La vérité sur le consentement médical

LONDRES – Est-il acceptable que les médecins fassent de la rétention d'information envers leurs patients ? Certains prétendent que cela est non seulement acceptable, mais souhaitable. Les partisans de cette thèse estiment que l'espoir est essentiel pour faciliter la guérison. Et à ce titre, il ne faut pas qu'un diagnostic peu prometteur mette en péril cette guérison.

Dans son œuvre influente de 1803 Medical Ethics, le médecin anglais Thomas Percival a décrit le rôle du médecin comme « le ministre d'espérance et de réconfort pour les malades », et a fait remarquer que parfois les médecins doivent dissimuler à leurs patients certaines informations inquiétantes. La vie d'un patient peut être écourtée non seulement par les actes d'un médecin, mais aussi par ses mots et son attitude, écrit Percival.

Le médecin canadien William Osler (dont l'un des patients fut Walt Whitman) fut un autre fervent promoteur du pouvoir de guérison de l'espérance. En effet, son « optimisme à toute épreuve, bien que parfois injustifié » d'après un biographe, était un de ses caractéristiques les plus remarquables. Dans un manuel de 1958 sur l'éthique médicale et le droit, un autre éminent médecin a déclaré qu'il est « souvent cliniquement avisé et dans l'intérêt du patient de taire certains sujets confidentiels. »

To continue reading, please log in or enter your email address.

Registration is quick and easy and requires only your email address. If you already have an account with us, please log in. Or subscribe now for unlimited access.

required

Log in

http://prosyn.org/7ZL0MGb/fr;
  1. Patrick Kovarik/Getty Images

    The Summit of Climate Hopes

    Presidents, prime ministers, and policymakers gather in Paris today for the One Planet Summit. But with no senior US representative attending, is the 2015 Paris climate agreement still viable?

  2. Trump greets his supporters The Washington Post/Getty Images

    Populist Plutocracy and the Future of America

    • In the first year of his presidency, Donald Trump has consistently sold out the blue-collar, socially conservative whites who brought him to power, while pursuing policies to enrich his fellow plutocrats. 

    • Sooner or later, Trump's core supporters will wake up to this fact, so it is worth asking how far he might go to keep them on his side.
  3. Agents are bidding on at the auction of Leonardo da Vinci's 'Salvator Mundi' Eduardo Munoz Alvarez/Getty Images

    The Man Who Didn’t Save the World

    A Saudi prince has been revealed to be the buyer of Leonardo da Vinci's "Salvator Mundi," for which he spent $450.3 million. Had he given the money to the poor, as the subject of the painting instructed another rich man, he could have restored eyesight to nine million people, or enabled 13 million families to grow 50% more food.

  4.  An inside view of the 'AknRobotics' Anadolu Agency/Getty Images

    Two Myths About Automation

    While many people believe that technological progress and job destruction are accelerating dramatically, there is no evidence of either trend. In reality, total factor productivity, the best summary measure of the pace of technical change, has been stagnating since 2005 in the US and across the advanced-country world.

  5. A student shows a combo pictures of three dictators, Austrian born Hitler, Castro and Stalin with Viktor Orban Attila Kisbenedek/Getty Images

    The Hungarian Government’s Failed Campaign of Lies

    The Hungarian government has released the results of its "national consultation" on what it calls the "Soros Plan" to flood the country with Muslim migrants and refugees. But no such plan exists, only a taxpayer-funded propaganda campaign to help a corrupt administration deflect attention from its failure to fulfill Hungarians’ aspirations.

  6. Project Syndicate

    DEBATE: Should the Eurozone Impose Fiscal Union?

    French President Emmanuel Macron wants European leaders to appoint a eurozone finance minister as a way to ensure the single currency's long-term viability. But would it work, and, more fundamentally, is it necessary?

  7. The Year Ahead 2018

    The world’s leading thinkers and policymakers examine what’s come apart in the past year, and anticipate what will define the year ahead.

    Order now