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Prolonging Medical Procedures to Exploit the Peak-End Rule: An Ethical Analysis.
1Academic Unit of Population and Lifespan Sciences, School of Medicine, University of Nottingham, Clinical Sciences Building, Nottingham City Hospital Campus, Nottingham, UK.
Journal of Evaluation in Clinical Practice
|August 28, 2025
Summary
Exploiting the Peak-End Rule (PER) by prolonging medical procedures may violate patient autonomy and the principle of non-maleficence. Ethical considerations require transparency regarding the PER
Area of Science:
- Bioethics
- Medical Psychology
- Patient Experience
Background:
- The Peak-End Rule (PER) influences memory recall, prioritizing emotional intensity and the conclusion of an experience.
- Previous research suggests PER can enhance patient willingness to undergo future medical procedures.
Purpose of the Study:
- To analyze the ethical implications of prolonging medical procedures to leverage the Peak-End Rule (PER).
- To examine the ethical balance between potential patient benefit and patient autonomy.
Main Methods:
- Ethical analysis of prolonging medical procedures to exploit the PER.
- Review of bioethical principles including beneficence, justice, non-maleficence, and patient autonomy.
Main Results:
- Prolonging procedures for PER may align with beneficence and justice but raises concerns about patient autonomy.
- Failure to disclose PER exploitation risks violating informed consent and non-maleficence.
Conclusions:
- Ethical exploitation of PER in clinical settings requires careful consideration of transparency and patient autonomy.
- Further research is needed on other PER exploitation methods, like pain management at the peak.
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