Análisis ético de la entrega parcial de información al paciente para prevenir efectos nocebo
When prescribing a treatment, the physician should give truthful information about the likely benefits and the potential adverse effects, allowing the patient to make an autonomous decision about whether to take the treatment. However, the mere expectation of adverse effects may precipitate the corr...
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Sociedad Médica de Santiago
2018
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oai:scielo:S0034-988720180004005182018-07-03Análisis ético de la entrega parcial de información al paciente para prevenir efectos noceboAguilera,BernardoBeca,Juan Pablo Bioethics Disclosure Ethics Medical Informed Consent Nocebo Effect Truth Disclosure When prescribing a treatment, the physician should give truthful information about the likely benefits and the potential adverse effects, allowing the patient to make an autonomous decision about whether to take the treatment. However, the mere expectation of adverse effects may precipitate the corresponding symptoms. This is called “nocebo effect”, which in contrast to the placebo effect, can lead to harm to the patient due to psychological factors. Nocebo effects are common and clinically significant, although often unnoticed. This situation generates conflicts in medical ethics guiding principles, namely the moral obligation to disclose all possible effects of the prescribed drug as opposed to the duty of avoiding the harm of side effects that are likely to occur in a case. In other words, the physician faces a dilemma between the due respect for autonomy and the duty of non-maleficence. This article reflects about this conflict, by exploring the limits of the principle of autonomy and how to balance it with the principle of non-maleficence. We suggest an interpretation of the principle of autonomy from a patient-centered perspective, suggesting that it is ethically sound to give a prudential, partial disclosure of information to the patient, for the sake of avoiding potential nocebo effects. The article concludes with some cautionary considerations to be considered about this decision.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.146 n.4 20182018-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000400518es10.4067/s0034-98872018000400518 |
| institution |
Scielo Chile |
| collection |
Scielo Chile |
| language |
Spanish / Castilian |
| topic |
Bioethics Disclosure Ethics Medical Informed Consent Nocebo Effect Truth Disclosure |
| spellingShingle |
Bioethics Disclosure Ethics Medical Informed Consent Nocebo Effect Truth Disclosure Aguilera,Bernardo Beca,Juan Pablo Análisis ético de la entrega parcial de información al paciente para prevenir efectos nocebo |
| description |
When prescribing a treatment, the physician should give truthful information about the likely benefits and the potential adverse effects, allowing the patient to make an autonomous decision about whether to take the treatment. However, the mere expectation of adverse effects may precipitate the corresponding symptoms. This is called “nocebo effect”, which in contrast to the placebo effect, can lead to harm to the patient due to psychological factors. Nocebo effects are common and clinically significant, although often unnoticed. This situation generates conflicts in medical ethics guiding principles, namely the moral obligation to disclose all possible effects of the prescribed drug as opposed to the duty of avoiding the harm of side effects that are likely to occur in a case. In other words, the physician faces a dilemma between the due respect for autonomy and the duty of non-maleficence. This article reflects about this conflict, by exploring the limits of the principle of autonomy and how to balance it with the principle of non-maleficence. We suggest an interpretation of the principle of autonomy from a patient-centered perspective, suggesting that it is ethically sound to give a prudential, partial disclosure of information to the patient, for the sake of avoiding potential nocebo effects. The article concludes with some cautionary considerations to be considered about this decision. |
| author |
Aguilera,Bernardo Beca,Juan Pablo |
| author_facet |
Aguilera,Bernardo Beca,Juan Pablo |
| author_sort |
Aguilera,Bernardo |
| title |
Análisis ético de la entrega parcial de información al paciente para prevenir efectos nocebo |
| title_short |
Análisis ético de la entrega parcial de información al paciente para prevenir efectos nocebo |
| title_full |
Análisis ético de la entrega parcial de información al paciente para prevenir efectos nocebo |
| title_fullStr |
Análisis ético de la entrega parcial de información al paciente para prevenir efectos nocebo |
| title_full_unstemmed |
Análisis ético de la entrega parcial de información al paciente para prevenir efectos nocebo |
| title_sort |
análisis ético de la entrega parcial de información al paciente para prevenir efectos nocebo |
| publisher |
Sociedad Médica de Santiago |
| publishDate |
2018 |
| url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000400518 |
| work_keys_str_mv |
AT aguilerabernardo analisiseticodelaentregaparcialdeinformacionalpacienteparaprevenirefectosnocebo AT becajuanpablo analisiseticodelaentregaparcialdeinformacionalpacienteparaprevenirefectosnocebo |
| _version_ |
1718437002381099008 |