David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Bioethics 25 (9):516-526 (2011)
Objectives: To investigate whether Chinese adolescents in Hong Kong share similar perceptions with their Western counterparts regarding their capacity for autonomous decision-making, and secondarily whether Chinese parents underestimate their adolescent children's desire and capacity for autonomous decision-making.Method:‘Healthy Adolescents’ and their parents were recruited from four local secondary schools, and ‘Sick Adolescents’ and their parents from the pediatric wards and outpatient clinics. Their perceptions of adolescents' understanding of illnesses and treatments, maturity in judgment, risk-taking, openness to divergent opinions, pressure from parents and doctors, submission to parental authority and preference for autonomy in medical decision-making are surveyed by a 50-item questionnaire on a five-point Likert scale.Results: Findings indicate that Chinese adolescents aged 14–16 perceive themselves to possess the necessary cognitive abilities and maturity in judgment to be autonomous decision-makers like their Western counterparts. Paradoxically, although they hesitate to assert their autonomy, they are also unwilling to surrender that autonomy to their parents even under coercion or intimidation. Parents tend to underestimate their adolescents' preferences for making autonomous decisions and overestimate the importance of parental authority in decision-making.Conclusion:‘14-and-above’ Chinese adolescents in Hong Kong perceive themselves as capable of autonomous decision-making in medically-related matters, but hesitate to assert their autonomy, probably because of the Confucian values of parental authority and filial piety that are deeply embedded in the local culture
|Keywords||filial piety adolescent decisional capacity parental authority autonomy adolescent cognitive function|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
No citations found.
Similar books and articles
Ferdinand Schoeman (1985). Parental Discretion and Children's Rights: Background and Implications for Medical Decision-Making. Journal of Medicine and Philosophy 10 (1):45-62.
B. C. Partridge (2010). Adolescent Psychological Development, Parenting Styles, and Pediatric Decision Making. Journal of Medicine and Philosophy 35 (5):518-525.
H. U. I. Edwin (2008). Parental Refusal of Life-Saving Treatments for Adolescents: Chinese Familism in Medical Decision-Making Re-Visited. Bioethics 22 (5):286–295.
Victoria A. Miller, William W. Reynolds & Robert M. Nelson (2008). Parent-Child Roles in Decision Making About Medical Research. Ethics and Behavior 18 (2 & 3):161 – 181.
Andy Piker (2011). Balancing Liberation and Protection: A Moderate Approach to Adolescent Health Care Decision-Making. Bioethics 25 (4):202-208.
Edwin Hui (2008). Parental Refusal of Life-Saving Treatments for Adolescents: Chinese Familism in Medical Decision-Making Re-Visited. Bioethics 22 (5):286-295.
Ho Mun Chan (2004). Informed Consent Hong Kong Style: An Instance of Moderate Familism. Journal of Medicine and Philosophy 29 (2):195 – 206.
Kristina Orfali & Elisa Gordon (2004). Autonomy Gone Awry: A Cross-Cultural Study of Parents' Experiences in Neonatal Intensive Care Units. Theoretical Medicine and Bioethics 25 (4):329-365.
Kate Read, Conrad Vincent Fernandez, Jun Gao, Caron Strahlendorf, Albert Moghrabi, Rebecca Davis Pentz, Raymond Carlton Barfield, Justin Nathaniel Baker, Darcy Santor, Charles Weijer & Eric Kodish, Decision-Making by Adolescents and Parents of Children with Cancer Regarding Health Research Participation.
H. U. I. Edwin (2011). Adolescent and Parental Perceptions of Medical Decision-Making in Hong Kong. Bioethics 25 (9):516-526.
Added to index2010-02-26
Total downloads16 ( #107,068 of 1,099,957 )
Recent downloads (6 months)6 ( #51,477 of 1,099,957 )
How can I increase my downloads?