In this study of value conflicts in a medical setting both broad, general and “ideal” values as well as practical, everyday, and “real” values are identified and examined within the context of four clinical case studies. The over-arching ideal value is that “life is valuable and preferable to death.” Real values may or may not coincide. In three of the cases the ideal value is challenged and, after some turmoil, is supported. In the fourth case pain is the primary variable leading to abandonment of the ideal value and the insistence on an opposing real value namely that, in this case, death is preferable to life.
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References
1.
BeardB. H., Fear of Death and Fear of Life, Archives of General Psychiatry, 21, p. 373, September 1969.
2.
CraneD., Physician's Attitudes Toward the Treatment of Critically Ill Patients, BioScience, 23, p. 471, August 1973.
3.
DumontR. G. and FossD. C., The American View of Death: Acceptance or Denial?, Schenkman, Cambridge, Massachusetts, 1972.
4.
GlaserB. G. and StraussA. L., Awareness of Dying, Aldine, Chicago, 1965.
5.
GlaserB. G. and StraussA. L., Time for Dying, Aldine, Chicago, 1968.
6.
KluckhohnF. and StrodtbeckF., Variations in Value Orientations, Row, Evanston, Illinois, 1961.
7.
Kubler-RossE., On Death and Dying, Macmillan, New York, 1969.
8.
McKegneyF. P., The Decision to No Longer Live on Chronic Hemodialysis, American Journal of Psychiatry, 128, p. 267, September 1971.
9.
ParsonsT., Definitions of Health and Illness in the Light of American Values and Social Structure, In: JacoE. G. (ed.), Patients, Physicians and Illness, Free Press, New York, 1958.
10.
StraussA. L. and GlaserB. G., Anguish, The Sociology Press, Mill Valley, California, 1970.
11.
SudnowD., Passing On: The Social Organization of Dying, Prentice-Hall, New Jersey, 1967.
12.
ZborowskiM., People in Pain, Jossey Bass, San Francisco, 1969.
