Hektoen International

A Journal of Medical Humanities

Tag: socioeconomics

  • The white-collar antisocial personality

    Richard ZhangFarmington, Connecticut, United States A frequently overlooked topic in psychiatry is “antisocial personality disorder” (ASPD) or “sociopathy,” specifically as it manifests in higher socioeconomic backgrounds and thus evades recognition. I once cared for a well-spoken, charming patient who practiced for years in a prestigious profession. While in his professional capacity, he embezzled thousands of…

  • Allowing my death—a delusory end-of-life decision

    Wolfgang LedererInnsbruck, Austria Together with the gift of life, I have received its finiteness, its perishability. As death is inescapable, when might I allow my life to end? Certainly, my life expectancy has to be longer than average, and I demand good physical and mental health right down to the last minute. Furthermore, my life…

  • 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 . . .…