David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
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|
|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
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.
Similar books and articles
Aanand D. Naik, Carmel B. Dyer, Mark E. Kunik & Laurence B. McCullough (2009). Patient Autonomy for the Management of Chronic Conditions: A Two-Component Re-Conceptualization. American Journal of Bioethics 9 (2):23 – 30.
Lars Sandman & Christian Munthe (2009). Shared Decision-Making and Patient Autonomy. Theoretical Medicine and Bioethics 30 (4):289-310.
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.
Kumiko Yoshitake (2008). The Ethical Action Principle in Decision-Making. Proceedings of the Xxii World Congress of Philosophy 5:75-83.
Eric Vogelstein (2014). Competence and Ability. Bioethics 28 (5):235-244.
H. U. I. Edwin (2011). Adolescent and Parental Perceptions of Medical Decision-Making in Hong Kong. Bioethics 25 (9):516-526.
Lars Sandman, Bradi B. Granger, Inger Ekman & Christian Munthe (2011). Adherence, Shared Decision-Making and Patient Autonomy. Medicine, Health Care and Philosophy 15 (2):115-127.
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.
H. U. I. Edwin, W. U. Dorian, Sau-Ying Chiu & Suet-kam Shum (2011). Adolescent and Parental Perceptions of Medical Decision-Making in Hong Kong. Bioethics 25 (9):516-526.
Douglas O. Stewart & Joseph P. DeMarco (2005). An Economic Theory of Patient Decision-Making. Journal of Bioethical Inquiry 2 (3):153-164.
Arthur R. Derse (1999). Making Decisions About Life-Sustaining Medical Treatment in Patients with Dementia. Theoretical Medicine and Bioethics 20 (1):55-67.
Roy Gilbar & Ora Gilbar (2009). The Medical Decision-Making Process and the Family: The Case of Breast Cancer Patients and Their Husbands. Bioethics 23 (3):183-192.
Lisa Bortolotti (2012). The Relative Importance of Undesirable Truths. Medicine Healthcare and Philosophy (4):683-690.
Sara Goering (2009). Postnatal Reproductive Autonomy: Promoting Relational Autonomy and Self-Trust in New Parents. Bioethics 23 (1):9-19.
Yvonne Lau & Chrystal Jaye (2009). The 'Obligation' to Screen and its Effect on Autonomy. Journal of Bioethical Inquiry 6 (4):495-505.
Added to index2010-08-31
Total downloads18 ( #174,559 of 1,781,268 )
Recent downloads (6 months)1 ( #295,025 of 1,781,268 )
How can I increase my downloads?