Chapter 6: Rights, Truth and Consent |
Section 3. Presentation of Issues: TRUTH TELLING
TRUTH TELLING Truth promotes respect for individuals and supports their autonomy. Traditional Arguments against truth telling Bok, Sissela. (1996). Lies to the sick and dying. In R. Munson, Intervention and Reflection: Basic Issues in Medical Ethics (5th ed.)Scarborough, Ontario: Wadsworth Publishing Company.1996, pp. 290-297). READ excerpt: http://pl311.blogspot.com/2009/03/lying-and-lies-to-sick-and-dying.html Three reasons for not telling the truth:
Counter arguments against the case for not telling the truth. Against the three reasons:
Argument for HONESTY:
Physicians must act in the best interest of those they serve. Should the physician lie or withhold information in the best interests of those being given care or treatment? Who is to decide? Based upon what reasons? ======================================= PLACEBOS A primary ethical issue that arises with the use of placebos is a need to balance concern for beneficence (doing good for the recipient of care ) with respect for the autonomy of the recipient of care. To evaluate the morality of using placebos, one needs to consider both of these lines of thought. On the one hand, placebos usually involve the use of deception, which, despite the goal of beneficence, runs the risk of failing to respect autonomy. On the other hand, if one sees beneficence as a primary obligation, then one may believe that the deception involved is problematic only to the extent that it is likely to create harms that outweigh benefits. Reasons against the use of placebos:
Is the deception justified? Arguments for and against are included in The lie that heals: the ethics of giving placebos additional resource: Gregory S. Loeben, PhD: The Ethics of Prescribing Placebos: A Case of the Ends Justifying the Means? Medical Crossfire 2000; VOL 2, NO 3: 76-81 ================================== From the University of Washington School of Medicine Questions:
Answers: READ Truth-telling and Withholding Information by Clarence H. Braddock ============================================== Consensus Report Defends Ethics, Utility of Placebo in Clinical Trials of Mood Disorders, NeuroPsychiatry Reiews, Vol.3, No.4,May, 2002 READ: http://neuropsychiatryreviews.com/may02/npr_may02_placebo.html Health officials debate ethics of placebo use By Susan Okie / The
Washington Post , November 25, 2000 The remainder of article at: https://repository.library.georgetown.edu/handle/10822/939920
Articles On-Line:
================================== From the University of Washington School of Medicine Breaking Bad News
READ: https://depts.washington.edu/bhdept/ethics-medicine/bioethics-topics/detail/55 |
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