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Rethinking paradigms in geriatric ethics.

B J Spielman1

  • 1Virginia Commonwealth University, USA.

Journal of Religion and Health
|July 1, 1986
PubMed
Summary

This study argues for moving beyond autonomy as the primary principle in geriatric ethics. It suggests alternative ethical frameworks are needed to better understand and support older adults, promoting a more holistic approach to aging and care.

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Area of Science:

  • Geriatric Ethics
  • Bioethics
  • Philosophy of Aging

Background:

  • Autonomy is often the central value in ethical discussions concerning older adults.
  • This focus can lead to misinterpretations of age-related differences as deficiencies.
  • Current ethical models may overemphasize rationality and neglect the physical and social aspects of aging.

Purpose of the Study:

  • To advocate for a reevaluation of autonomy's role in geriatric ethics.
  • To propose alternative principles for a more effective geriatric ethical framework.
  • To address the limitations of an autonomy-centric approach in understanding and caring for the elderly.

Main Methods:

  • Conceptual analysis of autonomy in geriatric contexts.
  • Critique of existing ethical frameworks for the aged.
  • Proposal of alternative ethical principles.

Main Results:

  • Overemphasis on autonomy can lead to biased perceptions of older adults.
  • An autonomy-focused approach can result in 'ethics by default,' neglecting crucial factors.
  • Alternative principles are identified as more suitable for geriatric ethics.

Conclusions:

  • A shift from autonomy as the central value is necessary in geriatric ethics.
  • New ethical principles are required to better reflect the complexities of aging.
  • Developing a more nuanced geriatric ethic will improve care and understanding of older populations.
Keywords:
Health Care and Public HealthProfessional Patient Relationship

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