An American medical ethicist finds the spirit of glasnost and perestroika permeating Soviet medical ethics. These themes, along with a heightened historical consciousness, and a commitment to the Hippocratic tradition, have reinforced a conviction about the infinite value of life.

This paper traces the manner in which the word ‘psychotherapy’ was invented and how it became taken up and disseminated in the English-, French- and German-speaking medical worlds at the end of the 19th century. It explores how it was used as an appellation for a variety of practices, and then increasingly became perceived as a distinct entity in its own right. Finally it shows how the fate of the word ‘psychotherapy’ enables Freud’s invention of ‘psychoanalysis’ to be located.

OBJECTIVES: To study and report the attitudes and practices of physicians in a former Soviet republic regarding issues pertaining to patients' rights, physician negligence and the acceptance of gratuities from patients. DESIGN: Survey questionnaire administered to physicians in 1991 at the time of the Soviet breakup. SETTING: Estonia, formerly a Soviet republic, now an independent state. SURVEY SAMPLE: A stratified, random sample of 1,000 physicians, representing approximately 20 per cent of practicing physicians under the age of 65. RESULTS: Most physicians (...) shared information with patients about treatment risks and alternatives, with the exception of cancer patients: only a third of physicians tell the patient when cancer is suspected. Current practice at the time of the survey left patients few options when physician negligence occurred; most physicians feel that under a reformed system physician negligence should be handled within the local facility rather than by the government. It was common practice for physicians to receive gifts, tips, or preferential access to scarce consumer goods from their patients. Responses varied somewhat by facility and physician nationality. CONCLUSION: The ethics of Soviet medical practice were different in a number of ways from generally accepted norms in Western countries. Physicians' attitudes about the need for ethical reform suggest that there will be movement in Estonia towards a system of medical ethics that more closely approximates those in the West. (shrink)

`For those readers who favour an empirical-scientific approach to counselling and therapy, and who view therapy, at least potentially or in principle, as an objective science, this will no doubt be a very useful and informative book... We should be grateful that Erwin has set out more fully than anyone to date the specifically philosophical case for a "science of therapy"; and those of a New Paradigm persuasion at least now know the nature of the arguments they will have to (...) refute in order to sustain their position. I look forward with eager anticipation to their efforts, and to an emerging and fruitful engagement between philosophy and therapy - for both have a great deal to learn from each other' - Counselling, The Journal of the Br. (shrink)

Psychodynamic psychotherapy and psychoanalysis have had to defend themselves from a barrage of criticisms throughout their history. In this book David Jopling argues that the changes achieved through therapy are really just functions of placebos that rally the mind's native healing powers. It is a bold new work that delivers yet another blow to Freud and his followers.