PHLB09H3 Chapter Notes - Chapter 3: Paternalism

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Autonomy: person"s rational capacity for self-governance or self-determination; to deliberate about available options, choose freely among those possibilities! Autonomy principle:autonomous persons should be allowed to exercise their capacity for self- determination ! Can only be violated for explicit justi ed reasons! Paternalism: overriding of a person"s actions or decision-making for their own good! Weak paternalism: directed at persons who cannot act autonomously or whose autonomy is greatly diminished! Usually not objectionable; purpose to protect people from harm! Determine if they are non autonomous or to restore them to fully autonomy! autonomous ! Strong paternalism: overriding a person"s actions or choices even though he is substantially. Court now supports competent adults to step in to protect their welfare, even if intervening means defying religious doctrine! Patient or their family wants a treatment that the physician (from bene cent motives) does not want to provide ! Moral con ict between patient autonomy and physician"s view of what constitutes as morally acceptable care!

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