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Related Concept Videos

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The legal responsibilities of a nurse regarding informed consent include the following:
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Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
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Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
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Social Autonomy and Family-Based Informed Consent.

James Stacey Taylor1

  • 1The College of New Jersey, Ewing, New Jersey, USA.

The Journal of Medicine and Philosophy
|June 2, 2020
PubMed
Summary

Western informed consent models, focused on personal autonomy, face challenges due to an atomistic view of individuals. This paper argues autonomy is social, resolving puzzles around familial consent in organ donation.

Area of Science:

  • Bioethics
  • Medical Sociology
  • Philosophy of Medicine

Background:

  • Western bioethics often centers personal autonomy in informed consent for medical treatment.
  • This focus can be criticized for promoting an atomistic view of the individual.
  • A tension arises with practices like familial consent in organ donation, where family members can override a deceased donor's wishes.

Purpose of the Study:

  • To address the charge that autonomy-based informed consent is overly individualistic.
  • To resolve the apparent contradiction between personal autonomy and familial consent in organ donation.
  • To re-examine the concept of autonomy within the context of medical decision-making.

Main Methods:

  • Philosophical analysis of the concept of autonomy.
Keywords:
autonomyfamily vetoinformed consentorgan donation

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  • Examination of Western bioethical frameworks for informed consent.
  • Case study analysis of organ donation practices and familial consent.

    • Main Results:

    • The study argues that personal autonomy is fundamentally a social concept, not an isolated individual trait.
    • Recognizing autonomy as social dissolves the puzzle of how individualistic consent models accommodate familial veto power.
    • The atomistic critique of autonomy-based consent is shown to be based on a misunderstanding of autonomy's inherently social nature.

    Conclusions:

    • Autonomy in informed consent should be understood as socially embedded, not purely individualistic.
    • A social conception of autonomy reconciles personal decision-making with the role of family in medical contexts, particularly organ donation.
    • This reconceptualization strengthens the ethical basis of informed consent by acknowledging relational aspects of personhood.