Treatment Refusal

Publication Title: 
The Psychiatric Clinics of North America

In this article, the authors assess the successes, remaining challenges, and new developments in cognitive behavioral therapy (CBT) for anxiety disorders. They define CBT, examine treatment components, review treatment efficacy, and discuss the challenges of attrition, long-term follow-up, co-occurring/comorbid disorders, limited treatment comparisons, treatment mediators, and broader implementation.

Author(s): 
Arch, Joanna J.
Craske, Michelle G.
Publication Title: 
Journal of Health Care Chaplaincy

Chaplains serving in the health care context provide a ministry to dying patients of inestimable worth as they comfort patients in the last chapter of the journey by being present, listening, and caring. Chaplains also play another important role, helping patients clarify ways in which their beliefs and values might influence health care decisions. This paper reviewed the current trends of spiritual diversity alongside the aging of a large Baby Boomer cohort.

Author(s): 
Ai, Amy L.
McCormick, Thomas R.
Publication Title: 
Journal of Medical Ethics

What makes Jehovah's Witnesses tick? What motivates practitioners of medicine? How is benevolent human behaviour to be interpreted? The explanation that fear of censure, mind-control techniques or enlightened self-interest are the real motivators of human conduct is questioned. Those who believe that man was created in "God's image", hold that humanity has the potential to rise above selfishly driven attitudes and actions, and reflect the qualities of love, kindness and justice that separate us from the beasts.

Author(s): 
Malyon, D.
Publication Title: 
Journal of Medical Ethics

What makes Jehovah's Witnesses tick? What motivates practitioners of medicine? How is benevolent human behaviour to be interpreted? The explanation that fear of censure, mind-control techniques or enlightened self-interest are the real motivators of human conduct is questioned. Those who believe that man was created in "God's image", hold that humanity has the potential to rise above selfishly driven attitudes and actions, and reflect the qualities of love, kindness and justice that separate us from the beasts.

Author(s): 
Malyon, D.
Publication Title: 
Integrative Cancer Therapies

BACKGROUND: The role of spirituality in patients' use of complementary and alternative medicine (CAM) approaches to cancer management has hardly been explored. OBJECTIVE: To explore the role of spirituality in cancer management by men with prostate cancer who have declined conventional treatment and are using CAM. METHODS: This qualitative analysis is part of a longitudinal study to assess decision making by men with prostate cancer who decline conventional treatment and use CAM. In-depth interviews were conducted at study entry (n = 29).

Author(s): 
White, Margaret
Verhoef, Marja
Publication Title: 
Circulation. Cardiovascular Quality and Outcomes

BACKGROUND: Implanting centers often require the identification of a dedicated caregiver before destination therapy left ventricular assist device (DT LVAD) implantation; however, the caregiver experience surrounding this difficult decision is relatively unexplored. METHODS AND RESULTS: From October 2012 through July 2013, we conducted semistructured, in-depth interviews with caregivers of patients considering DT LVAD. Data were analyzed using a mixed inductive and deductive approach.

Author(s): 
McIlvennan, Colleen K.
Jones, Jacqueline
Allen, Larry A.
Lindenfeld, JoAnn
Swetz, Keith M.
Nowels, Carolyn
Matlock, Daniel D.
Publication Title: 
The Journal of Medicine and Philosophy
Author(s): 
Battin, Margaret P.
Publication Title: 
Academic Medicine: Journal of the Association of American Medical Colleges

PURPOSE: To assess attitudes and expectations of obstetric patients toward the involvement of medical students in their care. METHOD: At the Medical Center Hospital of Vermont in 1991, questionnaire responses were collected from 222 obstetric patients who had been assisted by clerkship students from the University of Vermont College of Medicine and 78 patients who had refused the participation of students.

Author(s): 
Magrane, D.
Gannon, J.
Miller, C. T.
Publication Title: 
JONA'S healthcare law, ethics and regulation

A male patient was admitted to the acquired immune deficiency syndrome (AIDS) unit for hemodialysis. His history revealed that he was homeless and that he had tested positive for human immunodeficiency virus (HIV+). He also had a history of alcohol and intravenous drug abuse and tuberculosis. Based on the results of a chest X-ray, he was placed in respiratory isolation. During the next few days of his hospitalization, he exhibited nonadherent behavior toward the treatment regime.

Author(s): 
Bosek, M. S.
Burton, L. A.
Savage, T. A.
Publication Title: 
The British Journal of General Practice: The Journal of the Royal College of General Practitioners

Immunisation has proved a highly effective public health policy. However, it has come under public suspicion at times, with large falls in pertussis immunizations in the 1980s and smaller falls in measles, mumps and rubella (MMR) vaccine uptake recently. Immunisation scares have also occurred in other countries. This discussion paper explores the concepts of herd immunity, altruism, and informed consent. Historical, quantitative, and qualitative research on the sociology of immunisation is reviewed.

Author(s): 
Vernon, J. Gervase

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