Medical Ethics' Assault Upon Medical Values
Clements, Colleen D.
Sider, Roger C.
JAMA. 1983 Oct 21; 250(15): 2011-2015.
The authors argue that current theories of medical ethics, based on a philosophical patient-oriented autonomy model, have subverted values that are essential to medicine. They analyze the concept of autonomy, then outline attempts to apply the autonomy ethic to medicine by establishing its primacy over principles such as paternalism or patient good. Critics of autonomy ethics have proposed alternatives that are equally at odds with traditional medical values. After tracing the decline of traditional medical norms, Clements and Sider call for a new clinical ethic concerned with the adaptation, function, and best interest of the patient. (KIE abstract)
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