Skip to main content
Journal of Medical Ethics logoLink to Journal of Medical Ethics
. 1984 Sep;10(3):138–142. doi: 10.1136/jme.10.3.138

Patients' ethical obligation for their health.

R C Sider, C D Clements
PMCID: PMC1374981  PMID: 6502640

Abstract

In contemporary medical ethics health is rarely acknowledged to be an ethical obligation. This oversight is due to the preoccupation of most bioethicists with a rationalist, contract model for ethics in which moral obligation is limited to truth-telling and promise-keeping. Such an ethics is poorly suited to medicine because it fails to appreciate that medicine's basis as a moral enterprise is oriented towards health values. A naturalistic model for medical ethics is proposed which builds upon biological and medical values. This perspective clarifies ethical obligations to ourselves and to others for life and health. It provides a normative framework for the doctor-patient relationship within which to formulate medical advice and by which to evaluate patient choice.

Full text

PDF
138

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Clements C. D., Sider R. C. Medical ethics' assault upon medical values. JAMA. 1983 Oct 21;250(15):2011–2015. [PubMed] [Google Scholar]
  2. Clements C. D., Sider R. C., Perlmutter R. Suicide: bad act or good intervention. Suicide Life Threat Behav. 1983 Spring;13(1):28–41. doi: 10.1111/j.1943-278x.1983.tb00003.x. [DOI] [PubMed] [Google Scholar]
  3. Engelhardt H. T., Jr Bioethics in pluralist societies. Perspect Biol Med. 1982 Autumn;26(1):64–78. doi: 10.1353/pbm.1982.0003. [DOI] [PubMed] [Google Scholar]
  4. Parsons T. The sick role and the role of the physician reconsidered. Milbank Mem Fund Q Health Soc. 1975 Summer;53(3):257–278. [PubMed] [Google Scholar]
  5. Sider Roger C. Mental health norms and ethical practice. Psychiatr Ann. 1983 Apr;13(4):302–309. doi: 10.3928/0048-5713-19830401-04. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Medical Ethics are provided here courtesy of BMJ Publishing Group

RESOURCES