| Lec # | Topics | Readings |
|---|---|---|
| Part One: Foundations of Bio-Medical Ethics and Modern "Bio-Politics" | ||
| 1 | Section One: Introduction: Bio-Medical Ethics and Bio-Politics: From Clinical Practice and Medical Research to Crisis of Medical Humanitarianism in the Field | Foucault, Michel. "The Birth of Biopolitics." Ethics: Subjectivity and Truth. Vol. 1, Essential Works of Foucault. London, UK: Penguin Books, 2000, pp. 73-79. ISBN: 9780140259544. ———. "The Birth of Social Medicine." Power. Vol. 3, Essential Works of Foucault. London, UK: Penguin Books, 2002, pp. 134-156. ISBN: 9780140259575. |
| 2 | Section Two: Principles of Ethical Medical Practice and Research: Autonomy, Justice, Beneficence, and Nonmaleficience What is Bio-Medical Ethics? | *Kuhse, Helga, and Peter Singer. "What is Bioethics? A Historical Introduction." A Companion to Bioethics. Oxford, UK; Malden, MA: Blackwell Publishers, 1998, pp. 1-11. ISBN: 9780631197379. *Rachels, James. "Ethical Theory and Bioethics." A Companion to Bioethics. Oxford, UK; Malden, MA: Blackwell Publishers, 1998, pp. 15-23. ISBN: 9780631197379. *Rosenberg, Charles E. "Meaning, Policies, and Medicine: On the Bioethical Enterprise and History." Bioethics and Beyond. Oxford, UK; Malden, MA: Blackwell Publishers, 1998, pp. 27-46. ISBN: 9780631197379. |
| 3-4 | Section Three: Competing Discourses on Bioethics and Bio-Medical Practice - Anthropology, Feminism, Theology, and Law | Lecture 3 *Marshall, Patricia A., and Barbara A. Koenig. "Bioethics in Anthropology: Perspectives on Culture, Medicine, and Morality." Medical Anthropology: Contemporary Theory and Method. Revised ed. Edited by Carolyn F. Sargent and Thomas M. Johnson. Westport, CT: Praeger, 1996, pp. 349-373. ISBN: 9780275952655. *Haraway, Donna J. "Situated Knowledges: The Science Question in Feminism and the Privilege of Partial Perspective." Simians, Cyborgs, and Women: The Reinvention of Nature. New York, NY: Routledge, 1991, pp. 183-201. ISBN: 9780415903875.Lecture 4 *Diniz, Debora, and Ana Christina González Vélez. "Feminist Bioethics: The Emergence of the Oppressed." Globalizing Feminist Bioethics. Edited by Rosemarie Tong, Gwen Anderson, and Aida Santos. Boulder, CO: Westview Press, 2000, pp. 62-72. ISBN: 9780813366159. *McCormick, Richard A. "Theology and Bioethics." On Moral Medicine: Theological Perspectives in Medical Ethics. Edited by Stephen E. Lammers and Allen Verhey. Grand Rapids, MI: William B. Eerdmans Pub., 1998, pp. 63-71. ISBN: 9780802842497. *Farley, Margaret A. "Feminist Theology and Bioethics." On Moral Medicine: Theological Perspectives in Medical Ethics. Edited by Stephen E. Lammers and Allen Verhey. Grand Rapids, MI: William B. Eerdmans Pub., 1998, pp. 90-101. ISBN: 9780802842497.Van der Burg, W. "Bioethics and Law: A Developmental Perspective." Bioethics 11, no. 2 (1997): 91-114. |
| 5-7 | Section Four: The Creation of Doctors and the Clinical Gaze or "Whose Body Is It, Anyway?" | Lecture 5 *Good, Byron. "How Medicine Constructs its Objects." Medicine, Rationality and Experience: An Anthropological Perspective. Cambridge, UK: Cambridge University Press, 1994, pp. 65-87. ISBN: 9780521425766. *Good, Mary-Jo. "Narrative Strategies in Presentation and Performance," and "The Social Production of Physician Competence." Chapters 6 and 7 in American Medicine: The Quest for Competence. Berkeley, CA: University of California Press, 1995, pp. 125-167. ISBN: 9780520088962.Lecture 6 *Gawande, Atul. Complications: A Surgeon's Note on an Imperfect Science. New York, NY: Metropolitan Books, 2002, part one, pp. 3-106. ISBN: 9780805063196.Lecture 7 * Gawande, Atul. Complications: A Surgeon's Note on an Imperfect Science. New York, NY: Metropolitan Books, 2002, part three, pp. 187-252. ISBN: 9780805063196. |
| 8-9 | Section Five: Ethical Issues in the Practice of Medicine: Confidentiality and Disclosure; Patient Autonomy and Informed Consent | Lecture 8 *Tse, C. Y., A Chong, and S. Y. Fok. "Breaking Bad News: A Chinese Perspective." Palliative Medicine 17, no. 4 (Jun 2003): 339-343. *Blackhall, L. J., G. Frank, S. Murphy, and V. Michel. "Bioethics in a Different Tongue: the Case of Truth-Telling." Journal of Urban Health 78, no. 1 (Mar 2001): 59-71. Kuhse, Helen, and Peter Singer, eds. Bioethics: An Anthology. Malden, MA: Blackwell Publishers, 1999, pp. 485-512. ISBN: 9780631203117.Lecture 9 *Kuther, T. L. "Medical Decision-Making and Minors: Issues of Consent and Assent." Adolescence 38, no. 150 (Summer): 343-358. *Gordon, E. J., and C. K. Daugherty. "'Hitting You Over the Head': Oncologists' Disclosure of Prognosis to Advanced Cancer Patients." Bioethics 17, no. 2 (Apr 2003): 142-168. Kuhse, Helen, and Peter Singer, eds. Bioethics: An Anthology. Malden, MA: Blackwell Publishers, 1999, pp. 515-550. ISBN: 9780631203117. |
| 10-11 | Section Six: Dilemmas of Public Health Practice: The Limits of Resources and its Allocation | Lecture 10 *Hiatt, Howard. "Protecting the Medical Commons: Who Is Responsible." New England Journal of Medicine 293, no. 5 (July 31, 1975): 235-241. *Hiatt, Howard, and M. C. Weinstein. "Will Disease Prevention Spare the Medical Commons?" Ciba Found Symp 110 (1985): 218-35. *Zoloth-Dorfman, Laurie, and Susan B. Rubin. "The Patient as Commodity: Managed Care and the Question of Ethics." Journal of Clinical Ethics Winter 6, no. 4 (1995): 339-357. Lecture 11 *Sanchez, L. M., and S. M. Turner. "Practicing Psychology in the Era of Managed Care. Implications for Practice and Training." American Psychologist 5, no. 2 (Feb 2003): 116-129. *Dickey, et. al. "Guideline Recommendation for Treatment of Schizophrenia: The Impact of Managed Care." Archives of General Psychiatry 60, no. 4 (Apr 2003): 340-348. *Good, Mary-Jo DelVecchio. "Clinical Realities and Moral Dilemmas: Contrasting Perspectives from Academic Medicine in Kenya, Tanzania, and America." Bioethics and Beyond. Oxford, UK; Malden, MA: Blackwell Publishers, 1998, pp. 167-196. ISBN: 9780631197379. Kuhse, Helen, and Peter Singer, eds. Bioethics: An Anthology. Malden, MA: Blackwell Publishers, 1999, pp. 351-379. ISBN: 9780631203117. |
| Part Two: Medical Technologies, the Body, and the State | ||
| 12-13 | Section Seven: Medical Research and Ethical Medical Experimentation - from Eugenics to Anti-Retroviral Drug Trials | Lecture 12 *Chadwick, G. L. "Historical Perspective: Nuremberg, Tuskegee, and the Radiation Experiments." Journal of the International Association of Physicians in AIDS Care 3, no. 1 (1997): 27-28. *Proctor, Robert. "Nazi Medicine and the Politics of Knowledge." The "Racial" Economy of Science: Toward a Democratic Future. Bloomington, IN: Indiana University Press, 1993, pp. 344-358. ISBN: 9780253208101. *Jones, James. "The Tuskegee Syphilis Experiment: 'A Moral Astigmatism.'" The "Racial" Economy of Science: Toward a Democratic Future. Bloomington, IN: Indiana University Press, 1993, pp. 275-286. ISBN: 9780253208101.*World Medical Association Declaration of Helsinki. (Approx. 5 pages.) *National Bioethics Advisory Commission. Ethical and Policy Issues in Research Involving Human Participants. August 2001, Summary. (Approx. 20 pages.) (PDF) Lecture 13 *Francis, C. K. "Medical Ethos and Social Responsibility in Clinical Medicine." Journal of Urban Health 78, no. 1 (March 2001): 29-45. *Angell, Marcia. "The Ethics of Clinical Research in the Third World." NEJM 337, no. 12 (Sept 18, 1997): 847-849. *———. "Investigators' Responsibilities for Human Subjects in Developing Countries." NEJM 342, no. 13 (March 30, 2000): 967-969. *Lurie, Peter, and Sidney M. Wolfe. "Unethical Trials of Interventions to Reduce Perinatal Transmission of the Human Immunodeficiency Virus in Developing Countries." NEJM 337, no. 12 (Sept 18, 1997): 853-856. *Oguz, N. Yasemin. "Research Ethics Committees in Developing Countries and Informed Consent: With Special Reference to Turkey." The Journal of Laboratory and Clinical Medicine 141, no. 5 (May 2003): 292-296. *National Bioethics Advisory Commission. Ethical and Policy Issues in International Research: Clinical Trials in Developing Countries. Executive Summary. (Approx. 15 pages.) |
| 14-15 | Section Eight: Race, Contraception and Family Planning: Contemporary Eugenics? | Lecture 14 *Roberts, Dorothy. Killing the Black Body: Race, Reproduction and the Meaning of Liberty. New York, NY: Pantheon Books, 1997, chapter 2, pp. 56-103. ISBN: 9780679442264.Directed by Stephen Trombley. The Lynchburg Story: Eugenic Sterilization in America. 55 min. Lecture 15 *Continue reading Killing the Black Body: Race, Reproduction and the Meaning of Liberty. Chapter 3, pp. 104-149, chapter 6, pp. 246-293. Directed by Alexandra Halkin and Deb Ellis. Skin Deep. 1997, 15 min. |
| Part Three: Globalizing Bioethics - The Politics of Reproduction | ||
| 16-17 | Section Nine: The Politics of Gender, Reproductive Technologies and Family Planning across Cultures | Lecture 16 *Petchesky, Rosalind Pollack. "The Body as Property: A Feminist Re-vision." Conceiving the New World Order: The Global Politics of Reproduction. Edited by Faye D. Ginsburg and Rayna Rapp. Berkeley, CA: University of California Press, 1995, pp. 387-406. ISBN: 9780520089143. *Pearce, Tola Olu. "Women's Reproductive Practices and Biomedicine: Cultural Conflicts and Transformations in Nigeria." Conceiving the New World Order: The Global Politics of Reproduction. Edited by Faye D. Ginsburg and Rayna Rapp. Berkeley, CA: University of California Press, 1995, pp. 195-208. ISBN: 9780520089143.*Gill, Gurjeet K. "Female Feticide as a Contemporary Cultural Practice in the Punjab." Dialectical Anthropology 23, no. 2 (1998): 203-213. Lecture 17 *Maternowska, M. Catherine. "A Clinic in Conflict: A Political Economy Case Study of Family Planning in Haiti." Contraception Across Cultures. Edited by Andrew Russell, Elisa J. Sobo, and Mary S. Thompson. Oxford; New York, NY: Berg, 2000, pp. 103-126. ISBN: 9781859733868. *Anagnost, Ann. "A Surfeit of Bodies: Population and the Rationality of the State in Post-Mao China." Conceiving the New World Order: The Global Politics of Reproduction. Edited by Faye D. Ginsburg and Rayna Rapp. Berkeley, CA: University of California Press, 1995, pp. 22-41. ISBN: 9780520089143.Jok, Jok Madut. "Militarism, Gender and Reproductive Suffering: the Case of Abortion in Western Dinka." Africa 69, no. 2 (1999): 194-212. |
| 18 | Section Ten: Infertility, Assisted Reproduction, Kinship, and Citizenship across Cultures | *Thompson, Charis M. "Fertile Ground: Feminists Theorize Infertility." Infertility Around the Globe: New Thinking on Childlessness, Gender, and Reproductive Technologies. Edited by Marcia C. Inhorn and Frank Van Balen. Berkeley, CA: University of California Press, 2002, pp. 52-78. ISBN: 9780520231375.* Paxson, Heather. "With or Against Nature? IVF, Gender, and Reproductive Agency in Athens, Greece." Social Science and Medicine 56 (2003): 1853-1866. *Kahn, Susan Martha. "Rabbis and Reproduction: The Uses of New Reproductive Technologies among Ultraorthodox Jews in Israel." Infertility Around the Globe: New Thinking on Childlessness, Gender, and Reproductive Technologies. Edited by Marcia C. Inhorn, and Frank Van Balen. Berkeley, CA: University of California Press, 2002, pp. 283-297. ISBN: 9780520231375. |
| 19-20 | Section Eleven: State Politics of Human Genetic Engineering, Stem Cell Research, Cloning, and "Surplus Embryos" Lecture 20 Guest Speaker: Dr. James Sherley, MIT Assoc. Professor of Biological Engineering | Lecture 19 *Alexander, Brian. Rapture: A Raucous Tour of Cloning, Transhumanism, and the New Era of Immortality. Cambridge, MA: Perseus Publishing, 2004, chapters 1-6, pp. 1-124. ISBN: 9780465001057.United States National Bioethics Advisory Commission. Ethical Issues in Human Stem Cell Research. Executive Summary, September 1999, 20 pages. Lecture 20 *Alexander, Brian. Rapture: A Raucous Tour of Cloning, Transhumanism, and the New Era of Immortality. Cambridge, MA: Perseus Publishing, 2004, chapter 7-conclusion, pp. 125-258. ISBN: 9780465001057.United States National Bioethics Advisory Commission. Cloning Human Beings. Executive Summary, June 1997, 5 pages. "Human Cloning and Human Dignity: An Ethical Inquiry." The President's Council On Bioethics. Executive Summary, July 2002, pp. xxi-xx. (Skim chapters of the text at will.) |
| Part Four: Playing God? Life, Death, Bodies, and Spirits | ||
| 21-24 | Section Twelve: Organ Transplantation, End of Life Issues, and Death across Cultures | Lecture 21 *Lock, Margaret. Twice Dead: Organ Transplants and the Reinvention of Death. Berkeley, CA: University of California Press, 2001, pp. 1-102. ISBN: 9780520228146.Lecture 22 *Lock, Margaret. Twice Dead: Organ Transplants and the Reinvention of Death. Berkeley, CA: University of California Press, 2001, pp. 103-189. ISBN: 9780520228146.Lecture 23 *Lock, Margaret. Twice Dead: Organ Transplants and the Reinvention of Death. Berkeley, CA: University of California Press, 2001, pp. 191-290. ISBN: 9780520228146.Lecture 24 *Lock, Margaret. Twice Dead: Organ Transplants and the Reinvention of Death. Berkeley, CA: University of California Press, 2001, pp. 291-377. ISBN: 9780520228146. |
| Part Five: Human Rights, Infectious Disease, and the Global Medical Commons | ||
| 25-26 | Section Thirteen: Clinical Dilemmas, Public Health, and Global Pharmaceuticals | Lecture 25 *Farmer, Paul. Pathologies of Power: Health, Human Rights, and the New War on the Poor. Berkeley, CA: University of California Press, 2003, chapters 2 and 4, pp. 51-90, 115-133. ISBN: 9780520235502.Tilley, Brian. It's My Life. First half - HIV/pharmaceuticals South Africa, 74 min. Lecture 26 *Farmer, Paul. Pathologies of Power: Health, Human Rights, and the New War on the Poor. Berkeley, CA: University of California Press, 2003, chapters 6-7, pp. 160-195. ISBN: 9780520235502.Angell, Marcia. "The Pharmaceutical Industry - To Whom Is It Accountable?" NEJM 342, no. 25 (June 22, 2000): 1902-1904. Tilley, Brian. It's My Life. Conclusion. |
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