書誌事項
- タイトル別名
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- What Complements the Conversational Model for Informed Consent
- IC ニ オケル 「 カイワ モデル 」 オ オギナウ モノ
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In recent years, in discussing informed consent obtained between a doctor and a patient, we normally endorse the so-called“ conversation model” over the“ information disclosure model” ― for good reason. The advantages of the“ conversation model,” which integrates two-way communication between a doctor and a patient, are that it pays much more respect to a patient’s autonomy and that the doctor can correct the patient’s misunderstanding during the process; they mark a distinction from the“ information disclosure model” which is based on simple one-way communication. Close examinations of the“ conversation model” reveal a hidden, essentially asymmetric relationship between a doctor and a patient, however. Furthermore, we can see that the model’s assumption that a patient is a“ reasonable person” who is always capable of making rational or reasonable judgments is not convincing at all, when we discuss patients who are rarely in a position in which they can give any reasonable thinking. It turns out that the model has several practical problems as well. Given the essential doctor-patient asymmetric relation, what do we need to apply the model in a more practical fashion? This paper attempts to give an answer to that question by examining Howard Brody’s“ transparency standard.” The standard makes the model meet practical and legal purposes required for actual medical practices, but appear to lead us to what I call“ moderate or liberal paternalism.”
収録刊行物
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- 医学哲学 医学倫理
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医学哲学 医学倫理 31 (0), 22-32, 2013
日本医学哲学・倫理学会
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詳細情報 詳細情報について
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- CRID
- 1390282679618816256
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- NII論文ID
- 130006329258
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- NII書誌ID
- AN10084230
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- ISSN
- 24331821
- 02896427
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- NDL書誌ID
- 024930039
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- NDL
- CiNii Articles
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- 抄録ライセンスフラグ
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