This article deals with concerns related to truth-telling in interaction between the doctor and the dying patient, exploring such issues as conflicting duties of veracity and non-maleficence, truthfulness and deception, and reasons behind physicians' decisions either to withhold or to disclose information about patients' diagnoses and prognoses. It focuses on various attitudes to truth-telling to dying patients, such as symmetry and asymmetry, both of which can be positive and negative. The empirical part of the article reports on the methods and results of the qualitative study carried out in Latvia during the summer of 2012. This study was based on the assessment of three case scenarios from the quantitative instrument designed by Dalla-Vorgia et al. in 1992. By means of semi-structured and focus-group interviews, evidence was gathered about physicians' and medical students' attitudes towards truth-telling, which allows the drawing of conclusions about the presence of asymmetry and symmetry in both cases. Additionally, an insight about the standards used for making decisions in case scenarios was gained and the origins of these standards were explored, revealing the aftermath of a gradual evolution from the ethics of the Soviet era to modern standards of medical ethics.
At the end of 2008, Latvia's population found out about the financial problems of one of Latvia's largest banks. At first, politicians stated that there were no grounds for concern and that there was no crisis, but just a couple of weeks later the opposite turned out to be true. Accordingly, the Saeima made a number of decisions that met with mixed reactions in society, also including amendments to tax laws. At the same time, the Cabinet also made decisions about public expenditure cuts and redundancies, and entered negotiations with the International Monetary Fund about a loan for the Republic of Latvia. Nationally, unemployment grew as did socio-economic tension. At the start of 2009, together with 25 public organisations and trade unions, the political organisation Sabiedrība citai politikai (the Society for Political Change) (Diena, 13 January 2009) came forth with a proclamation -"An invitation to the Latvian people", asking State President Valdis Zatlers to dissolve the 9th Saeima, as well as demanding the election of a new Saeima and establishment of fair, honest, democratic and competent executive government. At the end of the announcement, an invitation was made to everybody to attend a meeting of the people on 13 January in Dome Square. The study analyses the rhetoric of political values in the six biggest national newspapers in an attempt to clarify the information that Latvian society received from politicians. Using one word or another, people create a certain social reality. Concepts and metaphors reflect belief systems and the thoughts, on the basis of which the speaker acts. Within the framework of the study, the authors try to answer the question of what society discovered about the aims and actions of politicians during the resolution of the economic crisis, which generated a lack of confidence, which prompted people to unite and demand the dissolution of the Saeima.People observe the political rhetoric within the public discourse and the study data show that that which society gleaned from political discourses was: a failure to search for a definition of a single concept; emotional saturation within the rhetoric of politicians containing mutual offence, irony and metaphors; over-definition of the essence of the subject; self-presentation redefining one's beliefs depending on the position in the current situation; use of negative statements which reduce the potential discussion space; use of prior assumption relating this to the practice of intimidation; frequent use of meta-discourse; naming of the agenda of the day by the position. Observing the structure of such a discourse, the general public felt a sense of disappointment and sensed that finding welfare-based solutions to the problems caused by the financial crisis was not the basis for the battles between politicians. Accordingly, people found themselves unable to trust the information provided by political forces within the public space and experienced a double loss of freedom. (Raz.J., 2001 ) The situation subjected to an analysis of the...
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