Patient Autonomy And The Ethics Of Responsibility
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Patient Autonomy And The Ethics Of Responsibility
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Author : Alfred I. Tauber
language : en
Publisher: MIT Press (MA)
Release Date : 2005
Patient Autonomy And The Ethics Of Responsibility written by Alfred I. Tauber and has been published by MIT Press (MA) this book supported file pdf, txt, epub, kindle and other format this book has been release on 2005 with Autonomy (Philosophy) categories.
The principle of patient autonomy dominates the contemporary debate over medical ethics. In this examination of the doctor-patient relationship, physician and philosopher Alfred Tauber argues that the idea of patient autonomy—which was inspired by other rights-based movements of the 1960s—was an extrapolation from political and social philosophy that fails to ground medicine's moral philosophy. He proposes instead a reconfiguration of personal autonomy and a renewed commitment to an ethics of care. In this formulation, physician beneficence and responsibility become powerful means for supporting the autonomy and dignity of patients. Beneficence, Tauber argues, should not be confused with the medical paternalism that fueled the patient rights movement. Rather, beneficence and responsibility are moral principles that not only are compatible with patient autonomy but strengthen it. Coordinating the rights of patients with the responsibilities of their caregivers will result in a more humane and robust medicine. Tauber examines the historical and philosophical competition between facts (scientific objectivity) and values (patient care) in medicine. He analyzes the shifting conceptions of personhood underlying the doctor-patient relationship, offers a "topology" of autonomy, from Locke and Kant to Hume and Mill, and explores both philosophical and practical strategies for reconfiguring trust and autonomy. Framing the practicalities of the clinical encounter with moral reflections, Tauber calls for an ethical medicine in which facts and values are integrated and humane values are deliberately included in the program of care.
Respecting Patient Autonomy
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Author : Benjamin Horowitz Levi
language : en
Publisher: University of Illinois Press
Release Date : 1999
Respecting Patient Autonomy written by Benjamin Horowitz Levi and has been published by University of Illinois Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999 with Autonomy (Psychology) categories.
Shows how dialogue between patients and health care providers can clarify both medical and ethical issues, promoting patient autonomy and advancing health care. Addresses fundamental questions about how medical decisions should be reached, by framing health care issues and decisions in terms of the values and goals they promote. Explores the relationship between patients and health care providers using real clinical situations.
Theories Of The Self And Autonomy In Medical Ethics
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Author : Michael Kühler
language : en
Publisher: Springer Nature
Release Date : 2020-09-29
Theories Of The Self And Autonomy In Medical Ethics written by Michael Kühler and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-09-29 with Philosophy categories.
This book engages in a critical discussion on how to respect and promote patients’ autonomy in difficult cases such as palliative care and end-of-life decisions. These cases pose specific epistemic, normative, and practical problems, and the book elucidates the connection between the practical implications of the theoretical debate on respecting autonomy, on the one hand, and specific questions and challenges that arise in medical practice, on the other hand. Given that the idea of personal autonomy includes the notion of authenticity as one of its core components, the book explicitly includes discussions on underlying theories of the self. In doing so, it brings together original contributions and novel insights for “applied” scenarios based on interdisciplinary collaboration between German and Serbian scholars from philosophy, sociology, and law. It is of benefit to anyone cherishing autonomy in medical ethics and medical practice.
Patients Responsibilities In Medical Ethics
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Author : Heather Draper
language : en
Publisher:
Release Date : 2004
Patients Responsibilities In Medical Ethics written by Heather Draper and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004 with categories.
Patients have not been entirely ignored in medical ethics. There has been a shift from the general presumption that "doctor knows best" to a heightened respect for patient autonomy. Medical ethics remains one-sided, however. It tends (incorrectly) to interpret patient autonomy as mere participation in decisions, rather than a willingness to take the consequences. In this respect, medical ethics remains largely paternalistic, requiring doctors to protect patients from the consequences of their decisions. This is reflected in a one-sided account of duties in medical ethics. Duties fall mainly on doctors and only exceptionally on patients. Medical ethics may exempt patients from obligations because they are the weaker or more vulnerable party in the doctor-patient relationship. We argue that vulnerability does not exclude obligation. We also look at others ways in which patient responsibilities flow from general ethics: for instance, from responsibilities to others and to the self, from duties of citizens, and from the responsibilities of those who solicit advice. Finally, we argue that certain duties of patients counterbalance an otherwise unfair captivity of doctors as helpers.
The Different Faces Of Autonomy
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Author : M. Schermer
language : en
Publisher: Springer Science & Business Media
Release Date : 2013-04-17
The Different Faces Of Autonomy written by M. Schermer and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-04-17 with Philosophy categories.
Patient autonomy is a much discussed and debated subject in medical ethics, as well as in healthcare practice, medical law, and healthcare policy. This book provides a detailed and nuanced analysis of both the concept of autonomy and the principle of respect for autonomy, in an accessible style. The unique feature of this book is that it combines empirical research into hospital practice with thorough philosophical analyses. As such, it is an example of a new movement in applied ethics, that of 'empirical ethics'. The key themes are informed consent and medical decision making, personal well-being, competence, paternalism and decision making for incompetent patients. Much attention is also devoted to autonomy in non-decision making situations - patient control over small everyday aspects of care, authenticity and existential aspects of illness, autonomy and the 'ethics of care', and the relationship between autonomy and trust in the physician-patient relationship. This book will be of interest to those working or studying in the field of medical ethics and applied ethics but also to healthcare professionals and health policy makers.
Ethics And Chronic Illness
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Author : Tom Walker
language : en
Publisher: Routledge
Release Date : 2019-04-17
Ethics And Chronic Illness written by Tom Walker and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-04-17 with Philosophy categories.
This book provides an account of the ethics of chronic illness. Chronic illness differs from other illnesses in that it is often incurable, patients can live with it for many years, and its day-to-day management is typically carried out by the patient or members of their family. These features problematise key distinctions that underlie much existing work in medical ethics including those between beneficence and autonomy, between treatment and prevention, and between the recipient and provider of treatment. The author carries out a detailed reappraisal of the roles of both autonomy and beneficence across the different stages of treatment for a range of chronic illnesses. A central part of the author’s argument is that in the treatment of chronic illness, the patient and/or the patient’s family should be seen as acting with healthcare professionals to achieve a common aim. This aspect opens up unexplored questions such as what healthcare professionals should do when patients are managing their illness poorly, the ethical implications of patients being responsible for parts of their treatment, and how to navigate sharing information with those directly involved in patient care without violating privacy or breaching confidentiality. The author addresses these challenges by engaging with philosophical work on shared commitments and joint action, responsibility and justice, and privacy and confidentiality. The Ethics of Chronic Illness provides a new, and much needed, critical reappraisal of healthcare professionals’ obligations to their patients. It will be of interests to academics working in bioethics and medical ethics, philosophers interested in the topics of autonomy, responsibility, and consent, and medical practitioners who treat patients with chronic illness.
Responsibility In Health Care
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Author : G.J. Agich
language : en
Publisher: Springer Science & Business Media
Release Date : 2012-12-06
Responsibility In Health Care written by G.J. Agich and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-12-06 with Philosophy categories.
Medicine is a complex social institution which includes biomedical research, clinical practice, and the administration and organization of health care delivery. As such, it is amenable to analysis from a number of disciplines and directions. The present volume is composed of revised papers on the theme of "Responsibility in Health Care" presented at the Eleventh Trans Disciplinary Symposium on Philosophy and Medicine, which was held in Springfield, illinois on March 16-18, 1981. The collective focus of these essays is the clinical practice of medicine and the themes and issues related to questions of responsibility in that setting. Responsibility has three related dimensions which make it a suitable theme for an inquiry into clinical medicine: (a) an external dimension in legal and political analysis in which the State imposes penalties on individuals and groups and in which officials and governments are held accountable for policies; (b) an internal dimension in moral and ethical analysis in which individuals take into account the consequences of their actions and the criteria which bear upon their choices; and (c) a comprehensive dimension in social and cultural analysis in which values are ordered in the structure of a civilization ([8], p. 5). The title "Responsibility in Health Care" thus signifies a broad inquiry not only into the ethics of individual character and actions, but the moral foundations of the cultural, legal, political, and social context of health care generally.
General Practice And Ethics
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Author : Christopher Dowrick
language : en
Publisher: Routledge
Release Date : 2012-11-12
General Practice And Ethics written by Christopher Dowrick and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-11-12 with Philosophy categories.
Explores the ethical issues faced by GPs in their everyday practice, addressing two central themes; the uncertainty of outcomes and effectiveness in general practice and the changing pattern of general practitioners' responsibilities.
Autonomy And Clinical Medicine
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Author : J. Bergsma
language : en
Publisher: Springer Science & Business Media
Release Date : 2013-03-14
Autonomy And Clinical Medicine written by J. Bergsma and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-03-14 with Medical categories.
This book arises from a two-fold conviction. The first is that autonomy, despite recent critiques about its importance in bioethics and philosophy of medicine, and the traditional resistance of medicine to its "intrusion" into the doctor-patient relation, is a fundamental building block of an individual's identity and mechanisms for dealing with illness, disease, and incapacity. As such it is an essential component in the health care professional's armamentarium employed to bring about healing. Furthennore, it functions in a similar way to assist the health professional in his or her relations to the sick and injured. The second conviction follows from the fITst. Autonomy is far more complex than appears from the philosophical use of the concept. In this conviction we join those who have criticized the over-reliance on autonomy in modem, secular bioethics originating in the United States, but gaining ascendancy in other cultures. This critique relies on appeals to the richer contexts of persons' lives. Elsewhere the contemporary critique of autonomy appears in a variety of alternative ethical models like narrative ethics, casuist ethics, and contextualism. Indeed, postmodern criticism of all bioethics argues that there is no defensible foundation for claims that one ought to respect autonomy or any other principle as a way of ensuring that one is ethical.
Patient S Autonomy Privacy And Informed Consent
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Author : Helena Leino-Kilpi
language : en
Publisher: IOS Press
Release Date : 2000
Patient S Autonomy Privacy And Informed Consent written by Helena Leino-Kilpi and has been published by IOS Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2000 with Confidential communications categories.
In this text an overview of the literature in patients' autonomy, privacy and informed consent has been made. This is important for many groups, and patients' rights were emphasized during the 1990s in many countries. The volume contains the laws and ethical codes referring to the topic.