Ackerman Flashcards

1
Q

“Why Doctors Should Intervene”

A

terrence ackerman

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2
Q

AMA Principles of Medical Ethics

A

makes noninterference of doctors in patients lives the key moral factor:

  • confidentiality
  • honesty
  • respect right to refuse treatment
  • respect right to informed consent
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3
Q

Goal

A

to show that noninterference not best way to respect patient autonomy because illness transforms the patient

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4
Q

2 features of autonomy

A
  1. autonomous behavior governed by deliberation (information gathering/priority setting)
  2. people make choices based on life plans
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5
Q

Impediments to autonomous behavior

A
  • physical
  • cognitive
  • psychological: fear, depression
  • social (roles, expectations, “the expert”)
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6
Q

illness and autonomy

A
  • loss of control the most destructive aspect of illness
  • doctors goal should be to restore control
  • but how? need to go beyond simple non-interference and provision of information
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7
Q

underlying flawed model

A
  • commodity exchange between equals
  • doctor supplies medical care for a fee
  • the goal here is to develop the patient through care
  • sick people are not “equals” - they are qualitatively different (p. 114)
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