Description
Modern medicine is now in a position to make advanced prognoses that chart the entire course of illness and recovery. Paradoxically, this is coupled with a new dimension of uncertainty for the patient, i.e. coming to terms with discovering they have an increased risk of a particular disease and deciding what appropriate steps to take. In this publication, renowned experts in their fields discuss these issues. The certainty and uncertainty of one’s fate are discussed from both methodological and epidemiological perspectives, using examples of diseases for which treatment and prognosis have dramatically changed. Despite profound insights into the human genome, personalized genetically tailored medicine still lies in the future. Religious, spiritual and philosophical dimensions are discussed, as are the ways in which they may help people cope with these new insights into their future, e.g. the promise of an afterlife. This publication aims to bridge the different fields dealing with this area by addressing the challenges faced and encouraging dialogue. It will be of interest to all readers who deal with ethical problems of prognosis, particularly in medicine, as well as to theologians and sociologists.
Chapter
Evolving Therapy and Prognosis in HIV – How Knowing One’s Medical Fate in Advance Can Change Dramatically
Prognosis and Advances in Treatment
Treatment Goals, Cautious Prognosis, and Perceptions
‘Wunderbar’ - ‘Wonderful’
‘I Will Survive this Challenge’
Prognosis Outside of Europe
Related to Human Cognition: Is Personalization Feasible and Desirable?
Ethical and Juridical Perspectives
Ethical Decision-Making on Genetic Diagnosis Facing the Challenges of Knowing One’s Medical Fate in Advance
The ‘Informed Consent’ Model as the Key to Autonomous Decision- Making
Ethical Decision-Making Processes in Women in Conjunction with Prenatal Genetic Testing: an Empirical Study
Autonomous Decision-Making as a Liberal Slant on Shaping One’s Own Future – Consequences for Theory and Practice
Mastering Familial Genetic Knowledge: Shared or Secret? Issues of Decision-Makingin Predictive Genetic Testing
The Story of Mrs Alberta – Our Overview
Biographical Approach: ‘Revelation’ by Familial Genetic Knowledge and Dissociation from the Parental Generation
Interpretative Phenomenological Approach (IPA) and Emerging Bioethical Issues
Predictive Medicine – Changes in Our View of Ourselves and Others
Ambiguities in the Concept of ‘Menschenbild’
Predictive Medicine and the Image of Man – Has Anything Changed?
What Has Changed – From the Viewpoint of Subjective Rationality?
Does Patient Autonomy Imply a Right to Know?
Patient Autonomy as an Ideal
Which Principles Should Guide the Practice of Predictive Medical Information?
Current Challenges for the Law: Disclosure Dilemmas in Predictive Medicine
Legal Framework in Switzerland
Fate and Judaism – Philosophical and Clinical Aspects
Introduction: Medical Ethics and Jewish Medical Ethics
Modern Medicine and My Future Life: A Christian-Theological Perspective
Introduction: The Importance of Being Religious
Individual Life and Its Future in a Christian Theological Perspective
Some Consequences for Christian Bioethics of Individual ‘Future Life’
Predictive Medicine: Challenges to a Modern Christian Ethics of Individual Future Life
Karma, Contingency, and the ‘Point of No Return’: Predictive Medicine and Buddhist Perspectives
Knowing One’s Medical Fate in Asia?
The ‘Point of No Return’: Its Relevance for Predictive Medicine
Contingency and Karma—or Why Religious Specialists Compete with Medical Specialists in Forecasting ‘Medical Fate’
‘Knowing the Fate’? Tibetan Medical Scriptures on ‘Refusing Treatment’ of Terminally Ill
Predictive Medicine: Some Views of Buddhist Specialists
Knowing One's Medical Fate in Advance
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