بررسی دروغ مصلحت‌آمیز در معالجات پزشکی با تأکید بر شاخص اعتماد

Background and purpose: Honesty is a character that is confirmed by all human, but sometimes human is placed in a situation to choose one between the two interests of truth and life. Such dilemmas cause human developed and applied white lies. Range of white lies operation became gradually popular in different areas that one of them was medical treatment. Whether or not this type of lies are morality, white lies is considered as one of the controversial topics in the field of applied and functional ethics which unfortunately has not been studied. The spirit of paternalistic authority in medicine has caused that physician got a right to themselves (and sometimes they still do) that decided in instead of their patients in the specific conditions and turn to a tool like lie to keep them, but whether this can be considered an ethic action. Materials and methods: In the present study, the researcher checked to see related articles and texts deleting unrelated, collecting related articles and in survey, necessary cases were extracted and applied. Results: There are several issues between doctors and their patient such as to state a bad news or someone death, miss diagnosis of co-workers, contention with secret, no explaining the complications of drugs and therapy that lead to justify white lies. On the other hand, ethics at the level of communication is in direct proportion to trust. As, it can be claimed if a behavior increases confidence, it can be considered ethical and if not, is unethical. Conclusion: The aim of this study was to assess the applications of white lies via reliability index to identify the right and wrong aspect of the lies in medicine.