Trusting Doctors: The Decline of Moral Authority in American Medicine

Trusting Doctors: The Decline of Moral Authority in American Medicine

by Jonathan B. Imber

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Overview

For more than a century, the American medical profession insisted that doctors be rigorously trained in medical science and dedicated to professional ethics. Patients revered their doctors as representatives of a sacred vocation. Do we still trust doctors with the same conviction? In Trusting Doctors, Jonathan Imber attributes the development of patients' faith in doctors to the inspiration and influence of Protestant and Catholic clergymen during the nineteenth and early twentieth centuries. He explains that as the influence of clergymen waned, and as reliance on medical technology increased, patients' trust in doctors steadily declined.

Trusting Doctors discusses the emphasis that Protestant clergymen placed on the physician's vocation; the focus that Catholic moralists put on specific dilemmas faced in daily medical practice; and the loss of unchallenged authority experienced by doctors after World War II, when practitioners became valued for their technical competence rather than their personal integrity. Imber shows how the clergy gradually lost their impact in defining the physician's moral character, and how vocal critics of medicine contributed to a decline in patient confidence. The author argues that as modern medicine becomes defined by specialization, rapid medical advance, profit-driven industry, and ever more anxious patients, the future for a renewed trust in doctors will be confronted by even greater challenges.

Trusting Doctors provides valuable insights into the religious underpinnings of the doctor-patient relationship and raises critical questions about the ultimate place of the medical profession in American life and culture.

Product Details

ISBN-13: 9780691168142
Publisher: Princeton University Press
Publication date: 09/01/2015
Edition description: Reprint
Pages: 280
Product dimensions: 6.10(w) x 9.10(h) x 0.90(d)

About the Author

Jonathan B. Imber is the Class of 1949 Professor in Ethics and professor of sociology at Wellesley College. He is the author of Abortion and the Private Practice of Medicine.

Table of Contents

Preface: A Sociological Perspective xi

Introduction xvii





Part One: Religious Foundations of Trust in Medicine

Chapter 1: Protestantism, Piety, and Professionalism 3

Chapter 2: The Infl uence of Catholic Perspectives 22

Chapter 3: The Scientifi c Challenge to Faith 43

Chapter 4: Public Health, Public Trust, and the Professionalization of Medicine 65





Part Two: Beyond the Golden Age of Trust in Medicine

Chapter 5: The Growth of Popular Distrust in Medicine 107

Chapter 6: The Evolution of Bioethics 130

Chapter 7: Anxiety in the Age of Epidemiology 144

Chapter 8: Trust and Mortality 167





Acknowledgments 197

Appendix 1: Extant Addresses, Sermons, and Eulogies by Clergymen 201

Appendix 2: Philadelphia Medical Sermons 208

Appendix 3: Long Island College Hospital Commencements, 1860-1899 210

Notes 213

Index 265


What People are Saying About This

Peter Conrad

Trusting Doctors is a major book, a benchmark on medical morality and trust, and an exemplar of religion's impact on medicine.
Peter Conrad, Brandeis University

Richard John Neuhaus

Doctors and people who have no choice but to trust doctors—which means all of us—need to read this book. With both sympathy and uncompromising honesty, Jonathan Imber traces the frequently troubled history of a medical profession that needs to attend to its increasingly fragile moral authority.
Richard John Neuhaus, editor in chief of the journal "First Things"

Daniel Callahan

Jonathan Imber's Trusting Doctors is an important, interesting, and readable book. We all know that our modern doctors do not have the social aura they once did. Imber effectively tells us the eye-opening story of why that change has happened.
Daniel Callahan, cofounder of the Hastings Center

De Vries

This important book challenges many ideas that have long been taken for granted in medical sociology and the history of medicine: ideas about the work of bioethics and epidemiology, as well as the relation between religion and medicine.
Raymond G. De Vries, University of Michigan

From the Publisher

"This important book challenges many ideas that have long been taken for granted in medical sociology and the history of medicine: ideas about the work of bioethics and epidemiology, as well as the relation between religion and medicine."—Raymond G. De Vries, University of Michigan

"Trusting Doctors is a major book, a benchmark on medical morality and trust, and an exemplar of religion's impact on medicine."—Peter Conrad, Brandeis University

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