Restraining the paternalism of attorneys and families in end-of-life decision-making while recognizing that patients want more than just autonomy.
Explore the source record for details and available documents.
SEARCH · PubMed Health
Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
The clinical doctor-patient relationship shows special conditions which are more difficult than those in surgeries of general practitioners. The following contribution presents the results of a qualitative study on the ethic consciousness of people working in the field of public health. It furthermore analyses the doctor-patient relationship in hospitals concentrating on the aspect on the tensions caused by paternalism confronting autonomy and vice versa above all the problem of patients being confronted with more than one person belonging to the staff of a hospital.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
DEFINITION OF THE PROBLEM: There is an increasing demand for invasive forms of cosmetic surgery. In view of the omnipresent confrontation with some idealized standards of beauty in advertising, films, beauty-shows etc., this paper deals with the question of whether women undergo cosmetic surgery because they are forced by a norm-setting beauty system or whether they choose these operations themselves. ARGUMENTS: I offer an analysis of what could be an adequate concept of autonomous choice in this area. Particularly, it will be shown that a libertarian concept of autonomy is inadequate for analyzing the moral status of cosmetic surgery. CONCLUSION: A concept of autonomy is outlined that enables us to qualify certain kinds of pressure as autonomy restricting.
This paper discusses some of the anthropological and philosophical features of the use of self-management plans by patients with a chronic disease, focusing on patients with asthma. Characteristics of this technologically mediated form of self-care are contrasted with the work of Mauss and Foucault on body techniques and techniques of self. The similarities and differences between self-management of asthma and Foucault's technologies of self highlight some of the ways in which self-management contributes to modifications in the definitions of patients and physicians. Patients, in measuring their lung function, first come to rely on measurements more than on felt disturbances, but next, felt disturbances become modified by previous measurements. Physicians, one the other hand, see their role changed from expert to being a participant in a joint treatment. It is argued that the concept of agency is more appropriate for describing the advantage of self-management for patients than autonomy.
The author discusses the development of self in women, explores the role of courage inherent in this movement, and, employing existentialist notions of courage as authenticity, explicates how these notions may lead to the development of a stronger sense of self. Notes as well that this development of self entails a dangerous complexity and that pastoral care providers will want to aid women in holding together both autonomy and connection.
Since 1999 reported cases of euthanasia in The Netherlands are examined in five regional review committees. In these committees a lawyer, an ethicist and a medical doctor investigate whether the cases reported are in correspondence with the so-called criteria for careful practice. Issues to be investigated include the patient's suffering, the nature of the patient's request, the consultation by another doctor and the way in which the termination of life has been performed. Since April 2002 the judgment of the committees is final. This paper describes the working of the review committees. It also discusses the relevance of experiences in the committee for issues of social and public debate, such as the role of the consulting doctor, the relation between euthanasia and palliative care, and the place of patient autonomy.
White suburban working- to upper-middle-class mothers (N = 40) of children ages 5 and 7 were interviewed regarding their concepts of children's areas of personal discretion, autonomy, and individuality. Mothers treated standardized moral, conventional, and prudential items as issues that mothers should control, while standardized personal items were treated as up to the child. In open-ended interviews, mothers reported setting limits around issues of safety, family conventions, and daily routines but permitted children to make decisions about food, recreational activities, clothes, and playmates. Mothers viewed mother-child conflict as occurring over these same issues and viewed children's choices as helping them to develop autonomy and competence. Mothers viewed their roles as educators and nurturers and valued the development of individuality in their children, which was thought to emerge in infancy or toddlerhood. Few age differences were observed, but gender differences were found in the ways mothers characterized boys' and girls' resistances to parental authority and in the content of mother-child disputes. Results were interpreted in terms of the emergence of the personal domain in children.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.