AMA Journal of Ethics April 2015
This month in Journal of Ethics
Ethics in the Diagnosis and Treatment of Autism
The level of debate over autism spectrum disorder (ASD) belies its relatively short history among recognized diagnoses. Since the first US use of the term in the 1940s, much disagreement has been voiced about its causes, whether it is an illness or a feature of our neurodiversity, and how best to support those who have the diagnosis. Contributors to the April issue of the AMA Journal of Ethics (JOE) explain current and historical perspectives on these contested issues. We are pleased to have a sample of artwork by people with autism in the April issue of JOE.
The Autism Paradox Kathleen K. Miller Two truths about autism exist in uncomfortable tension: it can be devastating and it is not a disease.
Conflicts in Family-Centered Pediatric Care for Patients with Autism Commentary by Jeffrey P. Brosco, MD, PhD In treating children with autism, physicians should reframe the common dynamic in which the family wants medication that the doctor is withholding to focus instead on the family’s and physician’s share goal—the patient’s well-being.
The Myth of the Normal Brain: Embracing Neurodiversity Thomas Armstrong, PhD A judicious approach to autism would be to replace a “disability” or “illness” paradigm with a “diversity” perspective that takes into account both strengths and weaknesses and the idea that variation can be positive in and of itself.
May Observing Professional Boundaries
June Ethics in Rehabilitation Medicine
July Patient Care in the ACA Era
August The Bottom Line: The Profit Motive in American Medicine
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