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In recent years, the triumph of autonomy has made paternalist interventions increasingly problematic. The value of a patient's right to self-determination and the practice of informed consent are considered supremely important in present-day health care ethics. In general, the idea of 'doctor knows best' has become more and more suspicious. This has left us with a situation in which paternalist medicine seems difficult to reconcile with respect for patient autonomy. This book offers a thorough reflection on the relationship between autonomy and paternalism, and argues that, from both theoretical and practical angles, the tension between these concepts is not as acute as it might seem. In long-term care, psychiatry, and care for the severely handicapped, the principle of respect for autonomy is particularly ill-suited. This, however, does not mean that such respect is totally irrelevant, but that it should take a different shape. Good care in those cases requires us to transcend the sharp dichotomy between autonomy and paternalism. In Autonomy and Paternalism: Reflections on the Theory and Practice of Health Care various acclaimed authors present their views on this interesting and extremely relevant debate.
Introduction Thomas Nys Yvonne Denier Toon Vandevelde 1
Beyond Autonomy and Paternalism: The Transparent Caring Self Eva F. Kittay 23
Autonomy as a Problem for Clinical Ethics George Agich 71
Autonomy in Dependence: A Defence of Careful Solidarity Yuonne Denier 93
Informed Consent and the Grounds of Autonomy David Archard 113
Is Autonomy Relevant to Psychiatric Ethics? Eric Matthews 129
A Bridge over Troubled Water: Paternalism as the Expression of Autonomy Thomas Nys 147
Authority and Influence in the Psychotherapeutic Relationship Heike Schmidt Felzmann 167
Personalia 181
Overview
In recent years, the triumph of autonomy has made paternalist interventions increasingly problematic. The value of a patient's right to self-determination and the practice of informed consent are considered supremely important in present-day health care ethics. In general, the idea of 'doctor knows best' has become more and more suspicious. This has left us with a situation in which paternalist medicine seems difficult to reconcile with respect for patient autonomy. This book offers a thorough reflection on the ...