决策能力和真实性 决策能力和真实性
Tim Aylsworth1, Jake Greenblum2
1Florida International University, 11200 SW 8Th St, Miami, FL, 33199, USA. taylswor@fiu.edu.
Journal of bioethical inquiry
|August 14, 2024
概括
生物伦理学家讨论患者的自主权和拒绝拯救生命的治疗 (LST) 的权利. 这篇论文捍卫了传统观点:决策能力 (DMC) 是尊重患者拒绝LST权利的关键.
科学领域:
- 生物伦理学生物伦理学
- 医学伦理 医学伦理
- 患者的自主权患者的自主权
背景情况:
- 拒绝救命治疗 (LST) 的权利在生物伦理学中得到了广泛的讨论.
- 患者的自主性是这次讨论的核心,通常与知情决策能力有关.
- 传统观点认为,对于拒绝LST的权利,决策能力 (DMC) 是必要的,也是足够的.
研究的目的:
- 为了应对最近对患者自主权和LST拒绝的传统观点的挑战.
- 捍卫传统的观点,将拒绝LST的权利仅与DMC联系在一起.
- 分析关于真实性的论点和在LST拒绝案件中的反例.
主要方法:
- 哲学论证的论证方式
- 对自主权的伦理理论的分析.
- 对关于拒绝LST的修正主义论点的批评.
主要成果:
- 这篇论文捍卫了传统的观点,即DMC是尊重患者拒绝LST的决定的唯一标准.
- 基于真实性和反例的修正主义论点被发现是没有说服力的.
- 基于自主性的理由来尊重LST拒绝,只有当患者拥有DMC时,才会得到肯定.
结论:
- 传统的决策能力 (DMC) 作为必要和足够的权利拒绝拯救生命的治疗 (LST) 的帐户是维持.
- 重新强调DMC在关于拒绝LST的生物伦理决策中的重要性.
- 对患者自主权的进一步伦理调查应该继续以DMC的概念为中心.
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