ABSTRACT

The title of this profound work conveys the bold, uncertain, and often dangerous adventure in which medical professionals and their organ transplant and dialysis patients are engaged. Built around a series of case studies, The Courage to Fail is the product of collaborative first-hand research concerned with various social phenomena generated by transplantation and dialysis. The authors examine the individuals involved and the workings and atmosphere of some of the medical centers in which these forms of therapy have been developed. They examine ""gift-exchange"" dimensions of transplantation: the transcendent and tyrannical aspects of the ""gift of life"" that transplants entail for donors and recipients-and for medical professionals as well. They also analyze the dilemma of uncertainty inherent in medicine, which occurs with particular force in the development of such experimental techniques.Since publication of the original edition, the authors have continued to follow social and medical developments surrounding organ transplants and dialysis. In their new introduction, they discuss transplantation as a gift of life, how and when death occurs, efforts to procure more organs, and organ replacement and issues of equity. This book will be of interest to physicians, medical students, medical sociologists, and anyone interested in the history of and issues surrounding organ transplantation and dialysis.

part 1|82 pages

Patterns in Therapeutic Innovation: Transplantation

chapter 1|35 pages

Gift Exchange and Gatekeeping

ByRenée C. Fox, Judith P. Swazey

chapter 2|20 pages

Specialists in Uncertainty: The Problem of Rejection

ByRenée C. Fox, Judith P. Swazey

chapter 3|25 pages

The Experiment-Therapy Dilemma

ByRenée C. Fox, Judith P. Swazey

part 2|114 pages

The Courage to Fail Ethos

chapter 4|21 pages

The Physician-Investigator and His Patients

ByRenée C. Fox, Judith P. Swazey

chapter 5|27 pages

The Heart Transplant Moratorium

ByRenée C. Fox, Judith P. Swazey

chapter 6|64 pages

The Case of the Artificial Heart

ByRenée C. Fox, Judith P. Swazey

part 3|104 pages

Patterns in Therapeutic Innovation: Dialysis

chapter 7|25 pages

“To Give Life”: A Study of Seattle’s Hemodialysis Program

ByRenée C. Fox, Judith P. Swazey

chapter 8|40 pages

Patient Selection and the Right to Die: Problems Facing Seattle’s Kidney Center

ByRenée C. Fox, Judith P. Swazey

chapter 9|37 pages

Ernie Crowfeather

ByLawrence K. Altman

part 4|82 pages

Changing Perspectives on Transplantation and Dialysis

chapter 10|40 pages

Transplantation in the 1970s: A Revised Paradigm of Therapeutic Innovation

ByRenée C. Fox, Judith P. Swazey

chapter 11|31 pages

The Democratization of Dialysis: Public Law 92-603

ByRenée C. Fox, Judith P. Swazey

chapter 12|9 pages

The Societal Meaning of The Courage to Fail

ByRenée C. Fox, Judith P. Swazey