质疑我们对能力假设的假设的假设
Isabel Marie Astrachan1, Alexander Ruck Keene2,3, Scott Y H Kim4
1Department of Bioethics, National Institutes of Health Clinical Center, Bethesda, Maryland, USA.
Journal of medical ethics
|September 25, 2023
概括
能力假设确保了自主权,但经常被误解,伤害弱势成年人. 本研究澄清了其应用,以更好地保护自主性,并防止容量评估中的滥用.
科学领域:
- 法律心理学 法律心理学
- 生物伦理学生物伦理学
- 心理能力法 心理能力法
背景情况:
- 能力假设是法律和道德框架的基石,维护自主性,防止在评估中产生偏见.
- 对能力推定的误解导致了严重的损害,特别是对接受评估的弱势个人.
- 目前对容量假设的理解和应用有所不同,需要对其实际实施进行重新评估.
研究的目的:
- 批判性地检查能力推定的常见解释和应用.
- 提议对减轻损害风险的容量假设有更精细的理解.
- 确保能力假设的应用符合其尊重自治和防止监督主义的核心原则.
主要方法:
- 分析当代法律和道德框架的心理能力.
- 区分两种主要模型的理解和应用能力假设.
- 论证一个解释,提高安全和尊重在实践中的自主权.
主要成果:
- 证据表明,在理解和应用能力推定的广泛分歧.
- 确定了对能力推定的两种不同的方法,对弱势个体有不同的影响.
- 倡导的解释与当前的做法保持一致,并防止滥用能力评估.
结论:
- 为了防止对弱势群体造成伤害,必须更明确,更一致地应用能力假设.
- 对于产能假设的拟议解释支持真正尊重自主权,同时确保必要的评估.
- 这种对能力推定的精细方法加强了心理能力评估的伦理实践.
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