Chapter 3 Flashcards
What characterizes paternal doctor patient relationships?
Physician assumes role of parent
Doctor may deceive patient to provide the best outcome
Characteristics of the doctor-patient engineering model
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
Characteristics of the contractual doctor patient relationship
The relationship is a loose contract
Doctors make minor decisions, the patient makes the final one
Covenental doctor patient relationship
Doctor is there in sickness and health
Decisions are made on the knowledge of the patient on a personal level
Nurse patient relationships have what characteristics?
Go between for doc and patient
Will usually take the doctors side
Adds more care and humanity to medicine
What does autonomy mean?
Self Law, from Greek
Assumes that people are rationally competent
What are some drawbacks of the engineering view of doctor relationships
Asks the doctor to show no bias
Drawbacks of the paternalistic doctor relationship
Physicians don’t always know what is best
Can be a bit arrogant, since doctor always knows best
Drawbacks of the contractual doctor relationship
Where is the line between patients and the doctors decisions?
Criticisms of conventional doctors care
More expensive because the doctor spends more time with the patient
Doctor risks emotional involvement
Criticisms of the nurse patient relationship
A lack of power to make things right
What does beneficence mean?
Common good
Ex. Is euthanasia really a good thing? It might make the public more calous
Define paternalism
To take over the autonomy of another person, to make decisions for them, such as the handicapped or the suicidal
Define informed consent
Assumes that a person is rational enough that they can understand the facts and make a responsible choice
Criticisms of informed consent?
Many cannot make their own decisions
Are we really free from commitments?
What is the feminist critique of autonomy?
The autonomous individual is a powerful unencumbered male
Has the individual really been given all the choices, or has
How else can autonomy be defined by feminists?
Self realization through self sufficiency
What does milieu interieur mean
Homeostasis
What are some criticisms of autonomy?
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
Define competence
The ability to perform a task, and to understand consequences of their actions
Define strong paternalism
One can forcibly intervene on the behalf of another competent individual if that person believes they can prevent harm from coming to the subject
Define weak paternalism
It is wrong to interfere and intervene on the behalf of others
Define the harm principle
Do what you want as long as it doesn’t hurt anybody else
If it does, others have legit reason to restrain you
