Consultation instead of prescription?a model for the structure of the doctor?patient relationship

Poiesis and Praxis 2 (1):1-27 (2003)
Against the usual paternalism, this article develops the proposition to structure the interaction between the doctor and the patient as an inter-subjective consultation. This means that the "information" of the patient prior to treatment, when "informed consent" is secured, as well as the actual medical treatment would have to be turned into an interaction between two responsible individuals. The "irresponsibility" of this patient, which is supposed to result from his "uninformedness", as is often argued in favour of keeping to paternalism, does not have to lead to an interaction model of prescription and compliance. Even for the interaction with patients who are unable to understand or consent, the concept of dialogical interaction must be maintained counterfactually; it has only to be supplemented by the variant of "tutorial action". The prescriptive model of behaviour is extended by the obligation—even when the doctor is the sole decision maker—of acting in the well-understood self-interest of the patient and, if necessary, of providing evidence for this orientation of the treatment. Thus, the model of dialogical interaction is shown to be the comprehensive model, because it covers the interests of the doctor and of the patient
Keywords No keywords specified (fix it)
Categories (categorize this paper)
DOI 10.1007/s10202-003-0036-3
 Save to my reading list
Follow the author(s)
My bibliography
Export citation
Find it on Scholar
Edit this record
Mark as duplicate
Revision history Request removal from index
Download options
PhilPapers Archive

Upload a copy of this paper     Check publisher's policy on self-archival     Papers currently archived: 23,217
External links
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
Through your library
References found in this work BETA
Sherwin B. Nuland (1994). How We Die: Reflections on Life's Final Chapter. Published by Random House Large Print in Association with Alfred A. Knopf.

Add more references

Citations of this work BETA

No citations found.

Add more citations

Similar books and articles
Marian Rabinowitz (1980). Medicine as a Trade. Theoretical Medicine and Bioethics 1 (3):255-261.
Harry H. Gordon (1983). The Doctor–Patient Relationship. Journal of Medicine and Philosophy 8 (3):243-256.

Monthly downloads

Added to index


Total downloads

4 ( #622,434 of 1,932,453 )

Recent downloads (6 months)

1 ( #456,120 of 1,932,453 )

How can I increase my downloads?

My notes
Sign in to use this feature

Start a new thread
There  are no threads in this forum
Nothing in this forum yet.