PHLB09H3 Lecture Notes - Lecture 2: Informed Consent, Kantianism, Paternalism
Document Summary
Week #2 lecture #2 tuesday, september 08, 2015. Recall: moral obligation is duty to do sth/avoid doing sth. No restriction without: good reason, explicit justification. Paternalism: overrides action and deliberation for patient"s own good. Weak p: concerns patients w/ lil to no a (e. g. addicted, psychotic, children) less controversial (acceptable as protection) Strong p: overrides action and deliberation even if patient mostly a, e. g. committing occasionally disoriented, softening diagnosis to spare feelings. Is acting on the behalf of the patient, under ideal circumstances, the patient would agree to this treatment. For the stake of the future, more benefits. Pro: only if benefit outweighs restriction of a. Increase in their benefit, limiting the patient"s autonomy is justifiable if benefit is increased: pre-1980s: dependents; risk to fetus, now competent patient can refuse treatment. Risk in the fetus, woman can refuse treatment. More and more refusal in paternalism over the last few decades. Paternalism on the side of the parents.
