Gert B, Nelson W A, Culver C M
Dartmouth College, Hanover, New Hampshire.
Neurol Clin. 1989 Nov;7(4):681-96.
This article presents an outline of a general moral theory and shows its relationship to the concepts of paternalism and that of valid consent and refusal. The authors then show how this theory and these concepts can be usefully applied to the moral problems that neurologists often face in determining how to act when they have distressing information for their patients. Finally, a procedure is provided for determining when it is morally justified to deceive patients by withholding information about their diagnoses, prognoses, or about their prospective treatments.
本文概述了一种一般道德理论，并展示了它与家长主义概念以及有效同意和拒绝概念之间的关系。作者随后说明了该理论和这些概念如何能够有效地应用于神经科医生在面对为患者提供令人苦恼的信息时如何行动的道德问题。最后，提供了一个程序，用于确定在何种情况下通过隐瞒患者的诊断、预后或预期治疗信息来欺骗患者在道德上是合理的。
