PHLB09H3 Lecture Notes - Lecture 2: Contagious Disease, Paternalism, Jargon
Document Summary
Aims: prevent deceit, protct confidentiality (informed decision) Not enshrined: potential conflict w/ beneficence, was often suspended- physicians found it easier to justify keeping patients in the dark, not the case now, now more contentious. Autonomy -> max. choice-> truth (more truth i know, more choices are available to me) If b trumps truthfulness (if good of patience is better than autonomy), then. Lie of omission (withhold info) vs. lie of commission (blatant lying) What serves autonomy: knowing all facts vs. deciding whether to know all facts, contrast: Skeptic might say: unknowable, patients do not know about their illness. Response: comprehensible whole, present all facts in a way lay person can understand. Confidentiality: imparting info to phsycian, who promises not to disclose to others. Promise breaking violates a (treats peoples as means) Contagious disease (must let others know to protect public) Victim of abuse (to protect the victim further) Intends another harm (to prevent a crime/harm to others)
