PHIL-1002 Lecture Notes - Lecture 7: Fiduciary, Hippocratic Corpus, Ethical Dilemma
3 Oct 2016
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Placebo takes away right to autonomy; administering narcotics to former addict de es the doctor"s orders (nocebo- adverse effects from placebo) ! Hippocratic corpus (4th/5th bc)- warned that patients lie. Encouraged doctors to be economical with truth/ reveal nothing of the patient"s future or present condition. Plutarch- primary duty to improve health of patient (trickery is acceptable to meet the ends) !18th century percival- lies are morally justi able when used in patient"s best interest. !ama code of ethics- avoid gloomy prognostications ; inform friends/relatives of the situation unless necessary to tell patient. !cabot- gains of a lie were only temporary and were ultimately outweighed by the long-term bene ts of the truth. Osler- favoured both truth-telling and deception, depending on the context - cushion grim outlook and emphasizes maintaining hope. Lord cohen- withholding truth from certain patients; disapproved of doctors les to direct questions (withholding vs. lying)
