Patient Truthfulness: A Test of Models of the Physician-Patient Relationship
Vanderpool, Harold Y.
Weiss, Gary B.
Journal of Medicine and Philosophy. 1984 Nov; 9(4): 353-372.
Although truthtelling by physicians has been discussed extensively in the medical ethics literature, little attention has been given to the truthfulness and accuracy of information which patients convey to physicians. The authors discuss this issue in relation to two models of the physician patient relationship: the paternalistic model, in which truthfulness is a relative value subsidiary to assessment of risks and benefits, and the agency model, which assumes that both physician and patient are free moral agents. They argue that the agency (autonomy or contractual) model is inherently flawed in numerous circumstances, even those involving informed and competent adult patients, while the paternalistic model is also problematic and sometimes immoral. (KIE abstract)
Autonomy; Contracts; Consent; Deception; Disclosure; Ethical Analysis; Ethics; Literature; Medical Ethics; Moral Obligations; Motivation; Paternalism; Patient Care; Patients; Physician Patient Relationship; Physicians; Professional Patient Relationship; Recall; Risks and Benefits; Truth Disclosure; Values;
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