David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
American Journal of Bioethics 7 (7):33 – 38 (2007)
Physicians make some medical decisions without disclosure to their patients. Nondisclosure is possible because these are silent decisions to refrain from screening, diagnostic or therapeutic interventions. Nondisclosure is ethically permissible when the usual presumption that the patient should be involved in decisions is defeated by considerations of clinical utility or patient emotional and physical well-being. Some silent decisions - not all - are ethically justified by this standard. Justified silent decisions are typically dependent on the physician's professional judgment, experience and knowledge, and are not likely to be changed by patient preferences. We condemn the inappropriate exclusion of the patient from the decision-making process. However, if a test or treatment is unlikely to yield a net benefit, disclosure and discussion are at times unnecessary. Appropriate silent decisions are ethically justified by such considerations as patient benefit or economy of time.
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
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
No references found.
Citations of this work BETA
Sylvia Burrow (2012). On The Cutting Edge: Ethical Responsiveness to Cesarean Section Rates. American Journal of Bioethics 12 (7):44-52.
Simon N. Whitney & Laurence B. McCullough (2007). Responses to Open Peer Commentaries on "Physicians' Silent Decisions: Because Patient Autonomy Doesn't Always Come First". American Journal of Bioethics 7 (7):1-3.
Peter H. Schwartz (2007). Silence About Screening. American Journal of Bioethics 7 (7):46-48.
Kari L. Karsjens (2007). Exploring the Nature of Physician Intent in "Silent Decisions". American Journal of Bioethics 7 (7):42-44.
Similar books and articles
Troyen A. Brennan (1988). Silent Decisions: Limits of Consent and the Terminally III Patient. Journal of Law, Medicine and Ethics 16 (3-4):204-209.
Bjørn Hofmann, Anne Myhr & Søren Holm (2013). Scientific Dishonesty—a Nationwide Survey of Doctoral Students in Norway. BMC Medical Ethics 14 (1):1-9.
Margaret P. Battin (1985). Non-Patient Decision-Making in Medicine: The Eclipse of Altruism. Journal of Medicine and Philosophy 10 (1):19-44.
Mark Parascandola, Jennifer Hawkins & Marion Danis (2002). Patient Autonomy and the Challenge of Clinical Uncertainty. Kennedy Institute of Ethics Journal 12 (3):245-264.
Douglas O. Stewart & Joseph P. DeMarco (2005). An Economic Theory of Patient Decision-Making. Journal of Bioethical Inquiry 2 (3):153-164.
Rebecca Kukla (2005). Conscientious Autonomy: Displacing Decisions in Health Care. Hastings Center Report 35 (2):34-44.
Jay Katz (1984/2002). The Silent World of Doctor and Patient. Johns Hopkins University Press.
Eugene V. Boisaubin (2004). Observations of Physician, Patient and Family Perceptions of Informed Consent in Houston, Texas. Journal of Medicine and Philosophy 29 (2):225 – 236.
Rosamond Rhodes & Ian Holzman (2004). The Not Unreasonable Standard for Assessment of Surrogates and Surrogate Decisions. Theoretical Medicine and Bioethics 25 (4):367-386.
Added to index2009-01-28
Total downloads17 ( #112,399 of 1,679,448 )
Recent downloads (6 months)2 ( #111,624 of 1,679,448 )
How can I increase my downloads?