价值变化的问题:预先指示是否应该对患有痴呆症的人具有道德权威?
1Departments of Philosophy and Continuing Education, University of Oxford, Oxford, UK.
Bioethics
|December 15, 2024
概括
提前指示可能会失去痴呆症患者的道德权威. 这项研究认为,尊重当前的价值观,即使它们发生变化,对于痴呆症护理的终身自主性至关重要.
科学领域:
- 生物伦理学生物伦理学
- 神经科学是一个神经科学.
- 老年学是一门学科.
背景情况:
- 痴呆症患病率不断上升,需要为终身决策制定道德框架.
- 提前指令通常是为了维护能力减弱个人的自主权而提出的.
- 当痴呆症改变个人价值观时,哲学辩论质疑提前指示的道德权重.
研究的目的:
- 检查痴呆症患者预先指示的道德权威.
- 批评疾病驱动的价值观变化使以前的愿望无效的论点.
- 建议应该尊重有能力的痴呆症患者的现有价值观.
主要方法:
- 在痴呆症中对自主性和价值变化的哲学分析.
- 对现有论点的批评,包括卡琳·格斯玛 (Karin Jongsma) 的"失去和选择"区别.
- 尊重痴呆症患者当代价值观的论点.
主要成果:
- 痴呆症进展的价值变化可能会削弱预先指示的道德权威.
- 价值变化过程 (选择与不选择) 可能与尊重当前价值观在道德上无关.
- 痴呆症有能力个体的当代价值观需要尊重,无论先前的指令如何.
结论:
- 预先指示可能对因痴呆症而经历价值变化的个人不完全保留道德权威.
- 尊重痴呆症患者当前的评估能力对于他们的自主性至关重要.
- 对于痴呆症生命终端决策的伦理准则应该优先考虑当代的,有价值的偏好.
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