Autonomy and paternalism in medicine

  title={Autonomy and paternalism in medicine},
  author={Brian J. Pollard},
  journal={Medical Journal of Australia},
  • B. Pollard
  • Published 1 December 1993
  • Medicine
  • Medical Journal of Australia
The role of ethics in medical practice is now receiving close scrutiny, so it is timely that ethical concepts, such as autonomy and paternalism, be re‐examined in their applied contexts. As neither autonomy nor paternalism has a current universally accepted meaning, their significance varies in both ethical and clinical discussion. Of the two, autonomy has moved further from its original moral context, to the extent that it often now signifies no more than a person's expressed intention… 
Deconstructing paternalism--what serves the patient best?
  • N. Stan
  • Medicine
    Singapore medical journal
  • 2002
The essay argues through the case of Traditional Chinese Medicine (TCM), and acupuncture in particular, that the current dominant Western school of thought excludes other forms of "alternative" treatment through medical paternalism.
Personal autonomy in health settings and Shi’i Islamic Jurisprudence: a literature review
Evidence indicates that Shi’i Islamic jurisprudence respects personal autonomy, which points towards various controversies on individuals’ autonomy lead to different decision making outcomes by health workers in both different traditions.
Paternalism and the Utilization of Advance Care Directives
Patient care during the end-of-life period, the issue of advance care directives and paternalism in the light of some ethical theories and the role paternalism plays in its making and utilization ofvance care directives are discussed.
Patient Autonomy Investigation Under the Technology-Based Health Care System
  • Yi Yang
  • Medicine, Political Science
  • 2012
The major finding is that in the area of patient autonomy, it does not matter much whether the “physician decides” or the patient decides in the current “disease care” health system, where most of the doctors focus only on disease treatment using aggressive medical technologies.
Doctors' moral beliefs and public policy
It is suggested that the conventional compromise — compulsory referral — is morally problematic, and the solution to this problem is to regard referral as ‘just another’ controversial medical practice.
How to manage patients who refuse medical treatment? Case report and review of legislative acts on patient autonomy in Poland Jak postępować z chorymi niewyrażającymi zgody na leczenie? Opis przypadku i przegląd aktów prawnych związanych z autonomią pacjenta w Polsce
The following publication describes the case of a female patient who refused consent to surgical intervention, and died shortly thereafter, and the legal aspects concerning patient autonomy in Poland are reviewed.
Communication with Cancer Patients in Culturally Diverse Societies
This chapter attempts to combine a general review of communication in cancer medicine with a consideration of these multicultural issues raised by the management of cancer patients within a multicultural society.
Lay constructions of decision‐making in cancer
Twenty women with cancer were interviewed via telephone 2 weeks after their first consultation with one of 6 medical oncologists and recruitment continued until informational redundancy was achieved.
Compliance with triage to intensive care recommendations
Recommendations for triage to intensive care are rarely observed, particularly when the unit is full or triage is done over the phone, and these recommendations may need to be redesigned to improve their practicability under real-life conditions.
Patient desire for information and decision making in health care decisions: the Autonomy Preference Index and the Health Opinion Survey.
OBJECTIVES: To compare results on the Autonomy Preference Index (API) and the Health Opinion Survey (HOS), two instruments that measure patient desire for information and involvement in decision


Can others exercise an incapacitated patient's right to die?
This issue of the Hastings Center Report on the first right to die case to come before the U.S. Supreme Court warns against recognizing a third party's claim to exercise an individual's constitutional right to decide about medical care on her behalf, which can apply only to decisions concerning oneself, and cannot be exercised by another.
Disclosure and Informed-Consent: Does it Matter How We Tell it?
  • R. Faden
  • Medicine
    Health education monographs
  • 1977
This study evaluated four alternative disclosure models and suggested that the informed consent process is little affected by disclosure medium and that it may be possible to strive for cost-efficiency in disclosure without compromising the quality of the consent obtained.
What we do and do not know about informed consent.
It is imperative that authorities charged with making law and policy involving informed consent not rely on empirical findings currently offer no conclusive evidence that informed consent either is or is not feasible.
Brophy v
  • New Eng/and Sinai Hospita/497 NE2d 626 (Mass 1980).
  • 1993
JF.The principle of autonomy
  • 1983
The principle of autonomy
  • Principles of biomedical ethics
  • 1983
Autonomy and the refusal of lifesaving treatment
  • Hastings Cent Rep 1981;
  • 1981
Therapeutic relationship: contemporary medical perspective
  • Encyclopedia of ethics. Reich W, editor. New York: Macmillan,
  • 1978