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2. Computers and Clinical Thinking

Author

Wulff, Henrik R., Engelhardt, H. Tristram, Jr., editor, Spicker, Stuart F., editor, Agich, George J., editor, Erde, Edmund, editor, King, Patricia A., editor, Morreim, E. Haavi, editor, Wildes, Kevin W., editor, Peset, José Luis, editor, and Gracia, Diego, editor

Published
1992
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7. The inherent paternalism in clinical practice

Author

Wulff, Henrik R.

Subjects
Clinical medicine -- Ethical aspects, Physicians -- Ethical aspects, Health, Philosophy and religion
Abstract

It is sometimes suggested that the physician should offer the patient 'just the facts,' preferably in a 'value-free manner,' explain the different options, and then leave it to the patient to make the choice. This paper explores the extent to which this adviser model is realistic. The clinical decision process and the various components of clinical reasoning are discussed, and a distinction is made between the biological, empirical, empathic/hermeneutic and ethical components. The discussion is based on the ethical norms of the public health services in the Nordic countries, and the problems are illustrated by a clinical example. It is concluded that the adviser model is unrealistic. Patient information is important, but the complexity of clinical reasoning makes it impossible to separate facts and value judgments. It is claimed that there is an inherent element of paternalism in clinical decision-making and that clinical practice presupposes a mutual trust between physician and patient. Key Words: Clinical decision-making, empathy, ethics, hermeneutics, objective facts, values.

Published
1995

14. Lifeline

Author

Wulff, Henrik R

Published
1998

24. En fysikus i Århus og hans patienter

Author

Wulff, Henrik R., Jungersen, Kirsten, Wulff, Henrik R., and Jungersen, Kirsten

Abstract

Medicinhistorie, almen praksis, patientjournaler, diagnoser, recepter

Published
2006

33. Medicinos filosofija (litauísk)

Author

Wulff, Henrik. R, Pedersen, Stig Andur, Rosenberg, Raben, Wulff, Henrik. R, Pedersen, Stig Andur, and Rosenberg, Raben

Published
2001

46. Ningen to Igaku (Man and Medicine)

Author

Wulff, Henrik R., Pedersen, Stig Andur, Rosenberg, Raben, Wulff, Henrik R., Pedersen, Stig Andur, and Rosenberg, Raben

Abstract

Medicinsk filosofi

Published
1996

47. Medicinens filosofi

Author

Wulff, Henrik R., Pedersen, Stig Andur, Rosenberg, Raben, Wulff, Henrik R., Pedersen, Stig Andur, and Rosenberg, Raben

Abstract

Medicinsk videnskabsteori

Published
1993

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