{"id":13777,"date":"1983-02-15T21:01:00","date_gmt":"1983-02-16T05:01:00","guid":{"rendered":"https:\/\/library.consciencelaws.org\/?p=13777"},"modified":"2023-01-23T15:21:15","modified_gmt":"2023-01-23T23:21:15","slug":"beyond-medical-paternalism-and-patient-autonomy-a-model-of-physician-conscience-for-the-physician-patient-relationship","status":"publish","type":"post","link":"https:\/\/library.consciencelaws.org\/?p=13777","title":{"rendered":"Beyond Medical Paternalism and Patient Autonomy: A Model of Physician Conscience for the Physician-Patient Relationship"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">David C Thomasma<\/h4>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignleft size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"176\" height=\"230\" src=\"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/annalsinternalmed.jpg\" alt=\"Annals of Internal Medicine\" class=\"wp-image-14197\"\/><figcaption class=\"wp-element-caption\">Annals of Internal Medicine<\/figcaption><\/figure>\n<\/div>\n\n\n<p><strong>Abstract<\/strong><br>Medical paternalism lies at the heart of traditional medicine. In an effort to counteract the effects of this paternalism, medical ethicists and physicians have proposed a model of patient autonomy for the physician patient relationship. However, neither paternalism or autonomy are adequate characterizations of the physician patient relationship. Paternalism does not respect the rights of adults to self-determination, and autonomy does not respect the principle of beneficence that leads physicians to argue that acting on behalf of others is essential to their craft. A model of physician conscience is proposed that summarizes the best features of both models-paternalism and autonomy.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p>Thomasma DC.<a href=\"https:\/\/www.acpjournals.org\/doi\/10.7326\/0003-4819-98-2-243?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub 0pubmed\"> Beyond Medical Paternalism and Patient Autonomy: A Model of Physician Conscience for the Physician-Patient Relationship<\/a>. Ann. Intern. Med.. 1983;98(2):243-248. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>David C Thomasma AbstractMedical paternalism lies at the heart of traditional medicine. In an effort to counteract the effects of this paternalism, medical ethicists and physicians have proposed a model of patient autonomy for the physician patient relationship. However, neither paternalism or autonomy are adequate characterizations of the physician patient relationship. Paternalism does not respect &hellip; <a href=\"https:\/\/library.consciencelaws.org\/?p=13777\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Beyond Medical Paternalism and Patient Autonomy: A Model of Physician Conscience for the Physician-Patient Relationship&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[554,2,1],"tags":[830,1286],"post_folder":[],"class_list":["post-13777","post","type-post","status-publish","format-standard","hentry","category-ethics","category-journal-article","category-uncategorized","tag-autonomy","tag-david-c-thomasma"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\r\n<title>Beyond Medical Paternalism and Patient Autonomy: A Model of Physician Conscience for the Physician-Patient 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