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At least 541 records · Page 30Linked to original sources
PubMed1975

The effects of consultation. A review of empirical studies.

Although consultation, as an activity for intervention, has achieved considerable popularity among human service professionals and figures prominently in current federal mental health legislation, a basic question still unanswerable is, "Does it work?" This paper reviews 35 consultation outcome studies reported between 1958 and 1972 in an attempt to provide some answers to this question. Although their quality varies greatly, the evidence seems to lend some support to the effectiveness of consultation as a change method. In 69% of the studies reviewed, positive change was demonstrated on the consultee, client, or system level or at some combination of these. The review also suggests that, despite a need for studies which build cumulatively on earlier ones so as to provide comparable data instead of a conglomerate of isolated findings, progress has been made in the evaluation of consultation.

Achievement↗
PubMedDate not supplied

Understanding abortion via different scholarly methodologies: book review essay.

Erde review three works that in his opinion have made important contributions to the abortion debate: Abortion Policy: An Evaluation of the Consequences For Maternal and Infant Health, by Jerome S. Legge, Jr. (Albany: State University of New York Press; 1985); Abortion and the Politics of Motherhood, by Kristen Luker (Berkeley: University of California Press; 1984); and Abortion: Moral and Legal Perspective, edited by J.L. Garfield and P. Hennessey (Amherst: University of Massachusetts Press; 1984). A later issue of the Journal of Medical Humanities and Bioethics will carry Erde's review of two additional scholarly books on abortion: Abortion: Understanding the Differences, edited by Sidney Callahan and Daniel Callahan (New York: Plenum Press; 1984), and Abortion and the Status of the Fetus, edited by William B. Bondeson, H.T. Engelhardt, Jr., S.F. Spicker, and D.H. Winship (Boston: D. Reidel; 1983).

Abortion, Induced↗
PubMed1992

The Patient Self Determination Act and "Dax's case"

Euthanasia and the intertwining issues such as suicide, legal and professional responsibility, and cultural history have been widely discussed. The Patient Self-Determination Act is to be valued for its providing for these discussions and also for making it possible for people to exercise their right to choose their treatment. But these discussions while helpful in many ways often lack the vividness of a principal story pursued extensively. At this moment, one resource for a profound exploration of patient rights and the decision to live or die is the outstanding collection of essays edited by Lonnie Kliever in Dax's Case: Essays in Medical Ethics and Human Meaning. This collection is focused on one story. This work provides one of the most comprehensive discussions that deepens and clarifies issues through examination of one disturbing case.

Advance Directives↗
PubMed1975

Mental health training and consultation with suburban police.

A community mental health consultation and education program with 10 suburban police departments has helped foster the development of an awareness of mental health issues on the part of police officers and their chiefs and increased their orientation toward prevention of problems before they arise. The keys to success in this project have been flexibility in the application of consultation and training modalities, a willingness to view the world through the police officers' eyes, and the cooperative involvement of officers and their chiefs in all phases of program planning.

Adolescent↗
PubMed1994

The reproduction of America.

... This essay draws a connection between the medical procedures produced by new reproductive technologies, most specifically the use of pre-natal tests which result in abortion, and the dictates of American liberal theory. There is, I believe, a strong link between certain contemporary American abortion practices and American liberalism's formulation of and emphasis on rational individualism. The touchstone and criterion of reason as the sole measure of humanity has influenced the conditions under which we reproduce, and consequently, when we abort. Although America purports to offer certain kinds of freedom to all individuals, only those who exercise the capacity for rationality are in fact permitted to reap the benefits of liberal society.

Abortion, Eugenic↗
PubMed1995

Distributive justice and the Minnesota health access initiative.

As I have suggested, from the perspective of distributive justice MinnesotaCare's reforms are inadequate. But to coin (and alter slightly) a phrase of Kant's, if its authors do not deserve our moral esteem, perhaps they do merit our encouragement, and it is on a note of the latter that I will conclude. MinnesotaCare is an experiment in systemic incremental change being performed in a complex health care system, the only true laboratory for such an experiment. For this reason, it will provide us important information concerning the ethics, economics, [and] the politics of health care reform while improving the position of some Minnesotans in a significant way. Thus, while MinnesotaCare is susceptible to forceful moral criticism, as an experiment in reform it holds out the promise of providing us some of the data necessary for discovering a just solution.

Delivery of Health Care↗
PubMed1995

The ethics of the pharmaceutical industry and the need for a dual market system.

In an era of increasing medical costs and cries for health care reform in the United States, the pharmaceutical industry has come under intense scrutiny. Ethical issues are inherent in the pharmaceutical marketplace, and there is a need to address the moral rights and responsibilities of drug manufacturers, consumers, health care professionals, and governmental agents in the production, distribution, regulation, and use of these products. A dual market system protecting individual rights to access and autonomy without placing an undue strain on societal resources would provide an adequate and equitable framework for an ethical pharmaceutical industry.

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