Advance Directives and the Physician-Patient Relationship: A Surprising Metamorphosis

  • Mark P. Aulisio
Part of the International Library of Ethics, Law, and the New Medicine book series (LIME, volume 54)


This chapter considers (1) the normative justification for the advance directive movement and, in light of that, its ultimate goal; (2) how the movement has failed to achieve this goal; and (3) the impact of the movement on the physician-patient relationship. While acknowledging the understandable disappointment of the advance directive movement’s most ardent supporters and the well-aimed critiques of many of its detractors, I argue that the movement itself has been a startling success in its impact on the physician-patient relationship—serving as a catalyst for a dramatic metamorphosis.


Nursing Home Resident Moral Agency Good Doctor Normative Goal Normative Justification 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



I would like to thank David Essi, MA, for his work in formatting this chapter and, along with David, Nicole Deming, JD, MA, Jason Gatliff, Ph.D., and Monica Gerrek, Ph.D., for good conversation that helped shape the contents of this chapter.


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Copyright information

© Springer Science+Business Media Dordrecht 2014

Authors and Affiliations

  1. 1.Center for Biomedical EthicsMetroHealth Medical CenterClevelandUSA
  2. 2.Department of BioethicsCase Western Reserve UniversityClevelandUSA

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