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- W173661523 abstract "The impact of illness on a person’s autonomy directly influences the individual’s ability to engage in the usual processes of discussion, advice, negotiation about values and consent. In previous chapters we articulated the way in which the clinical encounter can produce mutual slavery. This obstacle to autonomous decision-making, in turn, requires a different model of the doctor-patient relation than that functioning when the patient is fully competent. Since impediments to patient input run deeper than is often assumed, in many instances the model of the rational contract and negotiated values in the doctor-patient relation simply does not work. In fact, an examination of the impact of illness on persons might call into question the wisdom of establishing a goal of value negotiation even with competent patients in the state of serious illness when they are treated in tertiary care environments, as discussed in Chapter 5." @default.
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- W173661523 date "2000-01-01" @default.
- W173661523 modified "2023-09-25" @default.
- W173661523 title "Reconstituting the Doctor-Patient Relation" @default.
- W173661523 doi "https://doi.org/10.1007/978-94-017-0821-0_8" @default.
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