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Medical paternalism is a set of attitudes and practices in medicine in which a physician determines that a patient's wishes or choices should not be honored. These practices were current through the early to mid 20th century, and were characterised by a paternalistic attitude, surrogate decision-making and a lack of respect for patient autonomy. [1]
Medical paternalism is the perspective that doctors want what is best for the patient and must take decisions on behalf of the patient because the patient is not competent to make their own decisions. Parsons argued that though there was an asymmetry of knowledge and power in the doctor–patient relationship, the medical system provided ...
The doctor–patient relationship is a central part of health care and the practice of medicine. A doctor–patient relationship is formed when a doctor attends to a patient's medical needs and is usually through consent. [1] This relationship is built on trust, respect, communication, and a common understanding of both the doctor and patients ...
A medical doctor explaining an X-ray to a patient. Several factors help increase patient participation, including understandable and individual adapted information, education for the patient and healthcare provider, sufficient time for the interaction, processes that provide the opportunity for the patient to be involved in decision-making, a positive attitude from the healthcare provider ...
Controversially, paternalistic lies are sometimes also used in physician-patient relationships. Doctors may give patients an overly optimistic prognosis to provide hope, [ 4 ] or they occasionally use placebos on patients to prevent them from feeling disappointed if no alternative cure option is available. [ 12 ]
A doctor caring for a patient in 1893. The increasing autonomy in patients has encouraged them to demand a more patient-centered relationship with their healthcare providers. [2] In the past, patient-doctor relationships have been widely paternalistic. [2]
Eliot Freidson (1923 – December 14, 2005) [1] was a sociologist and medical sociologist who worked on the theory of professions.Charles Bosk says that Freidson was a founding figure in medical sociology who played a major role in the growth and legitimization of the subject. [2]
A doctor may want to prefer autonomy because refusal to respect the patient's self-determination would harm the doctor-patient relationship. Organ donations can sometimes pose interesting scenarios, in which a patient is classified as a non-heart beating donor ( NHBD ), where life support fails to restore the heartbeat and is now considered ...