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Cultivating shared decision making i...

Solomon, Robin M.

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Cultivating shared decision making in the physician-patient relationship: Re-conceptualizing patient autonomy.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Cultivating shared decision making in the physician-patient relationship: Re-conceptualizing patient autonomy./
Author:	Solomon, Robin M.
Description:	216 p.
Notes:	Adviser: William J. Winslade.
Contained By:	Dissertation Abstracts International68-01A.
Subject:	Health Sciences, Medicine and Surgery. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3234207

Cultivating shared decision making in the physician-patient relationship: Re-conceptualizing patient autonomy.
Solomon, Robin M.

Cultivating shared decision making in the physician-patient relationship: Re-conceptualizing patient autonomy. - 216 p.

Adviser: William J. Winslade.

Thesis (Ph.D.)--The University of Texas Medical Branch Graduate School of Biomedical Sciences, 2006.

Autonomy is a concept or set of concepts that have evolved over time in concert with moral, social, and political developments. From the ancient Greek concept of autonomy as political independence of the city-state, to modern conceptions of personal autonomy as a right, a capacity, a condition, and an ideal, there have been many influential movements contributing to these notions. In the United States, ideas of liberalism and individualism have become interwoven with conceptions of personal autonomy. A consequence of this complex history is that in the discourse of bioethics, the term autonomy has no univocal meaning. Autonomy is interpreted in myriad ways in the bioethics literature. These interpretations lead to different conclusions about how patient autonomy is understood in the physician-patient relationship. In turn, this also affects the nature of the relationship and how patients and physicians interact.Subjects--Topical Terms:

1017756
Health Sciences, Medicine and Surgery.

Cultivating shared decision making in the physician-patient relationship: Re-conceptualizing patient autonomy.
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035 $a (UMI)AAI3234207
035 $a AAI3234207
040 $a UMI $c UMI
100 1 $a Solomon, Robin M. $3 1269286
245 1 0 $a Cultivating shared decision making in the physician-patient relationship: Re-conceptualizing patient autonomy.
300 $a 216 p.
500 $a Adviser: William J. Winslade.
500 $a Source: Dissertation Abstracts International, Volume: 68-01, Section: A, page: 0353.
502 $a Thesis (Ph.D.)--The University of Texas Medical Branch Graduate School of Biomedical Sciences, 2006.
520 $a Autonomy is a concept or set of concepts that have evolved over time in concert with moral, social, and political developments. From the ancient Greek concept of autonomy as political independence of the city-state, to modern conceptions of personal autonomy as a right, a capacity, a condition, and an ideal, there have been many influential movements contributing to these notions. In the United States, ideas of liberalism and individualism have become interwoven with conceptions of personal autonomy. A consequence of this complex history is that in the discourse of bioethics, the term autonomy has no univocal meaning. Autonomy is interpreted in myriad ways in the bioethics literature. These interpretations lead to different conclusions about how patient autonomy is understood in the physician-patient relationship. In turn, this also affects the nature of the relationship and how patients and physicians interact.
520 $a My analysis of this problem begins with an historical and theoretical examination of the concept of autonomy. I outline the development of the concept describing how moral, social, and political influences have contributed to its complexity and how the multifaceted concept entered the discourse of bioethics. This discussion includes an examination of current conceptions of autonomy in the bioethics literature. I conclude that interpretations of autonomy that narrowly focus on only one aspect of the rich concept are impoverished and contribute to undermining the shared decision-making model of the physician-patient relationship.
520 $a In response to this conclusion, I describe what the ideal model of shared decision making entails and explain how a conception of autonomy as a condition of persons serves as the foundation for this model and for achieving the goals of medicine. My thesis is that shared decision making can be cultivated through understanding autonomy as a condition of persons. As a condition, autonomy is a quality of identity that is directly related to the formation of character and is intimately involved in people's conception of health and well-being and in their abilities to suffer and be healed.
590 $a School code: 0764.
650 4 $a Health Sciences, Medicine and Surgery. $3 1017756
650 4 $a Sociology, General. $3 1017541
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710 2 $a The University of Texas Medical Branch Graduate School of Biomedical Sciences. $3 1021861
773 0 $t Dissertation Abstracts International $g 68-01A.
790 $a 0764
790 1 0 $a Winslade, William J., $e advisor
791 $a Ph.D.
792 $a 2006
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3234207