The Illusion of Trust Toward a Medical Theological Ethics in the Pos
This book is about trust and its implications for a medical theological ethics. Beginning with its earliest work, there has been attention to trust running through the bioethics literature in the United States, and much of this discussion has examined its
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Theology and Medicine VOLUMES Managing Editor Earl E. Shelp, The Foundationfor Interfaith Research & Ministry, Houston, Texas Editorial Board James F. Childress, Department of Religious Studies, University of Virginia, Charlottesville, Virginia Margaret A. Farley, The Divinity School, Yale University, New Haven, Connecticut Ronald M. Green, Department of Religion, Dartmouth College, Hanover, New Hampshire Stanley Hauerwas, The Divinity School, Duke University, Durham, North Carolina Richard A. McCormick, S.J., Department of Theology, University of Notre Dame, Notre Dame,Indiana Wayne Proudfoot, Department of Religion, Columbia University, New York
The titles published in this series are listed at the end of this volume.
THE ILLUSION OF TRUST Toward a Medical Theological Ethics in the Postmodern Age
by
EDWIN R. DuBOSE The Park Ridge Center for the Study of Health, Faith, and Ethics Chicago, Illinois, USA
SPRINGER-SCIENCE+BUSINESS MEDIA, B. V.
Library of Congress Cataloging-in-Publication Data OuBose. Edw1n R. The 1llus1on of trust: toward a med1cal theolog1cal eth1cs 1n the postmodern age I by Edw1n R. OuBose. p. cm. -- (Theology and med1c1ne : v. 5) Includes blbl1ooraDh1cal references and 1nde~.
ISBN 978-94-010-4215-4 ISBN 978-94-011-0481-4 (eBook) DOI 10.1007/978-94-011-0481-4
1. Med1cal ath1cs--Rel1g1aus aspects. I. T1tla. II. Ser1es. [ONLM: 1. Eth1cs. Med1cal. 2. Phys1clan-Pat1ent Relations. 3. Rel1g1on and Med1c1ne. W1 TH119M v. 5 1995 I W 50 08171 19951 R725. 55. 083 1995 174' .2--dc20 DNLM/OLC 94-34129 for L1brary of Congress
ISBN 978-94-010-4215-4
Printed on acid·free paper
AII Rights Reserved © 1995 Springer Science+Business Media Dordrecht
Origina1ly published by Kluwer Academic Publishers in 1995 Softcover reprint of the hardcover 1st edition 1995 No part of the material protected by this copyright notice may be reproduced or utilized in any form or by any means. electronic or mechanical, including photocopying, recording or by any information storage and retrieval system, without written permission from the copyright owner.
TABLE OF CONTENTS
PREFACE
vii
CHAPTER 1 / THE PROBLEM AND THE PURPOSE CHAPTER 2 / TRUST AND THE MEDICAL PROFESSION CHAPTER 3 / EXPERT KNOWLEDGE AND THE MEDICAL PROVINCE OF MEANING CHAPTER 4 / THE FIDUCIARY FOCUS OF THE MEDICAL PROVINCE OF MEANING CHAPTER 5 / TRUST-AS-CONTROL IN A THEOLOGICAL PERSPECTIVE CHAPTER 6 / TRUST-AS-FAITH: GIVING AND RECEIVING IN DEPENDENCY CHAPTER 7 / THE MUTUALLY SUSTAINING PRESENCE OF TRUST-AS-FAITH
1 29 46 64 81 100 118
REFERENCES
123
INDEX
135
v
PREFACE
This book is about trust and its implications for a medical theological ethics. Beginning with its earliest work, there has been attention to trust running through the bioethics literature in the United States, and much of this discussion has examined its theological elements. Clearly, trust is indispensable when describing the patient-physician relationship, so why is there a need for yet another study? There is no doubt that people generally trust physicians. Traditionally th
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