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Admirable dishonesty in medical practice.

Matthew McCabe

    Communication & Medicine
    |May 24, 2014
    PubMed
    Summary

    This essay explores dishonesty in the physician-patient relationship using the Virtue Ethics of Care. It examines when dishonesty might be ethically permissible, distinguishing between lying and deception.

    Area of Science:

    • Medical Ethics
    • Virtue Ethics
    • Philosophy of Medicine

    Background:

    • Traditional ethical frameworks (deontology, consequentialism) have dominated discussions on physician-patient dishonesty.
    • A novel perspective is needed to address the nuances of ethical conduct in medical practice.

    Purpose of the Study:

    • To explore dishonesty in the physician-patient relationship through the lens of Virtue Ethics of Care.
    • To establish a framework for honest conduct and identify conditions where dishonesty may be ethically justifiable.

    Main Methods:

    • Philosophical analysis of Virtue Ethics of Care applied to medical ethics.
    • Examination of the distinction between lying and deception.
    • Case analysis of paternalistic and patient dishonesty.

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    Main Results:

    • Virtue Ethics of Care offers a new framework for analyzing medical dishonesty.
    • Conditions for admirable dishonesty, differentiating lying from deception, are explored.
    • Paternalistic and patient dishonesty are analyzed within this ethical model.

    Conclusions:

    • Trust is crucial in the physician-patient relationship to prevent ethically objectionable dishonesty.
    • Virtue Ethics of Care provides a nuanced approach to ethical decision-making regarding honesty in medicine.