Sometimes on twitter you stumble across conversations about what doctors really think about each other & patients. Paternalism lives.
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Replying to @Sectioned_
@Sectioned_ Paternalism is easier and less frightening than shared decision making. It's how many of us were 'brought up' sadly.4 replies 0 retweets 2 likes -
Replying to @elinlowri
@elinlowri Yes, it seems central to doctor training pathways to gradually take more responsibility - ie learn to take autonomous decisions.3 replies 0 retweets 0 likes -
Replying to @Sectioned_
@Sectioned_ Partly because I've realised, the older I get, that most of medicine is grey, not black and white. So decisions must be shared.3 replies 1 retweet 1 like -
Replying to @elinlowri
@elinlowri@Sectioned_ Never quite sure about shared. Doc decides what options are clinically appropriate but pt makes the decision, surely?1 reply 0 retweets 0 likes -
Replying to @C7RKY
@elinlowri@Sectioned_ ...patient capacity assumed, of course.2 replies 0 retweets 0 likes -
Replying to @C7RKY
@C7RKY That's an easy rider to add, unless you've experienced psychiatry where capacity can mean agreeing with the doctor's view.@elinlowri1 reply 1 retweet 0 likes -
Replying to @Sectioned_
@Sectioned_@elinlowri I don't add it lightly, honestly. I recognise what an unscientific nightmare dealing with psychiatry is. Sorry...3 replies 0 retweets 0 likes -
Replying to @C7RKY
@C7RKY There's plenty of science in psychiatry. The problem is the fallback of coercion facilitates the lazy use of paternalism.@elinlowri1 reply 0 retweets 1 like
@Sectioned_ @elinlowri I don't personally accept that observation/opinion without clinical test is scientific, but I bow to your experience.
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