Hektoen International

A Journal of Medical Humanities

Category: Ethics

  • Spinoza and medical practice: Can the philosophy of Baruch Spinoza enrich the thinking of doctors?

    Norelle LickissHobart, Tasmania, Australia As doctors we seek to assuage the distress of our patients by relieving symptoms, guarding personal dignity, and remaining present even as they are dying. Yet despite these lofty goals, there remain facts suggesting profound disquiet among physicians, albeit well disguised: high rates of substance abuse, burnout, suicide . . .…

  • Moral lessons through pictures

    These images, taken from a series called Moral Lessons Through Pictures of Good and Evil, are meant to communicate morality in traditional Japanese society. Each lesson is made up of a pair of opposing images, one representing the ideal and the other the less than ideal. In one image shown here, a doctor is seen…

  • Pharmaceutical marketing in America

    Adil MenonAli MchaourabCleveland, Ohio, United States Within the past few decades, there has been a great change in how the pharmaceutical industry markets its products in the United States. Prices of medical drugs have skyrocketed as regulations have been eased by lawmakers. Granting more control to pharmaceutical companies has allowed the industry to bypass healthcare…

  • Fat by choice: A quest for meaning

    Amer ToutonjiCharleston, South Carolina, USA An early bird, Brian wakes up no later than 5:30 am to get on with the first meal of the day: twelve eggs and ten sausages, or their equivalent. Most recently weighing in at 530 pounds, Bryan, or Bull, as he likes to be called, is constantly outgrowing his clothes…

  • Enfreakment in the medicalization of difference

    Camille KrollChicago, Illinois, USA Exalted showman P.T. Barnum was thrilled when he discovered Joice Heth, a severely disabled elderly slave woman. In grotesque detail, he assessed the value of his first sideshow acquisition with relish: I was favorably struck with the appearance of the old woman . . . She might almost as well have…

  • Our divisive political climate and our ability to treat patients without bias

    Shane SobrioWashington, DC, United States Politics are divisive. That should not be a shock to anyone. However, the political climate in the USA at the moment is more than just divisive. Lately, there seems to be an underlying disdain for those we disagree with, in a way that even my grandparents say they have never…

  • Drug war or race war? Effects of illegal drug distribution in the African-American community

    Denise PowellSan Francisco, California, United States I also don’t believe in drugs. For years I paid my people extra so they wouldn’t do that kind of business. Somebody comes to them and says, “I have powders. If you up three, four-thousand-dollar investment, we can make fifty thousand distributing.” So they can’t resist. I want to…

  • Pushing back into chaos

    Kyra McComasSalt Lake City, Utah, United States Pain is perhaps the most useful yet most feared human experience. It has been crucial to our evolutionary development, but the modern era has sought to expunge it. The New York Times has reported that scientists may be able to use the genes from a woman who feels…

  • The beauty of gender diversity

    Lisa ShugollAsheville, North Carolina, USA The arts have always provided a rich source of material for the type of introspection and contemplation that can deepen our ability to respond empathetically to those whose concerns and life experiences are vastly different from our own. This capacity for empathy is especially important for clinicians hoping to provide…

  • The language game of medicine

    Gunjan SharmaDevon, United Kingdom “The arrow points only in the application that a living being makes of it.”– Ludwig Wittgenstein1 The language game Language is a fascinating concept when viewed through a philosophical lens. Imagine if we no longer had a word for jealousy. Would that mean such a thing could no longer exist? Jealousy…