Chapter 3

Question 0

What characterizes paternal doctor patient relationships?

Answer 0

Physician assumes role of parent

Doctor may deceive patient to provide the best outcome

Question 1

Characteristics of the doctor-patient engineering model

Answer 1

Physician doesn’t care about the person as a person
Facts and treatment are presented, the patient makes all the choices
Physician must show no bias

Question 2

Characteristics of the contractual doctor patient relationship

Answer 2

The relationship is a loose contract

Doctors make minor decisions, the patient makes the final one

Question 3

Covenental doctor patient relationship

Answer 3

Doctor is there in sickness and health

Decisions are made on the knowledge of the patient on a personal level

Question 4

Nurse patient relationships have what characteristics?

Answer 4

Go between for doc and patient
Will usually take the doctors side
Adds more care and humanity to medicine

Question 5

What does autonomy mean?

Answer 5

Self Law, from Greek

Assumes that people are rationally competent

Question 6

What are some drawbacks of the engineering view of doctor relationships

Answer 6

Asks the doctor to show no bias

Question 7

Drawbacks of the paternalistic doctor relationship

Answer 7

Physicians don’t always know what is best

Can be a bit arrogant, since doctor always knows best

Question 8

Drawbacks of the contractual doctor relationship

Answer 8

Where is the line between patients and the doctors decisions?

Question 9

Criticisms of conventional doctors care

Answer 9

More expensive because the doctor spends more time with the patient
Doctor risks emotional involvement

Question 10

Criticisms of the nurse patient relationship

Answer 10

A lack of power to make things right

Question 11

What does beneficence mean?

Answer 11

Common good

Ex. Is euthanasia really a good thing? It might make the public more calous

Question 12

Define paternalism

Answer 12

To take over the autonomy of another person, to make decisions for them, such as the handicapped or the suicidal

Question 13

Define informed consent

Answer 13

Assumes that a person is rational enough that they can understand the facts and make a responsible choice

Question 14

Criticisms of informed consent?

Answer 14

Many cannot make their own decisions

Are we really free from commitments?

Question 15

What is the feminist critique of autonomy?

Answer 15

The autonomous individual is a powerful unencumbered male

Has the individual really been given all the choices, or has

Question 16

How else can autonomy be defined by feminists?

Answer 16

Self realization through self sufficiency

Question 17

What does milieu interieur mean

Answer 17

Homeostasis

Question 18

What are some criticisms of autonomy?

Answer 18

It doesn’t apply well to a whole life, just choices of right now
Can we really act autonomously in all situations
Can all autonomous choices be respected

Question 19

Define competence

Answer 19

The ability to perform a task, and to understand consequences of their actions

Question 20

Define strong paternalism

Answer 20

One can forcibly intervene on the behalf of another competent individual if that person believes they can prevent harm from coming to the subject

Question 21

Define weak paternalism

Answer 21

It is wrong to interfere and intervene on the behalf of others

Question 22

Define the harm principle

Answer 22

Do what you want as long as it doesn’t hurt anybody else

If it does, others have legit reason to restrain you