Hostname: page-component-848d4c4894-wzw2p Total loading time: 0 Render date: 2024-06-05T06:46:54.641Z Has data issue: false hasContentIssue false

Education and the Prevention of AIDS

Published online by Cambridge University Press:  28 April 2021

Extract

Over the years, Jay Katz has consistently emphasized the need to consider both the psychodynamic factors and more general societal forces that play a role in shaping the way individuals and society respond to patients. In their 1975 book on catastrophic diseases, Katz and Capron addressed the central question of who should have the authority to make the decisions affecting those afflicted with catastrophic diseases: a theme that appears repeatedly in the insightful writing of Katz. In The Silent World of Doctor and Patient he presents a compelling case that patients’ deasion-making is an idea alien to the ethos of medicine. He has argued frequently for the importance of patient autonomy and has showed us how important conscious, as well as unconscious, and rational, as well as irrational forces are in shaping our actions.

In his work, Dr. Katz writes primarily about how physicians and patients should interact to arrive at decisions about research and treatment. These issues are certainly salient when considering the way acquired immunodeficiency syndrome (AIDS) should be treated and how we should evaluate new therapies.

Type
Catastrophic Diseases
Copyright
Copyright © American Society of Law, Medicine and Ethics 1988

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Katz, J. Capron, A.M., Catastrophic Diseases: Who Decides What? (New York: Russell Sage Foundation, 1975).Google Scholar
Katz, J., The Silent World of Doctor and Patient (New York: The Free Press, 1984).Google Scholar
Shilts, R., And the Band Played On. Politics, people, and the AIDS epidemic (New York: St. Martins Press, 1987).Google Scholar
Leventhal, H. Cleary, P.D., “The Smoking Problem: A Review of the Research and Theory in Behavioral Risk Modification”, Psychological Bulletin, 88 (1980): 370405.Google Scholar
Cleary, P.D. Hitchcock, J.L. Semmer, N.et al, “Adolescent Smoking: Research and Health Policy”, The Milbank Quarterly, 66 (1988): 185235.Google Scholar
Moskowitz, J.M., “Preventing Adolescent Substance Abuse through Drug Education”, in Glynn, T.J. Leukefeld, C.G. Ludford, J.P., eds., Preventing Adolescent Drug Abuse: Intervention Strategies (Washington, D.C.: National Institute on Drug Abuse Research Monograph 47. DHHS pub. no. (ADM) 831280, 1983).Google Scholar
Taylor, W.C. Pass, T.M. Shepard, D.S., “Cholesterol Reduction and Life Expectancy”, Annals of Internal Medicine, 106 (1987): 605614.Google Scholar
Schaps, E. DiBartolo, R. Moskowitz, J.M. Palley, C.S. Churgin, S., “Primary Prevention Evaluation Research: A Review of 127 Impact Studies”, Journal of Drug Issues, 11 (1981): 1743; Moskowitz, supra note 6.Google Scholar
Fineberg, H.V., “Education to Prevent AIDS: Prospects and Obstacles”, Science, 239 (1988): 592596.Google Scholar
Becker, M.H. Joseph, J.G., “AIDS and Behavioral Change to Reduce Risk: A Review”, American Journal of Public Health, 78 (1988): 394410.Google Scholar
Fineberg, , supra note 9; Brandt, A.M., “The Syphilis Epidemic and its Relation to AIDS”, Science, 239 (1988): 375380.Google Scholar
Cleary, P.D., “Why People Take Precautions against Health Risks”, in Weinstein, N.D., ed., Taking Care: Understanding and Encouraging Self-Protective Behavior (New York: Cambridge University Press, 1987), 119149.Google Scholar
Kelman, H.C., “Compliance, Identification and Internalization: Three processes of attitude change”, Journal of Conflict Resolution, 2 (1958): 5160; Hovland, C.I. Janis, I.L. Kelly, H.H., Communication and persuasion (New Haven: Yale University Press, 1953).Google Scholar
Leventhal, H. Safer, M.A. Panagis, D.M., “The Impact of Communications on the Self-Regulation of Health Beliefs, Decisions, and Behavior”, Health Education Quarterly, 10 (Spring 1983): 3–27; Kirscht, J.P., “Preventive Health Behavior: A Review of Research and Issues”, Health Psychology, 2 (1983): 277301.Google Scholar
Becker, M.H., ed., The Health Belief Model and Personal Health Behavior (Thorofare, NJ: Slack, 1974).Google Scholar
Becker, M.H. Maiman, L.A., “Models of Health-Related Behavior”, in Mechanic, D., ed., Handbook of Health, Health Care, and the Health Professions (New York: The Free Press, 1983), 539568.Google Scholar
Janz, N.K. Becker, M.H., “The Health Belief Model: A decade later”, Health Education Quarterly, 11 (1984): 147.Google Scholar
Cleary, supra note 12.Google Scholar
Lazarus, R.S. Folkman, S., Stress, appraisal, and coping (New York: Springer, 1984).Google Scholar
Cleary, P.D. Barry, M.J. Mayer, K.H.et al, “Compulsory Premarital Screening for the Human Immunodeficiency Virus”, Journal of the American Medical Association, 258 (1987): 17571762.Google Scholar
Tversky, A. Kahneman, D., “The Framing of Decisions and the Psychology of Choice”, Science, 211 (1981): 453458; Kirscht, J.P. Haefner, D.P. Kegeles, S.S.et al, “A National Study of Health Beliefs,” Journal of Health and Social Behavior, 7 (1966): 248–254; Larwood, L., “Swine Flu: A Field Study of Self-Serving Biases”, Journal Applied Social Psychology, 8 (1978): 283–289; Weinstein, D., “Unrealistic Optimism about Susceptibility to Health Problems”, Journal Behavioral Medicine, 5 (1981): 441–460; Slovic, P. Fischoff, R. Lichtenstien, S., “Behavioural Decision Theory Perspectives on Protective Behaviour”, in Weinstein, N., ed., Taking Care: Why People Take Precautions (New York: Cambridge University Press, 1987).Google Scholar
Weinstein, N.D., ed., Taking Care: Understanding and Encouraging Self-Protective Behavior (New York: Cambridge University Press, 1987).Google Scholar
Slovic, et al, supra note 21.Google Scholar
Tversky, et al, supra note 21.Google Scholar
Dawson, D.A. Cynamon, M. Fitti, J.E., NCHS Advance Data, Number 146 (1987).Google Scholar
Levanthal, et al, supra note 14.Google Scholar
Joseph, J.G. Montgomery, S.B. Emmons, C.A.et al, “Magnitude and Determinants of Behavioral Risk Reduction: Longitudinal Analysis of a Cohort at Risk for AIDS”, Psychology and Health, 1 (1987): 7396.Google Scholar
Leventhal, H., “Behavioral Medicine: Psychology in Health Care,” in Mechanic, D., ed., Handbook of Health, Health Care, and the Health Professions (New York: The Free Press, 1983); Kleinman, A., Patients and Healers in the Context of Culture. An exploration of the borderland between anthropology, medicine, and psychiatry (Berkeley: University of California Press, 1980).Google Scholar
Rogers, E.M., “The Diffusion of Innovations Perspective”, in Weinstein, N.D., ed., Taking Care: Understanding and Encouraging Self-Protective Behavior (New York: Cambridge University Press, 1987), 7994.Google Scholar
Shilts, supra note 3.Google Scholar
Cleary, et al, supra note 20.Google Scholar
Joseph, et al, supra note 27; Becker and Joseph, supra note 10.Google Scholar