Assignment 3A_ Interpretation Questions

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Jan 9, 2024

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Assignment 3A: Interpretation Questions By Megan Newhard A. The Way of Medicine (chapter 3) 1. Why are “strong paternalism” and “strong autonomy” undesirable models for conceiving the doctor-patient relationship? The models of “strong paternalism” and “strong autonomy” are undesirable because they support unchecked power and grow moral confusion. In “paternalism” we also see male privilege and unjustified control over patients. With “strong patient autonomy” we see the opposite, where its unjustified control over doctors and individuals making decisions without proper information and awareness. 2. In light of Curlin & Tollefsen’s discussions of the cases of Cindy, Abe, and Nora (pp. 55-59), summarize their vision of the physician’s responsibilities toward the patient. In the cases of Cindy, Abe and Nora, the physician’s responsibilities are not to agree fully with these patient’s but to provide them options that support the best interest of the life of each patient. B. The Way of Medicine (chapter 4) 1. Explain the meaning of the following terms: a. Radical autonomy The concept of Radical autonomy is that the decision and opinions of the patient regarding their health care is always right. That the choice itself is what makes it autonomous. b. Autonomy first The concept of Autonomy first refers to autonomy being a good, meaning that it alone makes a person better off. This directly assumes that the choice made is not a destructive one. 2. How does autonomy “properly understood” contribute to human flourishing? Autonomy “properly understood” contributes to human flourishing by only
becoming a human good once individuals are allowed to make their own decisions. Through being autonomous in one’s life, it can be seen how important and significant that process is for human good, 3. How is the patient’s exercise of autonomy dependent upon the proper exercise of the “physician’s authority”? How does the “patient’s authority” limit the scope of the physician’s authority? The patient’s exercise of autonomy depends on the physician’s authority being properly exercised by providing the patient with the appropriate data to make informed decisions. This means informing patients of viable options, risks and either recovery process or chances of success. Unfortunately the “patient’s authority” can limit the scope of physician authority by letting things like irrational fear or personal obligations skewing decisions from the more logical and positive outcome decision. C. Videos: “Rebecca Kukla on Autonomy” (all parts) 1. Define the following “positive views of autonomy” and list key elements of the “scaffolding” that is necessary to support each. a. Self-determination - having both ability and clarity to make their own decisions i. Fluctuating and situational ii. Good quality access to information iii. Decent choices iv. Changing the context of information b. Integrity - maintaining of core beliefs that assist in self identification i. Having stability; ex. People in life or environment ii. Support system also affected c. Agency - ability to determine one’s choices i. Capacity to act ii. Taking of responsibility iii. Act under your own values
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