Abstract
Clinical medicine rests upon three basic assumptions. The first is that medicine is something that happens between people. Second, medicine is performed through the patient-doctor dialogue. And third, the ultimate outcome of clinical practice is a cooperation or interaction between patient and doctor. Together, these three assumptions may challenge traditional and monological approaches to medical ethics. With the patient-doctor dialogue as its starting point, an ethical relationship may gradually develop that emerges by means of a certain process taking place between two autonomous individuals.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Abramovitch, H. and Schwartz, E. (1996) Three Stages of Medical Dialogue, Theoretical Medicine 17: 175–87. Arnason, V. (1994) Towards Authentic Conversations. Authenticity in the Patient-Professional Relationship, Theoretical Medicine 15: 227–42.
Balint, M. (1980) The Doctor, his Patient and the Illness. Pitman Medical Publishing, Kent.
Borges, S. and Waitzkin, H. (1995) Women’s Narratives in Primary Care Medical Encounters, Women & Health 23: 29–56.
Buber, M. (1958) I and Thou. ( Translated by RG Smith) Charles Scribners Sons, New York.
Healing Through Meeting, In: Pointing The Way. ( Translated by M Friedman) Harper Touchbooks, New York.
Brown, P. and Levinson, S. (1990) Politeness. Some Universals in Language Usage. Cambridge University Press, Cambridge.
Clark, J. and Mishler, E. (1992) Attending to Patients’ Stories: Reframing the Clinical Task, Sociology of Health & Illness 14: 344–72.
Dunstan, G.R. (1994) Ideology, Ethics and Practice. The Second John Hunt Memorial Lecture, The Royal College of General Practitioners, London.
Freud, S. (1982) Introductory Lectures on Psychoanalysis, Penguin Books, Middelsex.
Hem, L. (1997) On the Will, the Self and Practical Reason: Psychotherapy as a Matter of Ethics, The Journal of the Norwegian Psychological Association 34: 779–84 (in Danish).
Jones, W.T. (1975) Kant and the Nineteenth Century, California Institute of Technology, San Diego.
Kant, I. (1997) The Moral Law. Groundwork of the Metaphysic of Morals, tr. Paton, H.J., Routledge, London/New York.
Mishler, E. (1984) The Discourse of MedicineAblex Publishing Corporation, Norwood.
Míiseide, P. (1991) Possibly Abusive, Often Benign, and Always Necessary. On Power and Domination in Medical Practice, Sociology of Health & Illness 13: 545–61.
Nessa, J. (1995) From a Medical Consultation to a Written Text, Scandinavian Journal of Primary Health Care 13: 83–92.
Nessa, J. and Malterud, K. (1998) “Tell Me What’s Wrong With Me”: A Discourse Analysis Approach to the Concept of Patient Autonomy. Journal of Medical Ethics 24: 394–400.
Nordgren, A.: 1998, `Ethics and Imagination. Implications of Cognitive Semantics for Medical Ethics.’ Theoretical Medicine and Bioethics 19: 117–41.
Pellegrino, E.D. and Thomasma, D.C. (1994) The Virtues in Medical Practice, Oxford University Press, Oxford. Rank, O. (1978) Will Therapy and Truth and Reality, Norton, New York.
Selbourn, D. (1994) The Principle of DutySinclair-Stevenson, London.
Tuckett, D., Boulton, M., Olson, C. and Williams, A. (1985) Meeting Between Experts. Tavistock, London. van Rees, M.A. (1992) The Use of Language in Conversation, International Centre for the Study of Argumentation ( SICSAT ), Amsterdam.
Veatch, R. (1981) A Theory of Medical EthicsBasic Books, Inc., New York.
Rights and permissions
Copyright information
© 2001 Springer Science+Business Media Dordrecht
About this chapter
Cite this chapter
Nessa, J. (2001). Autonomy and Dialogue. In: Personhood and Health Care. International Library of Ethics, Law, and the New Medicine, vol 7. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-2572-9_29
Download citation
DOI: https://doi.org/10.1007/978-94-017-2572-9_29
Publisher Name: Springer, Dordrecht
Print ISBN: 978-90-481-5858-4
Online ISBN: 978-94-017-2572-9
eBook Packages: Springer Book Archive