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xi | |
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xii | |
Preface |
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xiii | |
Acknowledgements |
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xvi | |
A Note on Usage |
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xvii | |
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1 | (18) |
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3 | (8) |
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1.1 Everyday Use of `Trust' |
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3 | (1) |
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1.2 Two Model Case Histories |
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4 | (2) |
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1.3 A Brief Explanation of Changing Views on Trust |
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6 | (3) |
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1.4 Outline and Structure |
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9 | (2) |
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2 Empirical Evidence for the Decline of Trust |
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11 | (8) |
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PART II The Nature of Trust |
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19 | (76) |
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3 A Critical Analysis of Existing Definitions of Trust in Medicine |
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21 | (10) |
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21 | (4) |
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3.2 Analysis of Existing Definitions of Trust |
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25 | (5) |
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3.3 Summary and Conclusions |
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30 | (1) |
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4 Proposing a New Type of Definition: The Pattern-Based Definition |
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31 | (8) |
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4.1 Clinical Diagnosis by Recognising the Pattern of the Symptoms and Signs of a Disease |
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31 | (2) |
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4.2 Recognising the Pattern that All Examples of a Concept Share |
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33 | (4) |
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4.3 Summary and Conclusions |
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37 | (2) |
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5 A Pattern-Based Definition of Trust |
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39 | (33) |
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39 | (5) |
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5.2 Trust as a (Specific) Expectation |
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44 | (4) |
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5.3 Trust Presupposes Uncertainty and Risk |
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48 | (6) |
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54 | (13) |
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5.5 The Feeling of Betrayal after a Breach of Trust |
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67 | (1) |
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5.6 Trust as Relationship |
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68 | (2) |
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5.7 Summary and Conclusions |
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70 | (2) |
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6 Differentiating Trust from Related Concepts |
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72 | (17) |
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6.1 Mistrust and Distrust |
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72 | (4) |
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6.2 Confidence, Reliance, Hope, and Belief-In |
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76 | (11) |
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6.3 Summary and Conclusions |
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87 | (2) |
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7 Adapting the Definition of Trust to Different Situations |
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89 | (6) |
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7.1 Maximally Comprehensive versus Lowest Common Denominator |
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89 | (4) |
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7.2 Summary and Conclusions |
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93 | (2) |
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PART III Justification of Trust |
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95 | (48) |
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8 Justification of Epistemic Trust |
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97 | (22) |
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99 | (4) |
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8.2 Epistemic Trust Is Inevitable |
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103 | (3) |
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8.3 Epistemic Trust Is Often Responsible |
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106 | (1) |
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8.4 Epistemic Trust Is Justified |
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107 | (11) |
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8.5 Summary and Conclusions |
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118 | (1) |
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9 Justification of Patients' Trust in Physicians |
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119 | (24) |
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9.1 Professionalism and `Status Trust' |
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120 | (3) |
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9.2 Assessing Trustworthiness and `Merit Trust' |
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123 | (18) |
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9.3 Summary and Conclusions |
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141 | (2) |
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PART IV Significance of Trust |
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143 | (28) |
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10 Instrumental Utility of Trust |
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145 | (17) |
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10.1 Advantages of Trusting |
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148 | (3) |
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10.2 Consequences of the Decline of Trust |
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151 | (5) |
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10.3 The Contractual Model as Alternative to the Trust-Based Model |
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156 | (4) |
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10.4 Summary and Conclusions |
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160 | (2) |
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11 The Moral Value of Trust |
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162 | (9) |
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11.1 Feeling of Betrayal Implies that Trust Is a Moral Concept |
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163 | (5) |
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11.2 Justification of the Belief in a Moral Obligation to Be Trustworthy |
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168 | (2) |
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11.3 Summary and Conclusions |
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170 | (1) |
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PART V The Decline of Trust |
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171 | (34) |
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12 Reasons for the Decline of Trust |
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173 | (32) |
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12.1 The Discrediting of Professionalism: Physicians' Loss of `Professional Authority' |
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177 | (7) |
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12.2 The Difficulty of Assessing Trustworthiness: Physicians' Loss of `Merit-Based Authority' |
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184 | (3) |
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12.3 The Crisis of Modern Medicine: Physicians' Loss of `Medical Authority' |
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187 | (6) |
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12.4 The Commodification of Medicine: Physicians' Loss of `Directive Authority' |
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193 | (3) |
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12.5 Changes of Risk Perception and Risk Acceptance |
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196 | (6) |
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12.6 Summary and Conclusions |
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202 | (3) |
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205 | (20) |
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207 | (18) |
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13.1 Can External Regulations of the Medical Profession Restore Status Trust? |
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211 | (2) |
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13.2 Can We Improve Merit Trust? |
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213 | (7) |
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13.3 Can We Improve Trust in Managed Care? |
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220 | (3) |
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223 | (2) |
References |
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225 | (16) |
Index |
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241 | |