Distrust, Fear, and Science-Denial in Medicine and Healthcare

Markus Wolfensberger, Anthony Wrigley (Keele University, UK)

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English

Routledge
15 October 2024

Over recent decades, the decline of trust, mounting of fears, and increasing denial of science appear as a marked shift of societal attitudes towards many institutions and professionals. This book analyses these developments and looks at their role in medicine and healthcare, both in terms of the patient-physician relationship and for delivering high-quality healthcare, in order to establish why we need trust and what can be done to restore it. The book begins by offering a conceptual analysis and definition of trust, using a ‘pattern definition’ based upon typical features and common usage of the term, as well as the related concepts of hope, fear, and belief. It charts evidence for the decline of public trust in various professions, and then looks at the causes, as well as the accompanying growth of fear and the rejection of science. The study addresses possible options for restoring trust in medicine and healthcare, be it in individual physicians, in hospitals, or in managed care institutions. Written jointly by a medical doctor and an academic specialising in biomedical ethics, the book will be of interest to those working in the areas of biomedical ethics and law, medicine and healthcare, public health, philosophy, sociology, politics, and psychology.

By: Markus Wolfensberger, Anthony Wrigley (Keele University, UK)
Imprint: Routledge
Country of Publication: United Kingdom
Dimensions: Height: 234mm, Width: 156mm,
Weight: 453g
ISBN: 9781032803753
ISBN 10: 1032803754
Pages: 144
Publication Date: 15 October 2024
Audience: College/higher education , Primary
Format: Hardback
Publisher's Status: Active

Introduction. Part I: Definitions 1. Trust, Mistrust and Distrust 2. Hope, Fear, and Despair 3. Belief, Doubt, and Disbelief Part II: Explanations 4. The Value of Trust 5. Empirical Evidence for the Decline of Trust in Physicians 6. Reasons for the Decline of Trust in Physicians 7. The Rejection of Science and Reason 8. From Justified Fears to Irrational Beliefs and Conspiracy Theories 9. ‘Why Can’t People be More Like Us?’ On Relativist, Postmodernist, Subjectivist, Post-truth, Anti-Scientific and Anti-Expert Thinking. Part III: Suggestions 10. Dispelling two Illusions Regarding the Restoration of Trust 11. How to Establish and Maintain Trust 12. Countering Fear, Science-Denial, and Pseudoscience. Epilogue. Index

Markus Wolfensberger is Emeritus Professor of Otorhinolaryngology and Doctor of medical ethics. He has held positions as Head of the Department of Otorhinolaryngology and Director of the Head and Neck Tumour Centre at Basel University Hospital, Switzerland. Anthony Wrigley is Professor of Ethics at the University of Keele, U.K. He specialises in bioethics and applied ethics. Much of his work focuses on ethical and policy issues on the margins of life (beginnings and ends) and the analysis of concepts used in bioethical debate, such as vulnerability, hope, and trust.