JULIA E. CONNELLY, M.D.
CONNELLY JE. Paternalism and the Physician's Conscience. Ann Intern Med. 1983;99:276-277. doi: 10.7326/0003-4819-99-2-276
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Published: Ann Intern Med. 1983;99(2):276-277.
To the editor: I read Dr. Thomasma's article (1) with skepticism. All models for the doctor-patient relationship are shortsighted as they do not acknowledge systems of relationships beyond that of the physician and the patient. Despite this inherent shortcoming, Thomasma's model contains two characteristics that distinguish it from other such models. Both the strength of his physician conscience model and its greatest limitations exist in these two characteristics. First, his model requires that physicians assess beliefs, attitudes, and emotions they recognize in response to their patients in an effort to determine how these factors influence the health care they provide.
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