David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
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Medicine, Health Care and Philosophy 4 (2):185-192 (2001)
In this article some of the presuppositions that underly the current ideas about decision making capacity, autonomy and independence are critically examined. The focus is on chronic disorders, especially on chronic physical disorders. First, it is argued that the concepts of decision making competence and autonomy, as they are usually applied to the problem of legal (in)competence in the mentally ill, need to be modified and adapted to the situation of the chronically (physically) ill. Second, it is argued that autonomy and dependence must not be considered as two mutually exclusive categories. It is suggested that decision making may take on the form of a more or less conscious decision not to be involved in making all kinds of explicit and deliberate decisions. Elaborating on Agich's distinction between ideal and actual autonomy, the concept of Socratic autonomy is introduced
|Keywords||autonomy chronic illness decision making capacity dependence multiple sclerosis|
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Citations of this work BETA
Philip J. Nickel (2006). Vulnerable Populations in Research: The Case of the Seriously Ill. Theoretical Medicine and Bioethics 27 (3):245-264.
Rahime Er & Mine Sehiralti (2014). Comparing Assessments of the Decision-Making Competencies of Psychiatric Inpatients as Provided by Physicians, Nurses, Relatives and an Assessment Tool. Journal of Medical Ethics 40 (7):453-457.
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