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Ethical dilemma deception vs truth
Ethics of lying
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Should doctors tell the truth to their patients? How much information should the patient know about a certain ill or operation? These controversial questions are asked more frequently in our society. Patients nowadays,. are very sensitive to certain diseases more than before. This paper argues against telling the truth in doctor-patient relationship. Not by defending the idea directly but, by presenting first how truth can be harmful to the patient and by giving Higgs’ objection to it, then by giving my own objection to Higgs’ argument.
From the utilitarian’s side, lying might be a good choice, since it brings more happiness to the patient. In fact, truthfulness can actually do harm. Patient’s health situation becomes worst when he knows that he have a serious disease. He will become depressed and might suffer from psychological disorders like anxiety which reduces the efficiency of healing. For example people suffering from Nosophobia , Hypochondriasis or Nosocomephobia: “which are an irrational fear of contracting a disease, a fear of hospitals or refers to excessive preoccupancy or worry about having a serious illness ” are most likely to be affected by truth of having a serious ill or undergoing a dangerous medical operation. That’s why some doctors use lying as way of curing; they don’t try only to heal the disease, but also they make sure that the patient is in his most relaxed state, in order not to harm him. Roger Higgs in his article “On telling patients the truth” argues that doctors have no exemption from telling the truth. I other words, when a doctor lies he needs to give justifications. For the maleficence argument, Higgs argues that the truth actually does not harm; but the way the doctor tells the truth a...
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...t woman that falls downstairs and she loses her baby; in the hospital when she wake up she sees the doctor and told him “my baby is ok? Please tell me that he is fine”! Here she doesn’t want to know the truth; rather, she wants to escape from it since she’s afraid. Whether the doctor tells her “your baby died” or “I’m so sorry to tell you that your baby died, but don’t be sad you can have another one you still young”, the woman is going to cry in both situations because the truth won’t change and it actually do harm. From these examples we can conclude that people are afraid from knowing the truth, and because what is scary leads to harm and pain. Thus truth leads to harm and not the way it’s told.
Works Cited
“Nosophobia and hypochondriasis in medical students”. Wikipedia, encyclopedia. 20 May 2013, http://en.wikipedia.org/wiki/Nosophobia. Web. 15 Ap 2014.
Cullen and Klein understand that deception is wrong and disrespectful to the patient but criticize that some cases are more complicated and not so black and white. They argue that physicians should be able to withhold information that can significantly benefit the patient. The key part is that the benefit is greater than what the deception causes.
We, as human beings, tend to think that the truth is what we believe to be true. But the truth is the truth even if no one believes that it is the truth. We also think that the truth brings unpleasantness, and that we hate telling the truth. “The challenge of the sage is to decode the clues and solve the underlying riddle of existence, our own and that of the cosmos.” (The Sage). The relation between this quotation and my life is that, I always want to search for the truth, and telling the truth is another
One of the most complex, ever-changing careers is the medical field. Physicians are not only faced with medical challenges, but also with ethical ones. In “Respect for Patients, Physicians, and the Truth”, by Susan Cullen and Margaret Klein, they discuss to great extent the complicated dilemmas physicians encounter during their practice. In their publication, Cullen and Klein discuss the pros and cons of disclosing the medical diagnosis (identifying the nature or cause of the disease), and the prognosis (the end result after treating the condition). But this subject is not easily regulated nor are there guidelines to follow. One example that clearly illustrates the ambiguity of the subject is when a patient is diagnosed with a serious, life-threatening
Hypochondriasis is defined in the DSM-IV-TR under somatoform disorders as “Preoccupation with fears of having, or the idea that one has, a serious disease based on the person’s misinterpretation of bodily symptoms.” This preoccupation of having an illness will persist even after medical evaluation.
After overcoming her denial and admitting that no son exists, Martha lies prostrate as George asks her, “Who’s afraid of Virginia Woolf?”(242). Martha wearily replies, “I…am…George….I…am…”(242). In other words, “Who’s afraid of the truth?” My parents, Stuart of Christopher Durang’s Beyond Therapy, and Martha and George from Thomas Albee’s “Who’s Afraid of Virginia Woolf?”. Ceasing to rationalize reality to suit one’s needs entails dealing with the truth and experiencing pain. Therefore, it stands to reason that many smart, reasonable people fall victim to the allure of denial. However, as Martha demonstrates, the walls crumble eventually, and one feels the pain as acutely as ever. So, who’s afraid of the truth? The more appropriate question is who’s not afraid of the truth?
Roger Higgs, in “On Telling Patients the Truth” supplies commonly used arguments for paternalistic deception. For the purposes of this paper, paternalism will be defined as, “interference with one’s autonomy or self determination for their own good.” The first argument for paternalistic deception is founded on the idea that medicine is a technical subject where there are very few guarantees (613). Thus, Higgs supplies the argument that not only is it impossible for a patient to understand the true breadth of their diagnosis and prognosis, but additionally that medical predictions are not medical truths. The second argument for paternalistic deception comes from the belief that patients do not actually want to know the truth about their condition, and could suffer from worse health outcomes if they are told the truth (614, 615).
Hard truth is uncomfortable to deal with; some cope with it with the approach of denial and anger.
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Tuckett, A. (2004). Truth-telling in clinical practice and the arguments for and against: A review
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