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Driven by the values of autonomy, agency, empowerment or enlightened consent which credit the patient with a new status, the doctor-patient relationship appears today to be resolutely transformed, in line with the new logic of « health democracy ». Other social and cultural logics continue however to underlie the practices of doctors and patients, but their traces cannot be analyzed as simple relics from the past. New norms shake up old ones, albeit without supplanting them. Taking a study undertaken in French hospitals on information in the context of serious illnesses as our starting point, we will show that as these logics meet, they produce a new type of doctor-patient relationship, in which each party attempts to define his/her place at the intersection of these plural logics, by referring to contradictory principles.