Moral issues of paternalism and truth telling

Physicians in the past have voiced concerns that revealing a cancer diagnosis would result in the loss of hope. Die Trill M, Kovalcik R. A husband may hide the sleeping pills from a depressed wife.

Truth-Telling in Medicine: Cultural Dimension

Physicians in different cultural contexts may face this problem, and this could indicate their lack of skills in communicating bad news in a health care settings. Would only the influences that are difficult to evade or avoid be considered manipulative? Considering the primary diagnosis, some complementary Paraclinical evaluations are necessary.

Z or its omission interferes with the liberty or autonomy of Y. The third angle may not be acceptable in making decision in some societies, but it may be as important as other angels in some other cultures. Uchitomi Y, Yamawaki S.

Autonomy is a necessary attribute of rational human beings and it is universally valid. It depends on our understanding of the good of persons.

A crucial factor responsible for the transition from paternalism to autonomy is education. Putting a warning label on a cigarette pack does not interfere with the liberty of autonomy of any cigarette smoker.

From human ability to ethical principle: So, for instance, it might be argued that since we know we are subject to depression we all would agree, at least, to short-term anti-suicide interventions, to determine whether we are suffering from such a condition, and to attempt to cure it.

We are entitled to prevent voluntary suicide. For those with religious beliefs and spiritual sensitivities, making peace with God, others, and oneself is essential for achieving a sense of closure and integration We are not nudging towards ends she does not hold.


The physician should take into account this point that some decisions may be medically appropriate but not ethically sound. B will make the final decision by her own. Kantian views are frequently absolutistic in their objections to paternalism. The needs of each person must be evaluated individually because illness is, in the first instance, a subjective experience, influenced by cultural, personal and religious beliefs and traditions Given the very different conceptions of manipulation there is disagreement about why, when it is, manipulation is wrong.

Note that if the theory of the good associated with a particular consequentialism is broad enough, i. For making the best decision, there should be a discussion with the patient, the physician and health care team, and the close family. In a way anti-paternalism is already incorporated into Kantian theories by their prohibition against lying and force—the main instruments of paternalistic interference.

However, until fairly recently, that was taken to be true at all — let alone obviously true. Many patients feel frustrated because they sense they are not being included in their treatment plan.Biomedical Ethics Practice Problems.

STUDY. PLAY. Ethics is the study of morality using the tools and method of a. Philosophy b. Science c. Description d.

Sociology. A. Philosophy. The use of moral norms and concepts to resolve practical moral issues is called a. Normative ethics b. Metaethics c. Descriptive ethics d. Truth-telling b. In the part which merely concerns himself, his independence is of right, absolute, over himself.

Over his own body-mind, the individual is sovereign. “ For me, freedom is essential for the development of each person’s individuality, the attainment of truth, and the development of new and more enriching lifestyles.

1. truth-telling can be injurious, evoking in patients feelings of panic, hopelessness, fear, and depression. 2. Patients do not want to know the truth, especially if the prognosis is grim. 3. Physicians have no duty to tell patients the truth because patients are incapable of understanding it.

TRUTH-TELLING 2 The Importance of Truth-Telling Telling the truth is something that comes up for the majority of us in childhood. It is considered impolite to lie and when a lie was told, or you were untruthful, it was often considered a reflection of.

Dec 27,  · Accompanied with various opinions across cultures, truth telling is a major debate in bioethics. TELLING THE TRUTH. Physician paternalism is no longer acceptable to many people because of the dramatic shift toward individual autonomy in the recent decades. deontological approach which considers truth-telling a moral.

Moral issue of paternalism and truth telling 1. Moral Issue of Paternalism 2. Meng Tze/ Mencius 3.

Moral issues of paternalism and truth telling
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