David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jonathan Jenkins Ichikawa
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Medical Humanities and Bioethics 6 (1):12-27 (1985)
The patient we call Danny was a mildly mentally retarded male in his mid-thirties who adamantly refused kidney dialysis when it was offered as the only therapeutic option for his progressive kidney failure. It was uncertain how fully Danny understood the implications of his refusal. To complicate the case still further, several “advocates” emerged to speak on Danny's behalf — each with a somewhat different interpretation of the situation and different sets of value presuppositions and ethical principles to apply to the choice. We chronicle the development of this situation through a series of scenes; and in each scene we also attempt to clarify the ethical and medico-legal issues involved at that point. Danny was finally permitted to make this decision for himself — though more by default than by an agreement by all parties to honor his autonomy. Our hope is that this presentation will lead to further discussion and clarification of these important issues
|Keywords||No keywords specified (fix it)|
|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
Albert R. Jonsen, Mark Siegler & William J. Winslade (1982). Clinical Ethics a Practical Approach to Ethical Decisions in Clinical Medicine. Monograph Collection (Matt - Pseudo).
Paul Ramsey (1978). Ethics at the Edges of Life: Medical and Legal Intersections. Yale University Press.
Robert M. Veatch (1976). Death, Dying, and the Biological Revolution Our Last Quest for Responsibility. Monograph Collection (Matt - Pseudo).
Citations of this work BETA
No citations found.
Similar books and articles
Anne-Cathrine Naess, Reidun Foerde & Petter Andreas Steen (2001). Patient Autonomy in Emergency Medicine. Medicine, Health Care and Philosophy 4 (1):71-77.
Jillian Craigie (2011). Competence, Practical Rationality and What a Patient Values. Bioethics 25 (6):326-333.
Floris Tomasini (2010). A Broader Notion of Competent Decision Making in Respect to What Is in the Best Interests of Patients Affected by Anorexia. Philosophy, Psychiatry, and Psychology 17 (2):155-157.
William Glod (2010). Conditional Preferences and Refusal of Treatment. HEC Forum 22 (4):299-309.
Jos V. M. Welie & Sander P. K. Welie (2001). Patient Decision Making Competence: Outlines of a Conceptual Analysis. [REVIEW] Medicine, Health Care and Philosophy 4 (2):127-138.
Simona Giordano (2010). Anorexia and Refusal of Life-Saving Treatment: The Moral Place of Competence, Suffering, and the Family. Philosophy, Psychiatry, and Psychology 17 (2):143-154.
Danny D. Steinberg (1976). Competence, Performance and the Psychological Invalidity of Chomsky's Grammar. Synthese 32 (3-4):373 - 386.
Laura Klaming & Pim Haselager (2013). Did My Brain Implant Make Me Do It? Questions Raised by DBS Regarding Psychological Continuity, Responsibility for Action and Mental Competence. Neuroethics 6 (3):527-539.
Margaret P. Battin (1985). Non-Patient Decision-Making in Medicine: The Eclipse of Altruism. Journal of Medicine and Philosophy 10 (1):19-44.
Zuzana Deans (2013). Conscientious Objections in Pharmacy Practice in Great Britain. Bioethics 27 (1):48-57.
Gentian Vyshka & Jera Kruja (2011). Inapplicability of Advance Directives in a Paternalistic Setting: The Case of a Post-Communist Health System. [REVIEW] BMC Medical Ethics 12 (1):12-.
Simona Giordano (2005). Understanding Eating Disorders: Conceptual and Ethical Issues in the Treatment of Anorexia and Bulimia Nervosa. OUP Oxford.
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.
William H. Bruening (1992). Autonomy and Futility. HEC Forum 4 (5):305-313.
Haavi Morreim (1983). Three Concepts of Patient Competence. Theoretical Medicine and Bioethics 4 (3).
Added to index2010-08-30
Total downloads11 ( #382,511 of 1,932,501 )
Recent downloads (6 months)1 ( #456,270 of 1,932,501 )
How can I increase my downloads?