Document Detail


Pascal's wager and the hanging of crepe.
MedLine Citation:
PMID:  1177976     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hanging of crepe refers to one type of strategy employed by physicians in communicating prognoses to families of critically ill patients. This approach offers the bleakest, most pessimistic prediction of the patient's outcome, presumably in an effort to lessen the family's suffering if the patient dies of his illness. Certain similarities exist between this technic and that used by Pascal, the 17th-century philosopher, in formulating his wager on the belief in God, in that both attempt to develop "no-lose" strategies, in which chances for "winning" are maximized. A detailed analysis of these strategies indicates that neither is truly "no-lose," and that both contain inherent disadvantages. Prognostication, an alternative approach to physician-family communication, appears to be strategically and morally superior to the hanging-of-crepe strategy.
Authors:
M Siegler
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The New England journal of medicine     Volume:  293     ISSN:  0028-4793     ISO Abbreviation:  N. Engl. J. Med.     Publication Date:  1975 Oct 
Date Detail:
Created Date:  1975-12-20     Completed Date:  1975-12-20     Revised Date:  2000-12-18    
Medline Journal Info:
Nlm Unique ID:  0255562     Medline TA:  N Engl J Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  853-7     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Attitude of Health Personnel
Attitude to Death
Emotions
Physicians*
Probability
Professional-Family Relations*
Prognosis*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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