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Institute on Human Values in Medicine. Reports of the Institute Fellows. 1973-74. INSTITUTION Society for Health and Human Values, Philadelphia, Pa

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Institute on Human Values in Medicine. Reports of the Institute Fellows. 1973-74. INSTITUTION Society for Health and Human Values, Philadelphia, Pa DOCUMENT RESUME ED 107 540 SO 007 934 TITLE Institute on Human Values in Medicine. Reports of the InStitute Fellows. 1973-74. INSTITUTION Society for Health and Human Values, Philadelphia, Pa. SPONS AGENCY National Endowment for the Humanities (NFAH), Washington, D.C. PUB DATE May 74 NOTE 256p.; For related documents, see SO 007 920, 921, 922, and 935; Not available in hardcopy, Out of Print EDRS PRICE MF-$0.76 HC Not Available from EDRS. PLUS POSTAGE DESCRIPTORS Curriculum Development; *Ethical Values; Ethics; Higher Education; Humanization; *Interdisciplinary Approach; Law Instruction; *Medical Education; *Medicine; Philosophy; *Values ABSTRACT This document is a compilation of reports of persons involved in the fellowship program offered by theInstitute of Health and Human Values. The fellowship program centers aroundrecognition of a need to support faculty development so thatappropriately trained people can be available for emerging programs thatteach human values as part of health professionaleducation. Four major areas are examined in thefellowship reports. The first deals with values, their formation and dimensions; literature andlanguage in relation to value formation and health care; attitudes,feelings, and values in educating a medical student; andobservations on the learning of values in a clinical context. The second areainvolves the study of ethical issues in medicine,international health, philosophy, and law. Interdisciplinary studies is thefocus of the third section of reports. The relations betweenpsychiatry, law, sociology, and health care are exposed. Another reportexamines participation in an experimental program relating humanisticstudies to a premedical curriculum. The last areaexplores the development of new courses through literature,science, and ethics in biomedical research and health care delivery, (Author/JR) A SCOPE OF INTEREST NOTICE LinN The ERIC F ty has assigned this documetorz5cessing /." ter .a...3 C> Is judgement. this document r-4II If also of mtetest to the cleating. houses noted TO the right. Index. CZ:i log Should reflect their special paints of view. Liej U S OEPARTMEIT OF HEALTH. EOUCATION &WELFARE NATIONAL INSTITUTE OF EDUCATION THIS DOCUMENT HAS BEENREPRO OUCEO EXACTLY AS RECEIVEDFROM THE PERSON OR ORGANIZATIONORIGIN ATING IT POINTS OF VIEW OR OPINIONS STATED DO NOT NECESSARILYREPRE SENT OFFICIAL NATIONAL INSTITUTEOF EDUCATION POSITION OR POLICY (I PERMISSION TO REPRODUCE THIS COPYRIGHTED MATERIAL BY MICRO. WEE ONLY HAS BEFr1 GRANTED vt;, ..R.0A41.4_W_ftilt-Mll TO ERIC AND ORGANIZATIONS OPERAT iNG UNOER AGREEMENTS WITH THE NA TIONAL INSTITUTE OF EDUCATION FURTHER REPRODUCTION OUTSIDE THE ERIC SYSTEM REQUIRES PERMS SION OF THE COPYRIGHT OWNER" Instituteon Human Values in. Medicine REPORTS OF THE INSTITUTE FELLOWS 1973-74 May. 1974 Society for Health and Human Values Chairman of the Institute Sponsor and Administrator Edmund D. Pellegrino. M.D. Society for Health and Human Values Vice President for Health Affairs 723 Witherspoon Building Chancellor of the Medical Units Philadelphia, Pennsylvania 19107 University of Tennessee, Memphis Ronald W. McNcur, Ph.D., Executive Directcr --- Project Director and Editor Funded by the National Endowment for the Humanities Lorraine L. Hunt. Ph.D. Grant No. EH 7278-73-104 00003 Copyright (C) 1974 by Society for Health and Human Values. All rights reserved. This publication or parts thereof may not be reproduced in any form without permission from the Society for Health and Human Values, 723 Witherspoon Building, Philadelphia, Pennsylvania19107. 00004 FOREWORD In June, 1973, the Institute on Human Values in Medicine selected eighteen individuals to whom it awarded its first Fellowships in Human Values and Medicine.Funds for these awards were provided by the National Endowment for the Humanities through its supporting grantto the Institute. The initiation of this fellowship.program reflected the Institute's awareness of the need to support faculty development so that appropri- ately trained persons can be available for emerging programs for teaching human values as part of health professional education. To teach effec- tively at the interface of medicine and the humanities requires unusual cross-disciplinary skills, and this is the kind of study that the Insti- tute Fellowships were intended to promote. Persons already qualified in either the health professionsor the humanities were invited to submit proposals for studying a discipline different from, but complementary to, their own. Thus humanists were encouraged to study in a medical or health care setting, while physicians, medical scientists, and other health professionals were encouraged to pursue humanistic studies. Applicants formulated their own- goals, de- signed programs for achieving these goals, and selected the setting in which they felt they could best accomplish their objectives.The tenure of the fellowships varied from individual to individual, butno Fellow received support for more than six months. After completing their studies, the Fellows reported to the Institute their experiences, accomplishments, reflections, and hopes and plans for the future. Although most of the reports appear here in abbreviated form, the enthusiasm of all of the Fellows for their respective undertakings remains fully stated. Their deep commitment to continuing their involve- ment in this new area of study, teaching, and research is clear and con- vincing.Also self-evident in these reports is a remarkable record of personal achievement and professional growth compiled by this firstgroup of Institute Fellows. It has been a personal pleasure for me during the past year tomove through the process of getting acquainted with these men and women, from learning their names as applicants, through working with themas Fellows, to finally coming to know them as persons. I would like to thank them most, sincerely for all that I enjoyed with them and all that I learned from them. Lorraine L. Hunt, Ph.D. Project Director and Editor Institute on Human Values in Medicine 00005 TABLE OF CONTENTS Values and Value Formation A Study of the ValueDimensions of Medical Fducation and Practice 1 Notes from Readings in the Literature of the Social and Behavioral Sciences 11 "Ethos and Ethics in Medical Education" 21 Larry R. Churchill, Ph.D. Literature and Language, Value Formation, and Health Care 31 Linda P. Driskill, Ph.D. Development of the Concept of the "Sensitivity Quotient" 37 Mottle L. Humphrey, R.7., M.H.A. Attitudes, Feelings, and Human Values in the Education of the Medical Student 47 Marc N. Manger, B.A., Medical Class of 1975 Observations on the Learning and Transmission of Values in a Clinical Context 53 Walter G. Vesper, M.Div. Studies of Ethical Issues Selected Studies in Medical Ethics 63 "Medical Ethics in the Kitsur Shulchan Aruch" 67 "The Ethical Tribunal in Medicine7r---- 81 "The Concept of Taboo and the Practice of Medicine" 97 Teodoro F. Dagi, M.D., M.P.H. 00006 Studies of Ethical Issues (continued) Studies of Selected Ethical Issues in International Health 131 Abstract of "Ethical Aspects of the Foreign Medical Graduate Question in the United States" 133 Description of "Ethical Reflection on Problems of International Health" 137 James R. Missett, M.D., Ph.D. Philosophy, Law, and Psychoanalysis vis-ik-vis Legal and Moral Responsibility and Insanity 141 "A Critical Discussion of Paul Ramsey's The Patient as a Person" 153 William J. Winslade, Ph.D., J.D. Cross-Disciplinary Studies in Complementary Fields An Exploration of Possible New Directions for a Campus Ministry 171 Leslie J. Atkinson, M.D. Studies in the Relations Between Psychiatry, Law, Sociology, and Health Care 179 Abba B. Borowich, M.D. Participation in an Experimental Program Relating Humanistic Studies to a Premedical Curriculum 185 Ronald A. Carson, Ph.D. Explorations of "Boundary Issues" in Primary Medical Care 191 "Boundary Issues in Primary Medical Care: The Limits of Professional Responsibility" 193 Bruce R. Ditzion, M.D. 00007 Cross-Disciplinary Studies in Colementary Fields contz.nued) Selected Studies in the History of Medicine 201 James P. Morris, Ph.D. Experiencing a University Medical Center: A Humanist's "Clerkship" 211 Stuart F.Spicker(Ph.D. Development of New Courses "Human Values and Medicine:An Approach 235 through Literature" Leslie F. Chird, Ph.D. egourse Development in the History of Science 245 Lois N. Magner, Ph.D. '-"Ethics in Biomedical Research and 271 Health Care Delivery" Robert M. Martinez, Ph.D. .Benjamin W. Page, Ph.D. Index to Descriptions and/or Outlines of Courses and Seminars 283 00008 LARRY R. CHURCHILL Larry R. Churchill received his formal training in philosophy and religious studies from Southwestern University at Memphis (B.A., Phi Beta Kappa), and in the Divinity School (M.Div., summa cum laude) and the Graduate School (Ph.D.) of Duke University.He has done research and holds strong interest in the philosophy of language, phenomenologi- cal studies, epistemology, and the philosophy of religion. Churchill's doctoral dissertation is an effort to display how critical epistemologi- cal paradigms have held a superordinate position over the conceptual repertoire of modern, Western man, and especially how such theoisies of knowing have shaped contemporary problems in the philosophy of laf.zuage. In this writing he suggests a conceptual shift toward a post-critica.1 philosophy of lahguage based upon the epistemology of Michael Polariyi and Maurice Merleau-Ponty's phenomenology of speaking. More recently his endeavors
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