When patient and doctor disagree

Autonomous Patient versus Paternalistic Doctor

Auteurs

• Paul Crichton

Paramètres

• Santé & Médecine

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Since the inception of Western Medicine around 2500 years ago with Hippocrates, the foundational principle of the patient-doctor relationship has been the patient's reliance on the doctor's knowledge and integrity. Historically, this relationship has favored the doctor, creating a significant power imbalance. However, recent advancements in medical knowledge and the rise of patient awareness—largely fueled by the internet and advocacy organizations—have transformed this dynamic. The traditional paternalistic approach is evolving into a model that emphasizes patient-centered care, where patient autonomy is increasingly prioritized. This shift has led to varying opinions between patients and doctors. The book presents philosophical arguments supporting patient autonomy and explores these disagreements, particularly in psychiatric practice. It addresses critical topics such as restrictions under the Mental Health Act, epistemic injustice, do-not-resuscitate orders, and assisted suicide, examining them from both philosophical and psychological viewpoints. This work is aimed at professionals and laypeople alike, shedding light on the ethical dilemmas frequently encountered in psychiatry.

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• Année de publication: 2016