Unit 5 To Lie or Not to Lie-The Doctor's Dilemma I.Teaching Aims 1.Get Ss to discuss whether a doctor should be honest or not to a patient on the patient's true disease 2.About the text,Ss should grasp the text content,text structure,basic vocabularies and required grammar points of the section. Words&Expressions:conceal,dwarf,confront,distort,render,contrary to,refrain from,take a stand Grammar:subordinate compound 3.About the reading,Ss should know the reading strategy of guessing new words 4.About the writing,Ss should get to know the writing skill-a good topic sentence. 5.About the listening.Ss finish the Unit 5 directed by teacher. II.Key and Difficult Points 1.New Words and Phrases 2.Complex Sentences III.Teaching Methods Discussion,explanation,ask and answer IV.Time:4 periods V.Teaching procedures: Step one Introduction 1.Warm-up questions: Give the students the following topics to discuss and then ask them to answer these questions. (1)Is it ever right to tell a lie? (2)Do you always want to be told the truth,no matter how unpleasant? (3)Are there any circumstances in which it is acceptable for a doctor to tell a lie?Why? 2.Background Information (1)Medicine is the practice of maintaining 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
Unit 5 To Lie or Not to Lie—The Doctor’s Dilemma I. Teaching Aims 1. Get Ss to discuss whether a doctor should be honest or not to a patient on the patient’s true disease. 2. About the text, Ss should grasp the text content, text structure, basic vocabularies and required grammar points of the section. Words﹠Expressions: conceal, dwarf, confront, distort, render, contrary to, refrain from, take a stand Grammar: subordinate compound 3. About the reading, Ss should know the reading strategy of guessing new words. 4. About the writing, Ss should get to know the writing skill—a good topic sentence. 5. About the listening, Ss finish the Unit 5 directed by teacher. II. Key and Difficult Points 1. New Words and Phrases 2. Complex Sentences III. Teaching Methods Discussion, explanation, ask and answer IV. Time: 4 periods V. Teaching procedures: Step one Introduction 1. Warm-up questions: Give the students the following topics to discuss and then ask them to answer these questions. （1） Is it ever right to tell a lie? （2） Do you always want to be told the truth, no matter how unpleasant? （3） Are there any circumstances in which it is acceptable for a doctor to tell a lie? Why? 2. Background Information (1) Medicine is the practice of maintaining 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
(2)Doctors refer to physicians and other medical healers.In the United States they Most of them work in health care services,which involve diagnosing and treating patients.Others work mainly in researching,teaching.or administration of medical facilities. (3)A white lie is alie that is considered to be justified.oreven praiseworthy,if it is in the interests of the person or people to whom it is told.Quite often,a doctor's lie is thought to be a cas in point 3.Introductory Remarks Step Two Global reading Give the students 10 minutes to read the text as quickly as they can,and ask ilar meanings a difficult choice dilemma do good to benefit cruel brutal regular routine medical examination physical checkup prove document deceive betray oppose object result consequence proverb saying 2.Multiple choices onP112 3.Structure of the Text Part 1 para.1-5 Doctors'reasons for telling lies Part 2 Para.6-9 The author's reasons why patients should be told the truth Part 3 Para.10-11 The author urges that an open debate be held on this issue 4.Group Pr ion:Divide the class two groups Ask the first grou over the first part of the text and find out the reasons why some doctors 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 author's reasons why patients should be told the truth. Step Three Detailed study Explain the im orta and difficult points in the text,including the usage of new words and phra structure of complex senten ces and relevant grammar Should doctors ever lie to benefit their patients-to speed recovery or to conceal the approach of death? conceal:v.hide:keep from being seen or known e.g.Truth cannot be concealed forever
(2) Doctors refer to physicians and other medical healers. In the United States they are called health care professionals, which include physicians, surgeons, and dentists. Most of them work in health care services, which involve diagnosing and treating patients. Others work mainly in researching, teaching, or administration of medical facilities. (3) 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 people to whom it is told. Quite often, a doctor’s lie is thought to be a case in point. 3. Introductory Remarks Step Two Global reading Give the students 10 minutes to read the text as quickly as they can, and ask them to think about these questions in the process of reading. 1. Look for the new words or phrases with the similar meanings a difficult choice dilemma do good to benefit cruel brutal regular routine medical examination physical checkup prove document deceive betray oppose object result consequence proverb saying 2. Multiple choices on P112 3. Structure of the Text Part 1 Para. 1-5 Doctors’reasons for telling lies Part 2 Para. 6-9 The author’s reasons why patients should be told the truth Part 3 Para. 10-11 The author urges that an open debate be held on this issue. 4. Group Presentation: 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 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 author’s reasons why patients should be told the truth. Step Three Detailed study Explain the important and difficult points in the text, including the usage of new words and phrases, structure of complex sentences and relevant grammar. 1. Should doctors ever lie to benefit their patients — to speed recovery or to conceal the approach of death? conceal: v. hide; keep from being seen or known e.g. Truth cannot be concealed forever
He tried his best to conceal his disappointment from his friends In medicine as in law,govem of honesty often seem dwarfed by greater needs:the need to shelter fron brutal news or to uphold a promise of secrecy:to expose corruption or to promote the public interest. (1)dwarf: rson animal or plant of much less than the usual size e.g. The dwarf sees farther than the giant,when he has the giant's shoulders to mount on. vt.cause to appear small by comparison e.g.The newly-built 18-story hotel dwarfs all the other buildings nearby (2)What is the grar matical function of the olon? greater needs the need 这Q里管号后面的句子是前面great needs的同位 (3)Translate the sentence into Chinese. 医疗行业与法律、政府及其他行业一样，往往对诚实与否的问题看得不那么 重要。相比之下要紧的倒是另外一些事情。譬如，应设法避免可怕的消息造成的 打击，或是考虑恪守保守秘密的诺言，或是需要揭露腐败或促进公众利益。 3 Doctors confront such choices often and urgently confront:vt.meet face to face:oppose e.g.We must confront the failure with optimism. Confronted by an angry crowd.the police retreated Patter:confront sb.(sth.)with sth: be confronted vithsb.(sth.) 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 truth's sake,and that is'as far as possible do no harm.'" (1)Meaning:We doctors have ben guded by a princip that is above the rality of telling the ruth as end in itself and tha is tha t we must try our (2)Translate the sentence into Chinese 正如一位内科医生写到：“我们这个职业传统上格守一个信条，那就是：“尽量不 造成伤害？，这一信条胜过为讲真话而讲真话的美德”。 They may inmerable placebos,than the facts warrant,and distort grave news,especially to the incurably ill and the dying. (1)distort:v.give a false or misleading account of e.g.News is frequently distorted when widely spread His voice was distorted from the severe pain (2)Meanir They may give pa nts all kinds of medicines more for their mental relief than for any actual medicinal benefit,say some words that are more encouraging than the patients'real conditions promise and give a false or misleading account of the seriousness of their condition.This happens especially to the incurably ill and the dying patients
He tried his best to conceal his disappointment from his friends. 2. In medicine as in law, government, and 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. (1) dwarf: n. a person , animal or plant of much less than the usual size e.g. The dwarf sees farther than the giant, when he has the giant’s shoulders to mount on. vt. cause to appear small by comparison e.g. The newly-built 18-story hotel dwarfs all the other buildings nearby. (2) What is the grammatical function of the sentence after the colon? … greater needs: the need … 这里冒号后面的句子是前面 great needs 的同位 语。 (3) Translate the sentence into Chinese. 医疗行业与法律、政府及其他行业一样，往往对诚实与否的问题看得不那么 重要。相比之下要紧的倒是另外一些事情。譬如，应设法避免可怕的消息造成的 打击，或是考虑恪守保守秘密的诺言, 或是需要揭露腐败或促进公众利益。 3. Doctors confront such choices often and urgently. confront: vt. meet face to face; oppose e.g. We must confront the failure with optimism. Confronted by an angry crowd, the police retreated. Pattern: confront sb. (sth.) with sth.; be confronted with sb. (sth.) 4. 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 truth’s sake, and that is ‘as far as possible do no harm.’ ” (1) Meaning: “We doctors have long been guided by a principle that is above the morality of telling the truth as an end in itself and that principle is that we must try our best not to do our patients any harm.” (2) Translate the sentence into Chinese. 正如一位内科医生写到：“我们这个职业传统上恪守一个信条，那就是：‘尽量不 造成伤害’，这一信条胜过为讲真话而讲真话的美德”。 5. They may prescribe innumerable placebos, sound more encouraging than the facts warrant, and distort grave news, especially to the incurably ill and the dying. (1) distort: v. give a false or misleading account of e.g. News is frequently distorted when widely spread. His voice was distorted from the severe pain. (2) Meaning: They may give patients all kinds of medicines more for their mental relief than for any actual medicinal benefit, say some words that are more encouraging than the patients’ real conditions promise and give a false or misleading account of the seriousness of their condition. This happens especially to the incurably ill and the dying patients
(3)Translate the senter e into chine 他们可能开出无数贴安慰剂，说一些没有事实根据的话为病人打气，歪曲严重的 病情， 对那些患有不治之症和濒临死亡的病人， 则尤其如此 6. But the illusory nature of the benefits such deception is meant to produce is now coming to be documented. (1)Meaning:But the evidence is being provided which shows that the benefits such ception s expected to produce are false by nature (2)Transl 然而，现在有人提出证据，证明这种欺骗并不能给病人带来真正的好处。 7. Studies show that,contrary to the belief of many physicians,an overwhelming majority of patients do want to be told the truth,even about grave illness and feel betra ed when they leam that they have been misled. contrary to:completely opposite to.different fron e.g.What you have done is contrary to the regulations Contrary to our thought,he got the first place in the speech contest. .they invade the autonomy of patients and render them unable to make informed choices conceming their own health, (1)rende v.make: cause to be e.g.His sharp words rendered me speechless He was rendered unconscious by a hard blow. 9. We are becoming increasingly aware of all that can befall patients in the course of their illness when information is denied or distorted. Mear We are becoming g more and n more aware of all the ill effects on patients if they are not told the truth 0 The suspicion of deceit undercuts the work of the many doctors who are scrupulously honest with their patients; Meaning:The suspicion held by patients who think that their doctors may be deceiving them u ndermines the fforts of those doctors who are rigorously ith their patients Colleagues may disapprove but refrain from objecting. refrain from:keep oneself from:avoid e.g.Please refrain from smoking in public places. Although unfairly treated,she refrained from crying out bitterly re hav ng to take epart,day after day,in deceiving patients,but feel powerless to take a stand. (1)take a stand:declare one's position.attitude.opinions.etc.and be prepared to fight (for them) e.g.Everyone is supposed totake a stand on this important issue He took a fir and on g more Because nurses are not powerful enough to fight against doctors,so they feel unable to make objections. (3)Translate the sentence into Chinese 护士对不得不日复一日地参与欺骗病人的做法也许深恶痛绝，但要抵制却感
(3) Translate the sentence into Chinese. 他们可能开出无数贴安慰剂，说一些没有事实根据的话为病人打气，歪曲严重的 病情，对那些患有不治之症和濒临死亡的病人，则尤其如此。 6. But the illusory nature of the benefits such deception is meant to produce is now coming to be documented. (1) Meaning: But the evidence is being provided which shows that the benefits such deception is expected to produce are false by nature. (2) Translate the sentence into Chinese. 然而，现在有人提出证据，证明这种欺骗并不能给病人带来真正的好处。 7. Studies show that, contrary to the belief of many physicians, an overwhelming majority of patients do want to be told the truth, even about grave illness, and feel betrayed when they learn that they have been misled. contrary to: completely opposite to; different from e.g. What you have done is contrary to the regulations. Contrary to our thought, he got the first place in the speech contest. 8. …they invade the autonomy of patients and render them unable to make informed choices concerning their own health, … (1) render: v. make; cause to be e.g. His sharp words rendered me speechless. He was rendered unconscious by a hard blow. 9. We are becoming increasingly aware of all that can befall patients in the course of their illness when information is denied or distorted. Meaning: We are becoming more and more aware of all the ill effects on patients if they are not told the truth. 10. The suspicion of deceit undercuts the work of the many doctors who are scrupulously honest with their patients; Meaning: The suspicion held by patients who think that their doctors may be deceiving them undermines the efforts of those doctors who are rigorously honest with their patients. 11. Colleagues may disapprove but refrain from objecting. refrain from: keep oneself from; avoid e.g. Please refrain from smoking in public places. Although unfairly treated, she refrained from crying out. 12. Nurses may bitterly resent having to take part, day after day, in deceiving patients, but feel powerless to take a stand. (1) take a stand: declare one’s position, attitude, opinions, etc. and be prepared to fight (for them) e.g. Everyone is supposed to take a stand on this important issue He took a firm stand on investing more in education. (2) Why is it difficult for nurses to take a stand? Because nurses are not powerful enough to fight against doctors, so they feel unable to make objections. (3) Translate the sentence into Chinese. 护士对不得不日复一日地参与欺骗病人的做法也许深恶痛绝，但要抵制却感
到无能为力。 13. be comfort in the old saying."What you don't know can't hurt you. (1)Why does the author use the inverted order here? This inverted order is used here to achieve a formal and dignified tone. (2)Translate the sentence into Chinese 无论医疗界、法律界、政府机构还是社会科学界，都不应从“不知者，不为 所害”这句老话中得到丝毫慰藉。 IV.Summary 1.Main idea of the text When treating seriously ill patients,many doctors think that it is best not to tell them the truth ab their condition.These doctors sincerely believe that they have good reasons to tell lies for the patients own benefit But the 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 ro fe 101 And in the last paragraph of the article,the author urges that an open debate be held on this issue. 2.Words and Expressions V.Homework 1.Memorize the new words and phrases in the text 2.Do exercises 3.Leamn the text in"Reading Activity"by yourself. 4.For this part,you are required to write a composition on the topic Examination Cheating.You should write at least 150 words and base your composition on the iven in chinese belov .目前， 12 考试作弊在校园里很盛行。 考试作弊的原因有许多 3.依我看，要防止考试作弊… VI.References 1.College English Intensive Reading 4,LinYinhua(ed.),Shanghai Foreign Language Education Press,2006 2.College English Intensive Reading 4.(Teacher's Book).Zhang Zengjian(ed.) Shanghai Foreign Language Education Press,2006. 3.Oxford Advanced Learner's English-Chinese Dictionary (6th edition),Oxford university press The Commercial Press,2004. 4.大学英语语法.薄冰主编.山西：山西教育出版社，2006. 5.大学英语实用语法讲解与练习.任福洪等主编。北京：国防工业出版社 2004 6.实用英语语法.张道真.北京：外语教育与研究出版社.2002
到无能为力。 13. Neither in medicine, nor in law, government, or the social sciences can there be comfort in the old saying, “What you don’t know can’t hurt you.” (1) Why does the author use the inverted order here? This inverted order is used here to achieve a formal and dignified tone. (2) Translate the sentence into Chinese. 无论医疗界、法律界、政府机构还是社会科学界，都不应从“不知者，不为 所害”这句老话中得到丝毫慰藉。 IV. Summary 1. Main idea of the text 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 the 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 profession. And in the last paragraph of the article, the author urges that an open debate be held on this issue. 2. Words and Expressions V. Homework 1. Memorize the new words and phrases in the text. 2. Do exercises 3. Learn the text in “Reading Activity” by yourself. 4. For this part, you are required to write a composition on the topic Examination Cheating. You should write at least 150 words and base your composition on the outline given in Chinese below: 1. 目前，考试作弊在校园里很盛行。 2. 考试作弊的原因有许多。 3. 依我看，要防止考试作弊…… VI．References 1. College English Intensive Reading 4, LinYinhua(ed.), Shanghai Foreign Language Education Press, 2006. 2. College English Intensive Reading 4, (Teacher’s Book), Zhang Zengjian(ed.), Shanghai Foreign Language Education Press, 2006. 3. Oxford Advanced Learner’s English-Chinese Dictionary（6 th edition）, Oxford university press﹠The Commercial Press, 2004. 4. 大学英语语法. 薄冰 主编. 山西：山西教育出版社，2006. 5. 大学英语实用语法讲解与练习. 任福洪等主编. 北京：国防工业出版社， 2004. 6.实用英语语法. 张道真.北京：外语教育与研究出版社. 2002
