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Philosophy of Medicine Reborn

The Philosophy of Medicine Reborn

A Pellegrino Reader

Edmund D. Pellegrino
Edited by H. Tristram Engelhardt, Jr., and Fabrice Jotterand

Edmund D. Pellegrino has played a central role in shaping the fields of bioethics and the philosophy of medicine. His writings encompass original explorations of the healing relationship, the need to place humanism in the medical curriculum, the nature of the patient’s good, and the importance of a virtue-based normative ethics for health care.

In this anthology, H. Tristram Engelhardt, Jr., and Fabrice Jotterand have created a rich presentation of Pellegrino’s thought and its development. Pellegrino’s work has been dedicated to showing that bioethics must be understood in the context of medical humanities, and that medical humanities, in turn, must be understood in the context of the philosophy of medicine. Arguing that bioethics should not be restricted to topics such as abortion, third-party-assisted reproduction, physician-assisted suicide, or cloning, Pellegrino has instead stressed that such issues are shaped by foundational views regarding the nature of the physician-patient relationship and the goals of medicine, which are the proper focus of the philosophy of medicine.

This volume includes a preface (“Apologia”) by Dr. Pellegrino and a comprehensive Introduction by the editors. Of interest to medical ethicists as well as students, scholars, and physicians, The Philosophy of Medicine Reborn offers fascinating insights into the emergence of a field and the work of one of its pioneers.

“In this valuable collection of Edmund Pellegrino’s essays, we witness a major, creative, and challenging mind at work in forging a philosophy of medicine. The carefully selected essays show Dr. Pellegrino in action, working to articulate his guiding vision as well as draw out its implications, always at the same time tying his speculations to clinical experience. There simply is no one else who has been doing this at anything like the intellectual level of Dr. Pellegrino’s writings, nor over a similar duration.” — Jorge L. A. Garcia, Boston College

“After a long period of dormancy, philosophy of medicine has blossomed with new life. The single most important physician-philosopher in that rebirth has been Edmund Pellegrino. His contributions to virtue theory, the concept of beneficence, the dispute over the internal and external sources of a morality for medicine, and the role of the Hippocratic tradition are all critical. The essays collected in this volume have changed the history of the philosophy of medicine. He shows that philosophy of medicine can be done with both passion and compassion.” — Robert M. Veatch, Kennedy Institute of Ethics, Georgetown University

“Edmund Pellegrino’s words have helped medical students, faculty, scholars and patients address the challenges they encounter in medicine and medical practice. His personal support has also been critical for many of us in developing programs in medical ethics and philosophy of medicine in our universities. Dr. Pellegrino combines the wisdom of a great physician with those of a great philosopher to produce a body of writing that will continue to inspire us all. This volume contains some of his best and most influential work.” —*Loretta Kopelman, The Brody School of Medicine, East Carolina University*

“Edmund Pellegrino has been a leading light in the philosophy of medicine for a generation. He was instrumental in the birth of bioethics, founded one of the leading journals, and provided able leadership in organizing early activities of the profession. He has served as department chairman, dean, and university president. Most recently, he chairs the Presidents Council on Bioethics. In all this, first and foremost, he has been a physician. Those who are ill and suffering make a claim upon him. To respond to this claim, Pellegrino creatively brings together the worlds of science and of the humanities. For him, that is what medicine is about, making it the most scientific of the humanities and the most humane of the sciences. Fortunately for us, Pellegrino brings these worlds together in thought, as well as in practice. In this selection from his writings, Engelhardt and Jotterand have captured the heart of Pellegrino’s project, both in depth and breadth, so we can also hear that claim of the ill and so we can see what worlds must come together if we are to respond in the appropriate way.” — George Khushf, University of South Carolina

“Pellegrino’s work is both a treasure and important for understanding bioethics. His work in philosophy of medicine addresses the crucial questions that are so important to understanding the practice of medicine and the ethics of health care.” — Kevin Wildes, President, Loyola University

The Philosophy of Medicine Reborn: A Pellegrino Reader is the inaugural volume in a new Press series called Notre Dame Studies in Medical Ethics under the series editorship of David Solomon.

ISBN: 978-0-268-03834-2
472 pages
Publication Year: 2008

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Edmund D. Pellegrino has been Professor Emeritus of Medicine and Medical Ethics at the Center for Clinical Bioethics at Georgetown University Medical Center since 2001. The recipient of numerous honors and awards, he has authored or co-authored twenty-four books and is the founding editor of the Journal of Medicine and Philosophy. In 2004, he was named to the International Bioethics Committee of UNESCO, and in 2005 he became the chairman of the President’s Council on Bioethics.

H. Tristram Engelhardt, Jr., is professor, department of philosophy, at Rice University, and professor emeritus, department of medicine, Baylor College of Medicine.

Fabrice Jotterand is assistant professor of philosophy, University of Texas at Dallas, and assistant professor of psychiatry and of clinical sciences at the University of Texas Southwestern Medical Center.

“This remarkable book summarizes Edmund Pellegrino’s writings by extracting several meaningful essays from his voluminous bibliography. These point to the dearth of humanities requirements for medical training and highlight the poverty of ethical considerations in medical decision-making. . . . Agree or disagree, this book needs to be read by all physicians, especially those whose education was devoid of philosophy. The editors have done an excellent job of offering a sage’s viewpoint in an accessible form.” — Journal of American Medical Association

“Pellegrino believes bioethics should not be restricted to specific topics such as abortion, cloning, or physician-assisted suicide. In this collection of nineteen essays from across his career, Pellegrino describes the philosophical foundations of medicine and of the medical profession, the healing relationship, virtue and medical practice with the physician as moral agent, the humanities in medicine, and the Hippocratic tradition.” — Book News

“This volume is composed of a selection from Dr. Pellegrino’s corpus of writings on medical ethics. To date, these essays have been unavailable in one work. . . . This reader provides essays on philosophical foundations of medicine, the medical profession, physician-patient relationship, physician as moral agent, humanism and the Hippocratic tradition.” —Issues in Law & Medicine, vol. 24, no. 1, 2008

“Editors H. Tristam Engelhardt, Jr. and Fabrice Jotterand have carefully selected, organized, and interpreted the writings of Pellegrino, making them more accessible to students, scholars, physicians, and anyone generally interested in medical ethics. In almost a lecture style, the editors present an overview of each article, emphasizing the important developments in each, which will make this volume particularly useful as a teaching tool for a journal club or seminar course, or for anyone outside the field of bioethics looking for guidance on what to read.” — Quarterly Review of Biology

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P01307

Human Dignity and Bioethics


Edited by Edmund D. Pellegrino, Adam Schulman, and Thomas W. Merrill

P03338

What Is Ethically Demanded?

K. E. Løgstrup's Philosophy of Moral Life


Edited by Hans Fink and Robert Stern

P03337

Christian Moral Life

Directions for the Journey to Happiness

John Rziha

P03248

Rousseau and Dignity

Art Serving Humanity


Edited by Julia V. Douthwaite

The Philosophy of Medicine Reborn

A Pellegrino Reader

Edmund D. Pellegrino
Edited by H. Tristram Engelhardt, Jr., and Fabrice Jotterand

The Philosophy of Medicine Reborn: A Pellegrino Reader
Paper Edition

Edmund D. Pellegrino has played a central role in shaping the fields of bioethics and the philosophy of medicine. His writings encompass original explorations of the healing relationship, the need to place humanism in the medical curriculum, the nature of the patient’s good, and the importance of a virtue-based normative ethics for health care.

In this anthology, H. Tristram Engelhardt, Jr., and Fabrice Jotterand have created a rich presentation of Pellegrino’s thought and its development. Pellegrino’s work has been dedicated to showing that bioethics must be understood in the context of medical humanities, and that medical humanities, in turn, must be understood in the context of the philosophy of medicine. Arguing that bioethics should not be restricted to topics such as abortion, third-party-assisted reproduction, physician-assisted suicide, or cloning, Pellegrino has instead stressed that such issues are shaped by foundational views regarding the nature of the physician-patient relationship and the goals of medicine, which are the proper focus of the philosophy of medicine.

This volume includes a preface (“Apologia”) by Dr. Pellegrino and a comprehensive Introduction by the editors. Of interest to medical ethicists as well as students, scholars, and physicians, The Philosophy of Medicine Reborn offers fascinating insights into the emergence of a field and the work of one of its pioneers.

“In this valuable collection of Edmund Pellegrino’s essays, we witness a major, creative, and challenging mind at work in forging a philosophy of medicine. The carefully selected essays show Dr. Pellegrino in action, working to articulate his guiding vision as well as draw out its implications, always at the same time tying his speculations to clinical experience. There simply is no one else who has been doing this at anything like the intellectual level of Dr. Pellegrino’s writings, nor over a similar duration.” — Jorge L. A. Garcia, Boston College

“After a long period of dormancy, philosophy of medicine has blossomed with new life. The single most important physician-philosopher in that rebirth has been Edmund Pellegrino. His contributions to virtue theory, the concept of beneficence, the dispute over the internal and external sources of a morality for medicine, and the role of the Hippocratic tradition are all critical. The essays collected in this volume have changed the history of the philosophy of medicine. He shows that philosophy of medicine can be done with both passion and compassion.” — Robert M. Veatch, Kennedy Institute of Ethics, Georgetown University

“Edmund Pellegrino’s words have helped medical students, faculty, scholars and patients address the challenges they encounter in medicine and medical practice. His personal support has also been critical for many of us in developing programs in medical ethics and philosophy of medicine in our universities. Dr. Pellegrino combines the wisdom of a great physician with those of a great philosopher to produce a body of writing that will continue to inspire us all. This volume contains some of his best and most influential work.” —*Loretta Kopelman, The Brody School of Medicine, East Carolina University*

“Edmund Pellegrino has been a leading light in the philosophy of medicine for a generation. He was instrumental in the birth of bioethics, founded one of the leading journals, and provided able leadership in organizing early activities of the profession. He has served as department chairman, dean, and university president. Most recently, he chairs the Presidents Council on Bioethics. In all this, first and foremost, he has been a physician. Those who are ill and suffering make a claim upon him. To respond to this claim, Pellegrino creatively brings together the worlds of science and of the humanities. For him, that is what medicine is about, making it the most scientific of the humanities and the most humane of the sciences. Fortunately for us, Pellegrino brings these worlds together in thought, as well as in practice. In this selection from his writings, Engelhardt and Jotterand have captured the heart of Pellegrino’s project, both in depth and breadth, so we can also hear that claim of the ill and so we can see what worlds must come together if we are to respond in the appropriate way.” — George Khushf, University of South Carolina

“Pellegrino’s work is both a treasure and important for understanding bioethics. His work in philosophy of medicine addresses the crucial questions that are so important to understanding the practice of medicine and the ethics of health care.” — Kevin Wildes, President, Loyola University

The Philosophy of Medicine Reborn: A Pellegrino Reader is the inaugural volume in a new Press series called Notre Dame Studies in Medical Ethics under the series editorship of David Solomon.

ISBN: 978-0-268-03834-2

472 pages

“This remarkable book summarizes Edmund Pellegrino’s writings by extracting several meaningful essays from his voluminous bibliography. These point to the dearth of humanities requirements for medical training and highlight the poverty of ethical considerations in medical decision-making. . . . Agree or disagree, this book needs to be read by all physicians, especially those whose education was devoid of philosophy. The editors have done an excellent job of offering a sage’s viewpoint in an accessible form.” — Journal of American Medical Association

“Pellegrino believes bioethics should not be restricted to specific topics such as abortion, cloning, or physician-assisted suicide. In this collection of nineteen essays from across his career, Pellegrino describes the philosophical foundations of medicine and of the medical profession, the healing relationship, virtue and medical practice with the physician as moral agent, the humanities in medicine, and the Hippocratic tradition.” — Book News

“This volume is composed of a selection from Dr. Pellegrino’s corpus of writings on medical ethics. To date, these essays have been unavailable in one work. . . . This reader provides essays on philosophical foundations of medicine, the medical profession, physician-patient relationship, physician as moral agent, humanism and the Hippocratic tradition.” —Issues in Law & Medicine, vol. 24, no. 1, 2008

“Editors H. Tristam Engelhardt, Jr. and Fabrice Jotterand have carefully selected, organized, and interpreted the writings of Pellegrino, making them more accessible to students, scholars, physicians, and anyone generally interested in medical ethics. In almost a lecture style, the editors present an overview of each article, emphasizing the important developments in each, which will make this volume particularly useful as a teaching tool for a journal club or seminar course, or for anyone outside the field of bioethics looking for guidance on what to read.” — Quarterly Review of Biology

Notre Dame Studies in Medical Ethics