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Reviews Book

Better than Well: American Medicine Meets the American Dream

BMJ 2003; 327 doi: (Published 04 September 2003) Cite this as: BMJ 2003;327:567
  1. Ross Upshur (
  1. Departments of Family and Community Medicine and Public Health Sciences and Joint Centre for Bioethics, University of Toronto

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    Carl Elliott

    W W Norton, £19.95/$26.95/C$38.99, pp 357 ISBN 0 393 05201 X

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    Concepts of the self and self identity are part of the stock-in-trade of academic philosophy. However, grappling with such ideas is not an element of the day to day work of busy clinicians. The self rarely, if ever, shows up in an undergraduate medical curriculum, except perhaps in psychopathology.

    This may need to be remedied as we enter the post-genomic age and as clinicians face the advent of “enhancement technologies,” many of …

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