To Örebro University

oru.seÖrebro University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
How to reveal disguised paternalism: version 2.0
Centre for Healthcare Ethics, Karolinska Institute, Stockholm, Sweden.
Örebro University, School of Medical Sciences. University Health Care Research Centre.ORCID iD: 0000-0002-3227-2487
Centre for Healthcare Ethics, Karolinska Institute, Stockholm, Sweden.
2021 (English)In: BMC Medical Ethics, ISSN 1472-6939, E-ISSN 1472-6939, Vol. 22, no 1, article id 170Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: We aim to further develop an index for detecting disguised paternalism, which might influence physicians' evaluations of whether or not a patient is decision-competent at the end of life. Disguised paternalism can be actualized when physicians transform hard paternalism into soft paternalism by questioning the patient's decision-making competence.

METHODS: A previously presented index, based on a cross-sectional study, was further developed to make it possible to distinguish between high and low degrees of disguised paternalism using the average index of the whole sample. We recalculated the results from a 2007 study for comparison to a new study conducted in 2020. Both studies are about physicians' attitudes towards, and arguments for or against, physician-assisted suicide.

RESULTS: The 2020 study showed that geriatricians, palliativists, and middle-aged physicians (46-60 years old) had indices indicating disguised paternalism, in contrast with the results from the 2007 study, which showed that all specialties (apart from GPs and surgeons) had indices indicating high degrees of disguised paternalism.

CONCLUSIONS: The proposed index for identifying disguised paternalism reflects the attitude of a group towards physician assisted suicide. The indices make it possible to compare the various medical specialties and age groups from the 2007 study with the 2020 study. Because disguised paternalism might have clinical consequences for the rights of competent patients to participate in decision-making, it is important to reveal disguised hard paternalism, which could masquerade as soft paternalism and thereby manifest in practice. Methods for improving measures of disguised paternalism are worthy of further development.

Place, publisher, year, edition, pages
BioMed Central, 2021. Vol. 22, no 1, article id 170
Keywords [en]
Disguised paternalism, Hard and soft paternalism, Physician assisted suicide, Value impregnated factual claims
National Category
Medical Ethics
Identifiers
URN: urn:nbn:se:oru:diva-96287DOI: 10.1186/s12910-021-00739-8ISI: 000734769000002PubMedID: 34961487Scopus ID: 2-s2.0-85121676267OAI: oai:DiVA.org:oru-96287DiVA, id: diva2:1625475
Funder
The Karolinska Institutet's Research FoundationAvailable from: 2022-01-07 Created: 2022-01-07 Last updated: 2022-01-07Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMedScopus

Authority records

Engström, Ingemar

Search in DiVA

By author/editor
Engström, Ingemar
By organisation
School of Medical Sciences
In the same journal
BMC Medical Ethics
Medical Ethics

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 12 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf