Journal of Medicine and Philosophy 39 (5):523-542 (2014)

Abstract
This discussion aims to give a normative theoretical basis for a “best judgment” model of surrogate decision making rooted in a regulative ideal of love. Currently, there are two basic models of surrogate decision making for incompetent patients: the “substituted judgment” model and the “best interests” model. The former draws on the value of autonomy and responds with respect; the latter draws on the value of welfare and responds with beneficence. It can be difficult to determine which of these two models is more appropriate for a given patient, and both approaches may seem inadequate for a surrogate who loves the patient. The proposed “best judgment” model effectively draws on the values incorporated in each of the traditional standards, but does so because these values are important to someone who loves a patient, since love responds to the patient as the specific person she is.
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DOI 10.1093/jmp/jhu034
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References found in this work BETA

The Ethics of Authenticity.Charles Taylor - 1992 - Harvard University Press.
Value in Ethics and Economics.Elizabeth Anderson - 1993 - Harvard University Press.
The Reasons of Love.Harry G. Frankfurt - 2004 - Princeton, NJ: Princeton University Press.
Welfare and Rational Care.Stephen Darwall - 2002 - Princeton University Press.

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Citations of this work BETA

Bioethics and Moral Agency: On Autonomy and Moral Responsibility.John Skalko & Mark J. Cherry - 2016 - Journal of Medicine and Philosophy 41 (5):435-443.
Taming Our Brave New World.Joshua A. Reagan - 2015 - Journal of Medicine and Philosophy 40 (6):621-632.

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