David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
Bioethics 25 (5):244-249 (2011)
Incompetent patients need to have someone else make decisions on their behalf. According to the Substituted Judgment Standard the surrogate decision maker ought to make the decision that the patient would have made, had he or she been competent. Objections have been raised against this traditional construal of the standard on the grounds that it involves flawed counterfactual reasoning, and amendments have been suggested within the framework of possible worlds semantics. The paper shows that while this approach may circumvent the alleged problem, the way it has so far been elaborated reflects insufficient understanding of the moral underpinnings of the idea of substituted judgment. Proper recognition of these moral underpinnings has potentially far-reaching implications for our normative assumptions about accuracy and objectivity in surrogate decision making.
|Keywords||counterfactuals possible worlds semantics surrogate decision making proxy consent substituted judgment incompetence|
|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
Jos V. M. Welie (2001). Living Wills and Substituted Judgments: A Critical Analysis. Medicine, Health Care and Philosophy 4 (2):169-183.
Allen E. Buchanan (1989). Deciding for Others: The Ethics of Surrogate Decisionmaking. Cambridge University Press.
Susan R. Martyn (2009). Substituted Judgment, Best Interests, and the Need for Best Respect. Cambridge Quarterly of Healthcare Ethics 3 (2):195.
Kristine Bærøe (2010). Patient Autonomy, Assessment of Competence and Surrogate Decision-Making: A Call for Reasonableness in Deciding for Others. Bioethics 24 (2):87-95.
Rosamond Rhodes & Ian Holzman (2004). The Not Unreasonable Standard for Assessment of Surrogates and Surrogate Decisions. Theoretical Medicine and Bioethics 25 (4):367-386.
Elysa R. Koppelman (2002). Dementia and Dignity: Towards a New Method of Surrogate Decision Making. Journal of Medicine and Philosophy 27 (1):65 – 85.
Mats Johansson & Linus Broström (2012). Empirical Fallacies in the Debate on Substituted Judgment. Health Care Analysis (1):1-9.
Anthony Wrigley (2011). The Problem of Counterfactuals in Substituted Judgement Decision-Making. Journal of Applied Philosophy 28 (2):169-187.
Linus Broström, The Substituted Judgment Standard. Studies on the Ethics of Surrogate Decision Making.
Mats Johansson & Linus Broström (2008). Turning Failures Into Successes: A Methodological Shortcoming in Empirical Research on Surrogate Accuracy. Theoretical Medicine and Bioethics 29 (1):17-26.
Added to index2009-10-29
Total downloads38 ( #102,922 of 1,790,225 )
Recent downloads (6 months)1 ( #427,637 of 1,790,225 )
How can I increase my downloads?