David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
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Bioethics 25 (4):202-208 (2011)
In this paper I examine the debate between ‘protectionists’ and ‘liberationists’ concerning the appropriate role of minors in decision-making about their health care, focusing particularly on disagreements between the two sides regarding adolescents. Protectionists advocate a more traditional, paternalistic approach in which minors have relatively little input into the healthcare decision-making process, and decisions are made for them by parents or other adults, guided by a commitment to the patient's best interests. Liberationists, on the other hand, argue in favour of expanded participation by minors in treatment decisions, and decision-making authority for at least some adolescents. My examination of the debate includes discussion of liberationist shifts that have taken place in the medical community as well as in legal policy and practice, and consideration of recent research on adolescent development. In the final section of the paper, I propose a moderate position that addresses both liberationist and protectionist concerns
|Keywords||protectionist pediatric liberationist decisional capacity adolescent|
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Claudia Wiesemann (2012). Autonomie als Bezugspunkt einer universalen Medizinethik. Ethik in der Medizin 24 (4):287-295.
Irma M. Hein, Pieter W. Troost, Alice Broersma, Martine C. De Vries, Joost G. Daams & Ramón J. L. Lindauer (2015). Why is It Hard to Make Progress in Assessing Children’s Decision-Making Competence? BMC Medical Ethics 16 (1):1.
Jessica Flanigan (2013). Adderall for All: A Defense of Pediatric Neuroenhancement. HEC Forum 25 (4):325-344.
Brian Partridge (2014). Adolescent Pediatric Decision-Making: A Critical Reconsideration in the Light of the Data. HEC Forum 26 (4):299-308.
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