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Informed Consent: Patient Autonomy and Clinician Beneficence within Health Care

By: Stephen Wear | Book details

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Page vii
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Contents
Preface to the Second Edition ix
Acknowledgments xiii
Notice xiv
Introduction 1
PART I The Sources of a Model of Informed Consent 7
1.
The Legal Doctrine of Informed Consent 9
THE GOALS AND SOURCES OF THE LEGAL DOCTRINE OF INFORMED CONSENT 10
ELEMENTS OF THE LEGAL DOCTRINE 14
SUMMARY 24
2.
The New Ethos of Patient Autonomy 29
EARLY CONCERNS ABOUT PATIENT AUTONOMY 30
A REPLY FROM THE PATERNALIST 32
PATIENTS AND PHYSICIANS AS MORAL STRANGERS 35
FREEDOM IN HEALTH CARE 38
THIS IS ALL VERY WELL AND GOOD, BUT ... 46
RETROSPECT AND PROSPECT 47
3.
The Clinical Experience of Patient Autonomy and Informed Consent 49
CLINICIAN PERSPECTIVES ON PATIENT AUTONOMY AND INFORMED CONSENT 50
EMPIRICAL STUDIES OF INFORMED CONSENT 52
DIMINISHED COMPETENCE 56
EXTERNAL BARRIERS TO PATIENT AUTONOMY AND INFORMED CONSENT 60
SUMMARY REMARKS 63

-vii-

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