1887
  1. Home
  2. e-Journals
  3. Journal of Argumentation in Context
  4. Volume 7, Issue 2
  5. Article
Volume 7, Issue 2
  • ISSN 2211-4742
  • E-ISSN: 2211-4750
USD
Buy:$35.00 + Taxes

Abstract

Abstract

This article explores ethical aspects of using open argumentation in person-centered care (PCC), where health professionals (HPs) openly criticize or contradict factual claims, assumptions, preferences, or value commitments of patients. We argue that such may be claimed to have an important place in advanced versions of PCC, but that it actualizes important clinical ethical aspects of doing such disputation well. This may prompt caution in the implementation of PCC, but also inspire educational and organizational reform. We also probe the notion of openly disputing with patients when PCC is applied in less standard settings (where it is nevertheless advocated), using the cases of children, psychiatry, and public health interventions, such as antibiotic stewardship programs, as examples. These contexts offer new reasons for why PCC may or should include open disputing with patients, but also introduce new ethical complications. Some of these may transform either to arguments against PCC implementation in these areas, or to a more open view of the extent a HP may seek to dominate patients in a PCC setting. We are especially skeptical of the meaningfulness of applying advanced PCC in areas of psychiatry with high levels of compulsory elements, such as forensic psychiatric detention.

© John Benjamins Publishing Company

Comment

A commentary article has been published for this article:
Commentary on “Disputing with patients in person centered care: ethical aspects in standard care, pediatrics, psychiatry and public health”
Loading

Article metrics loading...

/content/journals/10.1075/jaic.18022.mun
2018-10-12
2025-04-29

  • From This Site

    /content/journals/10.1075/jaic.18022.mun
    dcterms_title,dcterms_subject,pub_keyword
    -contentType:Journal -contentType:Contributor -contentType:Concept -contentType:Institution
    10
    5
Loading full text...

Full text loading...

References

  1. Birchley, Giles
    2014 “Deciding Together? Best Interests and Shared Decision-making in Paediatric Intensive Care.” Health Care Analysis22: 203–222. doi:  10.1007/s10728‑013‑0267‑y
     https://doi.org/10.1007/s10728-013-0267-y [Google Scholar]
  2. Boman, Åse , Margareta Bohlin , Mats Eklöf , Gun Forsander , Christian Munthe , and Marianne Törner
    2017 “Health Care to Empower Self-care in Adolescents with Type 1 Diabetes Mellitus, and an Immigrant Minority Background.” Sage Open Medicine5: 1–8. doi:  10.1177/2050312117700056
     https://doi.org/10.1177/2050312117700056 [Google Scholar]
  3. Brown, Marie T. , Alfredo Mena Lora , Mary C. Anderson , and Christine A. Sinsky
    2014 “Resolving Patients’ Vaccination Uncertainty: Going from “No Thanks!” to “of Course!”.” Family practice management21 (2): 22–26.
     [Google Scholar]
  4. Charon, Rita , Sayantani DasGupta , Nellie Hermann , Craig Irvine , Eric R. Marcus , Edgar Rivera Colón , Danielle Spencer , and Maura Spiegel
    2017 The Principles and Practice of Narrative Medicine. New York: Oxford University Press.
     [Google Scholar]
  5. Coulter, Angela
    2002 The Autonomous Patient: Ending Paternalism in Medical Care. London: Stationery Office (for the Nuffield Trust).
     [Google Scholar]
  6. Coulter, Angela , and John Oldham
    2016 “Person-centred Care: What Is It and How Do We Get There?” Future Hospital Journal3 (2): 114–116.
     [Google Scholar]
  7. Dawson, Angus
    (ed.) 2011 Public Health Ethics: Key Concepts and Issues in Policy and Practice. Cambridge: Cambridge University Press. 10.1017/CBO9780511862670
     https://doi.org/10.1017/CBO9780511862670 [Google Scholar]
  8. Delaney, Clare , and Jane Galvin
    2014 “Ethics and Shared Decision-making in Paediatric Occupational Therapy Practice.” Developmental Neurorehabilitation17 (5): 347–354. doi:  10.3109/17518423.2013.784816
     https://doi.org/10.3109/17518423.2013.784816 [Google Scholar]
  9. Ekman, Inger , Karl Swedberg , Charles Taft , Anders Lindseth , Astrid Norberg , Eva Brink , Jane Carlsson , Synneve Dahlin-Ivanoff , Inga-Lill Johansson , Karin Kjellgren , Eva Lidén , Joakim Öhlén , Lars-Eric Olsson , Henrik Rosén , Martin Rydmark , and Katharina Stibrant Sunnerhagen
    2011 “Person-centered Care – Ready for Prime Time.” European Journal of Cardiovascular Nursing10 (4): 248–251. doi:  10.1016/j.ejcnurse.2011.06.008
     https://doi.org/10.1016/j.ejcnurse.2011.06.008 [Google Scholar]
  10. El-Alti, Leila , Lars Sandman , and Christian Munthe
    2017 “Person Centered Care and Personalized Medicine: Irreconcilable Opposites or Potential Companions?” Health Care Analysis. Published online21September 2017 doi:  10.1007/s10728‑017‑0347‑5
     https://doi.org/10.1007/s10728-017-0347-5 [Google Scholar]
  11. Entwistle, Vikki A. , and Ian S. Watt
    2013 “Treating Patients as Persons: A Capabilities Approach to Support Delivery of Person-centered Care.” American Journal of Bioethics13 (8): 29–39. doi:  10.1080/15265161.2013.802060
     https://doi.org/10.1080/15265161.2013.802060 [Google Scholar]
  12. Fenton, Anny T. , Marc N. Elliott , David C. Schwebel , Zahava Berkowitz , Nicole C. Liddon , Susan R. Tortolero , Paula M. Cuccaro , Suzy L. Davies , and Mark A. Schuster
    2017 “Unequal Interactions: Examining the Role of Patient-centered Care in Reducing Inequitable Diffusion of a Medical Innovation, the Human Papillomavirus (HPV) Vaccine.” Social Science and Medicine. Published onlineSeptember 2017 doi:  10.1016/j.socscimed.2017.09.030
     https://doi.org/10.1016/j.socscimed.2017.09.030 [Google Scholar]
  13. Gabrielsson, Sebastian , Stefan Sävenstedt , and Karin Zingmark
    2015 “Person-centred Care: Clarifying the Concept in the Context of Inpatient Psychiatry.” Scandinavian Journal of Caring Sciences29 (3): 555–562. doi:  10.1111/scs.12189
     https://doi.org/10.1111/scs.12189 [Google Scholar]
  14. Gustavsson, Erik , and Lars Sandman
    2015 “Health-care Needs and Shared Decision-making in Priority-setting.” Medicine, Healthcare and Philosophy18 (1): 13–22. doi:  10.1007/s11019‑014‑9568‑7
     https://doi.org/10.1007/s11019-014-9568-7 [Google Scholar]
  15. Hartvigsson, Thomas , Gun Forsander , and Christian Munthe
    2018 “Error Trawling and Fringe Decision Competence: Ethical Hazards in Monitoring and Addressing Patient Decision Capacity in Clinical Practice.” Clinical Ethics. Published online10January 2018 doi:  10.1177/1477750917749955
     https://doi.org/10.1177/1477750917749955 [Google Scholar]
  16. Herlitz, Anders , Christian Munthe , Marianne Törner , and Gun Forsander
    2016 “The Counselling, Self-care, Adherence Approach to Person-centred Care and Shared Decision-making: Moral Psychology, Executive Autonomy, and Ethics in Multi-dimensional Care Decisions.” Health Communication31 (8): 964–973. doi:  10.1080/10410236.2015.1025332
     https://doi.org/10.1080/10410236.2015.1025332 [Google Scholar]
  17. Joseph, Stephen
    (ed.) 2017 The Handbook of Person-centred Therapy and Mental Health: Theory, Research and Practice. Monmouth: PCCS Books.
     [Google Scholar]
  18. Littmann, Jasper , and Adrian M. Viens
    2015 “The Ethical Significance of Antimicrobial Resistance.” Public Health Ethics8 (3): 209–224. doi:  10.1093/phe/phv025
     https://doi.org/10.1093/phe/phv025 [Google Scholar]
  19. Luxford, Karen , Donella A. Piper , Nicola Dunbar , and Naomi Poole
    2010 Patient-centred care: Improving quality and safety by focusing care on patients and consumers. Sydney: Australian Commission of Quality and Safety in Health Care.
     [Google Scholar]
  20. Mead, Nicola , and Peter Bower
    2000 “Patient-centredness: A Conceptual Framework and Review of the Empirical Literature.” Social Science and Medicine51: 1087–1110. 10.1016/S0277‑9536(00)00098‑8
     https://doi.org/10.1016/S0277-9536(00)00098-8 [Google Scholar]
  21. Meharry, Pamela M. , Regina M. Cusson , Robert Stiller , and Marietta Vázquez
    2014 “Maternal Influenza Vaccination: Evaluation of a Patient-centered Pamphlet Designed to Increase Uptake in Pregnancy.” Maternal and Child Health Journal18 (5): 1205–1214. doi:  10.1007/s10995‑013‑1352‑4
     https://doi.org/10.1007/s10995-013-1352-4 [Google Scholar]
  22. Mezzich, Juan E. , Michel Botbol , George N. Christodoulou , C. Robert Cloninger , and Ihsan M. Salloum
    (eds.) 2016 Person Centered Psychiatry. Cham: Springer. 10.1007/978‑3‑319‑39724‑5
     https://doi.org/10.1007/978-3-319-39724-5 [Google Scholar]
  23. Munthe, Christian
    2008 “The Goals of Public Health: An Integrated, Multidimensional Model.” Public Health Ethics1 (1): 39–52. doi:  10.1093/phe/phn006
     https://doi.org/10.1093/phe/phn006 [Google Scholar]
  24. Munthe, Christian , Susanna Radovic , and Henrik Anckarsäter
    2010 “Ethical Issues in Forensic Psychiatric Research on Mentally Disordered Offenders.” Bioethics24 (1): 35–44. doi:  10.1111/j.1467‑8519.2009.01773.x
     https://doi.org/10.1111/j.1467-8519.2009.01773.x [Google Scholar]
  25. Munthe, Christian , Lars Sandman , and Daniela Cutas
    2012 “Person Centred Care and Shared Decision Making: Implications for Ethics, Public Health and Research”. Health Care Analysis20: 231–249. doi:  10.1007/s10728‑011‑0183‑y
     https://doi.org/10.1007/s10728-011-0183-y [Google Scholar]
  26. Pulcini, Céline , Önder Ergönül , Füsun Can , and Bojana Beović
    (eds.) 2017 Antimicrobial Stewardship. London: Academic Press. 10.1016/B978‑0‑12‑810477‑4.00044‑1
     https://doi.org/10.1016/B978-0-12-810477-4.00044-1 [Google Scholar]
  27. Sandman, Lars , and Christian Munthe
    2009 “Shared Decision-making and Patient Autonomy.” Theoretical Medicine and Bioethics30 (4): 289–310. doi:  10.1007/s11017‑009‑9114‑4
     https://doi.org/10.1007/s11017-009-9114-4 [Google Scholar]
  28. 2010 “Shared Decision Making, Paternalism and Patient Choice.” Health Care Analysis18: 60–84. doi:  10.1007/s10728‑008‑0108‑6
     https://doi.org/10.1007/s10728-008-0108-6 [Google Scholar]
  29. Sandman, Lars , Bradi B. Granger , Inger Ekman , and Christian Munthe
    2012 “Adherence, Shared Decision-making and Patient Autonomy.” Medicine, Health Care and Philosophy15 (2): 115–127. doi:  10.1007/s11019‑011‑9336‑x
     https://doi.org/10.1007/s11019-011-9336-x [Google Scholar]
  30. Sandman, Lars , Erik Gustavsson , and Christian Munthe
    2016 “Individual Responsibility as Ground for Priority Setting in Shared Decision-making.” Journal of Medical Ethics42: 653–658. doi:  10.1136/medethics‑2015‑103285
     https://doi.org/10.1136/medethics-2015-103285 [Google Scholar]
  31. Selgelid, Michael , Margaret Battin , and Charles B. Smith
    (eds.) 2006 Ethics and Infectious Disease. Oxford: Blackwell.
     [Google Scholar]
  32. Smith, Rachel A. , Madisen Quesnell , Lydia Glick , Nicole Hackman , and Nkuchia M. M’lkanatha
    2015 “Preparing for Antibiotic Resistance Campaigns: A Person-centered Approach to Audience Segmentation.” Journal of Health Communication20 (12): 1433–1440. doi:  10.1080/10810730.2015.1018652
     https://doi.org/10.1080/10810730.2015.1018652 [Google Scholar]
  33. Tindall, William N. , Mona M. Sedrak , and John M. Boltri
    (eds) 2014 Patient-centered Pharmacology: Learning System for the Conscientious Prescriber. Philadelphia: F.A. Davis Company.
     [Google Scholar]
  34. Verweij, Marcel , and Angus Dawson
    2004 “Ethical Principles for Collective Immunisation Programmes. Vaccine22: 3122–3126. doi:  10.1016/j.vaccine.2004.01.062
     https://doi.org/10.1016/j.vaccine.2004.01.062 [Google Scholar]
/content/journals/10.1075/jaic.18022.mun
Loading
  • Article Type: Research Article
Keyword(s): antibiotic resistance; forensic psychiatry; patient-professional relationship; shared decision-making; vaccination

Most Cited

This is a required field
Please enter a valid email address
Approval was successful
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error