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Document Details :

Title: The Ethics of the Physician-Patient Relationship
Author(s): LIE, Reidar
Journal: Ethical Perspectives
Volume: 4    Issue: 4   Date: December 1997   
Pages: 263-270
DOI: 10.2143/EP.4.4.562990

Abstract :
It is a remarkable fact about the development of medical ethics from the 1960s until today that there has been a dramatic shift from a position where it was taken for granted that the physician knows best, to a position where much greater emphasis is put on the patient’s treatment preferences. This shift is evident with regard to physician attitudes towards disclosing a cancer diagnosis. For example, in 1961, a survey of cancer physicians showed that almost 90% of the physicians reported that their usual policy was not to tell their patients that they had cancer (Oken 1961). The survey was repeated in 1979, and it showed a complete reversal in attitudes over this 20-year period. 90% reported that their usual policy was to tell their patients that they had cancer (Novack et al. 1979).

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