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Developing Autonomy and Transitional Paternalism.

Faye Tucker1

  • 1f.tucker@lancaster.ac.uk.

Bioethics
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Summary
This summary is machine-generated.

Adolescents can consent to life-saving treatment but not refuse it. This article argues for asymmetric sharing of powers in healthcare, supporting adolescent autonomy and self-governance development.

Keywords:
adolescenceasymmetry of consentdecision-makingdeveloping autonomypaternalismself-governance

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Area of Science:

  • Bioethics
  • Adolescent Medicine
  • Philosophy of Law

Background:

  • Adolescents often have the right to consent to life-saving medical treatment but not to refuse it.
  • This asymmetry is defended by Neil Manson's theory of 'transitional paternalism'.
  • Transitional paternalism suggests asymmetries arise from shared normative powers, but can be implemented symmetrically or asymmetrically.

Purpose of the Study:

  • To provide an alternative argument for the asymmetry-generating form of transitional paternalism in clinical contexts.
  • To support the asymmetric sharing of normative powers with adolescents in healthcare settings.
  • To argue that this asymmetry maximizes respect for adolescent autonomy.

Main Methods:

  • Philosophical argumentation
  • Ethical analysis
  • Review of existing theories on adolescent autonomy and consent

Main Results:

  • The asymmetric sharing of normative powers supports adolescents' developing autonomy by involving them in decisions.
  • This approach enables participation crucial for cultivating self-governance.
  • Asymmetric sharing ensures adolescents have a voice in all clinical actions and allows for case-by-case adjustments to legislation.

Conclusions:

  • Asymmetric transitional paternalism in clinical settings is ethically justifiable.
  • It aligns with duties to foster adolescent self-governance and respects their developing autonomy.
  • This model is compatible with social structures that best promote autonomy.