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Pavadinimas: THE LIMITS OF MEDICAL PATERNALISM
Autoriai: HETA HÄYRY
Metai:
ISBN: 0-415-06320-5
Brūkšninis kodas: 4036677
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Anotacija:

     What is the legitimate role of caring paternalistic control in medicine and health care? The Limits of Medical Paternalism defines and morally assesses paternalistic interventions, especially in the context of modern medicine and health care. Particular emphasis is given to the analysis of the conceptual background of the paternalism issue. In this book an anti-paternalistic view is presented and defended.

     Dr. H�yry has published widely in the fields of medical and genearl philosophy in both English and Finnish. She is well known in the UK and overseas for her provocative contributions in medical ethics and the philosophy of law.



Preface vii
1 THE PROBLEM OF PATERNALISM IN MODERN MEDICINE AND HEALTH CARE 1
Varieties of paternalism in day-to-day medical practice 3
Sex, reproduction and the emergence of moral uproar 7
Voluntary euthanasia and medical paternalism 11
From face-to-face medical paternalism to “liberticide” in health care? 15
2 FREEDOM, CONSTRAINT AND THE VALUE OF AUTONOMY 19
How many principles? 20
Freedom, constraint and coercion 25
The value of freedom 44
3 PATERNALISM, COERCION AND CONSTRAINT 50
Defining paternalistic interventions 51
Some remarks on the nature of autonomy 56
Paternalism without prima-facie violations of autonomy? 61
A preliminary division of modes of paternalism 64
The role of voluntariness 68
Voluntariness, responsibility and perfection 72
The liberal view on paternalism 76
4 THE UTILITARIAN CASE FOR STRONG PATERNALISM 78
The early antagonists: Mill versus Stephen 79
A preliminary attack 80
“Why should I do what is right?” 82
The ultimate justification: life after death 86
Deficiences in Stephen`s view 90
Future regret and health promotion 92
5 MORALS AND SOCIETY 95
The Wolfenden Report and Devlin`s position 96
Devlin`s critics: Wollheim, Hart, Dworkin 100
Liberalism – a form of moralism? 105
“Garrison thresholds` and the preservation of society 108
6 APPEALS TO RATIONALITY: THE VARIETIES OF PRUDENTIALISM 115
The circularity of standard approaches 115
Rationality and irrationality 121
Forced rationality? 127
No difference between self-regarding and other-regarding? 131
7 THE LIMITS OF MEDICAL PATERNALISM 138
Autonomy, consent and professional medical ethics 142
A duty to tell, a duty to know? 149
Refusals and compulsion: the dramatic cases 159
Preventive medicine and the welfare of the population 171

Concluding remarks 182
Notes 184
Bibliography 196
Name index 206

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