Patient Autonomy and the Ethics of Responsibility (Basic Bioethics) - Hardcover

Tauber, Alfred I

Hardcover

ISBN 10: 0262201607 ISBN 13: 9780262201605

Publisher: MIT Press, 2005

Synopsis

A philosophical discussion of the doctor-patient relationship that argues for enhanced patient antonomy based on the ethics of physician responsibility and a science of value-based decision making. The principle of patient autonomy dominates the contemporary debate over medical ethics. In this examination of the doctor-patient relationship, physician and philosopher Alfred Tauber argues that the idea of patient autonomy - which was inspired by other rights-based movements of the 1960s - was an extrapolation from political and social philosophy that fails to ground medicine's moral philosophy. He proposes instead a reconfiguration of personal autonomy and a renewed commitment to an ethics of care. In this formulation, physician beneficence and responsibility become powerful means for supporting the autonomy and dignity of patients. Beneficence, Tauber argues, should not be confused with the medical paternalism that fuelled the patient rights movement. Rather, beneficence and responsibility are moral principles that not only are compatible with patient autonomy but strengthen it. Co-ordinating the rights of patients with the responsibilities of their caregivers will result in a more humane and robust medicine. Tauber examines the historical and philosophical competition between facts (scientific objectivity) and values (patient care) in medicine. He analyses the shifting conceptions of personhood underlying the doctor-patient relationship, offers a "topology" of autonomy, from Locke and Kant to Hume and Mill, and explores both philosophical and practical strategies for reconfiguring trust and autonomy. Framing the practicalities of the clinical encounter with moral reflections. Tauber calls for an ethical medicine in which facts and values are integrated and humane values are deliberately included in the program of care.

About this title

About the Author

Alfred I. Tauber is the Zoltan Kohn Professor of Medicine, Professor of Philosophy, and Director of the Center for Philosophy and History of Science at Boston University. He is the author of Confessions of a Medicine Man: An Essay in Popular Philosophy (MIT Press, 1999) and other books on the history and philosophy of science.

Edition details

• Publisher: MIT Press
• Publication date: 2005
• Language: English
• ISBN 10: 0262201607
• ISBN 13: 9780262201605
• Binding: Hardcover
• Number of pages: 344