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Pretending to care.

Doug Hardman1

  • 1Department of Psychology, Bournemouth University, Poole, UK dihardman@bournemouth.ac.uk.

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Clinicians face ethical dilemmas regarding patient deception. Understanding non-belief-based attitudes like hope and pretence can refine clinical deception ethics and improve patient care.

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Area of Science:

  • Medical Ethics
  • Philosophy of Medicine
  • Clinical Communication

Background:

  • The ethical principle of patient truthfulness is widely accepted in clinical practice.
  • However, situations exist where deception might serve a patient's best interest, creating an ethical conflict.
  • Current ethical frameworks often narrowly define deception based on patient beliefs.

Purpose of the Study:

  • To challenge the belief-centric view of deception in clinical settings.
  • To explore the role of non-doxastic attitudes in clinical care and deception.
  • To propose a broader understanding of non-deceptive clinical practices.

Main Methods:

  • Philosophical analysis of deception and belief.
  • Examination of clinical scenarios involving patient communication.
  • Conceptual exploration of non-doxastic attitudes (e.g., hope, pretence).

Main Results:

  • Deception is not solely contingent on a patient's beliefs.
  • Clinical care can be non-deceptive without solely focusing on true beliefs.
  • Non-doxastic attitudes like hope and pretence are crucial in clinical interactions.

Conclusions:

  • Rethinking deception requires moving beyond a narrow, belief-based definition.
  • Understanding non-doxastic states offers a more nuanced approach to clinical ethics.
  • This expanded view can improve ethical decision-making in patient care.