Philosophy Lecture 7
Philosophy Lecture 7 Phil 164H
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This 3 page Class Notes was uploaded by Elizabeth on Sunday October 2, 2016. The Class Notes belongs to Phil 164H at University of Massachusetts taught by J. Dixon in Fall 2016. Since its upload, it has received 6 views.
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Date Created: 10/02/16
Phil 164 - Medical Ethics I University of Massachusetts, Amherst Professor Dixon Lecture 7 Review Higgs: 1) Medical Ethics is a part of General Morality 2) There is a general prohibition against lying in general morality except in rare circumstances So Dr.s have a general prohibition against lying except in special cases Higgs picture of when it’s okay to lie -----> Jackson: ● Disagrees with premise 2 of Higgs ● Disagrees with Higg’s definition of lying ○ Higg’s definition - broad (deceiving = lying) ○ Jackson’s definition - narrow (assertion required) ● Differentiates between intentional deception and lying ● New premise 2 = there is no general prohibition against intentional deception in general morality. There is a general prohibition against lying in general morality. So it is permissible for Dr.s to intentionally deceive but not to lie Jackson’s picture of lying---------> ● Justification for Jackson’s premise 2 ○ Lying undermines a community of trust ○ Intentional deception does not Informed Consent Intro ● Informed Consent has five conditions ○ The patient is competent to decide ○ The patient has dequate disclosure of information ○ The patient understands the information ○ The patient decides about the treatme oluntarily ○ The patient consents to the treatment ● Patient = autonomous ----> means they have the right to say what happens in their life ● Vague - able to interpret underlined words ○ Competent ■ Clear when it comes to psychosis, dementia, etc. ■ Unclear when it comes to extreme pain/fear ○ Adequate disclosure ■ How much information is sufficient ■ Nature of illness, and risks, alternatives, and benefits of treatments ■ Therapeutic privilege - intentionally withholding information because of a patient’s supposed inability to handle the information ○ Understands ■ How much information has to be understood ○ Voluntarily ■ When is a decision sufficiently voluntary ■ Pain, fear - is that voluntary? ■ Dr. pressure/intimidation - voluntary? ■ Not given other options - voluntary? ■ Dr. withholds information - voluntary? ○ Consents ■ When is a patient actually giving consent? Issues of informed consent come down to… Central Question: When, if ever, should Dr.s acquire informed consent from their patients? Katz: Central Argument - In most cases, joint-decision making between doctor and patient is the idea I. Prehistory of Informed Consent ● Medical world - not ready/prepared for informed consent ● Before - only one treatment, no decision needed ● Medical knowledge has increased so informed consent is needed ● Why Dr.s dorn need to get informed consent ○ Dr.s have knowledge patients don’t - Katz’s response - can translate knowledge into simpler terms ○ Because of anxieties and consequent regression to child-like thinking, patients are incapable of comprehending information - Katz’s response - we don’t know if child-like behavior is caused by fear or by Dr.s not giving information ○ Dr.s commitment to altruism gives them authority - Katz’s response - Dr.s can’t know what a patient wants/needs II. The Age of Medical Science and Informed Consent ● Dr.’s don’t know everything, we are ignorant, we also have many more treatments - patients must be given right to informed consent III. The Impact of Law ● Now there are laws requiring informed consent
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