Suppr超能文献

医疗环境中告知真相的伦理问题。

The Ethics of Truth-Telling in Health-Care Settings.

作者信息

Zolkefli Yusrita

机构信息

PAPRSB Institute of Health Sciences, Universiti Brunei Darussalam, Jalan Tungku Link, Gadong BE1410, Brunei.

出版信息

Malays J Med Sci. 2018 May;25(3):135-139. doi: 10.21315/mjms2018.25.3.14. Epub 2018 Jun 28.

Abstract

Can a lie be justified if it saves a human life or a community, or if another great evil is avoided? The article proposes that health professionals need not always tell the truth, depending on situation; but, this does not refute the significance of telling the truth. It also elucidates the value of telling the truth, and the challenges for telling the whole truth. Two prominent theories of ethics, Deontological and Consequentialism are deliberated, together with the integration of examples to illustrate main areas of interest.

摘要

如果一个谎言能挽救一条人命或一个社区,或者能避免另一种巨大的邪恶,那么这个谎言是否合理呢?本文提出,根据具体情况,医疗专业人员不必总是说实话;但是,这并不否定说实话的重要性。文章还阐明了说实话的价值,以及说出全部真相所面临的挑战。文中探讨了两种重要的伦理理论,即道义论和结果论,并结合实例来说明主要的关注点。

相似文献

1
The Ethics of Truth-Telling in Health-Care Settings.
Malays J Med Sci. 2018 May;25(3):135-139. doi: 10.21315/mjms2018.25.3.14. Epub 2018 Jun 28.
2
Learning through observing: Effects of modeling truth- and lie-telling on children's honesty.
Dev Sci. 2020 Jan;23(1):e12883. doi: 10.1111/desc.12883. Epub 2019 Jul 26.
3
An empirical test of the decision to lie component of the Activation-Decision-Construction-Action Theory (ADCAT).
Acta Psychol (Amst). 2016 Sep;169:45-55. doi: 10.1016/j.actpsy.2016.05.004. Epub 2016 May 22.
4
Promising to tell the truth makes 8- to 16-year-olds more honest.
Behav Sci Law. 2010 Nov-Dec;28(6):801-11. doi: 10.1002/bsl.960. Epub 2010 Sep 28.
5
The contribution of the dorsolateral prefrontal cortex to the preparation for deception and truth-telling.
Brain Res. 2012 Jun 29;1464:43-52. doi: 10.1016/j.brainres.2012.05.004. Epub 2012 May 9.
6
Telling lies: the irrepressible truth?
PLoS One. 2013;8(4):e60713. doi: 10.1371/journal.pone.0060713. Epub 2013 Apr 3.
8
The importance of truth-telling in health care.
Nurs Stand. 2006;20(17):41-5. doi: 10.7748/ns.20.17.41.s55.
9
Decoding the processing of lying using functional connectivity MRI.
Behav Brain Funct. 2015 Jan 17;11(1):1. doi: 10.1186/s12993-014-0046-4.
10

引用本文的文献

2
In Defence of Causing Patients to Worry: Ethical Issues in the Communication of Diagnostic Uncertainty.
Bioethics. 2025 Sep;39(7):700-708. doi: 10.1111/bioe.13436. Epub 2025 Jun 11.
3
When end of treatment situations challenge patient-centered care: a discussion paper proposing new theoretical insights.
Front Psychol. 2024 Oct 17;15:1445082. doi: 10.3389/fpsyg.2024.1445082. eCollection 2024.
4
Daily living skill support for autistic people through a neurodiversity-affirming practice lens.
Aust Occup Ther J. 2025 Apr;72(2):e13002. doi: 10.1111/1440-1630.13002. Epub 2024 Oct 15.
7
Examining Saudi Physicians' Approaches to Communicate Bad News and Bridging Generational Gaps.
Healthcare (Basel). 2023 Sep 13;11(18):2528. doi: 10.3390/healthcare11182528.
8
'Don't freak out if you get a letter saying cancer patient pathways!': Communication work between different demands in cancer care.
Health (London). 2024 Mar;28(2):313-330. doi: 10.1177/13634593221127819. Epub 2022 Oct 13.
9
Perceived Supportive Paradox After Diagnosing Human Papillomavirus: A Qualitative Content Analysis.
Int J Community Based Nurs Midwifery. 2021 Apr;9(2):92-105. doi: 10.30476/ijcbnm.2021.88802.1547.

本文引用的文献

1
Truth-telling about terminal diseases.
Surgery. 2005 Mar;137(3):380-2. doi: 10.1016/j.surg.2004.09.013.
2
Is honesty always the best policy? Ethical aspects of truth telling.
Intern Med J. 2004 Sep-Oct;34(9-10):578-80. doi: 10.1111/j.1445-5994.2004.00673.x.
3
Truth-telling in clinical practice and the arguments for and against: a review of the literature.
Nurs Ethics. 2004 Sep;11(5):500-13. doi: 10.1191/0969733004ne728oa.
4
Breaking bad news to patients. The SPIKES approach can make this difficult task easier.
Postgrad Med. 2002 Sep;112(3):15-6, 18. doi: 10.3810/pgm.2002.09.1318.
5
Truth may hurt but deceit hurts more: communication in palliative care.
Palliat Med. 2002 Jul;16(4):297-303. doi: 10.1191/0269216302pm575oa.
6
Truth telling and patient autonomy: the patient's point of view.
Am J Med. 2002 Jul;113(1):66-9. doi: 10.1016/s0002-9343(02)01127-0.
7
Would you like to know what is wrong with you? On telling the truth to patients with dementia.
J Med Ethics. 2000 Apr;26(2):108-13. doi: 10.1136/jme.26.2.108.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验