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Competence and risk-relativity.

T Buller1

  • 1Philosophy Department, University of Alaska Anchorage.

Bioethics
|November 8, 2001
PubMed
Summary
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This paper argues that decision-relative competence, where an individual

Area of Science:

  • Philosophy of Mind
  • Decision Theory
  • Cognitive Science

Background:

  • The concept of competence is often considered decision-relative, meaning an individual may possess competence for one decision but not another.
  • Existing theories, internalism and externalism, attempt to explain this decision-relative nature of competence.

Purpose of the Study:

  • To critically evaluate the coherence of internalism and externalism in explaining decision-relative competence.
  • To determine if these theories adequately account for why competence is tied to specific decisions.

Main Methods:

  • Conceptual analysis of internalist and externalist theories of competence.
  • Examination of the explanatory power of each theory regarding the link between understanding, decision-making, and risk.
Keywords:
Analytical ApproachProfessional Patient Relationship

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Main Results:

  • Internalism fails to specify the skills or content that connect a person's understanding to a particular decision's competence.
  • Externalism struggles to justify why competence should correlate with the level of probable harm associated with a decision.

Conclusions:

  • Neither internalism nor externalism provides a fully coherent account of decision-relative competence.
  • Further theoretical development is needed to adequately explain the relationship between understanding, decision-making, and context-specific competence.