When Competent Patients Make Irrational Choices

Brock and Wartman explore what shared decision making in patient care for physicians when a seemingly competent patient makes apparently choices. They describe a standard of rational decision making and taxonomy of the different sources and forms of irrational decision making. taxonomy includes a bias toward the present and near future, the belief "it won't happen to me, " fear of pain or of the medical experience, ' wants or values that make no sense, framing effects in the way that are presented, and conflicts between individual and social. Brock and Wartman argue that while it is often appropriate for to attempt to persuade competent patients to reconsider irrational, these choices must be respected if the patient cannot be persuaded to them. (KIE abstract)