Patient Autonomy and the Ethics of Responsibility

ISBN-10: 026270112X
ISBN-13: 9780262701129
Edition: 2005
Authors: Alfred I. Tauber
List price: $30.00
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Description: The principle of patient autonomy dominates the contemporary debate over medical ethics. In this examination of the doctor-patient relationship, physician and philosopher Alfred Tauber argues that the idea of patient autonomy -- which was inspired  More...

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Book details

List price: $30.00
Copyright year: 2005
Publisher: MIT Press
Publication date: 10/7/2005
Binding: Paperback
Pages: 344
Size: 6.00" wide x 9.00" long x 0.75" tall
Weight: 1.144

The principle of patient autonomy dominates the contemporary debate over medical ethics. In this examination of the doctor-patient relationship, physician and philosopher Alfred Tauber argues that the idea of patient autonomy -- which was inspired by other rights-based movements of the 1960s -- was an extrapolation from political and social philosophy that fails to ground medicine's moral philosophy. He proposes instead a reconfiguration of personal autonomy and a renewed commitment to an ethics of care. In this formulation, physician beneficence and responsibility become powerful means for supporting the autonomy and dignity of patients. Beneficence, Tauber argues, should not be confused with the medical paternalism that fueled the patient rights movement. Rather, beneficence and responsibility are moral principles that not only are compatible with patient autonomy but strengthen it. Coordinating the rights of patients with the responsibilities of their caregivers will result in a more humane and robust medicine.Tauber examines the historical and philosophical competition between facts (scientific objectivity) and values (patient care) in medicine. He analyzes the shifting conceptions of personhood underlying the doctor-patient relationship, offers a "topology" of autonomy, from Locke and Kant to Hume and Mill, and explores both philosophical and practical strategies for reconfiguring trust and autonomy. Framing the practicalities of the clinical encounter with moral reflections, Tauber calls for an ethical medicine in which facts and values are integrated and humane values are deliberately included in the program of care.

Series Foreword
Acknowledgments
Prologue
Medicine as Moral Epistemology
Shifting Foundations of the Doctor-Patient Relationship
Defining Autonomy
Balancing Rights and Responsibilities
In Search of a Moral Glue
Reforms and Reconciliations
Epilogue: On Praxis and an Ethics of the Ordinary
Notes
References

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