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E-raamat: Doctor, Will You Pray for Me?: Medicine, Chaplains, and Healing the Whole Person

(Professor of Psychiatry and co-founder of the Center for Bioethics, Columbia University Irving Medical Center)
  • Formaat: PDF+DRM
  • Ilmumisaeg: 23-Aug-2024
  • Kirjastus: Oxford University Press Inc
  • Keel: eng
  • ISBN-13: 9780197750858
  • Formaat - PDF+DRM
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  • Formaat: PDF+DRM
  • Ilmumisaeg: 23-Aug-2024
  • Kirjastus: Oxford University Press Inc
  • Keel: eng
  • ISBN-13: 9780197750858

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Psychiatrist and bioethicist Robert Klitzman here explores the need for spiritual guidance among patients and their families who are experiencing illness. They often struggle to make sense of their situation, and as they confront their mortality they will try to seek hope, purpose, and larger connections beyond the world of medicine. While physicians are frequently uncomfortable with these issues, often under sung hospital chaplains can and do fill this void. Klitzman uses interviews with patients, families, and chaplains to bring their stories to life; and more broadly he explores the ways in which hospitals and the health care system might address this neglect of a vital human need in times of crisis.

The modern world faces religious, spiritual and existential quandaries, as new technologies redefine the beginnings and ends of life. Excruciating choices arise about when to turn off the machines - whether and when we should "play God." The COVID-19 pandemic made these dilemmas ever more acute. Increasingly, however, public discourse on religion and spirituality is polarized, with evangelicals on one side and vehement atheists on the other.

Psychiatrist and bioethicist Robert Klitzman explores how patients and families struggle to make sense of serious disease and threats of death and other medical crises, seeking hope, purpose and larger connections beyond themselves. Physicians and other clinical staff are frequently uncomfortable with these issues, and chaplains have been filling the void, developing valuable approaches and insights. Most Americans will die in hospitals or nursing homes, and face existential and spiritual quandaries. Many of their prior religious and spiritual beliefs will fall short, and chaplains will often be the ones to assist, partly by reframing narratives and understandings of illness and spirituality. Yet people often know little, if anything, about these professionals. Klitzman presents stories about the spiritual lives of patients and explores the role of chaplains - who they are, what they do and the challenges they face.

Drawing on in-depth interviews and the author's personal experiences, Doctor, Will You Pray for Me? provides vital information that can assist in medical care decisions. Robert Klitzman argues that a better understanding of the relationship between these realms will enable more holistic and humane treatment of patients.

Arvustused

In this insightful, thought-provoking book, Klitzman illuminates how patients find and maintain hope when facing serious ailments. As a physician, researcher and writer, he masterfully weaves together gripping stories of doctors, patients and chaplains, and recent research demonstrating how hope and spirituality positively affect human health. This remarkable book shows how physicians need not only to use cutting-edge medical science, but to be equally aware of the human spirit. -Siddhartha Mukherjee, Pulitzer Prize Winner and author of Song of the Cell Robert Klitzman limns the ways that medicine fails to satisfy the spiritual yearning in most people. Science explains a great deal, but the central questions of existence lie outside its purview, and Klitzman eloquently reveals the heroism of chaplains who address this gap.-Andrew Solomon, author of Far from the Tree This engrossing book shines a light on the key role hospital chaplains can play in helping doctors care for their patients. The book is essential reading for anyone who has ever been sick or looked after someone who was-which is to say, for everyone. -Will Schwalbe, author of The End of Your Life Book Club Klitzman's account of the place of chaplaincy in medicine contributes importantly to the clinical care of the whole person. This book provides an on-the-ground depiction of what chaplains in the hospital contribute, and what clinicians can learn. - Arthur Kleinman, author of The Soul of Care Drawing on extensive interviews and research, Klitzman adds immeasurably to our understandings of spirituality and religion in medicine. This groundbreaking book helps point the way toward more compassionate and holistic care. - Harold Koenig, Director, Center for Spirituality, Theology and Health, Duke University In Doctor, Will You Pray for Me?, Klitzman provides the most comprehensive examination to date of the role of pastoral care in contemporary clinical settings. Such research is long overdue, considering how rapid changes in American society--including technological advances, widespread polarization and the breakdown of many traditional forms of support--create an ever increasing need for spiritual wellbeing. A work of curiosity and compassion, Doctor, Will You Pray for Me? proves an essential read for the devout and the secular alike, an invitation to the faithful, the skeptical and the truly uncertain to discover the rich professional lives of the men and women who tend to the souls of our sickest brothers and sisters in their times of greatest need. * Dr. Jacob M. Appel, Icahn School of Medicine at Mount Sinai * Doctor, Will You Pray for Me? favors breadth at the expense of depth in engaging questions at the intersection of spirituality and medicine today, a writer and bioethicist of Klitzman's stature allows for the dissemination of these questions to a broader audience than is typical, which should be celebrated. Moreover, his willingness to raise questions without the need for clear answers is a welcomed change in a conversation that has been dominated for too long by those on either side who would claim certitude, often at the expense of faith. * Benjamin W. Frush, Journal of Medical Humanities * Doctor, Will You Pray for Me? favors breadth at the expense of depth in engaging questions at the intersection of spirituality and medicine today, a writer and bioethicist of Klitzman's stature allows for the dissemination of these questions to a broader audience than is typical, which should be celebrated. Moreover, his willingness to raise questions without the need for clear answers is a welcomed change in a conversation that has been dominated for too long by those on either side who would claim certitude, often at the expense of faith. * Benjamin W. Frush, Journal of Medical Humanities * Klitzman has provided a vibrant account of the field of chaplaincy, introducing the field to new audiences and illuminating the critical theoretical questions both chaplaincy and medicine need to address. * M. Therese Lysaught, The Hastings Center Report *

Part I: In the foxhole: Patients facing crises
Chapter 1: <"Disappearing into clouds of smoke> ": Confronting threats to
life
Chapter 2: Asking 'Why me?' and second-guessing God
Chapter 3: <"Doctor, do you believe in God?> ": Physicians facing spiritual
and religious questions
Chapter 4: Amazing graces: How chaplains enter the room Part II: <"Coming in
with the religion they have> ": Aiding patients with particular beliefs
Chapter 5: <"Why has God let me down?> ": Helping religious patients
Chapter 6: <"I just look at sunsets and stars> ": Aiding patients who are
spiritual but not religious
Chapter 7: <"The thousand kinds of atheism> ": Assisting atheist, agnostic
and uncertain patients Part III: <"Meeting patients wherever they are> ":
Helping patients regardless of their beliefs
Chapter 8: <"The most important moment in our lives> ": Resetting priorities
and further appreciating the present
Chapter 9: <"I pray to the God I don't believe in> ": Creating prayers
Chapter 10 The voice of the voiceless> ": Aiding vulnerable patients Part IV:
Approaching the end
Chapter 11: <"We sang my son into Heaven> ": Re-envisioning <"heaven> " and
grief
Chapter 12: <"When should we pull the plug?> ": Aiding end-of-life decisions
Chapter 13: <"Mommy, when I dieEL> ": Helping parents and children
Chapter 14: How close or distant to be: Balancing and ending relationships
with patients Part V: Confronting tensions with staff
Chapter 15: Seeing patients with fresh eyes
Chapter 16: <"Which ditch do you want to die in?> ": Chaplains vs. doctors
Chapter 17: When doctors cry: Assisting staff with stress Part VI: God 2.0:
Moving into the future
Chapter 18: <"Doctor, will you pray for me?> ": Improving doctors
Chapter 19:
<"More than just smiling and saying Jesus> ": Improving chaplains
Chapter 20: Finding meaning and hope in a rapidly changing world Appendix:
Appendix A: List of Chaplains
Appendix B: Methods
References
Acknowledgements
Robert Klitzman, MD, is a Professor of Psychiatry in the Vagelos College of Physicians and Surgeons and the Joseph Mailman School of Public Health, and the Director of the Masters of Bioethics Program at Columbia University. He has authored or co-authored over 180 scientific articles, and nine books, including When Doctors Become Parents, and has received several awards, including fellowships from the John Simon Guggenheim Foundation. He is a Distinguished Fellow of the American Psychiatric Association and has been a member of the Empire State Stem Cell Commission, and the Research Ethics Advisory Panel of the U.S. Department of Defense.