David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jonathan Jenkins Ichikawa
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.
Gerben Meynen (2009). Exploring the Similarities and Differences Between Medical Assessments of Competence and Criminal Responsibility. Medicine, Health Care and Philosophy 12 (4):443-451.
Philip Bielby (2005). The Conflation of Competence and Capacity in English Medical Law: A Philosophical Critique. [REVIEW] Medicine, Health Care and Philosophy 8 (3):357-369.
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.
Lieslot Mahieu, Luc Anckaert & Chris Gastmans (2014). Eternal Sunshine of the Spotless Mind? An Anthropological-Ethical Framework for Understanding and Dealing with Sexuality in Dementia Care. Medicine, Health Care and Philosophy 17 (3):377-387.
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