Relevant bibliographies by topics / Medical paternalism

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers

Academic literature on the topic 'Medical paternalism'

Author: Grafiati
Published: 4 June 2021
Last updated: 27 April 2022

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Journal articles on the topic "Medical paternalism"

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Gillon, R. "Paternalism and medical ethics." BMJ 290, no. 6486 (June 29, 1985): 1971–72. http://dx.doi.org/10.1136/bmj.290.6486.1971.

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Groll, Daniel. "Medical Paternalism - Part 2." Philosophy Compass 9, no. 3 (March 2014): 194–203. http://dx.doi.org/10.1111/phc3.12110.

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Groll, Daniel. "Medical Paternalism - Part 1." Philosophy Compass 9, no. 3 (March 2014): 186–93. http://dx.doi.org/10.1111/phc3.12111.

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Boddington, Paula, and Heta Hayry. "The Limits of Medical Paternalism." Philosophical Quarterly 43, no. 171 (April 1993): 263. http://dx.doi.org/10.2307/2220385.

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Hanson, Robin. "Making sense of medical paternalism." Medical Hypotheses 70, no. 5 (January 2008): 910–13. http://dx.doi.org/10.1016/j.mehy.2007.09.002.

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Corn, Benjamin W. "Medical paternalism: who knows best?" Lancet Oncology 13, no. 2 (February 2012): 123–24. http://dx.doi.org/10.1016/s1470-2045(11)70372-2.

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Wicclair, M. R. "Medical paternalism in House M.D." Medical Humanities 34, no. 2 (December 1, 2008): 93–99. http://dx.doi.org/10.1136/jmh.2008.000372.

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Wyatt, J. "Medical paternalism and the fetus." Journal of Medical Ethics 27, Supplement 2 (October 1, 2001): ii15—ii20. http://dx.doi.org/10.1136/jme.27.suppl_2.ii15.

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Stone, Malcolm. "An end to medical paternalism?" British Journal of Healthcare Management 5, no. 11 (November 1999): 454. http://dx.doi.org/10.12968/bjhc.1999.5.11.19483.

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Bullock, Emma C. "Mandatory Disclosure and Medical Paternalism." Ethical Theory and Moral Practice 19, no. 2 (August 27, 2015): 409–24. http://dx.doi.org/10.1007/s10677-015-9632-2.

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Dissertations / Theses on the topic "Medical paternalism"

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Oscarsson, Victoria. "The Relationship between Paternalism and Autonomy in Medicine from an Ethical and Legal Viewpoint." Thesis, Örebro universitet, Institutionen för medicinska vetenskaper, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-87104.

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Introduction: The terms autonomy and paternalism can be conceptualized and analyzed from different perspectives. The most relevant for physicians in this study are the ethical and legal viewpoints. In order to conceptualize anything a definition to depart from is needed, in this case from Oxford’s dictionaries. The importance to reflect on ethical and legal matters as a physician is due to the power over the patient one has, and it must be respected and grounded in a motivated ethical principle, since all our actions arise from ethics, consciously and subconsciously. Aim: The aim is to analyze and discuss the relationship between paternalism and autonomy from a medical ethical perspective, in relevant Swedish laws and with regards to the ethical principles. Methods: This is a qualitative study on hermeneutic ground that used two different databases and libraries and sorted material according to relevance. Inevitably this leads to a bias due to the author’s previous knowledge and selected sources. Results, Discussion and Conclusion: Physicians tend to prioritize ethical arguments depending on the situation. Autonomy is one of the four ethical principles, and this is not always the most prioritized, but beneficence may be seen as a stronger argument for action. Also, there are more regulations to secure the patient’s autonomy than the physician’s paternalism, leading to only indirect regulations towards paternalism. The conceptualization of paternalism and autonomy can be seen in many different ways, and are not always opposites as it can initially seem, but in some scenarios aline.
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Kazim, Fouzia. "Critical analysis of the Pakistan Medical Dental Council Code and Bioethical Issues." Thesis, Linköping University, Centre for Applied Ethics, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-9454.

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Medical paternalism is a common practice in Pakistan, it can be justified on the principles of beneficence and non-maleficence in certain clinical situations but in the research medicine it can pose many ethical implications.

Islam is a communitarian religion but it provides full autonomy to the competent individuals. Pakistan Medical and Dental Council (PM&DC) codes of ethics have been formulated in line with the World Medical Association and it also states in its preamble that it follows Islamic bioethical laws. The PM&DC guidelines do not provide substantial system for obtaining consent from patients and the research participants. Neither does it comply with the Islamic bioethical laws nor with the International Declarations. The language used in the codes is ambiguous that can have different interpretations and there is no legal support from the civil law of the country. These factors supplemented with the cultural values have elevated the status of the physician and gives complete authority to them for medical decisions.

Medical paternalism in research medicine can be a violation of the dignity and autonomy of the research participants. Patients are used as means and commodities rather than end in themselves. The research involves risks of harms no matter how low these risks are – the matter of concern is that research participants are involved in research accompanied with risks about which they are not aware.

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Massof, Allison Emily. "The Demands of Partnership: A Normative Foundation for Shared Medical Decision-Making." The Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu1534724963173141.

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Mikhaylevskaya, Valentina. "Consumer behavior analysis through nudging : A study on nudging of single-used hospital garments in healthcare sector of Region Östergötland." Thesis, Linköpings universitet, Tema Miljöförändring, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-153328.

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Region Östergötland has encountered issue in ecological and economical overconsumption of single-used garments in healthcare sector among medical staff in Universitetssjukhuset Linköping. Proper approaches to reach solutions towards decrease of usage of single-used garments were targeted to be implemented for employees of healthcare sector. Two goals were established for this study. First of all, it was aimed to analyse consumer behaviour of employees in healthcare sector of Östergötland region to find out reasons that lay behind increase of single-time garments by employees. Secondly, the aim was targeted to examine what nudging techniques, if any, are feasible to use in positively changing current consumer behavior. The findings showed that nudging has a strong potential to be regarded as an effective tool in influencing healthcare workers of Linköping University Hospital disposable garments usage. Main behavioural reasons that triggered increase of disposable garments usage were detected as lack of information and old habits of medical staff. Application of information disclosure, framing, feedback and social norms nudging techniques were identified to have promising possibilities in impacting current behaviour and raise healthcare workers awareness about their consumption patterns.
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Yung, Nancy. "The right to be killed : reassessing the case for the moral right to voluntary active euthanasia." Thesis, University of Oxford, 2015. https://ora.ox.ac.uk/objects/uuid:2aa54686-b621-4323-b836-ce6099b5d2fd.

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This thesis defends an individual's moral right to be aided in dying by a physician (that is, voluntary active euthanasia, or VAE), but departs significantly from the view in its favor generally accepted in the bioethics literature. The prevailing view appeals to both respect for an individual's autonomy and promotion of an individual's well-being as necessary conditions for a right to VAE, so as to justify the right only for those suffering grave illnesses and/or disabilities. The author argues that such a view is logically untenable; one or another aspect must be given up. Since invoking the premise that certain individuals would be better off dead necessarily relies on controversial assumptions about both the value of life and the nature and value of death, about which reasonable people disagree, it is the justification from an individual's best interest which must be excluded in a liberal society. The author endorses a self-determination justification for the right to VAE, but rejects understanding this in terms of respecting personal autonomy, instead making the case for a right to VAE grounded in self-ownership. The author's main conclusion is that the right to VAE is a general right applying to all competent adults, not only those suffering grave illnesses or disabilities, or those whose choice for VAE is an exercise of autonomy. Moreover, by analyzing the basis of physician authority over prescription medicine and how this can be justified to a society of self-owners, she maintains that individuals have not only the right to choose VAE without state interference, but also the right to be provided VAE by doctors. Nevertheless, both rights are compatible with reasonable limitations to protect both the interests of VAE seekers and the rights of others.
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Qualtere-Burcher, Paul 1963. "Re-thinking the Doctor-Patient Relationship: A Physician’s Philosophical Perspective." Thesis, University of Oregon, 2011. http://hdl.handle.net/1794/12146.

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The principle of respect for autonomy has been the center of gravity for the doctor-patient relationship for forty years, replacing the previous defining concept of physician paternalism. In this work, I seek to displace respect for patient autonomy with narrative and phronesis as the skills that must be mastered by the physician to engender a successful therapeutic clinical relationship. Chapter I reviews the current state of affairs in the philosophy of medicine and the doctor-patient relationship and explains how and why autonomy has become so central to physicians' understanding of how to conduct a clinical encounter with a patient. Chapter II argues that "respect for autonomy," while remaining a valid rule to be considered in some clinical relationships, cannot be the central concept that defines the relationship both because it fails to describe accurately human selfhood and also because it empirically lacks universal applicability--many humans, and most seriously ill patients, actually lack autonomy. Shared decision making, an autonomy-based model of the doctor-patient relationship, suffers from this critique of autonomy as well as its own shortcomings in that it maintains a strict fact/value distinction that is untenable. Chapter III introduces narrative philosophy and its extrapolation, narrative medicine, as a possible alternative to an autonomy model of care. I defend a narrative view of selfhood, while recognizing that even if we are in some sense narratively constituted, this still leaves many questions regarding the relationship between story and self, particularly in a clinical encounter. In Chapter IV, I seek to limit the claims of narrative by arguing that story and self can never be fully equated and that narrative must be understood as demonstrating alterity rather than eliminating it. In Chapter V, a new conception of the physician's role in the doctor-patient relationship is presented, combining phronesis, or practical wisdom, with narrative skill in four aspects of the clinical encounter: diagnosis, treatment, assistance in medical decision making, and emotional support of the patient.
Committee in charge: Naomi Zack， Chairperson； Cheyney Ryan， Member； Mark Johnson， Member； Mary Wood， Outside Member
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Rossouw, Theresa Marie. "A dialectical interpretation of the history of Western medicine : perspectives, problems and possibilities." Thesis, Stellenbosch : Stellenbosch University, 2003. http://hdl.handle.net/10019.1/53240.

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Thesis (MPhil)--University of Stellenbosch, 2003.
ENGLISH ABSTRACT: The health of the medical profession hangs in the balance. Scepticism, mistrust and legal restraints have entered its hallowed corridors and are threatening its integrity and independence. There are myriad seemingly intractable moral dilemmas that doctors, ethicists and judges are trying to resolve with the aid of available principles and rules of ethical discourse; yet, the answers remain elusive. Hegel, the eighteenth century philosopher, postulated that perplexity only exists because we do not look at the world correctly: because we tend to think in an oppositional way, we abstract from the complex interrelation of things. He therefore suggested that one should step back and think reflectively about the problem and seek the one-sided assumptions that led to the impasse. My proposition is that at the heart of many of the current medical dilemmas lies the opposition between paternalism and autonomy. These two fundamental concepts arose out of two different traditions, and now, because they have been abstracted from the contexts and histories that inform them, seem to be diametrically opposed. Paternalism arose out of the ethics of competence that originated in ancient Greece. The art of medicine was still in its infancy and physicians had to prove their ability and benevolence to a mistrustful public. Demonstration of competence became a necessary component of any successful practice. As the power of medicine grew with the scientific and technological advances of the Enlightenment, professionals' authority and competence were reinforced and systematically fostered a paternalistic attitude at the expense of adequate protection of the individual. In response to the power differential found in the political and social arena, individual human rights were promulgated in the eighteenth century. In the medical sphere, the culture of rights was translated into, among others, the fundamental right to autonomy. Patients now have the right to decide on interventions and treatment in accordance with their own conception of a good life. Paternalism thus developed out of a societal system that embraced the virtues and communal responsibility within the bounds of the polis of antiquity; autonomy arose out of the designs of the Enlightenment where the individual was hailed supreme. Remnants of both traditions are evident in contemporary medicine, but they have been abstracted from their original purpose and meaning, leading to perplexity and antagonism. Following the Hegelian method of dialectic, I postulate a thesis of paternalism, and in response to this, an antithesis of autonomy. I attempt to show that an intransigent insistence on one side or the other will only serve to strengthen the paradox and fail to lead to an acceptable solution. I aim to develop a synthesis where both concepts are embraced with the help ofa better understanding of human nature and the inevitable limits of human knowledge. Influenced by the work of the psychoanalyst Carl Jung, I firstly argue for the existence of a biological human need for compassion and thus the importance of virtue ethics, which embraces this need. Secondly, focusing on the ethics of futurity developed by Hans Jonas, I delineate the altered nature of human action and the derivative need for an ethics of responsibility. I propose possibilities for the future based on the ideas of compassion, virtue and responsibility and argue that they can only be reconciled in a pluralistic ethic.
AFRIKAANSE OPSOMMING: Die mediese professie het'n dokter nodig. Een wat kan sin maak van die wantroue en vyandigheid wat te bespeur is in die pasient-dokter verhouding en wat toepaslike terapie kan voorskryf Al die pogings tot behandeling deur middel van reëls, regulasies en etiese kodes het tot dusver misluk en het vele skynbaar-onoplosbare morele dilemmas agtergelaat. Die Duitse filosoof, Hegel, het in die agtiende eeu aangevoer dat verwarring onstaan bloot omdat ons die wêreld op die verkeerde wyse beskou: die mens is geneig tot opposisionele denke en neem daarom nie die komplekse onderlinge verbintenisse van die onderskeie elemente in ag nie. Hegel het dus voorgestel dat wanneer ons met sulke hardnekkige situasies gekonfronteer word, ons 'n tree terug neem en die situasie reflektiewelik ondersoek vir eensydige veronderstellings. My hipotese is dat baie van die etiese dilemmas wat op die oomblik in medisyne voorkom, voortvloei uit die opposisie tussen paternalisme en outonomitiet. Hierdie twee fundamentele beginsels het uit twee verskillende tradisies ontstaan en nou, omdat hulle nie meer in hulle oorspronklike konteks voorkom nie, vertoon hulle skynbaar teenstellend. Paternalisme het onstaan vanuit die etiek van bevoegdheid wat teruggevoer kan word na die tyd van Hippocrates. Medisyne was 'n nuwe professie wat nog sy eerbaarheid en welwillendheid aan 'n wantrouige publiek moes bewys. Bevoegdheid was dus 'n essensiële komponent van enige suksesvolle praktyk. Indrukwekkende vooruitgang in die dissiplines van wetenskap en tegnologie sedert die agtiende eeu het dokters se gesag en bevoegdheid bevorder en stelselmatig 'n paternalistiese houding gekweek ten koste van toepaslike beskerming van die individu. In respons tot die magsverskil in die politieke en sosiale sfeer het 'n beweging in hierdie tyd ontstaan om universêle mensseregte te bewerkstellig. In medisyne het hierdie regsbeweging gekulmineer in, onder andere, die fundamentele reg tot self-beskikking - in ander woorde, outonomiteit. Die pasient is dus nou geregtig daarop om selfte besluit oor ingrepe en behandeling op grond van sylhaar konsep van 'n goeie en sinvolle lewe. Paternalisme het dus ontstaan uit 'n samelewing waar die deugte en gemeenskapsverantwoordelikhede integraal was tot die funksionering van die polis; outonomie aan die ander kant, het ontstaan uit die idees van Die Verligting waar die individu as belangriker as die gemeenskap geag is. Volgens die Hegeliaanse dialektiese metode, postuleer ek dus 'n tesis van paternalisme en in respons daartoe, 'n antitese van outonomiteit. Ek voer aan dat 'n eiewillige aandrang op een of die ander die dilemma net sal verdiep. Ek poog dus om 'n sintese te ontwikkel wat albei konsepte inkorporeer met behulp van 'n analise van die aard van die mens en die noodwendige beperkinge van sy kennis. Geskool op die werk van die psigoanalis Carl Jung, bespreek ek die mens se biologiese behoefte aan medelye en stel dus die saak vir die belang van 'n etiek van deugte wat hierdie behoefte onderskraag. Tweedens, beinvloed deur die etiek van die toekoms, soos beskryf deur Hans Jonas, ontwikkel ek die idee van die gewysigde skaal van menslike dade en gevolglik die noodsaklikheid van 'n etiek van verantwoordelikheid. Ek postuleer dus 'n benadering wat wentel om die konsepte van medelye, deug en verantwoordelikheid wat slegs in die vorm van 'n pluralistiese etiek tot uiting kan kom.
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Thorseth, May. "Legitimate and illegitimate paternalism in polyethnic conflicts /." Göteborg : Acta Universitatis Gothoburgensis, 1999. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=008430168&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.

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Gustafsson, Helene, and Jani Karvonen. "Självbestämmande eller förmynderi? : Dilemman i hemtjänstens arbete med äldre som har en problematisk alkoholkonsumtion." Thesis, Högskolan i Gävle, Avdelningen för socialt arbete och psykologi, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-24160.

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Syftet med vårt arbete är att undersöka hur hemtjänstpersonal ser på problematisk alkoholkonsumtion i förhållande till självbestämmande bland äldre samt om det kan ha betydelse för deras omsorg av den äldre. Kvalitativa halvstrukturerade intervjuer genomfördes med hemtjänstpersonal (n=4) som analyserades hermeneutiskt utifrån teorier om makt och handlingsutrymme. Av resultaten framgår att självbestämmanderätten som Socialstyrelsen beskrivit den, är villkorad i hemtjänstpersonalens tolkning och att det saknas tydliga riktlinjer och rutiner i hemtjänstens arbete med äldre som har en problematisk alkoholkonsumtion. Resultaten visar att hemtjänstpersonalen gör individuella bedömningar i arbetet med äldre som har en problematisk alkoholkonsumtion. Det framgår att hemtjänstpersonalens arbete är förenat med svåra etiska ställningstaganden, där även maktförhållanden synliggörs och där hemtjänstpersonalen har tolkningsföreträde i förhållande till den äldre och förmynderi är en potentiell riskfaktor. En slutsats är att tydligare riktlinjer angående inköp av alkohol till äldre med en problematisk alkoholkonsumtion kan tänkas bidra till att hemtjänstpersonalen arbetar på ett mer likformigt sätt vilket i sin tur ökar rättssäkerheten för den äldre.
The aim of our study was to examine how integrity and self-determination is conceived by care assistants regarding older care takers with a problematic alcohol consumption, and if it affects their care provided. Qualitative semi-structured interviews, carried out with home care assistants (n=4) and analyzed hermeneutically with theories of power and discretion, showed that self-determination, as described by The Swedish National Board of Health and Welfare, is fulfilled only under certain conditions in the home care assistant’s interpretation. We also found a lack of guidelines and routines concerning problematic alcohol consumption among older care takers. Our results showed that home care assistants made individual assessments in their work with older care takers with problematic alcohol consumption actualizing a difficult ethical dilemma between neglect and paternalism. These ethical issues visualize power relationships where home care assistants have the prerogative to decide in relation to the care takers, where paternalism is a potential risk factor. Clear guidelines regarding the purchase of alcohol to older care takers with problematic alcohol consumption may contribute to home care assistants working more uniformly which leads to a higher state of legal security for the care takers.
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Ann, Phoebe. "Everybody Farts: Celebrating the Body and Refuting Medical Paternalism in Joyce's Ulysses." Thesis, 2015. https://thesis.library.caltech.edu/9011/1/ann_phoebe_2015_Englishthesis.pdf.

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James Joyce’s Ulysses celebrates all facets of daily life in its refusal to censor raw human emotions and emissions. He adopts a critically medical perspective to portray this honest, unfiltered narrative. In doing so, he reveals the ineffectiveness of the physician-patient relationship due to doctors’ paternalistic attitudes that hinder nonjudgmental, open listening of this unfiltered narrative. His exploration of the doctor’s moral scrutiny, cultural prejudices, and authoritative estrangement from the patient underscore the importance in remembering that physicians and patients alike are ultimately just fellow human beings. Wryly, he drives this point to literal nausea, as his narrative proudly asserts the revulsive details of public health, digestion, and death. In his gritty ruminations on the human body’s material reality, Joyce mocks the physician’s highbrow paternalism by forcing him to identify with the farting, vomiting, decaying bodies around him. In celebrating the uncensored human narrative, Joyce challenges physician and patient alike to openly listen to the stories of others.
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Books on the topic "Medical paternalism"

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The limits of medical paternalism. London: Routledge, 1991.

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American Enterprise Institute for Public Policy Research., ed. Medicare private contracting: Paternalism or autonomy? Washington, D.C: AEI Press, 1998.

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Nikku, Nina. Informative paternalism: Studies in the ethics of promoting and predicting health. Linköping: Dept. of Health and Society, Linköping University, 1997.

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Guillod, Olivier. Le consentement éclairé du patient: Autodétermination ou paternalisme? Neuchâtel [Switzerland]: Impr. P. Attinger, 1986.

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The silent world of doctor and patient. New York: Free Press, 1986.

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Bedside manners: The troubled history of doctors and patients. New York: Simon and Schuster, 1985.

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Shorter, Edward. Bedside manners: The troubled history of doctors and patients. Harmondsworth: Viking, 1986.

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Shorter, Edward. Bedside manners: The troubled history of doctors and patients. New York: Simon and Schuster, 1985.

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Hyry, Heta. Limits of Medical Paternalism. Taylor & Francis Group, 2014.

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Häyry, Heta. The Limits of Medical Paternalism. Routledge, 2002. http://dx.doi.org/10.4324/9780203161050.

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Book chapters on the topic "Medical paternalism"

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Quante, Michael. "Medical Paternalism." In Philosophy and Medicine, 203–32. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-56869-0_8.

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Campinas, Manuel. "Cultivation and paternalism in the service of the market." In Asian Medical Industries, 51–80. London: Routledge, 2022. http://dx.doi.org/10.4324/9781003218074-4.

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Dumez, Vincent, and Marie-Pascale Pomey. "From Medical Paternalism to Care Partnerships: A Logical Evolution Over Several Decades." In Patient Engagement, 9–16. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-14101-1_2.

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Brodersen, John, Lynda C. Doward, Hanne Thorsen, and Stephen P. Mckenna. "Writing Health-Related Items for Rasch Models - Patient-Reported Outcome Scales for Health Sciences: From Medical Paternalism to Patient Autonomy." In Rasch Models in Health, 281–302. Hoboken, NJ USA: John Wiley & Sons, Inc., 2013. http://dx.doi.org/10.1002/9781118574454.ch15.

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"Paternalism, power and autonomy." In Medical Humanities Companion, Volume 3, 87–100. CRC Press, 2013. http://dx.doi.org/10.1201/b20734-13.

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"PATERNALISM, COERCION AND CONSTRAINT." In The Limits of Medical Paternalism, 60–87. Routledge, 2002. http://dx.doi.org/10.4324/9780203161050-5.

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Häyry, Heta. "Voluntary Euthanasia and Medical Paternalism." In Individual Liberty and Medical Control, 28–39. Routledge, 2018. http://dx.doi.org/10.4324/9780429453298-3.

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"THE PROBLEM OF PATERNALISM IN MODERN MEDICINE AND HEALTH CARE." In The Limits of Medical Paternalism, 11–28. Routledge, 2002. http://dx.doi.org/10.4324/9780203161050-3.

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"FREEDOM, CONSTRAINT AND THE VALUE OF AUTONOMY." In The Limits of Medical Paternalism, 29–59. Routledge, 2002. http://dx.doi.org/10.4324/9780203161050-4.

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"THE UTILITARIAN CASE FOR STRONG PATERNALISM." In The Limits of Medical Paternalism, 88–104. Routledge, 2002. http://dx.doi.org/10.4324/9780203161050-6.

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Conference papers on the topic "Medical paternalism"

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Chahrour, Zahraa, Sarah Hammoud, Ali Hage-Diab, and Bassam Hussein. "The extent of medical reverse paternalism in lebanon and its ethical implications." In 2015 International Conference on Advances in Biomedical Engineering (ICABME). IEEE, 2015. http://dx.doi.org/10.1109/icabme.2015.7323298.

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