Patient autonomy and the ethics of responsibility
Alfred I. Tauber
Bok · Engelsk · 2005
| Utgitt | Cambridge, Mass. : MIT Press , c2005
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| Omfang | XIV, 328 s.
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| Opplysninger | 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.
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| Emner | Autonomy (Philosophy)
Medical ethics - United States Patient participation - United States Physician and patient - Moral and ethical aspects - United States Vis mer... Ethics, Clinical
Patient Care Patient Participation Patient Rights Personal Autonomy Physician-Patient Relations medisinsk etikk pasientrettigheter ansvarsetikk autonomi rettigheter pasientdeltagelse |
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| ISBN | 0262201607. - 026270112X
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