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Author Wolfensberger, Markus, 1948- author.

Title Trust in medicine : its nature, justification, significance, and decline / Markus Wolfensberger, Anthony Wrigley
Published Cambridge : Cambridge University Press, 2019


Description 1 online resource (xvii, 249 pages)
Series Cambridge bioethics and law
Cambridge bioethics and law.
Contents Cover; Half-title page; Series page; Title page; Copyright page; Dedication; Contents; List of Figures; List of Tables; Preface; Acknowledgements; A Note on Usage; Part I Introduction; 1 Introduction; 1.1 Everyday Use of 'Trust'; 1.2 Two Model Case Histories; 1.3 A Brief Explanation of Changing Views on Trust; 1.4 Outline and Structure; 2 Empirical Evidence for the Decline of Trust; Part II The Nature of Trust; 3 A Critical Analysis of Existing Definitions of Trust in Medicine; 3.1 Types of Definition; 3.2 Analysis of Existing Definitions of Trust; 3.3 Summary and Conclusions
4 Proposing a New Type of Definition: The Pattern-Based Definition4.1 Clinical Diagnosis by Recognising the Pattern of the Symptoms and Signs of a Disease; 4.2 Recognising the Pattern that All Examples of a Concept Share; 4.3 Summary and Conclusions; 5 A Pattern-Based Definition of Trust; 5.1 Preliminary Outline; 5.2 Trust as a (Specific) Expectation; 5.3 Trust Presupposes Uncertainty and Risk; 5.4 Trust as Free Choice; 5.5 The Feeling of Betrayal after a Breach of Trust; 5.6 Trust as Relationship; 5.7 Summary and Conclusions; 6 Differentiating Trust from Related Concepts
6.1 Mistrust and Distrust6.2 Confidence, Reliance, Hope, and Belief-In; 6.3 Summary and Conclusions; 7 Adapting the Definition of Trust to Different Situations; 7.1 Maximally Comprehensive versus Lowest Common Denominator; 7.2 Summary and Conclusions; Part III Justification of Trust; 8 Justification of Epistemic Trust; 8.1 Defining Testimony; 8.2 Epistemic Trust Is Inevitable; 8.3 Epistemic Trust Is Often Responsible; 8.4 Epistemic Trust Is Justified; 8.5 Summary and Conclusions; 9 Justification of Patients' Trust in Physicians; 9.1 Professionalism and 'Status Trust'
9.2 Assessing Trustworthiness and 'Merit Trust'9.3 Summary and Conclusions; Part IV Significance of Trust; 10 Instrumental Utility of Trust; 10.1 Advantages of Trusting; 10.2 Consequences of the Decline of Trust; 10.3 The Contractual Model as Alternative to the Trust-Based Model; 10.4 Summary and Conclusions; 11 The Moral Value of Trust; 11.1 Feeling of Betrayal Implies that Trust Is a Moral Concept; 11.2 Justification of the Belief in a Moral Obligation to Be Trustworthy; 11.3 Summary and Conclusions; Part V The Decline of Trust; 12 Reasons for the Decline of Trust
12.1 The Discrediting of Professionalism: Physicians' Loss of 'Professional Authority'12.2 The Difficulty of Assessing Trustworthiness: Physicians' Loss of 'Merit-Based Authority'; 12.3 The Crisis of Modern Medicine: Physicians' Loss of 'Medical Authority'; 12.4 The Commodification of Medicine: Physicians' Loss of 'Directive Authority'; 12.5 Changes of Risk Perception and Risk Acceptance; 12.6 Summary and Conclusions; Part VI Perspectives; 13 Can We Restore Trust?; 13.1 Can External Regulations of the Medical Profession Restore Status Trust?; 13.2 Can We Improve Merit Trust?
Summary Over the past decades, public trust in medical professionals has steadily declined. This decline of trust and its replacement by ever tighter regulations is increasingly frustrating physicians. However, most discussions of trust are either abstract philosophical discussions or social science investigations not easily accessible to clinicians. The authors, one a surgeon-turned-philosopher, the other an analytical philosopher working in medical ethics, joined their expertise to write a book which straddles the gap between the practical and theoretical. Using an approach grounded in the methods of conceptual analysis found in analytical philosophy which also draws from approaches to medical diagnosis, the authors have conceived an internally coherent and comprehensive definition of trust to help elucidate the concept and explain its decline in the medical context. This book should appeal to all interested in the ongoing debate about the decline of trust - be it as medical professionals, medical ethicists, medical lawyers, or philosophers
Bibliography Includes bibliographical references and index
Notes Vendor-supplied metadata
SUBJECT Informa medico legal.
Subject Philosophy.
Health -- Law and legislation
Medical ethics.
Ethics, Medical
Health -- Law and legislation
Medical ethics
Form Electronic book
Author Wrigley, Anthony, author
ISBN 9781108763479