Informative Paternalism. Case studies in the ethics of promoting and predicting health
1997 (English)Doctoral thesis, monograph (Other academic)
This dissertation deals with the ethical conflict between promoting health and respecting the individual's right to self-determination. An action which is performed with the intention of benefiting the recipient but without his informed consent is defined as paternalistic.
It is shown that also non-coercive actions like the giving of information can be ethically problematic acid characterised as paternalistic. An instrument for analysing paternalistic actions is introduced. For an illustration and test of this instrument two case studies are presented. The first concerns opportunistic health information where the health promoter uses the opportunity for givirig health information when he in his profession meets the recipient for another reason. The second case illustrates a relatively new area in health care, predictive medicine. The progress in genetics gives extended possibilities of tracing genetic dispositions for future disease in a healthy person long before the disease will develop. In spite of the advantage this may involve, in the form of the possibility of taking preventive measures, it is not always a piece of knowledge that is wanted. The analyses exemplify judgements based on different normative viewpoints but also show that there are certain conditions which are common to the various forms of justification of paternalistic actions.
Place, publisher, year, edition, pages
Linköping: Linköpings universitet , 1997. , 356 p.
Linköping Studies in Arts and Science, ISSN 0282-9800 ; 155
paternalism, medical ethics, health promotion, predictive medicine, health information
IdentifiersURN: urn:nbn:se:liu:diva-33579Local ID: 19611ISBN: 91-7871-930-5OAI: oai:DiVA.org:liu-33579DiVA: diva2:254402
1997-05-07, Planck, Fysikhuset, Campus Valla, Linköpings universitet, Linköping, 10:00 (Swedish)
Nordenfelt, Lennart, Professor
Recenserad i Journal of Medical Ethics, 1998, 2, 2:137-8, Bioethics, 1998, 12, 3:259, Socialmedicinsk tidskrift, 1998, 3:140, Läkartidningen, 95, 43:4778, Medicine, Health Care and Philosophy, 2000, vol. 3, no 1:83-84.2009-10-092009-10-092010-12-13Bibliographically approved