Forced to be free? Increasing patient autonomy by constraining it

Journal of Medical Ethics 40 (5):293-300 (2014)
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Abstract

It is universally accepted in bioethics that doctors and other medical professionals have an obligation to procure the informed consent of their patients. Informed consent is required because patients have the moral right to autonomy in furthering the pursuit of their most important goals. In the present work, it is argued that evidence from psychology shows that human beings are subject to a number of biases and limitations as reasoners, which can be expected to lower the quality of their decisions and which therefore make it more difficult for them to pursue their most important goals by giving informed consent. It is further argued that patient autonomy is best promoted by constraining the informed consent procedure. By limiting the degree of freedom patients have to choose, the good that informed consent is supposed to protect can be promoted

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Neil Levy
Macquarie University

Citations of this work

Supported Decision-Making: Non-Domination Rather than Mental Prosthesis.Allison M. McCarthy & Dana Howard - 2023 - American Journal of Bioethics Neuroscience 14 (3):227-237.
Autonomy, Rationality, and Contemporary Bioethics.Jonathan Pugh - 2020 - Oxford, UK: Oxford University Press.
Value of choice.Tom Walker - 2022 - Journal of Medical Ethics 48 (1):61-64.
Reasoning and reversibility in capacity law.Binesh Hass - 2023 - Journal of Medical Ethics 49 (6):439-443.

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References found in this work

Resisting 'Weakness of the Will'.Neil Levy - 2010 - Philosophy and Phenomenological Research 82 (1):134 - 155.
Informed Consent: Its History, Meaning, and Present Challenges.Tom L. Beauchamp - 2011 - Cambridge Quarterly of Healthcare Ethics 20 (4):515-523.
Paternalism and cognitive bias.J. D. Trout - 2004 - Law and Philosophy 24 (4):393-434.

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