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[Medicine and ethical status of children]
1Collège de France, Paris. jean-paul.amann@college-de-france.fr
Revue Medicale De La Suisse Romande
|April 21, 2004
Insights
Children
Area of Science:
- Bioethics
- Pediatrics
- Child Psychology
Context:
- Children's healthcare ethics historically adopted a paternalistic approach.
- Modern bioethics emphasizes children's autonomy and informed consent.
- Reconciling protection with autonomy presents ethical challenges in pediatric care.
Purpose:
- To explore the historical origins of contemporary views on childhood.
- To analyze the ethical difficulties in balancing child protection and autonomy.
- To understand the roots of ethical dilemmas in pediatric patient care.
Summary:
- Ill children face dual vulnerability due to their age and health status.
- Traditional protective ethics for children was paternalistic.
- Current ethical frameworks aim to promote children's autonomy, including informed consent, creating tension with protection.
Impact:
- Provides insight into the historical development of pediatric ethics.
- Highlights the ongoing ethical debate surrounding children's rights in healthcare.
- Informs ethical guidelines for pediatric patient care and decision-making.
Abstract:
Ill children are doubly vulnerable: because they are children and because they are ill. That justified a protective ethics, which was traditionally a paternalistic one. Today, we want to promote children's autonomy: they have the right to be informed and we look for their consent (when it is possible). But it is difficult to reconcile protection and autonomy. By describing the origin of the current vision of childhood, the author tries to show the roots of these difficulties.
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