scholarly journals Transcending the Profession: Psychiatric Patients’ Experiences of Trust in Clinicians

2020 ◽  
Vol 61 (2) ◽  
pp. 208-222
Author(s):  
Mira D. Vale ◽  
Mary-Jo DelVecchio Good

Classical medical sociological theory argues patients trust doctors in part because they are professionals. Yet in the past half-century, medicine has seen a crisis of trust as well as fundamental changes to the nature of professionalism. To probe the relationship between professionalism and trust today, we analyzed interviews with 50 psychiatric patients receiving care in diverse clinical settings. We found patients experience trust when they perceive clinicians transcending the formal bounds of professionalism. Patients find clinicians to be trustworthy when clinicians pursue connections to their patients beyond organizational strictures, cross boundaries of professional jurisdiction to provide holistic care, and embrace the limits of their professional knowledge. This dynamic of trust in professionals who transcend the profession highlights novel dimensions of contemporary professionalism, and it makes sense of a seeming contradiction in which patients have high trust in individual clinicians but low trust in institutions.

1993 ◽  
Vol 6 (1) ◽  
pp. 153-167
Author(s):  
Myron Gochnauer

In the past half century most legal philosophy has been limited to a fairly narrow range of traditional topics such as adjudication, legal reasoning, interpretation, legal persons, obligation and authority, the possibility of legal knowledge, the relationship of law to power, morality, economics and class struggle, and positivism vs. natural law. For those of us comfortable in the tradition, the range of questions appeared to outline an intellectually and politically adequate domain. The basic problems fell neatly into the major philosophical departments of epistemology, logic, value theory and, in some cases, metaphysics, and allowed participation by everyone along the political spectrum from the radical Marxist left through the liberal center to the fascist right.


Micromachines ◽  
2022 ◽  
Vol 13 (1) ◽  
pp. 139
Author(s):  
Premanshu Kumar Singh ◽  
Aarti Patel ◽  
Anastasia Kaffenes ◽  
Catherine Hord ◽  
Delaney Kesterson ◽  
...  

Advances in cancer research over the past half-century have clearly determined the molecular origins of the disease. Central to the use of molecular signatures for continued progress, including rapid, reliable, and early diagnosis is the use of biomarkers. Specifically, extracellular vesicles as biomarker cargo holders have generated significant interest. However, the isolation, purification, and subsequent analysis of these extracellular vesicles remain a challenge. Technological advances driven by microfluidics-enabled devices have made the challenges for isolation of extracellular vesicles an emerging area of research with significant possibilities for use in clinical settings enabling point-of-care diagnostics for cancer. In this article, we present a tutorial review of the existing microfluidic technologies for cancer diagnostics with a focus on extracellular vesicle isolation methods.


1988 ◽  
Vol 31 (1) ◽  
pp. 35-57 ◽  
Author(s):  
John D. Baldwin

Modern sociological theory tends to be overly cognitive, underemphasizing both habit and emotions. During the past decade, the increased attention to the sociology of emotions has helped partially to correct for some of the problems created by overly cognitive theories. More recent attention is focusing on habitual activities. Although several classic theorists dealt with habit, the concept was dropped from modern sociological theories, beginning some seventy years ago. The present article extends the research on the removal of the concept of habit from sociological theory by evaluating the treatment of habit by George Herbert Mead and symbolic interactionists. Although Mead's theory integrated habit with cognitive and emotional processes, most symbolic interactionists have taken an overly cognitive position that neglects habit. The sharp contrast between the two positions adds to the documentation that sociology has drifted toward highly cognitive theories in the past half century. Mead's theory shows that it is not necessary for sociology to neglect habit or emotion and that it is possible to integrate habit, emotions, and self-conscious action in one internally consistent theory.


1998 ◽  
Vol 52 (4) ◽  
pp. 825-854 ◽  
Author(s):  
Michael Mastanduno

This article traces and explains how U.S. policy officials and IR scholars have conceived of the relationship between economics and security over the past half-century. During the interwar years, economics and security were integrated in both scholarship and statecraft. During the Cold War, scholars treated the two issues as separate areas of inquiry. U.S. policymakers integrated economics and security during the early Cold War, but by the 1970s the two components of U.S. foreign policy had drifted apart. After the Cold War, a renewed emphasis has emerged in both U.S. statecraft and IR scholarship on the integration of economics and security. Three factors explain these patterns: (1) the international distribution of material capabilities, (2) perceptions of the strategic environment, and (3) perceptions of the position of the United States in international economic competition.


2013 ◽  
Vol 10 (2) ◽  
pp. 115-124
Author(s):  
Philip L. Martin

Japan and the United States, the world’s largest economies for most of the past half century, have very different immigration policies. Japan is the G7 economy most closed to immigrants, while the United States is the large economy most open to immigrants. Both Japan and the United States are debating how immigrants are and can con-tribute to the competitiveness of their economies in the 21st centuries. The papers in this special issue review the employment of and impacts of immigrants in some of the key sectors of the Japanese and US economies, including agriculture, health care, science and engineering, and construction and manufacturing. For example, in Japanese agriculture migrant trainees are a fixed cost to farmers during the three years they are in Japan, while US farmers who hire mostly unauthorized migrants hire and lay off workers as needed, making labour a variable cost.


2020 ◽  
Vol 50 (1-2) ◽  
pp. 58-66
Author(s):  
Giuliano Pancaldi

Here I survey a sample of the essays and reviews on the sciences of the long eighteenth century published in this journal since it was founded in 1969. The connecting thread is some historiographic reflections on the role that disciplines—in both the sciences we study and the fields we practice—have played in the development of the history of science over the past half century. I argue that, as far as disciplines are concerned, we now find ourselves a bit closer to a situation described in our studies of the long eighteenth century than we were fifty years ago. This should both favor our understanding of that period and, hopefully, make the historical studies that explore it more relevant to present-day developments and science policy. This essay is part of a special issue entitled “Looking Backward, Looking Forward: HSNS at 50,” edited by Erika Lorraine Milam.


1997 ◽  
Vol 36 (4I) ◽  
pp. 321-331
Author(s):  
Sarfraz Khan Qureshi

It is an honour for me as President of the Pakistan Society of Development Economists to welcome you to the 13th Annual General Meeting and Conference of the Society. I consider it a great privilege to do so as this Meeting coincides with the Golden Jubilee celebrations of the state of Pakistan, a state which emerged on the map of the postwar world as a result of the Muslim freedom movement in the Indian Subcontinent. Fifty years to the date, we have been jubilant about it, and both as citizens of Pakistan and professionals in the social sciences we have also been thoughtful about it. We are trying to see what development has meant in Pakistan in the past half century. As there are so many dimensions that the subject has now come to have since its rather simplistic beginnings, we thought the Golden Jubilee of Pakistan to be an appropriate occasion for such stock-taking.


Author(s):  
C. Daniel Batson

This book provides an example of how the scientific method can be used to address a fundamental question about human nature. For centuries—indeed for millennia—the egoism–altruism debate has echoed through Western thought. Egoism says that the motivation for everything we do, including all of our seemingly selfless acts of care for others, is to gain one or another self-benefit. Altruism, while not denying the force of self-benefit, says that under certain circumstances we can care for others for their sakes, not our own. Over the past half-century, social psychologists have turned to laboratory experiments to provide a scientific resolution of this human nature debate. The experiments focused on the possibility that empathic concern—other-oriented emotion elicited by and congruent with the perceived welfare of someone in need—produces altruistic motivation to remove that need. With carefully constructed experimental designs, these psychologists have tested the nature of the motivation produced by empathic concern, determining whether it is egoistic or altruistic. This series of experiments has provided an answer to a fundamental question about what makes us tick. Framed as a detective story, the book traces this scientific search for altruism through the numerous twists and turns that led to the conclusion that empathy-induced altruism is indeed part of our nature. It then examines the implications of this conclusion—negative implications as well as positive—both for our understanding of who we are as humans and for how we might create a more humane society.


Sign in / Sign up

Export Citation Format

Share Document