A defence of medical paternalism: maximising patients' autonomy.

Research output: Contribution to journalArticle

Abstract

All illness represents a state of diminished autonomy and therefore the doctor-patient relationship necessarily and justifiably involves a degree of medical paternalism argues the author, an American medical student. In a broad-ranging paper he discusses the concepts of autonomy and paternalism in the context of the doctor-patient relationship. Given the necessary diminution of autonomy which illness inflicts, a limited form of medical paternalism, aimed at restoring or maximising the patient's autonomy is entirely acceptable, and indeed fundamental to the relationship he argues. However, the exercise of this paternalism should be flexible and related to the current 'level of autonomy' of the patient himself. An editorial in this issue comments briefly on this paper.

Original languageEnglish (US)
Pages (from-to)38-44
Number of pages7
JournalJournal of Medical Ethics
Volume9
Issue number1
DOIs
StatePublished - Jan 1 1983
Externally publishedYes

Fingerprint

Paternalism
paternalism
autonomy
illness
Medical Students
Exercise
medical student
Autonomy
Patient Autonomy

ASJC Scopus subject areas

  • Health(social science)
  • Issues, ethics and legal aspects
  • Arts and Humanities (miscellaneous)
  • Health Policy

Cite this

A defence of medical paternalism : maximising patients' autonomy. / Komrad, Mark.

In: Journal of Medical Ethics, Vol. 9, No. 1, 01.01.1983, p. 38-44.

Research output: Contribution to journalArticle

@article{51b63fd727e749fdbe90285e16d8e2a1,
title = "A defence of medical paternalism: maximising patients' autonomy.",
abstract = "All illness represents a state of diminished autonomy and therefore the doctor-patient relationship necessarily and justifiably involves a degree of medical paternalism argues the author, an American medical student. In a broad-ranging paper he discusses the concepts of autonomy and paternalism in the context of the doctor-patient relationship. Given the necessary diminution of autonomy which illness inflicts, a limited form of medical paternalism, aimed at restoring or maximising the patient's autonomy is entirely acceptable, and indeed fundamental to the relationship he argues. However, the exercise of this paternalism should be flexible and related to the current 'level of autonomy' of the patient himself. An editorial in this issue comments briefly on this paper.",
author = "Mark Komrad",
year = "1983",
month = "1",
day = "1",
doi = "10.1136/jme.9.1.38",
language = "English (US)",
volume = "9",
pages = "38--44",
journal = "Journal of Medical Ethics",
issn = "0306-6800",
publisher = "BMJ Publishing Group",
number = "1",

}

TY - JOUR

T1 - A defence of medical paternalism

T2 - maximising patients' autonomy.

AU - Komrad, Mark

PY - 1983/1/1

Y1 - 1983/1/1

N2 - All illness represents a state of diminished autonomy and therefore the doctor-patient relationship necessarily and justifiably involves a degree of medical paternalism argues the author, an American medical student. In a broad-ranging paper he discusses the concepts of autonomy and paternalism in the context of the doctor-patient relationship. Given the necessary diminution of autonomy which illness inflicts, a limited form of medical paternalism, aimed at restoring or maximising the patient's autonomy is entirely acceptable, and indeed fundamental to the relationship he argues. However, the exercise of this paternalism should be flexible and related to the current 'level of autonomy' of the patient himself. An editorial in this issue comments briefly on this paper.

AB - All illness represents a state of diminished autonomy and therefore the doctor-patient relationship necessarily and justifiably involves a degree of medical paternalism argues the author, an American medical student. In a broad-ranging paper he discusses the concepts of autonomy and paternalism in the context of the doctor-patient relationship. Given the necessary diminution of autonomy which illness inflicts, a limited form of medical paternalism, aimed at restoring or maximising the patient's autonomy is entirely acceptable, and indeed fundamental to the relationship he argues. However, the exercise of this paternalism should be flexible and related to the current 'level of autonomy' of the patient himself. An editorial in this issue comments briefly on this paper.

UR - http://www.scopus.com/inward/record.url?scp=0020727450&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0020727450&partnerID=8YFLogxK

U2 - 10.1136/jme.9.1.38

DO - 10.1136/jme.9.1.38

M3 - Article

C2 - 6834402

AN - SCOPUS:0020727450

VL - 9

SP - 38

EP - 44

JO - Journal of Medical Ethics

JF - Journal of Medical Ethics

SN - 0306-6800

IS - 1

ER -