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After Pellegrino : = The Physician-Patient Relationship Reconsidered.

Record Type:	Electronic resources : Monograph/item
Title/Author:	After Pellegrino :/
Reminder of title:	The Physician-Patient Relationship Reconsidered.
Author:	Karches, Kyle E.
Description:	1 online resource (134 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 83-12, Section: B.
Contained By:	Dissertations Abstracts International83-12B.
Subject:	Medical ethics. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=29209725click for full text (PQDT)
ISBN:	9798819362686

After Pellegrino : = The Physician-Patient Relationship Reconsidered.
Karches, Kyle E.

After Pellegrino :The Physician-Patient Relationship Reconsidered. - 1 online resource (134 pages)

Source: Dissertations Abstracts International, Volume: 83-12, Section: B.

Thesis (Ph.D.)--Saint Louis University, 2022.

Includes bibliographical references

Physician and ethicist Edmund Pellegrino contends in his influential writings that the physician-patient relationship is the essence of medical practice. His account presumes not only that this relationship is a site of genuine ethical deliberation but also that the universal phenomenon of illness sufficiently stabilizes this relationship across historical and cultural contexts to provide a secure foundation for medical ethics. He also argues that this relationship must be open to the spiritual good of the patient, but he defines this good in a generic way, as any non-material telos, rather than drawing upon any specific religious tradition. In this dissertation, I challenge these aspects of Pellegrino's philosophy of medicine. First, using the example of smoking cessation, I argue that moral pluralism and the behaviorist-managerial ethos of contemporary health care preclude the sort of moral deliberation that Pellegrino envisions. Second, I show how technology already has reconstituted the physician-patient relationship such that some experts envision the possibility of replacing the physician with artificial intelligence, and although I provide reasons to believe this substitution is unrealistic, the very fact that it has been conceived undermines Pellegrino's claim of the historical stability of this relationship. Third, I use the example of pain management to contend that in the Aristotelian-Thomistic tradition, the final end of human life, understood as union with God, projects itself onto the intermediate good of health, so that Pellegrino's generic spiritual good may not be sufficient to specify the ends of medicine. In the conclusion, I tie these three arguments to a theological critique of political liberalism, a theory that Pellegrino criticizes but does not fully reject. I draw upon the work of John Milbank to offer an alternative political theology that could provide a more secure foundation for Pellegrino's vision of the physician-patient relationship. Although we physicians should be grateful for Pellegrino's philosophy of medicine, we ultimately need a theology of medicine in order to sustain his most valuable insights.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9798819362686Subjects--Topical Terms:

526828
Medical ethics.
Subjects--Index Terms:

Physician-patient relationshipIndex Terms--Genre/Form:

542853
Electronic books.

After Pellegrino : = The Physician-Patient Relationship Reconsidered.
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