sion of ethics and the impact of technology on the structure of behavior. Tancredi and Romanucci-Ross in Chapter 17 explore the cultural dimensions of bioethics as well as one aspect of the now entrenched concept of patients' rights, exemplified in one population, the elderly.
In Chapter 18, Romanucci-Ross and Moerman examine some epistemes in both clinical medicine and scientific medical research, viewed as domains of experience and structured reasoning. Both the discourse of Western medicine and its nondiscursive practices stem from values and ideologies with unrecognized and unexplained consequences. Contemporary paradigms are discussed to illustrate that perceiving always involves applying concepts about "cause" to spatial matter (the body) and the nonspatial (mind). We hold that such a concept is neither useful nor accurate in today's scientific world. (For a basic philosophical analysis of the place of Cartesian dualism today, see Churchland 1986:7-23).
In our final chapter we explore the idea of a medical anthropology, and the possibility of an even more intellectually satisfying future for this necessary discipline.
Churchland Paul M. 1986. Matter and Consciousness: A Contemporary Introduction to the Philosophy of Mind. Cambridge, Mass.: MIT Press.
Daremberg Charles. 1865. La Medicine: Histoire et Doctrines. 2nd ed. Paris: Didier.
Fleck Ludwig. 1979. Genesis and Development of a Scientific Fact. Thaddeus J. Trenn and Robert K. Merton, eds. Chicago: University of Chicago Press. (First published 1935.)
Foucault Michael. 1973. The Birth of the Clinic: An Archaeology of Medical Perspective. Trans. A. M. Sheridan Smith. New York: Pantheon Books.
Romanucci-Ross Lola. 1982. "Medicalization and Metaphor: Their Meanings in Culture". In The Use and Abuse of Medicine. Martin W. De Vries, Robert L. Berg, and Mack Lipkin, Jr., eds. New York: Praeger.