Patient Autonomy and the Ethics of Responsibility
By (author) Alfred I. Tauber
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Patient Autonomy and the Ethics of Responsibility by Alfred I. Tauber
Book DescriptionThe principle of patient autonomy dominates the contemporary debate over medical ethics. In this examination of the doctor-patient relationship, physician and philosopher Alfred Tauber argues that the idea of patient autonomy -- which was inspired by other rights-based movements of the 1960s -- was an extrapolation from political and social philosophy that fails to ground medicine's moral philosophy. He proposes instead a reconfiguration of personal autonomy and a renewed commitment to an ethics of care. In this formulation, physician beneficence and responsibility become powerful means for supporting the autonomy and dignity of patients. Beneficence, Tauber argues, should not be confused with the medical paternalism that fueled the patient rights movement. Rather, beneficence and responsibility are moral principles that not only are compatible with patient autonomy but strengthen it. Coordinating the rights of patients with the responsibilities of their caregivers will result in a more humane and robust medicine. Tauber examines the historical and philosophical competition between facts (scientific objectivity) and values (patient care) in medicine. He analyzes the shifting conceptions of personhood underlying the doctor-patient relationship, offers a "topology" of autonomy, from Locke and Kant to Hume and Mill, and explores both philosophical and practical strategies for reconfiguring trust and autonomy. Framing the practicalities of the clinical encounter with moral reflections, Tauber calls for an ethical medicine in which facts and values are integrated and humane values are deliberately included in the program of care.
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Book DetailsISBN: 9780262701129
(229mm x 152mm x 19mm)
Imprint: MIT Press
Publisher: MIT Press Ltd
Publish Date: 11-Nov-2005
Country of Publication: United States
Books By Author Alfred I. Tauber
Freud, the Reluctant Philosopher, Paperback (July 2010)
Recasting Freud as an inspired humanist and reconceiving psychoanalysis as a form of moral inquiry, this title argues that Freudianism offers a rich approach to self-inquiry, one that reaffirms the enduring task of philosophy and many of the abiding ethical values of Western civilization.
Henry David Thoreau and the Moral Agency of Knowing, Paperback (May 2003)
Henry David Thoreau was caught at a critical turn in the history of science, between the ebb of Romanticism and the rising tide of positivism. This book shows how he responded to the challenges posed by the new ideal of objectivity not by rejecting the scientific world view, but by humanizing it for himself.
Generation of Diversity, Paperback (May 2000)
An examination of one of the major problems of immunology: how cells of the immune system produce millions of distinct antibodies, and produce them on demand. The book explores clonal selection theory, its explanation of genetic instructions in cells and looks at the impact of new techniques.
Confessions of a Medicine Man, Paperback (April 2000)» View all books by Alfred I. Tauber
This book probes the ethical structure of contemporary medicine in an argument accessible to lay readers, healthcare professionals, and ethicists alike.
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Author Biography - Alfred I. Tauber
Alfred I. Tauber is the Zoltan Kohn Professor of Medicine, Professor of Philosophy, and Director of the Center for Philosophy and History of Science at Boston University.
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