Doctor-patient relationship
| Doctor’s style | ||||
|---|---|---|---|---|
| Informative | Interpretive | Deliberative | Paternalistic | |
| Adapted from Emanuel and Emanuel.25 | ||||
| Parent values | Defined, fixed, and known to the parent | Inchoate and conflicting requiring elucidation | Open to development and revision through moral discussion | Objective and originated by doctor |
| Doctor’s obligations | Providing relevant factual information and implementing parent’s selected intervention | Elucidating and interpreting relevant parent values as well as informing the parent and implementing the parent’s selected intervention | Articulating and persuading the parent of the most admirable values as well as informing the parent and implementing the parents selected intervention | Promoting the neonates best interests independent of the parents |
| Conception of parent’s autonomy | Choice of, and control over, medical care | Self understanding relevant to medical care | Moral self development relevant to medical care | Assenting to objective values |
| Conception of doctor’s role | Competent technical expert | Counsellor or advisor | Friend or teacher | Guardian |