Navigation Links
Tragic choices: Is it better for doctors or patient families to decide?
Date:4/20/2009

In the medical realm, people sometimes need to make very difficult choices, such as deciding to end life-support for a terminally ill patient. A new study in the Journal of Consumer Research delves into the question of whether it is preferable for patients' families or doctors to make those "tragic choices."

Authors Simona Botti (London Business School), Kristina Orfali, and Sheena S. Iyengar (both Columbia University) say that from the time of Hippocrates until the 1980s the "paternalistic model" dominated the field of bioethics. According to this model, doctors made decisions in their patients' best interest. A newer "autonomous model" assumes that patients should be informed of the pros and cons of various medical treatments and make decisions for themselves or family members. When it comes to tragic choices, how do these two models play out?

The researchers conducted in-depth analysis of nineteen interviews with American and French parents who had infants in Neonatal Intensive Care Units. "The experiences of these parents were similar because they were all confronted by the choice of whether to continue or interrupt their babies' life-support therapy, the decision to interrupt the treatment was made, and the baby died. Crucially, however, the decision model in neonatology varies across the two countries: In the U.S., the autonomous model is used, so the decision to interrupt life-support therapy was made by the parents themselves; on the contrary, in France, the paternalistic model still dominates, so the same decision was made by the physicians on behalf of the parents."

In that study and subsequent laboratory experiments, the researchers found that people who made the choices were more confident that the best decisions were made. But in spite of this higher confidence, they expressed more negative emotion that those who did not choose. "In addition, both choosers and non-choosers were ambivalent towards decision autonomy," the authors write. "On the one hand, they did not like deciding by themselves, but on the other they also did not like having the physicians choose for them."

The authors did find, in a final study, that when physicians framed the withdrawal decision as "the only thing to do," people making tragic choices were able to distance themselves from the choice and experience improved emotions.


'/>"/>

Contact: Mary-Ann Twist
JCR@bus.wisc.edu
608-255-5582
University of Chicago Press Journals
Source:Eurekalert

Related medicine news :

1. WuXi PharmaTech (NYSE: WX) Mourns the Tragic Loss of Its Independent Director Shawn Wang
2. Putting the Medical Profession on Notice!: Widow Tells Tragic Story of How Her Husband Died Due to Misdiagnosis and Mistreatment
3. November: National Epilepsy Awareness Month Actress Hunter Tylo Turns Tragic Loss Into Hope
4. Dr. Payman Simoni Comments on the Alleged Tragic Complications Stemming From Ushers Wifes Plastic Surgery
5. Conventional prognostic factors fail to explain better prostate cancer survival in most Asian men
6. Waist-to-hip ratio may better predict cardiovascular risk than body mass index
7. Informational handout key to giving parents a better understanding of CT radiation risks
8. Children of depressed moms do better when dad is involved, SLU researcher finds
9. Struggling male readers respond better to female teachers
10. Physician Skin Care Specialist Says Proposed New Rules for Sunscreen Products Will Better Protect the Public
11. Mothers Know Best: NFL Moms Team With Eddie George to Showcase a Better Way to a Healthier Lifestyle
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/12/2016)... ... February 12, 2016 , ... ... a new initiative—the Siemens Foundation-PATH Ingenuity Fellowships—to develop the advanced skills needed ... top students from U.S. universities who will draw from Siemens’ deep knowledge ...
(Date:2/12/2016)... , ... February 12, 2016 , ... CDRH Enforcement Trends: , Back to the Future ... , As Winston Churchill said, “Those who don’t learn from history are doomed ... to expect when they come knocking this year. But that takes time. , Take ...
(Date:2/12/2016)... , ... February 12, 2016 , ... Each year, the ... be held in Anaheim, CA at the Anaheim Convention Center. Almost 10,000 physical therapists ... new therapy products in action, learn more about their chosen field and network with ...
(Date:2/12/2016)... ... , ... Coco Libre, the maker of coconut water beverages with a purpose, ... Event. Coco Libre will offer musicians and celebrities the company’s signature Organic Coconut Water, ... gifting suite, held this year at the W Hollywood Hotel, has become a pre-show ...
(Date:2/12/2016)... ... February 12, 2016 , ... The ... Zuckerberg San Francisco General Hospital on April 5-7. The series is a multi-day, ... new habits. The workshops cover a broad range of topics, including coaching skills, ...
Breaking Medicine News(10 mins):
(Date:2/12/2016)... Ungarn, February 12, 2016 ... sich auf den ungedeckten medizinischen Bedarf bei ... Ergebnisse seines klinischen Forschungsprogramms bekannt. Das Programm, ... ergab Verbesserungen ihrer respiratorischen Funktionen und anderer ... , ein Medizintechnikunternehmen, das sich auf den ...
(Date:2/11/2016)... Feb. 11, 2016 PRO-DEX, INC. (NasdaqCM: PDEX) today ... December 31, 2015. The Company also filed its Quarterly Report ... 2016 with the Securities and Exchange Commission today. ... 2015 --> --> Net ... $2.6 million, or 95%, to $5.4 million from $2.8 million ...
(Date:2/11/2016)... , Feb. 11, 2016   Health 2.0 ... of new health technologies, announced today " 10 Year ... in health tech over the past ten years.   ... nearly a decade, Health 2.0 has served as the ... and connected with thousands of technologies, companies, innovators, and ...
Breaking Medicine Technology: