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Ethical Dilemmas II

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Related Experiment Video

Updated: Jun 23, 2026

Exploring the Role of Deontic Reasoning and World Knowledge in Wason´s Selection Task

Exploring the Role of Deontic Reasoning and World Knowledge in Wason´s Selection Task

Published on: July 22, 2025

Choosing for another: beyond autonomy and best interests.

The Hastings Center Report

|April 25, 2009

Summary

The moral weight of patient choices stems from authenticity, not just autonomy or best interests. This reframes ethical decision-making in healthcare.

Area of Science:

Bioethics
Medical Ethics
Philosophy of Medicine

Background:

The principle of patient autonomy is central to medical ethics.
Discussions on substituted judgment often focus on autonomy or best interests.

Purpose of the Study:

To re-evaluate the ethical foundation of substituted judgment in healthcare.
To identify the core value underpinning the question 'What would the patient choose?'

Main Methods:

Conceptual analysis of bioethical principles.
Philosophical examination of patient decision-making.

Main Results:

The moral force of asking 'What would the patient choose?' derives from authenticity.
Authenticity represents a distinct ethical value beyond autonomy and best interests.

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Exploring the Role of Deontic Reasoning and World Knowledge in Wason´s Selection Task

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The Joint Effect of Social Comparison and Social Distance on Evaluation of Intertemporal Choice Outcomes in Event-related Potential Studies

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Conclusions:

Healthcare decisions should prioritize the patient's authentic self.
Recognizing authenticity as a core value enhances ethical patient care and respects personal identity.