- Title Pages
- Dedication
- Foreword
- Preface
- Abbreviations
- Respondents
- <i>Introduction: medicine’s dilemma at the end of the twentieth century</i>
- 1 <i>Selective ethics</i>
- 2 <i>Does a difference make a difference?</i>
- 3 <i>Prescription for disaster</i>
- 4 <i>Therapeutic mystique</i>
- 5 <i>Humane limits</i>
- 6 <i>Intruding in private tragedies</i>
- 7 <i>The glut of information</i>
- 8 <i>Betting on specified horses</i>
- 9 <i>Begin with ‘If…’</i>
- 10 <i>Archie’s scepticism</i>
- 11 <i>Arbitrary vs discretionary decisions</i>
- 12 <i>Bioengineering</i>
- 13 ‘… <i>disavowing the tree’</i>
- 14 <i>Diffusing responsibility</i>
- 15 <i>Hawthorne effects</i>
- 16 <i>Power plays</i>
- 17 <i>Unbridled enthusiasm</i>
- 18 <i>Caring and curing</i>
- 19 <i>On the edge</i>
- 20 <i>Informing and consenting</i>
- 21 <i>Lifesavers</i>
- 22 <i>Belief and disbelief</i>
- 23 <i>Preferences</i>
- 24 <i>Bradford Hill’s doubts</i>
- 25 <i>More informative abstracts</i>
- 26 <i>Pain control in neonates</i>
- 27 <i>Miraculous cures</i>
- 28 <i>Observer bias</i>
- 29 <i>The gatekeeper’s brouhaha</i>
- 30 <i>Creatures of bounded rationality</i>
- 31 <i>Champing at the bit</i>
- 32 <i>Piecemeal skirmishes</i>
- 33 <i>Resolution of insoluble dilemmas</i>
- 34 <i>‘Fixing’ human reproduction</i>
- 35 <i>Justice defined as fairness</i>
- 36 <i>‘Methods-based’ reviews</i>
- 37 <i>Non-replication of the replicable</i>
- 38 <i>Who defines ‘futility’?</i>
- 39 <i>Fitting targets to holes</i>
- 40 <i>Medical ‘manners’ on trial</i>
- 41 <i>Sanction of whose beliefs and values?</i>
- 42 <i>Mindless existence</i>
- 43 <i>Interventions on an unprecedented scale</i>
- 44 <i>Preoccupation with ‘autonomy’</i>
- 45 <i>A ‘win’ in medical Russian roulette</i>
- Citations
- <i>Bibliography</i>
- <i>Index</i>
Preoccupation with ‘autonomy’
Preoccupation with ‘autonomy’
- Chapter:
- (p.193) 44 Preoccupation with ‘autonomy’
- Source:
- Where's the Evidence?
- Author(s):
William A. Silverman
- Publisher:
- Oxford University Press
This chapter presents a 1997 commentary on neonatal care. Neonatologists often consider themselves as the unbiased protectors of their patients' best interests and assume an advocacy role. A claim is often made that doctors are justified in overriding parents' wishes when making controversial decisions about complex life-prolonging treatment. It argues that this ‘atomist’ view which sees the newborn in isolation must be challenged.
Keywords: medical care, medical practice, neonates, infant care, atomism
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- Title Pages
- Dedication
- Foreword
- Preface
- Abbreviations
- Respondents
- <i>Introduction: medicine’s dilemma at the end of the twentieth century</i>
- 1 <i>Selective ethics</i>
- 2 <i>Does a difference make a difference?</i>
- 3 <i>Prescription for disaster</i>
- 4 <i>Therapeutic mystique</i>
- 5 <i>Humane limits</i>
- 6 <i>Intruding in private tragedies</i>
- 7 <i>The glut of information</i>
- 8 <i>Betting on specified horses</i>
- 9 <i>Begin with ‘If…’</i>
- 10 <i>Archie’s scepticism</i>
- 11 <i>Arbitrary vs discretionary decisions</i>
- 12 <i>Bioengineering</i>
- 13 ‘… <i>disavowing the tree’</i>
- 14 <i>Diffusing responsibility</i>
- 15 <i>Hawthorne effects</i>
- 16 <i>Power plays</i>
- 17 <i>Unbridled enthusiasm</i>
- 18 <i>Caring and curing</i>
- 19 <i>On the edge</i>
- 20 <i>Informing and consenting</i>
- 21 <i>Lifesavers</i>
- 22 <i>Belief and disbelief</i>
- 23 <i>Preferences</i>
- 24 <i>Bradford Hill’s doubts</i>
- 25 <i>More informative abstracts</i>
- 26 <i>Pain control in neonates</i>
- 27 <i>Miraculous cures</i>
- 28 <i>Observer bias</i>
- 29 <i>The gatekeeper’s brouhaha</i>
- 30 <i>Creatures of bounded rationality</i>
- 31 <i>Champing at the bit</i>
- 32 <i>Piecemeal skirmishes</i>
- 33 <i>Resolution of insoluble dilemmas</i>
- 34 <i>‘Fixing’ human reproduction</i>
- 35 <i>Justice defined as fairness</i>
- 36 <i>‘Methods-based’ reviews</i>
- 37 <i>Non-replication of the replicable</i>
- 38 <i>Who defines ‘futility’?</i>
- 39 <i>Fitting targets to holes</i>
- 40 <i>Medical ‘manners’ on trial</i>
- 41 <i>Sanction of whose beliefs and values?</i>
- 42 <i>Mindless existence</i>
- 43 <i>Interventions on an unprecedented scale</i>
- 44 <i>Preoccupation with ‘autonomy’</i>
- 45 <i>A ‘win’ in medical Russian roulette</i>
- Citations
- <i>Bibliography</i>
- <i>Index</i>
