Contents	6
	Foreword	10
	Preface	12
	Acknowledgements	14
	Introduction	16
	Part I: Bioethics and the humanities	20
	Chapter 1: Bioethics and the medical humanities	22
	What are the medical humanities ?	22
	What can the medical humanities contribute to bioethics?	23
	Some history: Dr John Gregory	30
	A mind of one s own: independence, individuality and personal development	33
	Means or ends?	39
	Conclusions	42
	Part II: Medical humanities: The critical function of philosophy	44
	Chapter 2: Moral philosophy and bioethics	46
	Bioethics: recent history	46
	Bioethics: the four principles	48
	Beneficence, supererogation and altruism	51
	Autonomy, dignity and respect in Kant	56
	Criticisms of the four- principles approach	59
	Casuistry	60
	Some objections to casuistry	62
	Is casuistry ( as natural jurisprudence) a branch of philosophy?	66
	Compassion, the virtues and self- development	66
	Interpretation, culture and medical ethics	69
	Conclusions	73
	Chpater 3: Logic and epistemology	74
	Logic	75
	Definition	78
	Two examples: disease and health	85
	Epistemology	95
	Qualitative research	96
	Conclusions	105
	Chapter 4: Political philosophy and bioethics	106
	Health- care ethics and public health ethics	106
	Justice and utility in public health medicine	107
	Ethical problems of health promotion: the concept of health	113
	Public health and the organised efforts of society	116
	Conclusions	122
	Chapter 5: Medical half-truths	124
	The idea of a profession	124
	Medical education and attitudinal change	132
	Quality of life	135
	Conclusions	139
	Part III: Medical humanities: The supplementary function of literature and the arts	140
	Chapter 6: Literature and the ethical perspective	142
	Transferable skills	142
	The humanistic perspective	147
	Roswell, Hanger 84	148
	Self- awareness	151
	Joint investigation	152
	Coping with the particular situation	152
	Scientific understanding and madness: an extended example	154
	Literary understanding and madness	158
	Conclusions	163
	Chapter 7: Arts in health	164
	Some projects	165
	The artists	168
	The participants	175
	The context	178
	Conclusions	180
	Chapter 8: Teaching and research	182
	Medical humanities: choice or compulsion?	182
	Who should the teachers be?	188
	Medical humanities: research	191
	Conclusions	192
	Part IV: General conclusions	194
	Chapter 9: A humanistic broadening of bioethics	196
	Index	200
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