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Reexamines the nature of death and dying as seen from the physician's point of view. Unlike other treatments of the subject, this study is concerned not with what physician's should do for the critically ill, but with their actual behavior. Based on extensive interviews with physicians in several medical specialties, more than 3000 questionnaires completed by physicians in four specialties, and studies of the records of actual hospital patients, the book shows that while withdrawal of treatment in certain types of cases is widespread, euthanasia is rare.

Table of Contents

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  1. Cover
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  1. Title page, Copyright page
  2. pp. i-vi
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  1. Contents
  2. pp. vii-x
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  1. Foreword
  2. pp. xi-xiv
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  1. Preface
  2. pp. xv-xviii
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  1. 1. Introduction
  2. pp. 1-16
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  1. 2. Controversy and the Clinical Mentality: Some Methodological Problems and Their Effects on the Research Design
  2. pp. 17-32
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  1. Part I: Criteria for Decision-Making
  1. 3. Decisions to Treat Critically Ill Patients: Social Versus Medical Considerations
  2. pp. 35-66
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  1. 4. The Terminal Patient: Treatment of the Dying and the Dead
  2. pp. 67-84
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  1. 5. Decision-Making Viewed Through Hospital Records
  2. pp. 85-102
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  1. Part II: Sources of Variation Among Physicians: Some Organizational, Social, and Cultural Variables
  1. 6. Context for Decision-Making: The Hospital Setting
  2. pp. 105-136
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  1. 7. The Active Physician: Cultural Influences Upon Medical Decisions
  2. pp. 137-180
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  1. 8. Departmental Dynamics and the Development of New Medical Technology
  2. pp. 181-198
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  1. 9. Conclusion
  2. pp. 199-212
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  1. Appendix 1: Charts
  2. pp. 213-218
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  1. Appendix 2: Questionnaires
  2. pp. 219-268
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  1. Glossary of Medical Terms
  2. pp. 269-270
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  1. Bibliography
  2. pp. 271-278
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  1. Index
  2. pp. 279-285
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