The Nature of Suffering and the Goals of Medicine

Paperback | March 10, 2004

byEric J. Cassell

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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 must-hve for those in palliative medicine and hospice care.The 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 problem--inlittle pain and not seemingly distressed--said 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 doctor's responsibility to treat the disease or the patient? And what is therelationship between suffering and the goals of medicine?According 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 doctor's relationship with the patient. Dr. 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 individual's suffering, and not just the disease. In addition, Cassell's thoughtful and incisive argument willappeal to psychologists and psychiatrists interested in the nature of pain and suffering.

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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 must-hve for those in palliative medicine and hospice care.The obligation of physicians to relieve human suffering stretc...

Eric J. Cassell is at Cornell University Medical College.
Format:PaperbackDimensions:336 pages, 5.98 × 9.09 × 0.79 inPublished:March 10, 2004Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0195156161

ISBN - 13:9780195156164

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Table of Contents

Preface to the Second edition1. Ideas in Conflict: The Rise and Fall of New Views of Disease2. The Changing Concept of the Ideal Physician3. The Nature of Suffering4. Suffering in Chronic Illness5. The Mysterious Relationship Between Doctor and Patient6. How to Understand Diseases7. The Pursuit of Disease or the Care of the Sick?8. Treating the Disease, the Body, or the Patient9. The Doctor and the Patient10. Who is This Person?11. The Measure of the Person12. The Clinician's Experience: Power Versus Magic in Medicine13. Mind and Body14. The Illness Called Dying15. Pain and SufferingEpilogue