PHLB09H3 Lecture Notes - Lecture 3: Blood Sugar, Diabetic Coma, Paternalism
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Comment [ag1]: your capacity and your right about what happens to your body. Someone who may have struggled with depression their whole life may still be considered autonomous enough to make his/her own decisions; but someone with a different mental illness may not be. Lecture 3: paternalism and patient autonomy: medical paternalism, refusing treatment, Autonomy: patient"s rational capacity for self-determination: out choices and actions need to genuinely be our own (free from passive/aggressive pressure, or from hidden information about relevant facts) Autonomy principle: autonomous persons should be allowed to exercise their capacity for self-determination: this can only be violated for good reasons and with explicit justification. Paternalism: the overriding of a person"s actions or decision-making for their own good. Strong paternalism: the overriding of someone"s actions or choices even though they are substantially autonomous. One significant way that patient autonomy and medical beneficence collide is when a patient decides to refuse treatment. Questions that might arise as a result:
