In this eye-opening look at the doctor-patient decision-making
process, physician and law professor Jay Katz examines the
time-honored belief in the virtue of silent care and patient
compliance. Historically, the doctor-patient relationship has been
based on a one-way trust--despite recent judicial attempts to give
patients a greater voice through the doctrine of informed consent.
Katz criticizes doctors for encouraging patients to relinquish
their autonomy, and demonstrates the detrimental effect their
silence has on good patient care. Seeing a growing need in this age
of medical science and sophisticated technology for more honest and
complete communication between physician and patients, he advocates
a new, informed dialogue that respects the rights and needs of both
sides.
In a new foreword to this edition of "The Silent World of Doctor
and Patient," Alexander Morgan Capron outlines the changes in
medical ethics practice that have occurred since the book was first
published in 1984, paying particular attention to the hotly debated
issues of physician-assisted suicide and informed consent in
managed care.
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