Böcker av Laurence B. McCullough

This book provides the first comprehensive, historically based, philosophical interpretations of two texts of Thomas Percival¿s professional ethics in medicine set in the context of his intellectual biography. Preceded by his privately published and circulated Medical Jurisprudence of 1794, Thomas Percival (1740-1804) published Medical Ethics in 1803, the first book thus titled in the global histories of medicine and medical ethics. From his days as a student at the Warrington Academy and the medical schools of the universities of Edinburgh and Leyden, Percival steeped himself in the scientific method of Francis Bacon (1561-1626). McCullough shows how Percival became a Baconian moral scientist committed to Baconian deism and Dissent. Percival also drew on and significantly expanded the work of his predecessor in professional ethics in medicine, John Gregory (1724-1773). The result is that Percival should be credited with co-inventing professionalism in medicine with Gregory. To aid and encourage future scholarship, this book brings together the first time three essential Percival texts, Medical Jurisprudence, Medical Ethics, and Extracts from the Medical Ethics of Dr. Percival of 1823, the bridge from Medical Ethics to the 1847 Code of Medical Ethics on the American Medical Association. To support comparative reading, this book provides concordances of Medical Jurisprudence to Medical Ethics and of Medical Ethics to Extracts. Finally, this book includes the first Chronology of Percival¿s life and works.

This book provides the first clinically comprehensive and practical approach to ethical challenges in perinatal medicine.The first chapter introduces and explains the professional responsibility model of perinatal ethics.The professional responsibility model is based on the medical ethics of two major physician-ethics in the history of Western medical ethics, Dr. John Gregory (1724-1773) of Scotland and Dr. Thomas Percival (1740-1804) of England.The professional responsibility model is used to articulate the ethical concept of the fetus as a patient and to operationalize the ethical principles of beneficence and respect for autonomy.The book provides practical guidance for clinical judgment and decision making with patients about the responsible clinical management of the wide range of issues encountered by perinatologists in clinical practice and research.Topics included: periviability; feticide; intrapartum management; maternal-fetal conflict; innovation for fetal benefit; research for fetal benefit; non-aggressive obstetric management; managing the transition from pregnancy to birth; destructive procedures such as cephalocentesis; critical care for the pregnant patient; home birth; patient-choice cesarean delivery; neonatal care as a trial of management; and setting limits on neonatal care on the basis of clinical judgments of futility.

A comprehensive, accessible approach to the everyday ethical challenges faced in obstetric and gynecological practice. Offering practical guidance for practitioners at all levels, the text also provides a sustained exploration of professional ethics in the intersection of obstetrics and gynecology with psychiatry. Drawing on their award-winning teaching, the authors start each chapter with goals, objectives, topics, and a list of key concepts, which are defined in a separate section. Chapters cover a multitude of topics, from pregnancy and the quest for the 'perfect' baby to end-of-life care - all underpinned by the need for professionally responsible research, advocacy, and health policy. Professional Ethics in Obstetrics and Gynecology is an indispensable resource for both trainee and practicing obstetricians and gynecologists. A chapter devoted solely to pedagogy in professional ethics in obstetrics and gynecology supports the readers' learning and those with or without formal training in ethics to teach students, residents, and colleagues.