Evans, Amanda (2024) Medical Paternalism, Anorexia Nervosa, and the Problem of Pathological Values. [Preprint]
![[img]](https://philsci-archive.pitt.edu/style/images/fileicons/text.png) |
Text
Evans PREPRINT DRAFT Medical paternalism anorexia nervosa and the problem of pathological values.pdf Download (242kB) |
Abstract
Concerns over medical paternalism are especially salient when there exists a conflict of values between patient and clinician. This is particularly relevant for psychiatry, the field of medicine for which the phenomenon of conflicting values is most present and for which the specter of medical paternalism looms large. Few cases are as glaring as that of anorexia nervosa (AN), a disorder that is considered to be egosyntonic (meaning its symptoms are reflectively endorsed by the patient) and maintained by the presence of pathological values. One might think, given this, that an approach to medicine that foregrounds the role of values in clinical encounters would be particularly well suited to address the problem of medical paternalism in treating AN. As it happens, this is precisely the goal of values-based medicine, an approach to medicine that prioritizes the integration of patients’ unique values into the aims of treatment and that has been touted as being particularly applicable to psychiatric conditions such as AN. Although this strategy may initially appear promising, in this paper I will argue that the directive to incorporate patient values (as dictated by values-based medicine) cannot do the work of mitigating medical paternalism in the treatment of egosyntonic disorders such as AN. Rather than chalking this up as a failure due to AN being a particularly challenging case, I will instead conclude that the failure of values-based medicine in this context cuts to the heart of the limitations of rectifying medical paternalism within psychiatry as it currently exists.
| Export/Citation: | EndNote | BibTeX | Dublin Core | ASCII/Text Citation (Chicago) | HTML Citation | OpenURL |
| Social Networking: |
| Item Type: | Preprint | ||||||
|---|---|---|---|---|---|---|---|
| Creators: |
|
||||||
| Keywords: | medical paternalism, paternalism, philosophy of psychiatry, biomedical ethics, anorexia nervosa, values, values-based medicine, values-based practice | ||||||
| Subjects: | Specific Sciences > Medicine > Biomedical Ethics Specific Sciences > Medicine Specific Sciences > Medicine > Psychiatry |
||||||
| Depositing User: | Dr. Amanda Evans | ||||||
| Date Deposited: | 04 Dec 2024 13:20 | ||||||
| Last Modified: | 04 Dec 2024 13:20 | ||||||
| Item ID: | 24342 | ||||||
| Subjects: | Specific Sciences > Medicine > Biomedical Ethics Specific Sciences > Medicine Specific Sciences > Medicine > Psychiatry |
||||||
| Date: | 2 December 2024 | ||||||
| URI: | https://philsci-archive.pitt.edu/id/eprint/24342 |
Monthly Views for the past 3 years
Monthly Downloads for the past 3 years
Plum Analytics
Actions (login required)
 |
View Item |
![[feed]](http://philsci-archive.pitt.edu/style/images/feed-icon-32x32.png){kind=icon}