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1、1. Warm-up Questions,2. Background Information,3. White Lies,College english (third edition)book four intensive reading,Before Reading,Global Reading,Detailed Reading,After Reading,Three Types of Doctors,4. Introductory Remarks,About Medicine,About Doctors,Other Medical Workers,Definition of a White
2、 Lie,Pair Work on White Lies,UNIT 5 To lie or not to lie-The Doctors Dilemma,Name:杨立文 Student Number:0903010302 Class:093 Major:English,Before Reading_1,Before Reading,Global Reading,Detailed Reading,After Reading,Warm-up Questions,1. 2. 3.,Have you ever been to hospital? What did you think of the d
3、octors attitude? Have you ever thought of being a doctor? Why or why not? Suppose you are seriously ill, do you want the doctor to tell you the truth or not? Why?,Before Reading_1_about Medicine,Before Reading,Global Reading,Detailed Reading,After Reading,About Medicine,Medicine is the practice of m
4、aintaining of health and preventing, alleviating, or curing of disease. WHO, or the World Health Organization, declared that health is “a state of complete physical, mental and social well-being, and not merely the absence of disease”. Obviously the goal of medicine is to maintain health.,Before Rea
5、ding_1_about doctors,Before Reading,Global Reading,Detailed Reading,After Reading,About Doctors,Doctors refer to physicians and other medical healers. In the United States they are called health care professionals, which include physicians, surgeons, dentists. Most of them work in health care servic
6、es, which involve diagnosing and treating patients. Others work mainly in researching, teaching, or administration of medical facilities.,Before Reading_1_Three types of doctors,Before Reading,Global Reading,Detailed Reading,After Reading,Three Types of Doctors,General practitioners:,(全科医生) They may
7、 not have special training in any particular medical field, but develops a wide knowledge of all kinds of illness.,Specialists:,(专家，专科医生) Some doctors prefer to treat only certain kinds of illness, thus becoming specialists in their chosen field.,Before Reading_1_three types of doctors 2,Before Read
8、ing,Global Reading,Detailed Reading,After Reading,Researchers:,(医学研究人员) Those doctors often help teach future physicians in medical schools. At the same time, they use the laboratories and hospital facilities of the medical schools to conduct research programs.,Before Reading_1_other medical workers
9、,Before Reading,Global Reading,Detailed Reading,After Reading,Other Medical Workers,Physician,内科医生,Surgeon,外科医生,Before Reading_1_other medical workers,Before Reading,Global Reading,Detailed Reading,After Reading,Other Medical Workers,Dentist,牙医,Intern, Resident, Chief Resident,实习医生，住院医生，住院总医师,Nurse,
10、 Head Nurse,护士，护士长,Before Reading_1_other medical workers,Before Reading,Global Reading,Detailed Reading,After Reading,Other Medical Workers,Veterinarian (Vet),兽医,Quack,江湖游医,A white lie is a lie that is considered to be justified, or even praiseworthy, if it is in the interests of the person or peop
11、le to whom it is told. Quite often, a doctors lie is thought to be a case in point.,Before Reading_lies,Before Reading,Global Reading,Detailed Reading,After Reading,Definition of a White Lie,1. Compile a list of situations in which you think a white lie would be justified. 2. Recall occasions on whi
12、ch you have told a white lie and explain why it was justified. 3. Discuss about the would-be benefits and would-be costs about white lies.,Before Reading_Iies,Before Reading,Global Reading,Detailed Reading,After Reading,Pair Work on White Lies,Before Reading_India_ introductory remarks,Before Readin
13、g,Global Reading,Detailed Reading,After Reading,Introductory Remarks,When treating seriously ill patients, many doctors think that it is best not to tell them the truth about their condition. These doctors sincerely believe that they have good reasons to tell lies for the patients own benefit.,But t
14、he author of this article takes a different view on this issue. She gives several reasons why patients, especially those who are dying, should be told the truth. She also discusses the great harm doctors lies do not only to their patients, but also to the doctors themselves and to the entire medical
15、 profession. And in the last paragraph of the article, the author urges that an open debate be held on this issue.,Globe Reading_main,Before Reading,Global Reading,Detailed Reading,After Reading,1. Part Division of the Text,2. Group Presentation,3. Further Understanding,For Part 1,For Part 2,Blank F
16、illing,Multiple Choice,True or False,For Part 3,Globe Reading._Questions About the Text1,Before Reading,Global Reading,Detailed Reading,After Reading,Part Division of the Text,Main Ideas,Lines,Parts,1,126,2,2755,3,5671,Doctors reasons for telling lies,The authors reasons why patients should be told
17、the truth,The author urges that an open debate be held on this issue.,After Reading_4,Before Reading,Global Reading,Detailed Reading,After Reading,Group Presentation,1) Doctors reasons for telling lies Lies may benefit Lies may help speed Such lies differ The seriously ill dont want to know Telling
18、them the truth risks After learning the truth of their condition, patients may more slowly or faster, perhaps even will “do no harm” and may well help their patients.,Divide the class into two groups. Ask the first group to go over the first part of the text and find out the reasons why some doctors
19、 tell lies to their seriously ill patients and ask the second group to go over the second part of the text and look for the authors reasons why patients should be told the truth.,the patient,_.,recovery,_.,sharply from self-serving ones,_.,the truth about their condition,_.,destroying their hope,_.,
20、recover,_,deteriorate,_,commit suicide,_.,Deceptive practices,_,Evidence is now being provided that it is that lies can be helpful. Studies show that an overwhelming majority of do want to be told the truth and that they feel betrayed when they learn that they have been kept Truthful information, ,
21、helps patients illness. It helps them better, need less medicine, and even after surgery. Lies invade the and render them make informed choices concerning their own health. Dying patients who are lied to about their condition cant Lies also do harm to doctors and their Lies also those doctors who ar
22、e Lies the entire,After Reading_4,Before Reading,Global Reading,Detailed Reading,After Reading,2) The authors reasons why patients should be told the truth,untrue,_,patients,_,in the dark,_.,humanely conveyed,_,cope with,_,tolerate pain,_,recover faster,_,autonomy of patients,_,unable to,_,make deci
23、sions about the end of life,_.,integrity,_,credibility,_.,hurt,_,honest with their patients,_.,injure,_,medical profession,_.,1. The author wants to tell us in this part _. A) why doctors dont always tell the truth B) the benefits of not knowing the seriousness of an illness C) why sometimes doctors
24、 lie especially to seriously ill patients D) to have a routine physical checkup,Globe Reading._ multiple1,Before Reading,Global Reading,Detailed Reading,After Reading,Multiple Choice,Globe Reading_ multiple2,Before Reading,Global Reading,Detailed Reading,After Reading,2. Some doctors practice decept
25、ion because they believe that _. A) telling the patients the truth may destroy their hope of recovery B) their lies are absolutely different from self-serving ones C) the seriously ill dont want to know the truth about their condition D) all of the above,3. Studies show that doctors deception about
26、the seriousness of an illness_. A) may destroy the patients hope of recovery B) make a patient recover faster C) make a patient commit suicide D) make a patient feel better,Globe Reading_ multiple3,Before Reading,Global Reading,Detailed Reading,After Reading,4. Patients most easily misled are those
27、who are_. A) going to be operated on B) dying C) just entering hospital D) recovering slowly,Globe Reading._true or false,Before Reading,Global Reading,Detailed Reading,After Reading,True or False,People have fully understood the harmfulness of doctors deception.,Truthful information, properly expre
28、ssed, can help patients deal with illness better.,In the authors eyes, it is not such a bad thing sometimes when patients are not told the truth.,1.,2.,3.,F,( ),But the illusory nature of the benefits such deception is meant to produce is now coming to be documented.,T,( ),F,( ),We are becoming incr
29、easingly aware of all that can befall patients in the course of their illness when information is denied or distorted.,Globe Reading._ true or false,Before Reading,Global Reading,Detailed Reading,After Reading,Lies only do harm to seriously ill patients.,4.,F,( ),Lies not only do harm to patients, b
30、ut also to those who tell them.,T,Doctors deception to patients contributes to the spiral of lawsuits.,( ),5.,Globe Reading._blank filling,Before Reading,Global Reading,Detailed Reading,After Reading,Blank Filling,Sharp conflicts are now arising. Patients are learning to answers from doctors and the
31、y require that they should be informed about for treatment. Though most doctors to provide true information to their patients, some are still trying practices. It is especially difficult for nurses to on this issue because they feel The author asks for an open about this issue not only in medicine b
32、ut also in other . Many doctors have to avoid the serious through deception. Eventually lies will spread and trust. So the public should be professional deception.,Listen to the following paragraph from the text and fill in the blanks with the words you hear.,Directions:,press for,_,alternatives,_,g
33、o to great lengths,_,age-old,_,take a stand,_,powerless,_.,debate,_,professions,_,erode,_,wary of,_,consequences,_,Article_S,Before Reading,Global Reading,Detailed Reading,After Reading,Is it ever proper for a medical doctor to lie to his patients? Should he tell a patient he is dying? These questio
34、ns seem simple enough, but it is not so simple to give a satisfactory answer to them.,Article1_S,Before Reading,Global Reading,Detailed Reading,After Reading,Should doctors ever lie to benefit their patients to speed recovery or to conceal the approach of death? In medicine as in law, government, an
35、d other lines of work, the requirements of honesty often seem dwarfed by greater needs: the need to shelter from brutal news or to uphold a promise of secrecy; to expose corruption or to promote the public interest.,To Lie or Not To Lie The Doctors Dilemma Sissela Bok,Article2_S,Before Reading,Globa
36、l Reading,Detailed Reading,After Reading,What should doctors say, for example, to a 46-year-old man coming in for a routine physical checkup just before going on vacation with his family who, though he feels in perfect health, is found to have a form of cancer that will cause him to die within six m
37、onths? Is it best to tell him the truth? If he asks, should the doctors deny that he is ill, or minimize the gravity of the illness? Should they at least conceal the truth until after the family vacation?,Doctors confront such choices often and urgently. At times, they see important reasons to lie f
38、or the patients own sake; in their eyes, such lies differ sharply from self-serving ones.,Article3_S,Studies show that most doctors sincerely believe that the seriously ill do not want to know the truth about their condition, and that informing them risks destroying their hope, so that they may reco
39、ver more slowly, or deteriorate faster, perhaps even commit suicide. As one physician wrote: “Ours is a profession which traditionally has been guided by a precept that transcends the virtue of uttering the truth for truths sake, and that is as far as possible do no harm. ” Armed with such a precept
40、, a number of doctors may slip into deceptive practices that they assume will “do no harm” and may well help their patients. They may prescribe innumerable placebos, sound more encouraging than the facts warrant, and distort grave news, especially to the incurably ill and the dying.,Before Reading,G
41、lobal Reading,Detailed Reading,After Reading,Article4_S,But the illusory nature of the benefits such deception is meant to produce is now coming to be documented. Studies show that, contrary to the belief of many physicians, an overwhelming majority of patients do want to be told the truth, even abo
42、ut grave illness, and feel betrayed when they learn that they have been misled. We are also learning that truthful information, humanely conveyed, helps patients cope with illness: helps them tolerate pain better, need less medicine, and even recover faster after surgery.,Before Reading,Global Readi
43、ng,Detailed Reading,After Reading,Not only do lies not provide the “help” hoped for by advocates of benevolent deception; they invade the autonomy of patients and render them unable to make informed choices concerning their own health, including the choice of whether to be a patient in the first pla
44、ce. We are becoming increasingly aware of all that can befall patients in the course of their illness when information is denied or distorted.,Article5_S,Dying patients especially who are easiest to mislead and most often kept in the dark can then not make decisions about the end of life: about whet
45、her or not they should enter a hospital, or have surgery; about where and with whom they should spend their remaining time; about how they should bring their affairs to a close and take leave. Lies also do harm to those who tell them: harm to their integrity and, in the long run, to their credibilit
46、y. Lies hurt their colleagues as well. The suspicion of deceit undercuts the work of the many doctors who are scrupulously honest with their patients; it contributes to the spiral of lawsuits and of “defensive medicine”, and thus it injures, in turn, the entire medical profession.,Before Reading,Glo
47、bal Reading,Detailed Reading,After Reading,Article6_S,Sharp conflicts are now arising. Patients are learning to press for answers. Patients bills of rights require that they be informed about their condition and about alternatives for treatment. Many doctors go to great lengths to provide such information. Yet even in hospitals with the most eloquent bill of rights, believers in benevolent deception continue their age-old practices. Colleagues may disapprove but refrain from