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For example, a concern to promote beneficence may be expressed in traditional medical ethics by the exercise of paternalism, where the health professional makes a decision based upon a perspective of acting in the patient's best interests. However, it is argued by some that this approach acts against person-centred values found in nursing ethics.
Paternalism can also imply that the behavior is against or regardless of the will of a person, or also that the behavior expresses an attitude of superiority. [2] Paternalism, paternalistic and paternalist have all been used as a pejorative for example in the context of societal and/or political realms and references. [1]
Medical paternalism is a set of attitudes and practices in medicine in which a physician determines that a patient's wishes or choices should not be honored. These practices were current through the early to mid 20th century, and were characterised by a paternalistic attitude, surrogate decision-making and a lack of respect for patient autonomy ...
Particularly controversial was the work of Harvard neurosurgeon Vernon Mark and psychiatrist Frank Ervin, who wrote a book, Violence and the Brain, in 1970. [1] The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research in 1977 endorsed the continued limited use of psychosurgical procedures.
These practices call into question the ethics behind them. [13] Potential problems that can arise are: patients' deception, which can later induce negative repercussions after finding out about the lie [14] the patient's autonomy being threatened as a result not seeking a second professional opinion. [15]
Welfare capitalism is capitalism that includes social welfare policies [1] [better source needed] and/or the practice of businesses providing welfare services to their employees. Welfare capitalism in this second sense, or industrial paternalism, was centered on industries that employed skilled labor and peaked in the mid-20th century.
Libertarian paternalism is the idea that it is both possible and legitimate for private and public institutions to affect behavior while also respecting freedom of choice, as well as the implementation of that idea.
The ethics of care is contrasted with theories based on the "liberal individual" and a social contract, following Locke and Hobbes. Ethics-of-care theorists note that in many situations, such as childhood, there are very large power imbalances between individuals, and so these relationships are based on care rather than any form of contract.