PT - JOURNAL ARTICLE AU - Bamford, P N TI - Medical mismanagement or public vacillation? AID - 10.1136/jme.7.4.179 DP - 1981 Dec 01 TA - Journal of Medical Ethics PG - 179--181 VI - 7 IP - 4 4099 - http://jme.bmj.com/content/7/4/179.short 4100 - http://jme.bmj.com/content/7/4/179.full SO - J Med Ethics1981 Dec 01; 7 AB - Ian Kennedy extols the virtues of self-determination by patients: they should make their own decisions about medical treatment after being given advice by their doctors; for doctors to make such decisions on their patients' behalf is authoritarian and unacceptable (I). I present a case where, despite thorough consultation and counselling, the decisions made by the patient and supported by her doctors were found to be consistently inappropriate to her changing lifestyle.