When Patient and Doctor Disagree

Autonomous Patient versus Paternalistic Doctor
1. Auflage 2016
ISBN: 978-3-943324-60-0
Verlag: KIENER Verlag

Buch, Englisch, 144 Seiten, ENGLBR, Format (B × H): 135 mm x 215 mm, Gewicht: 204 g

Since the beginning of Western Medicine nearly 2500 years ago with Hippocrates, the essential ground rule for the professional relationship between patient and doctor has remained the same, namely the patient relies on the knowledge and integrity of the doctor. There has been a striking disparity of power in this relationship, very much in favour of the doctor.

In recent years much has changed. Not only have there been huge advances in medical knowledge, but patients have themselves become more knowledgeable, mainly due to the internet and the establishment of voluntary bodies which disseminate information about the diagnosis and treatment of illnesses.

As a consequence, the so-called paternalistic medical approach is slowly giving way to patient-centered medicine in which the autonomy of patients becomes increasingly important. This has inevitably led to some differences of opinion between patients and doctors.

This book advances philosophical arguments in favour of patient autonomy and describes some of these differences of opinion as they arise in psychiatric practice. It includes chapters on various restrictions, especially compulsory detention, imposed on patients under the Mental Health Act, epistemic injustice, do-not-resuscitate orders and assisted suicide, in which the issues are discussed from both a philosophical and psychological perspective. The book will be of interest to all professionals and non-professionals who are interested in ethical dilemmas which often arise in psychiatry.

Zielgruppe

Psychiatrists, psychiatric staff, psychotherapists, doctors in general

Autoren/Hrsg.

Crichton, Paul

Greer, Steven

Über Autor(innen)

Crichton, Paul
Paul Crichton is a Consultant Psychiatrist who now works for the Ministry of Justice in London. He has a PhD in philosophy, and is interested in using philosophy to throw light on medicine and psychiatry. He is the author of Self-Realization – Thinking about How to Live.

Greer, Steven
Steven Greer is the founder of psycho-oncology in the UK. He has published more than 100 peer-reviewed papers in this area, developed, with Stirling Moorey, a form of psychotherapy for people with cancer using cognitive behavioural techniques, and carried out studies to demonstrate the efficacy of this treatment.

Paul Crichton MA (Oxon), MD (Munich), FRCPsych, PhD (London). Dr. Crichton is a Consultant Psychiatrist working for the Ministry of Justice in London.

His first degree was in Classical Studies (Latin, Greek, Ancient History and Philosophy) at Oxford University.

His medical training was at the Ludwigs-Maximilians-Universität in Munich. He worked for two years in neurology, at the Klinikum Großhadern in Munich and the National Hospital for Neurology and Neurosurgery, Queen Square, London, before doing his psychiatric training, first at Charing Cross Hospital and then at the Maudsley Hospital in London. He worked as a Consultant Psychiatrist in General Adult Psychiatry at Guys Hospital in London and then as Head of the Department of Psychological Medicine at the Royal Marsden Hospital, doing liaison psychiatry and cognitive behavioural therapy with people with cancer. He now sits on Mental Health Review Tribunals in London for the Ministry of Justice.

In 2003 he completed a BA and then in 2010 a PhD in philosophy at Birkbeck College, University of London. His PhD was entitled “Self-Realization An Exploration” and his supervisors were Prof. Miranda Fricker and Prof. Susan James. It formed the basis of his book Self-Realization and Inner Necessity Thinking about How to Live (London: Kiener Press, 2013). He has also written papers and articles for scientific and literary journals, including the British Journal of Psychiatry, the Lancet and the Times Literary Supplement.

His main interests lie in the borderline areas between psychiatry, psychology and philosophy, including, for example, psychotic phenomena, rationality and cognitive distortions, the mind-body problem, autonomy, social justice and political freedom, the social identity of individuals, ethical and non-ethical values, and self-realization. The thinkers who have most inspired him include Aristotle, Plato, Hume, Kant, Hegel, Wittgenstein, Rawls, Freud, Kahneman, Williams, Taylor, Nussbaum and Frankfurt.

www.paul-crichton.co.uk