SOCIAL DEATH AS SELF‐FULFILLING PROPHECY:

SOCIAL DEATH AS SELF‐FULFILLING PROPHECY:
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社会死亡作为自我实现的预言:

DOI:
10.1111/j.1533-8525.1998.tb00513.x
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发表时间:
1998
影响因子:
1.2
通讯作者:
S. Timmermans
S. Timmermans
中科院分区:
法学4区
文献类型:
--
作者:
S. Timmermans

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大卫·苏德诺在他的经典著作《传承》中描述了病人的社会价值如何影响工作人员是否会试图救活他们。自从这项研究发表以来,医疗保健领域发生了巨大的变化,评论家们质疑Sudnow所描述的社会配给是否仍然适用。具体来说,批评者指出,通过协议,一个广泛接受的复苏理论,和法律的倡议,以促进复苏的努力和保护病人的自主权,医疗实践的合理化增加。基于112复苏的努力和42个卫生保健工作者的采访观察,我证明了最近的变化,在医疗保健系统并没有削弱,而是促进社会不平等的死亡和垂死。
In his classic Passing On, David Sudnow described how the presumed social value of patients affects whether the staff will attempt to revive them. Since this study was published, the health care field has undergone dramatic changes and commentators have questioned whether the social rationing described by Sudnow is still relevant. Specifically, critics point to the increased rationalization of medical practice via protocols, a widely accepted resuscitation theory, and legal initiatives to promote resuscitative efforts and protect patient autonomy. Based on observations of 112 resuscitative efforts and interviews with forty-two health care workers, I demonstrate that the recent changes in the health care system did not weaken but instead fostered social inequality in death and dying.
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