Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

The inherent paternalism in clinical practice

H R Wulff1

  • 1Department of Medical Philosophy and Clinical Theory, University of Copenhagen, Panum Institute, Denmark.

The Journal of Medicine and Philosophy
|June 1, 1995
PubMed
Summary

The physician’s “adviser model” of simply presenting facts is unrealistic. Clinical reasoning inherently blends facts with values, necessitating physician-patient trust and acknowledging inherent paternalism.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

[Philosophy, ethics and methods. What is the connection?].

Ugeskrift for laeger·2001
Same author

A return to biological thinking in medicine.

Medicine, health care, and philosophy·2001
Same author

Clinical medicine in the age of the computer.

Australian and New Zealand journal of medicine·2000
Same author

The concept of disease: from Newton back to Aristotle.

Lancet (London, England)·2000
Same author

[The randomized trial--a jubilee].

Ugeskrift for laeger·1999
Same author

[Reliability of death certificates. The reproducibility of the recorded causes of death in patients admitted to departments of internal medicine].

Ugeskrift for laeger·1998

Area of Science:

  • Medical Ethics
  • Clinical Decision-Making
  • Philosophy of Medicine

Background:

  • The "adviser model" suggests physicians present objective facts and options, leaving choices solely to patients.
  • This approach is often proposed as a value-free method for patient autonomy.

Observation:

  • This paper examines the realism of the adviser model in clinical practice.
  • Clinical reasoning involves complex biological, empirical, empathic/hermeneutic, and ethical components.
  • Ethical norms in Nordic public health services provide a framework for discussion.

Findings:

  • The adviser model is deemed unrealistic due to the intricate nature of clinical reasoning.
  • Separating factual information from value judgments in patient communication is impossible.
Keywords:
Analytical ApproachPhilosophical ApproachProfessional Patient Relationship

Related Experiment Videos

  • Clinical decision-making inherently contains paternalistic elements.

    • Implications:

    • Effective patient information requires acknowledging the interplay of facts and values.
    • Mutual trust between physician and patient is a cornerstone of clinical practice.
    • The complexity of clinical reasoning challenges purely autonomous patient choice models.