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Journal of Medical Ethics 2000;26:194-197; doi:10.1136/jme.26.3.194
Copyright © 2000 by the BMJ Publishing Group Ltd & Institute of Medical Ethics.
J Med Ethics 2000; 26:194-197
© 2000 the Journal of Medical Ethics

Like marriage, without the romance

John Portmann

University of Virginia, Charlottesville, USA

Abstract

Physicians and philosophers have contributed to the field of medical ethics several different paradigms for the physician-patient relationship. Here I suggest another: marriage. Patients usually enter into relationships as we enter marriage: we allow our high hopes to obscure the possibility of deep disappointment. The argument of the essay encourages renewed focus on the contractual element of physician-patient relationships.

Key Words: Relationship • malpractice • emotions • hope • fear • contract • covenant • marriage • expectations


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