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OALib Journal期刊

ISSN: 2333-9721

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匹配条件： “KWM (Bill) Fulford” ，找到相关结果约960条。
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Neuro-ethics or neuro-values? Delusion and religious experience as a case study in values-based medicine
KWM (Bill) Fulford
Poiesis & Praxis , 2004, DOI: 10.1007/s10202-004-0061-x

Abstract: La médecine basée sur les valeurs (VBM, values based medicine) est une théorie et une pratique de prise de décision médicale dans des situations faisant intervenir de fa on légitime différentes valeurs. La VBM est aux valeurs ce que la médecine basée sur les faits (EBM, Evidence based medicine) est aux faits concrets. La base théorique de la VBM est une branche de la philosophie analytique appelée Théorie des valeurs philosophiques. La VBM a été développée comme jeu d’instruments pratiques pour venir à bout de la diversité des valeurs telles qu’elle survient en particulier dans le domaine de la psychiatrie. Ces défis sont illustrés dans le présent article par une étude de cas sur les différences de diagnostic entre l’illusion et l’expérience religieuse. Dans le modèle traditionnel de la médecine scientifique, on pourrait s’attendre à ce que ces questions deviennent moins pressantes à mesure que la science médicale progresse. La théorie des valeurs philosophiques suggère au contraire que le progrès scientifique, bien qu’il ouvre un éventail toujours plus important de possibilités, fera de plus en plus intervenir toute la gamme et toute la diversité des valeurs humaines, non seulement dans la psychiatrie, mais dans tous les domaines médicaux. Ainsi l’avenir de la médecine réside-t-il dans un modèle intégré considérant la VBM et l’EBM comme les partenaires égaux d’une discipline éminemment humaine.

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The Third Revolution: Philosophy into Practice in Twenty-first Century Psychiatry
KWM (Bill) Fulford,Giovanni Stanghellini
Dialogues in Philosophy, Mental and Neuro Sciences , 2008,

Abstract: Three revolutions in psychiatry characterised the closing decade of the twentieth century: 1) in the neurosciences, 2) in patient-centred models of service delivery, and 3) in the emergence of a rapidly expanding new cross-disciplinary field of philosophy and psychiatry. Starting with a case history, the paper illustrates the impact of this third revolution - the new philosophy of psychiatry - on day-to-day clinical practice through training programmes and policy developments in what has become known as values-based practice. Derived from philosophical value theory and phenomenology, values-based practice is a partner to evidence-based practice in supporting clinical decision-making in the highly complex environment of mental health care. The paper concludes by setting values-based practice in context with other potentially practical important areas of the new philosophy of psychiatry arguing that all three revolutions need to be brought together if psychiatry is to meet the challenges of the twenty-first century.

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Neuroscience and values: A case study illustrating developments in policy, training and research in the UK and internationally
Fulford KWM
Mens Sana Monographs , 2011,

Abstract: In the current climate of dramatic advances in the neurosciences, it has been widely assumed that the diagnosis of mental disorder is a matter exclusively for value-free science. Starting from a detailed case history, this paper describes how, to the contrary, values come into the diagnosis of mental disorders, directly through the criteria at the heart of psychiatry′s most scientifically grounded classification, the American Psychiatric Association′s DSM (Diagnostic and Statistical Manual). Various possible interpretations of the prominence of values in psychiatric diagnosis are outlined. Drawing on work in the Oxford analytic tradition of philosophy, it is shown that, properly understood, the prominence of psychiatric diagnostic values reflects the necessary engagement of psychiatry with the diversity of individual human values. This interpretation opens up psychiatric diagnostic assessment to the resources of a new skills-based approach to working with complex and conflicting values (also derived from analytic philosophy) called ′values-based practice.′ Developments in values-based practice in training, policy and research in mental health are briefly outlined. The paper concludes with an indication of how the integration of values-based with evidence-based approaches provides the basis for psychiatric practice in the twenty-first century that is both science-based and person-centred.

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Introduction—intervening in psychic capacities
Minou Bernadette Friele,Bill Fulford
Poiesis & Praxis , 2004, DOI: 10.1007/s10202-004-0063-8

Abstract:

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Three keys to a shared vision of diagnostic assessment: an initiative in person-centered care from the Department of Health in the UK
Bill Fulford,Laurie Bryant,Lu Duhig
International Journal of Integrated Care , 2010,

Abstract:

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Intervening in psychic capacities
Minou Bernadette Friele,K.W.M. (Bill) Fulford
Poiesis & Praxis , 2004, DOI: 10.1007/s10202-004-0064-7

Abstract:

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COMMENTARIES: CONCEPTUAL DISCORD IN PSYCHIATRY: ORIGIN, IMPLICATIONS AND FAILED ATTEMPTS TO RESOLVE IT
Aragona, Massimiliano,Fulford, K.W.M (Bill),Jakovljevi？, Miro,Pies, Ronald,Raphael, Beverley
- , 2011,

Abstract: Hr？ak ID: 7682

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Comment on "Present and Future of the British Schools, Institutes and Societies Abroad"
Michael Fulford
Papers from the Institute of Archaeology , 2005, DOI: 10.5334/pia.257

Abstract:

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Not All “BAD” Cholesterol Carriers Are Necessarily Bad and Not All “GOOD” Cholesterol Carriers Are as Good as Can Be: Plasma Delipidation, a Non-Pharmacological Treatment for Atherosclerosis [PDF]
Bill Cham
International Journal of Clinical Medicine (IJCM) , 2015, DOI: 10.4236/ijcm.2015.69092

Abstract: More than four decades ago it was established that an elevated low-density lipoprotein-cholesterol level was a risk for developing coronary artery disease. For the last two decades, statins have been the cornerstone of reducing low-density lipoprotein-cholesterol, but despite significant clinical efficacy in the majority of patients, a large number of patients suffer from side effects and cannot tolerate the required statin dose to reach their recommended low-density lipoprotein-cholesterol goals. Preliminary clinical studies indicate that monoclonal antibodies to PCSK9 appear to be highly efficacious in lowering low-density lipoprotein-cholesterol with a favourable adverse event profile. However, further longer-term clinical studies are required to determine their safety. From the early-proposed concept for high-density lipoprotein-mediated cholesterol efflux for the treatment of coronary artery disease, the concentration of the cholesterol content in high-density lipoprotein particles has been considered a surrogate measurement for the efficacy of the reverse cholesterol transport process. However, unlike the beneficial effects of the statins and monoclonal antibodies to PCSK9 in reducing low-density lipoprotein-cholesterol, no significant advances have been made to increase the levels of high-density lipoprotein-cholesterol. Here it is shown that by a non-pharmacological plasma delipidation means, the atherogenic low-density lipoproteins can be converted to anti-atherogenic particles and that the high-density lipoproteins are converted to particles with extreme high affinity to cause rapid regression of atherosclerosis.

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Neuroscience and values: A case study illustrating developments in policy, training and research in the UK and internationally
K. W. M. Fulford
Mens Sana Monographs , 2011,

Abstract: In the current climate of dramatic advances in the neurosciences, it has been widely assumed that the diagnosis of mental disorder is a matter exclusively for value-free science. Starting from a detailed case history, this paper describes how, to the contrary, values come into the diagnosis of mental disorders, directly through the criteria at the heart of psychiatry's most scientifically grounded classification, the American Psychiatric Association's DSM (Diagnostic and Statistical Manual). Various possible interpretations of the prominence of values in psychiatric diagnosis are outlined. Drawing on work in the Oxford analytic tradition of philosophy, it is shown that, properly understood, the prominence of psychiatric diagnostic values reflects the necessary engagement of psychiatry with the diversity of individual human values. This interpretation opens up psychiatric diagnostic assessment to the resources of a new skills-based approach to working with complex and conflicting values (also derived from analytic philosophy) called 'values-based practice.' Developments in values-based practice in training, policy and research in mental health are briefly outlined. The paper concludes with an indication of how the integration of values-based with evidence-based approaches provides the basis for psychiatric practice in the twenty-first century that is both science-based and person-centred.

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