Discretionary Power, Lies, and Broken Trust: Justification and Discomfort
Theoretical Medicine. 1996 Dec; 17(4): 329-352.
This paper explores the relationship between the bonds of practitioner/patient trust and the notion of a justified lie. The intersection of moral theories on lying which prioritize right action with institutional discretionary power allows practitioners to dismiss, or at least not take seriously enough, the harm done when a patient's trust is betrayed. Even when a lie can be shown to be justified, the trustworthiness of the practitioner may be called into question in ways that neither theories of right action nor contemporary discourse in health care attends to adequately. I set out features of full trustworthiness along Aristotelian lines.
Accountability; Autonomy; Beneficence; Bioethics; Compassion; Consent; Deception; Disclosure; Ethical Theory; Ethics; Harm; Health; Health Care; Health Personnel; Informed Consent; Legal Aspects; Moral Policy; Paternalism; Patient Care; Philosophy; Professional Ethics; Professional Patient Relationship; Power; Social Dominance; Trust; Truth Disclosure; Virtues;
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