The Paradoxes of Respectful Guidance: A Comment on Kenneth V. Iserson,

“Do You Believe in Magic? Shove, Don’t Nudge: Advising Patients at the Bedside”

 

Daniel M. Hausman

 

This commentary argues that the problems identified in Kenneth V. Iserson’s Essay, “Do you Believe in Magic? Shove, Don’t Nudge: Advising Patients at the Bedside,” are perennial difficulties to which there is no single simple solution. In particular, recent work in psychology offers little help to caregivers, who are in the difficult position of guiding the decisions of their patients while respecting them and ultimately deferring to their wishes.

 

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