David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Theoretical Medicine and Bioethics 4 (3) (1983)
In the principles of informed consent we state that each person ought to be free to make his or her own decisions regarding his or her life and health — provided that he or she is mentally competent to do so. Here, the concept of competence plays a crucial role. Where one is competent our moral goal is to promote his or her freedom; if he or she is not, our priority must be to protect and help him or her. In this paper I discuss three different notions of patient competence. The first, rational competence, concerns the basic ability to make a decision. The second, performance competence, concerns one's ability to make decisions and perform skills in ways that measure up to certain external standards. The third, reflective competence, concerns one's ability to identify and critically to scrutinize one's own values — one's ability, that is, to formulate and to evaluate one's own internal standards of decision and action. This richer analysis of the concept of competence enables us to formulate more precisely the moral difficulties we face when competence is impaired.
|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
No references found.
Citations of this work BETA
No citations found.
Similar books and articles
Robert J. Matthews (2006). Could Competent Speakers Really Be Ignorant of Their Language? Croatian Journal of Philosophy 6 (3):457-467.
Robert Pepper-Smith, William R. C. Harvey & M. Silberfeld (1996). Competency and Practical Judgment. Theoretical Medicine and Bioethics 17 (2).
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.
Steve Clarke (2013). The Neuroscience of Decision Making and Our Standards for Assessing Competence to Consent. Neuroethics 6 (1):189-196.
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.
Lorraine Y. Landry (1999). Multi-Disciplinary Competence Assessment: A Case Study in Consensus and Culture. Theoretical Medicine and Bioethics 20 (5):423-437.
Bruce Bongar (1992). The Ethical Issue of Competence in Working with the Suicidal Patient. Ethics and Behavior 2 (2):75 – 89.
Jillian Craigie (2011). Competence, Practical Rationality and What a Patient Values. Bioethics 25 (6):326-333.
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.
Nick Boreham (2004). A Theory of Collective Competence: Challenging the Neo-Liberal Individualisation of Performance at Work. British Journal of Educational Studies 52 (1):5 - 17.
Added to index2009-01-28
Total downloads22 ( #109,201 of 1,696,303 )
Recent downloads (6 months)4 ( #137,999 of 1,696,303 )
How can I increase my downloads?