AMA Journal of Ethics®

Illuminating the art of medicine

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AMA Journal of Ethics®

Illuminating the art of medicine

Virtual Mentor. February 2004, Volume 6, Number 2.

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February 2004 Contents

Paternalism in Medicine

Ethics Poll

Have you ever changed doctors because the one you were seeing appeared unwilling to listen to your questions about the proposed treatment?
Yes
No

Have you ever felt as though a physician did not provide enough guidance in the medical decision-making process?
Yes
No

Has the shift to greater patient participation in medical decision making placed more tension on the patient-physician relationship?
Yes
No

A physician is ethically justified in overriding the wishes of a competent patient to protect a broader range of future options than the patient's desired action would allow.
Always
Sometimes
Never

From the Editor

Towards Defining Paternalism in Medicine
Monya De
Full Text

Educating for Professionalism

Clinical Cases

Paternalism
Commentary by Anne Drapkin Lyerly and Barbara Katz Rothman
Full Text

When the Physician's Medical Judgment is Rejected
Commentary by Kirsten G. Engel and Robert E. Cranston
Full Text

Finding the Balance in Shared Decision Making
Commentary by Ellen Painter Dollar and Daniel A. Beals
Full Text

Journal Discussion

Resurgent Paternalism
Meme Wang
Full Text

Medical Education

On Distinguishing Justifiable from Unjustifiable Paternalism
Loretta Kopelman
Full Text

Clinical Pearl

Indications for Bypass Surgery
Jennifer Reenan
Full Text

Law, Policy, and Society

Health Law

Disputing Parental Judgment in a Case of Dialysis
Douglas Brosnan
Full Text

Policy Forum

Addressing Paternalism with Patients' Rights: Unintended Consequences
Felicia Cohn
Full Text

Medicine and Society

Invoking Therapeutic Privilege
Matthew Wynia
Full Text

Physician Autonomy, Paternalism, and Professionalism: Finding Our Voice Amid Conflicting Duties
Geoffrey C. Williams and Timothy E. Quill
Full Text

Resources

Suggested Readings and Resources
Full Text

Test Questions
Full Text

About the Contributors
Full Text