PHIL 223 Lecture Notes - Lecture 3: Harm Principle, Paternalism

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Paternalism: overriding a patient"s decision"s or freedoms when they are unable to do some for themselves. Weak paternalism: overriding someone"s freedoms when they are less than fully autonomous and are barely able to do so. Strong paternalism: overriding someone"s freedoms when they are fully autonomous and are able to do so: controversy between autonomy and beneficence. Impure paternalism: overriding someone"s autonomy to keep them from harm from others. Pure paternalism: overriding someone"s autonomy to keep them from harming themselves: to preserve their welfare. Exceptions to mill"s views on paternalism (mill accepts the harm principle(impure) and rejects the welfare principle (pure)) 1. the wager position: parent"s decisions on a child"s behave a. can be extended to adults by providing justification and choosing the least restrictive option. 2. the slavery position: no one would choose to give up their autonomy. Value orderings are subjective and physicians cannot know their patients value orderings, thus the argument for paternalism fails.

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