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Existential autonomy: why patients should make their own choices

H Madder1

  • 1John Radcliffe Hospital, Oxford.

Journal of Medical Ethics
|August 1, 1997
PubMed
Summary

This study critiques rational non-interventional paternalism, arguing it compromises patient autonomy by limiting their decision-making power. It proposes doctors should guide choices, not make them for patients, to preserve patient autonomy.

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Area of Science:

  • Medical Ethics
  • Anaesthesiology

Background:

  • The patient-doctor relationship is evolving.
  • Savulescu's "rational non-interventional paternalist" model presents a new paradigm.
  • This model warrants critical examination from clinical perspectives.

Purpose of the Study:

  • To address objections to the rational non-interventional paternalist model.
  • To analyze the model's implications for patient autonomy from an anaesthetist's viewpoint.
  • To propose an alternative approach to shared decision-making.

Main Methods:

  • Philosophical analysis of ethical models.
  • Clinical perspective from anaesthesiology.
  • Argumentation based on patient autonomy principles.

Main Results:

  • Rational non-interventional paternalism potentially undermines patient autonomy.
  • Patient autonomy is crucial and linked to the ability to make personal decisions.
  • The model may overstep the doctor's role in patient choice.

Conclusions:

  • Doctors should offer evaluative judgments on medical actions.
  • Physicians must support patients in making their own informed choices.
  • Preserving patient choice is essential for respecting autonomy in medical practice.
Keywords:
Analytical ApproachProfessional Patient Relationship

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