Here is a thoroughly updated edition of a classic in palliative medicine. Two new chapters have been added to the 1991 edition, along with a new preface summarizing where progress has been made and where it has not in the area of pain management. This book addresses the timely issue of doctor-patient relationships arguing that the patient, not the disease, should be the central focus of medicine. Included are a number of compelling patient narratives. Praise for the first edition "Well written. . .should be read by everyone in medical practice or Considering a career in medicine."--JAMA. "Memorable passages, important ideas, and critical analysis. This is a book that clinicians and educators should read."--New England Journal of Medicine.