Medical Ethics' Assault Upon Medical Values

Clements, Colleen D.

doi:10.1001/jama.1983.03340150053026

Cited by 30 publications

(2 citation statements)

References 10 publications

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“…Early critics of the bioethics movement focused on its penchant for a rights-or duty-based ethic with emphasis on patient autonomy, rather than on physicians' traditional values, grounded as they were on a virtue-or character-based ethic (Clements and Sider 1983). The generally accepted principles of the bioethics movement include beneficence and autonomy, but not caring and compassion (Beauchamp and Childress 2001).…”

Section: Professionalism: Is Duty Enough?mentioning

confidence: 99%

Beyond the Physician Charter: reflections on medical professionalism

Swick¹,

Bryan²,

Longo³

2006

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The numerous challenges now facing the profession of medicine have led to an intense focus on professionalism by individual physicians and by their professional and academic organizations. In 2002, a distinguished group of leaders in internal medicine created the Physician Charter, which calls on physicians to reaffirm medical professionalism through commitment to three principles and 10 responsibilities. The Charter reflects a duty-based ethic that is chiefly concerned with physician competence. This article offers a critical analysis of the Physician Charter from the perspective of the traditional values of medicine as articulated in medical oaths and championed by leaders of past generations, exemplified by William Osler. The authors argue that medical professionalism should reflect the values of a virtue-based ethic that stresses compassion and beneficence, rather than the values of a duty-based ethic. The challenges that now confront the practice of medicine can be addressed successfully only to the extent that physicians promote virtue-ethics, act collectively in the public interest, and render service that clearly transcends their own self-interests.

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Section: Professionalism: Is Duty Enough?mentioning

confidence: 99%

Beyond the Physician Charter: reflections on medical professionalism

Swick¹,

Bryan²,

Longo³

2006

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“…The medical literature has generally adopted the position that it is better for physicians to assume blame for failed treatment decisions. Some have argued that if patients feel responsible for choosing treatments that leave them unchanged or worse off, the consequences may by psychologically problematic (see Clements & Sider, 1983; Crile, 1972). As yet, however, these fears remain conjectural.…”

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confidence: 99%

What else could I have done? Patients' responses to failed treatment decisions.

Wagener¹,

Taylor²

1986

Health Psychology

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Successful and failed renal transplant patients were compared concerning their perceptions of the initial decision to undergo transplantation. Results suggest that, relative to successful transplant patients, failed transplant patients recalled the circumstances of the initial decision in a manner that lessened personal responsibility for that decision. In essence, they indicated that they had had little choice but to make the decision they had made. There was slight evidence that failed transplant patients diffused responsibility for the decision or its outcome onto others. Implications for patient involvement in medical decision making and for the informed consent procedure are discussed. It is concluded that cognitive factors may play a role in undermining possible self-recrimination following failed treatment decisions in which a patient has been involved.

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The New Medical Ethics

Sider¹

1985

Arch Intern Med

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Medical Ethics' Assault Upon Medical Values

Cited by 30 publications

References 10 publications

Beyond the Physician Charter: reflections on medical professionalism

Beyond the Physician Charter: reflections on medical professionalism

What else could I have done? Patients' responses to failed treatment decisions.

The New Medical Ethics

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