Medicine, Health Care and Philosophy

, Volume 20, Issue 3, pp 383–391 | Cite as

Caregiver burden and the medical ethos

  • Karsten WittEmail author
  • Johanne Stümpel
  • Christiane Woopen
Scientifc Contribution


Are physicians sometimes morally required to ease caregiver burden? In our paper we defend an affirmative answer to this question. First, we examine the well-established principle that medical care should be centered on the patient. We argue that although this principle seems to give physicians some leeway to lessen caregivers' suffering, it is very restrictive when spelled out precisely. Based on a critical analysis of existing cases for transcending patient-centeredness we then go on to argue that the medical ethos should indeed contain a rule requiring physicians to alleviate caregiver burden under certain circumstances. Finally, we apply our findings to deep brain stimulation (DBS) for Parkinson's disease. We present empirical data from a recent study of DBS indicating that spousal caregivers of Parkinson patients treated with DBS are sometimes deeply troubled by the effects of the therapy and discuss what moral obligations the treating physicians may have in such cases.

Keywords Medical ethos Caregiver burden Patient-centeredness Deep brain stimulation 


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Copyright information

© Springer Science+Business Media Dordrecht 2017

Authors and Affiliations

  1. 1.Institut für PhilosophieUniversität Duisburg-EssenEssenGermany
  2. 2.Forschungsstelle EthikUniklinik KölnKölnGermany

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