Ethical Theory and Moral Practice 4 (2):143-159 (2001)

Marli Huijer
Erasmus University Rotterdam
Guy Widdershoven
VU University Amsterdam
In this paper, we explore the desires that play a role at the palliative stage and relate them to various approaches to patient autonomy. What attitude can physicians and other caregivers take to the desires of patients at the palliative stage? We examine this question by introducing five physicians who are consulted by Jackie, an imaginary patient with metastatic lung carcinoma. By combining the models of the physician-patient relationship developed by Emanuel and Emanuel (1992) and the Hellenistic approaches to desires analyzed by Nussbaum (1994), five different ways of dealing with desires in the context of palliative care are sketched. The story of Jackie shows that desires are to a certain extent responsive to reasoning. In the palliative process, that can be a reason to devote attention to the desires of patients and caregivers and to determine which desires need to be fulfilled, which are less important, and how they are linked to emotions the patient has.
Keywords autonomy  desires  Nussbaum  palliative medicine  physician‐patient relationship
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DOI 10.1023/A:1011479101023
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References found in this work BETA

Freedom of the Will and the Concept of a Person.Harry Frankfurt - 1971 - Journal of Philosophy 68 (1):5-20.
Freedom of the Will and the Concept of a Person.Harry G. Frankfurt - 2003 - In Gary Watson (ed.), Free Will. Oxford University Press.

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Philosophy as Therapy: Towards a Conceptual Model.Konrad Banicki - 2014 - Philosophical Papers 43 (1):7-31.

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