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Decision Making: Traditional Method01:14

Decision Making: Traditional Method

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The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
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Published on: June 12, 2020

Shared decision making after MacIntyre.

Jon Tilburt1

  • 1Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. tilburt.jon@mayo.edu

The Journal of Medicine and Philosophy
|March 8, 2011
PubMed
Summary
This summary is machine-generated.

This study examines how Enlightenment ideals impact clinical morality and shared decision-making (SDM). It critiques Enlightenment justifications for SDM and proposes an alternative model grounded in clinical ethics, avoiding problematic assumptions.

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Area of Science:

  • Medical Ethics
  • Philosophy of Medicine
  • Clinical Practice

Background:

  • The Enlightenment profoundly influenced modern morality and clinical practice.
  • Shared decision-making (SDM) is a cornerstone of contemporary clinician-patient relationships.
  • Alasdair MacIntyre's critique of Enlightenment thought provides a framework for re-evaluating ethical models.

Purpose of the Study:

  • To explore the practical consequences of Enlightenment ideals on clinical morality.
  • To critically examine the historical origins and justifications of shared decision-making (SDM).
  • To propose an alternative ethical framework for SDM that aligns with clinical duties and avoids Enlightenment pitfalls.

Main Methods:

  • Conceptual analysis drawing on Alasdair MacIntyre's critique of Enlightenment philosophy.
  • Historical examination of the development of shared decision-making models.
  • Ethical reflection from the perspective of a practicing clinician.

Main Results:

  • Enlightenment ideals have complex and sometimes detrimental effects on clinical morality and SDM.
  • Contemporary SDM models often rely on Enlightenment assumptions that are philosophically vulnerable.
  • The historical development of SDM is intertwined with Enlightenment concepts that pose threats to its practice.

Conclusions:

  • An alternative framing of SDM is necessary, moving beyond Enlightenment justifications.
  • This new framework should support the clinician's duty to patients while adhering to sound ethical principles.
  • Revisiting the ethical foundations of SDM is crucial for robust clinical practice.