Unexpected Insights from Psychology. Week 4:. Using and Misusing Faith. Plan for Today. Consider how one’s faith can grow or wilt in the midst of the difficulties of life.. Begin by placing in mind one area of your life where right now you are struggling. Lesson 4 for October 22, 2016. Moses wrote the books of Job and Genesis while he was living in Midian. Thus Job is one of the earliest books in the Bible.. Unlike the other books in the Old Testament, the theme of the book of Job is not related to God’s covenant with His people.. Romans 8.12-25. Biblical examples of suffering…. P. eople suffered . because of self-inflicted misery. . (Adam/Eve & King David). P. eople suffered . by no fault of their own – life is simply hard. Matthew 14:1-21. Matthew 8-16. Kingdoms In Conflict. Matthew 8-18. Intro:. . Matt 14:13. Timing — Responses . Jesus—His Disciples—The Crowd . . A perspective On Suffering. Matthew 14:1-21. Luke 22:39-46. What is this Cup?. The wrath of God brought to bear . on Jesus in behalf of . the . sinner. The actual death upon the cross. The suffering that Jesus was to endure, especially the emotional and metal suffering of the Christ . “And not only that, but we also glory in tribulations, knowing that tribulation produces perseverance; and perseverance, character; and character, hope” (Romans 5:3-4).. The Cause Of Suffering. Dr. Joseph Chang. 2/23/2014. BOLGPC. 1. Therefore, since we have been justified through faith, we have peace with God through our Lord Jesus Christ, . 2. through whom we have gained access by faith into this grace in which we now stand. And we rejoice in the hope of the glory of God. . . The . types of evil. : moral (caused by free will agents) and natural (caused by nature).. The logical problem of evil. : classical (Epicurus) - the problem of suffering.. J. L. Mackie’s modern development . MEMORY VERSE:. ”In weariness and painfulness, in . watchings. often, in hunger and thirst, in . fastings. often, in cold and nakedness. Beside those things that are without, that which cometh upon me daily, the care of all churches.” . . . . drug, potion. medicine. . pharmakon. . poison. magic charm. scapegoat. . . Hippocratic pharmacology. • no pharmacological writings. • mixture of dietary and pharmacological prescriptions. The Nature of Suffering underscores the change that is taking place in medicine from a basic concern with disease to a greater focus on the sick person. Cassell centers his discussion on the problem of suffering because, he says, its recognition and relief are a test of the adequacy of any system of medicine. He describes what suffering is and its relationship to the sick person: bodies do not suffer, people do. An exclusive concern with scientific knowledge of the body and disease, therefore, impedes an understanding of suffering and diminishes the care of the suffering patient. The growing criticism that medicine is not sufficiently humanistic does not go deep enough to provide a basis for a new understanding of medicine. New concepts in medicine must have their basis in its history and in the development of ideas about disease and treatment. Cassell uses many stories about patients to demonstrate that, despite the current dominance of science and technology, there can be no diagnosis, search for the cause of the patient\'s disease, prognostication, or treatment without consideration of the individual sick person. Recent trends in medicine and society, Cassell believes, show that it is time for the sick person to be not merely an important concern for physicians but the central focus of medicine. He addresses the exciting problems involved in such a shift. In this new medicine, doctors would have to know the person as well as they know the disease. What are persons, however, and how are doctors to comprehend them? The kinds of knowledge involved are varied, including values and aesthetics as well as science. In the process of knowing the experience of patient and doctor move to center stage. He believes that the exploration of the person will engage medicine in the 21st century just as understanding the body has occupied the last hundred years.