Meyers C
Kegley Institute of Ethics, California State University, Bakersfield.
J Med Ethics. 1992 Sep;18(3):135-7. doi: 10.1136/jme.18.3.135.
It is now widely accepted that a patient's ability to engage in autonomous decision-making can be seriously threatened when she denies significant aspects of her medical condition. In this paper I use a true case to reveal the harmful effects of physician denial upon patient autonomy and well-being. I suggest further that such physician denial may be more common than is generally acknowledged, since aspects of the contemporary medical ethos likely serve to reinforce rather than to undercut such denial.
现在人们普遍认为，当患者否认其病情的重要方面时，她进行自主决策的能力可能会受到严重威胁。在本文中，我用一个真实案例来揭示医生的否认对患者自主权和福祉的有害影响。我进一步指出，这种医生的否认可能比普遍承认的更为常见，因为当代医学风气的某些方面可能起到强化而非削弱这种否认的作用。
