Bioethics 25 (4):202-208 (2011)
AbstractIn 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
Similar books and articles
Adherence, Shared Decision-Making and Patient Autonomy.Lars Sandman, Bradi B. Granger, Inger Ekman & Christian Munthe - 2012 - Medicine, Health Care and Philosophy 15 (2):115-127.
Adolescent Psychological Development, Parenting Styles, and Pediatric Decision Making.B. C. Partridge - 2010 - Journal of Medicine and Philosophy 35 (5):518-525.
When Adolescents "Mismanage" Their Chronic Medical Conditions: An Ethical Exploration.Insoo Hyun - 2000 - Kennedy Institute of Ethics Journal 10 (2):147-163.
Adolescent and Parental Perceptions of Medical Decision-Making in Hong Kong.H. U. I. Edwin - 2011 - Bioethics 25 (9):516-526.
Justice and Solidarity in Priority Setting in Health Care.Rogeer Hoedemaekers & Wim Dekkers - 2003 - Health Care Analysis 11 (4):325-343.
Decision Making in Health Care: Theory, Psychology, and Applications.Gretchen B. Chapman & Frank A. Sonnenberg (eds.) - 2000 - Cambridge University Press.
Added to PP
Historical graph of downloads
Citations of this work
Informed Consent Instead of Assent is Appropriate in Children From the Age of Twelve: Policy Implications of New Findings on Children’s Competence to Consent to Clinical Research.Irma M. Hein, Martine C. De Vries, Pieter W. Troost, Gerben Meynen, Johannes B. Van Goudoever & Ramón J. L. Lindauer - 2015 - BMC Medical Ethics 16 (1):1-7.
Why is It Hard to Make Progress in Assessing Children’s Decision-Making Competence?Irma M. Hein, Pieter W. Troost, Alice Broersma, Martine C. De Vries, Joost G. Daams & Ramón J. L. Lindauer - 2015 - BMC Medical Ethics 16 (1):1.
High Court Should Not Restrict Access to Puberty Blockers for Minors.Cameron Beattie - 2022 - Journal of Medical Ethics 48 (1):71-76.
Adderall for All: A Defense of Pediatric Neuroenhancement.Jessica Flanigan - 2013 - HEC Forum 25 (4):325-344.
Adolescent Pediatric Decision-Making: A Critical Reconsideration in the Light of the Data.Brian Partridge - 2014 - HEC Forum 26 (4):299-308.
References found in this work
No references found.