[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-33703-en":3,"doc-seo-33703-105":28},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":4,"is_deleted":4,"is_public":20,"is_downloadable":20,"audit_status":20,"page_count":11,"language":21,"language_code":22,"site_id":23,"html_lang":22,"table_of_contents":24,"faqs":25,"seo_title":13,"seo_description":14,"update_tm":26,"read_time":27},33703,7971461740909,"Levi","https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d",7,"Healthcare","Beyond Adversity: Physician and Patient as Friends","The text analyzes how American medical ethics over the past two decades has been framed in adversarial terms—patient versus physician—and traces influences from legal and philosophical traditions emphasizing individual rights. It critiques the dominance of autonomy-only models that marginalize relational themes such as trust and friendship. Drawing on concerns about paternalism, it argues for “discerning trust” supported by continuity, communication, and reliability, linking this to better dialogue, education, compliance, and reduced malpractice disputes. It contrasts distrust-driven conflict with the ethics gains of a friendship-based covenant.","","cbCaia0skIC1CC9Y","https://ap.wps.com/l/cbCaia0skIC1CC9Y","pdf",396855,1,"English","en",105,"# Adversarial framing in American medical ethics\n## Legal and philosophical roots\n## Limits of autonomy-only models\n## Trust as a condition for meaningful relationships\n## Toward a physician-patient friendship model","[{\"question\":\"What adversarial framework does the text identify as dominant in recent American medical ethics?\",\"answer\":\"It identifies a patient-versus-physician framing that treats the relationship as inherently oppositional, shaping ethical analysis around protecting patients from physicians.\"},{\"question\":\"Why does the text critique strictly legalistic and autonomy-centered approaches?\",\"answer\":\"It argues that these approaches can amplify distrust, communication breakdowns, defensive medicine, and litigation, while also stripping relational moral agency from clinicians despite patients retaining final say.\"},{\"question\":\"How does the text reconcile the need for trust with concerns about paternalism?\",\"answer\":\"It distinguishes blind trust from discerning trust: trust grounded in continuity, sufficient time, and honest communication can support autonomy rather than undermine it, while skepticism remains important to avoid harm.\"}]",1782214570,18,{"code":4,"msg":29,"data":30},"ok",{"site_id":23,"language":22,"slug":31,"title":13,"keywords":15,"description":14,"schema_data":32,"social_meta":83,"head_meta":85,"extra_data":87,"updated_unix":26},"beyond-adversity-physician-and-patient-as-friends",{"@graph":33,"@context":82},[34,51,65],{"@type":35,"itemListElement":36},"BreadcrumbList",[37,41,45,48],{"item":38,"name":39,"@type":40,"position":20},"https://docshare.wps.com","Home","ListItem",{"item":42,"name":43,"@type":40,"position":44},"https://docshare.wps.com/document/","Document",2,{"item":46,"name":12,"@type":40,"position":47},"https://docshare.wps.com/document/healthcare/",3,{"item":49,"name":13,"@type":40,"position":50},"https://docshare.wps.com/document/beyond-adversity-physician-and-patient-as-friends/33703/",4,{"url":49,"name":13,"@type":52,"author":53,"headline":13,"publisher":55,"fileFormat":58,"description":14,"dateModified":59,"datePublished":59,"encodingFormat":58,"isAccessibleForFree":60,"interactionStatistic":61},"DigitalDocument",{"name":9,"@type":54},"Person",{"url":38,"name":56,"@type":57},"DocShare","Organization","application/pdf","2026-06-23",true,{"@type":62,"interactionType":63,"userInteractionCount":4},"InteractionCounter",{"@type":64},"ViewAction",{"@type":66,"mainEntity":67},"FAQPage",[68,74,78],{"name":69,"@type":70,"acceptedAnswer":71},"What adversarial framework does the text identify as dominant in recent American medical ethics?","Question",{"text":72,"@type":73},"It identifies a patient-versus-physician framing that treats the relationship as inherently oppositional, shaping ethical analysis around protecting patients from physicians.","Answer",{"name":75,"@type":70,"acceptedAnswer":76},"Why does the text critique strictly legalistic and autonomy-centered approaches?",{"text":77,"@type":73},"It argues that these approaches can amplify distrust, communication breakdowns, defensive medicine, and litigation, while also stripping relational moral agency from clinicians despite patients retaining final say.",{"name":79,"@type":70,"acceptedAnswer":80},"How does the text reconcile the need for trust with concerns about paternalism?",{"text":81,"@type":73},"It distinguishes blind trust from discerning trust: trust grounded in continuity, sufficient time, and honest communication can support autonomy rather than undermine it, while skepticism remains important to avoid harm.","https://schema.org",{"og:url":49,"og:type":84,"og:title":13,"og:site_name":56,"og:description":14},"article",{"robots":86,"canonical":49},"index,follow",{"doc_id":7,"site_id":23}]