Head is somewhat paternalistic (4)
I believe the answer is:
pate
'head' is the definition.
(humorous term for the head)
I don't understand the remainder of the clue.
Can you help me to learn more?
(Other definitions for pate that I've seen before include "Head - cook may make it" , "Head, perhaps bald" , "Tasty meat paste, perhaps foie gras" , "chef's preparation" , "Savoury paste; head" .)