The participation of physicians in the atrocities of the Holocaust exposed vulnerabilities in medicine’s moral commitment to patients’ best interests that every health professional should recognize. Teaching about this history is challenging, as it is extremely complex and there are no common standards for what basic historical facts students in health professions training programs should learn. Nor is there guidance on how these historical facts can or should be related to contemporary ethical issues facing health professionals. To address these problems, (...) we propose a set of core historical facts about health professional involvement in the Holocaust that every student in a health professional training program should learn. We then identify three ethical lessons from the Holocaust that are pertinent today as physicians struggle to maintain their moral compass and earn the trust of patients and the public: 1) The lesson of commitment to science; maintaining balance between reason and skepticism in the search for truth, The lesson of clinical detachment; maintaining balance between necessary professional distance with a commitment to humanism and intimacy with patients, and 3) The lesson of competing loyalties; maintaining balance in upholding medicine’s multiple responsibilities, including to individual patients and the larger community. Embedding these facts and lessons into the education of health professionals is challenging yet critically important. Today’s physicians struggle with some of the same ethical tensions as did German physicians in the Nazi era, albeit in a much-attenuated fashion. Awareness of these tensions and taking active measures to maintain them in balance are necessary components of humanistic health care, which should be an integral part of health professional training programs. (shrink)

On December 20, 2002, the Ohio Supreme Court issued an opinion in Dardinger v. Anthem Blue Cross & Blue Shield granting a landmark punitive damages award against the defendant-insurer for breach of contract and bad faith in its coverage of a cancer patient. The court directed that the punitive damages award of $30 million, should it be accepted by the plaintiff, be apportioned between the plaintiff and a cancer research fund to be established in the name of the plaintiff's deceased (...) wife, Esther Dardinger. In so doing, the court broke new ground in the scope and social purpose of punitive damages in health care litigation, as well as the courts’ role in distributing those damages.After being diagnosed with metastatic brain tumors in October 1996, Esther began intra-arterial chemotherapy treatments at the recommendation of her physician, Dr. Newton. IAC is a targeted form of chemotherapy in which an arterial catheter is threaded through a cranial artery near the tumor and into the brain. (shrink)

On December 20, 2002, the Ohio Supreme Court issued an opinion in Dardinger v. Anthem Blue Cross & Blue Shield granting a landmark punitive damages award against the defendant-insurer for breach of contract and bad faith in its coverage of a cancer patient. The court directed that the punitive damages award of $30 million, should it be accepted by the plaintiff, be apportioned between the plaintiff and a cancer research fund to be established in the name of the plaintiff's deceased (...) wife, Esther Dardinger. In so doing, the court broke new ground in the scope and social purpose of punitive damages in health care litigation, as well as the courts’ role in distributing those damages.After being diagnosed with metastatic brain tumors in October 1996, Esther began intra-arterial chemotherapy treatments at the recommendation of her physician, Dr. Newton. IAC is a targeted form of chemotherapy in which an arterial catheter is threaded through a cranial artery near the tumor and into the brain. (shrink)

Personality and prayer are both conceptualized as focusing on issues of connectivity with the self and beyond. Individual participants each recruited a peer to join the study . Participants rated themselves according to multi-item scales that detail five personality factors . They also responded to an instrument specifying eight foci of the inward, outward, and upward cognitive content of prayer ; these eight foci were reduced to three prayer themes: internal concerns, embracing paradox, and bold assertion. Finally, respondents reported the (...) strength of six "basic" emotions that may be experienced during their typical prayer. Using the same instruments, each peer rated her or his matched participant. Results reveal discrete patterns between self and peer ratings, with respect to links among prayer and personality variables. Both self and peer ratings emphasize a relation between prayer and the personality traits of agreeableness and conscientiousness . Several concluding points highlight the value of the present conceptualization of personality and prayer with relation to connectivity, potential differences between personal and corporate prayers, and the potential role of sex differences in the disclosure of prayer's content and emotional influence. (shrink)

Enquanto estudiosos debatem os termos “espiritualizado/a” e “religioso/a”, surgem no cenário pessoas que prontamente se auto-identificam como sendo “espiritualizadas mas não religiosos/as” (SNR) ou “religiosas mas não espiritualizadas” (RNS) ou ainda como sendo, simultaneamente, “espiritualizadas e religiosas” (BSR), ou então, “nem espiritualizadas nem religiosas (NONE). Este estudo investigou como estas categorias auto identificatórias relacionam-se à essência e estilo das orações das pessoas e outras características com base em crenças religiosas. Participantes ( N = 103) responderam a uma pesquisa via internet. (...) RNS e SNR não apresentaram respondentes suficientes para uma análise. Não houve distinção entre os BSR e SNR em relação à essência de suas orações e percepções de Deus como amor ou controle. Igualmente, os dois grupos valorizaram suas posições de fé para se auto-identificarem. BSR relataram maior proximidade de Deus. Os respondentes das categorias BSR e SNR foram significativamente diferentes em muitas características relacionadas aos estilos (por exemplo, frequência aos cultos; frequência e duração da oração; idade da primeira oração). Estes dois grupos foram semelhantes em suas preferências pela prática da oração a sós. Tais resultados sugerem que as diferenças que designam as categorias “espiritualizado/a” e/ou “religioso/a” podem ter mais a ver com o estilo do que a essência do sistema de fé abraçado. Key words : Religioso/a. Espiritualizado/a. Oração. Essência. Estilo.While scholars debate the terms “spiritual” and “religious,” people readily self-identify as “spiritual not religious (SNR),” “religious not spiritual (RNS),” “both spiritual and religious (BSR),” or “neither spiritual nor religious (NONE).” This study investigated how these self labels related to the substance and style of people’s prayers and other faith-based features. Respondents ( N = 103) completed an internet survey. RNS and NSR did not have enough respondents for analysis. BSR and SNR groups were indistinguishable with regard to the substance of their prayers and perceptions of God as loving or controlling. Likewise the two groups equally valued their faith positions as important for self-identity. BSR reported greater nearness to God. BSR and SNR respondents were significantly different on many style related characteristics (e.g., attendance at formal services; frequency and duration of prayer; age at first prayer). They were similar in their preferences for praying alone. These results suggest that the differences between claiming the designation of “religious” and / or “spiritual” may have more to do with the style than the substance of the faith system embraced. Palavras-chave: Religious. Spiritual. Prayer. Substance. Style. (shrink)

Personality and prayer are both conceptualized as focusing on issues of connectivity with the self and beyond. Individual participants each recruited a peer to join the study . Participants rated themselves according to multi-item scales that detail five personality factors . They also responded to an instrument specifying eight foci of the inward, outward, and upward cognitive content of prayer ; these eight foci were reduced to three prayer themes: internal concerns, embracing paradox, and bold assertion. Finally, respondents reported the (...) strength of six "basic" emotions that may be experienced during their typical prayer. Using the same instruments, each peer rated her or his matched participant. Results reveal discrete patterns between self and peer ratings, with respect to links among prayer and personality variables. Both self and peer ratings emphasize a relation between prayer and the personality traits of agreeableness and conscientiousness . Several concluding points highlight the value of the present conceptualization of personality and prayer with relation to connectivity, potential differences between personal and corporate prayers, and the potential role of sex differences in the disclosure of prayer's content and emotional influence. (shrink)