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Biomedical subjects

C Wiesemann

Publications and source records attributed to C Wiesemann.

9 recordsLinked to original sources
PubMed2001

[Patient self-determination - the beneficiaries of medicine and their rights].

Respect for patient autonomy is one of the major ethical goals of modern medicine. Therefore, it is important to analyse whether the organisational structure of the German health care system impedes the realisation of patient self-determination. It will be shown by means of historical and ethical analysis that the nature of the doctor-patient relationship as well as other factors in the organisation of modern medicine systematically undermine patient autonomy. If individual responsibility in the health care setting is to be strengthened, patients' influence on public health decision-making processes, too, has to be advanced. The paper shows from a patient perspective where this could be the case.

Ethics, Medical↗
PubMed2000

[Brain death and intensive care medicine. The cultural history of a medical concept].

The paper focuses on the cultural history of brain death in Germany in the second half of the 20th century. It analyzes scientific and public discourses on the relevance of brain death and the importance of medical innovations in intensive care medicine. The paper examines how the public reacted when heart transplantation led to an urgent need for a new definition of death. It will be shown how the concept of brain death was accepted by the public, introduced into clinical routine, and implemented through medical and legal policies. Finally, it will be analyzed why the public consensus on brain death was definitely questioned in the last ten years. An understanding of the use of the concept of brain death by scientists, lawyers, theologians, and the public during the last three decades may help to shed light on the social role of science in modern and late-modern societies.

Brain Death↗
PubMed1998

The significance of prognosis for a theory of medical practice.

A typical problem of modern medicine results from the gap between scientific knowledge and its application in individual cases. Whereas scientific knowledge is generalized and impersonal information, medical practice takes place under conditions which are singular, individual and irreversible. The paper examines whether prognosis is able to bridge this gap or "hiatus theoreticus". It is shown that diagnosis of a single case always relies on prognostic considerations. The individual prognosis (as distinguished from the nosologic prognosis of a certain disease) enables doctors to apply scientific knowledge and practice according to the actual situation, the history and personal preferences of the patient. Prognosis--not diagnosis--therefore legitimizes medical interference. A methodology of individual prognosis as the basis for a theory of practice is discussed.

Decision Making↗
PubMed1993

[Ethics curriculum for medical students: theory or general practice?].

In a three-year project supported by the "Stifterverband für die Deutsche Wissenschaft" the Institute for the History of Medicine, University of Erlangen-Nürnberg, Germany, evaluates methods of teaching medical ethics to medical students. Using mainly case studies during a one-week intensive course students learn how to identify ethical conflicts and to find responsible solutions. Ethical problems arising from students' involvement in patients' care are also considered. As a result of this specific aspect of teaching medical ethics an ethical code for medical students was developed.

Clinical Clerkship↗
PubMed1993

[Can psycho-education of chronic schizophrenic patients have a short-term effect on drug-related attitude and behavior?].

Within a controlled intervention study with schizophrenic outpatients we investigated the question of whether regular attendance at psychoeducational training for medication management has an influence on patients' illness-related behavior. The patients in the treatment group show better outcome of compliance and some treatment-related attitudes, though without statistical significance. Despite extensive information they are no more content with their knowledge of drugs than the control group, but more aware of problems, i.e. more cautious in medication co-determination.

Adult↗
PubMed1993

[Uprising in the faculty. On the rhetorical function of 'therapeutic nihilism' in traditional medicine in Vienna].

It has been a long tradition to quote from Joseph Dietl's 'manifesto' of therapeutic nihilism from 1845 to illustrate the perils of medical extremism. But Dietl's claim for medicine as a natural science cannot fully be understood without considering the social and political circumstances the developing New Vienna School had to face. The professionalization of Viennese academic medicine was opposed by the forces of restaurative absolutism and, in particular, the traditional preponderance of medical practitioners who played a major role in the medical faculty.

Austria↗
PubMed1991

[Not Available].

Explore the source record for details and available documents.

Austria↗