PHL281H1 Lecture Notes - Lecture 1: Continuing Care Retirement Communities In The United States, Moral Authority, Paternalism

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22 Oct 2018
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Physician as father figure: doctor as wise and caring father-figure. Looks after the whole person: moral authority. Value of health in relation to other values?: paternalism focuses on care over respect, needs over rights, medical discretion over autonomy, gendered. Parent infant relationship: physician plays active role and patient is passive. Parent adolescent relationship: physician guides patient and patient cooperates. Physician as partner: the doctor helps the patient take control of her own health. Not as emotionally demanding as the friendship model: emphasizes shared value of health, equality of patient"s own interpretation of shared value of health, respect personal autonomy of patient, may be more appropriate for some fields than others. Fails to recognize the financial interest of the doctors Share responsibility and protect integrity under less than ideal circumstances: neglects that sick persons don"t view health care as comparable to other wants and desires.

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