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Evidence-Based Persuasion: An Ethical Imperative
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
ID 1741256
Author(s) Shaw, David; Elger, Bernice
Author(s) at UniBasel Elger, Bernice Simone
Shaw, David
Year 2013
Title Evidence-Based Persuasion: An Ethical Imperative
Journal JAMA : the journal of the American Medical Association
Volume 309
Number 16
Pages / Article-Number 1689-90

The primacy in modern medical ethics of the principle of respect for autonomy has led to the widespread assumption that it is unethical to change someone's beliefs, because doing so would constitute coercion or paternalism. In this Viewpoint we suggest that persuasion is not necessarily paternalistic and is an essential component of modern medical practice.

There are at least 3 different types of persuasion. The first is the removal of biases; the second is recommending a particular course of action and providing evidence and reasons in favor of it; and the third is the potential creation of new biases, which could cross the line into unethical manipulation. The first of these is always mandatory, the second is usually permissible but sometimes inappropriate, and the third is normally impermissible but sometimes acceptable in rare cases.

Publisher American Medical Association
ISSN/ISBN 0098-7484
Full Text on edoc No
Digital Object Identifier DOI 10.1001/jama.2013.2179
PubMed ID
ISI-Number WOS:000317906700022
Document type (ISI) Editorial Material

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