Article Review

 Article Review Essay

Article assessment by Dawn Drake – Writing test 5/2008 dawn. [email protected] com

Lieff, M. (1982). 8 reasons why doctors fear older people, chronic condition, and death. The Journal of Transpersonal Psychology, 14(1), 47-60.

Jonathan Lieff, writer of this article, keeps a N. A. via Yale School and a great M. G. from Harvard Medical College, and is panel certified by American Panel of Psychiatry (Ages Wellness Services Incorporation., 1996). When the article was published more than 20 years ago, Lieff had developed solutions for older, handicapped, and terminally unwell patients in connection with the Boston Housing Expert, nursing homes, and hospitals. He had also offered as Movie director of Geriatric Fellowship for Boston College or university and Main of Nostology at Lemuel Shattuck Medical center, a Stanford University Service. In this paper, I summarize the article and offer comments about selected elements, identify a lot of relevant improvements that have occurred since the content was released, and suggest areas where additional research results would help in understanding the current state of medical care in regard to the issues raised. Article Summary Lieff explained recent (at the time of publication) study findings that indicated " widespread and well-documented prejudice” (p. 47) against older and terminally ill patients, and that suggested prejudice and avoidance behaviors were fostered in American medical educational institutions. Lieff as well documented great things about © Dawn Drake, 08

1 mental support for dying people and then identified and reviewed eight good explain the " fear” (p. 47) that this individual believed may explain doctors' behaviors toward these individuals. Many of his explanations reflected spiritually related problems that he believed had been at the root in the issue. Lieff (1982) performed note that some medical professionals, mostly not medical professionals (i. at the., nurses, social workers, therapists, and some medical doctors who locate personal praise in rendering elder-care), countered the norm by giving more effective solutions to the aged. After discussing the relevance of the psychic needs in the dying, Lieff (1982) determined by positing the need for an elevated professional focus on the " psychological and spiritual considerations” (p. 59) of the final stage of life. Critical Reflections The dominant reason for this article seems to be to encourage the reader that Western doctors (specifically, American doctors) are not prepared to support the psychological and religious needs from the patients who had been dying, and further, that religious training must be included being a standard element of medical working out for doctors. All the reasons for dread that Lieff discussed mirrored psychological or perhaps spiritual concerns; consideration of other adding factors was noticeably missing. Although Lieff offered convincing ideas to clarify why doctors might " fear” chronically ill and terminal people, many of his descriptions of doctors' behaviour and activities included neither research references nor acceptance that the assertions were his opinions—presumably based upon his experience in the profession, although opinions, non-etheless. Examples include statements that many

© Dawn Drake, 2008

two doctors did not recognize the human potential to surpasse physical limitations and find personal fulfillment, that doctors was missing resources for obtaining philosophical ideas into the reason for death as well as the dying procedure, that most doctors were not willing to deal with the effect that spiritual beliefs or perhaps experiences experienced on the efficiency of medical treatment, and that the society got given doctors " a type of priestly status” (p. 58). Acknowledging his comments since opinions or personal observations and then describing his thinking could have supplied an opportunity to persuade a distrustful reader to agreement. By offering neither study findings nor personal reasoning, Lieff probably increased the reader's resistance to his quarrels. Numerous transactions also apparently express...

References: Ages Well being Services Inc. (1996). Form 10-KSB/A-1 Twelve-monthly Report Pursuant to Section 13 or 15(d) from the Securities Exchange Act of 1934. Retrieved May a couple of, 2008, via http://www.secinfo.com—drP9x.81v.htm American Board of Medical Expertise. (2006). Online press release service: ABMS creates specialty qualification in hospice and palliative medicine. Gathered April 40, 2008, by http://www.nhpco.org/i4a/pages/index.cfm?pageid=5072 American Board of Psychiatry and Neurology, Inc. (n. g. ). Initial certification in the subspecialty of Geriatric Psychiatry. Retrieved The spring 30, 08, from http://www.abpn.com/gp.htm Lieff, J. (1982). 8-10 reasons why doctors fear older people, chronic health issues, and loss of life. The Record of Transpersonal Psychology, 14(1), 47-60. National Hospice and Palliative Treatment Organization (NHPCO). (n. d. ). Expansion in U. S. the hospice programs: mid 1970s to 2006. Retrieved May possibly 5, 08, from http://www.nhpco.org/files/public/Statistics_Research/NHPCO_facts-andfigures_Nov2007.pdf National The hospice and Palliative Care Firm (NHPCO). (2007). NHPCO facts and characters: Hospice care in America. Gathered April 35, 2008, via http://www.nhpco.org/files/public/Statistics_Research/NHPCO_facts-andfigures_Nov2007.pdf vonseiten Gunten, C. F., & Ferris, N. D. (2002). CAPC manual: Everything you wished to know about building a palliative care system but had been afraid to ask. Retrieved Might 4, 08, from http://64.85.16.230/educate/content/rationale/ushospicegrowth.html

© Dawn Drake, 08

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