Competence to ConsentGeorgetown University Press, 16.09.1994 г. - 224 страници Free and informed consent is one of the most widespread and morally important practices of modern health care; competence to consent is its cornerstone. In this book, Becky Cox White provides a concise introduction to the key practical, philosophical, and moral issues involved in competence to consent. The goals of informed consent, respect for patient autonomy and provision of beneficent care, cannot be met without a competent patient. Thus determining a patient's competence is the critical first step to informed consent. Determining competence depends on defining it, yet surprisingly, no widely accepted definition of competence exists. White identifies nine capacities that patients must exhibit to be competent. She approaches the problem from the task-oriented nature of decision making and focuses on the problems of defining competence within clinical practice. Her proposed definition is based on understanding competence as occurring in a special rather than a general context; as occurring in degrees rather than at a precise threshold; as independent of consequential appeals; and as incorporating affective as well as cognitive capacities. Combining both an ethical overview and practical guidelines, this book will be of value to health care professionals, bioethicists, and lawyers. |
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Резултати 1 - 5 от 72.
... AUTONOMY COMPETENCE AND THE PRINCIPLE OF BENEFICENCE 18 BENEFICENCE THROUGH AUTONOMY 24 COMPETENCE AND THE PRACTICE OF INFORMED CONSENT 27 MORAL IMPLICATIONS OF INFORMED CONSENT 35 NOTES 37 3 Current Confusion Surrounding the Concept of ...
... autonomous choices take these factors into account . Respect for autonomy depends on facilitating and supporting such autonomous choices . And , as Chapter Two demonstrates , autonomy depends on competence . Second , a patient's value ...
... autonomy - should govern decision making . Because the capacities that define competence have not been specified , the moral and legal authority of current consents is in doubt . SUMMARY The health care environment is loaded with ...
... Autonomy means self- government , self - rule , or self - legislation . Autonomous self - rule must be distinguished from mere capricious choice . To be autonomous is to base decisions on principles or laws , not on whimsy . The Moral ...
... autonomous persons . The Morally Neutral Importance of Autonomy Autonomy is morally important because autonomous persons develop moral principles to guide and evaluate behavior . But auton- omy also has value outside the moral realm ...
Съдържание
GENERAL VS SPECIFIC COMPETENCE | 83 |
THRESHOLD VS DECREE COMPETENCE | 95 |
CONSEQUENCEDEPENDENT VS CONSEQUENCEINDEPENDENT COMPETENCE | 106 |
COGNITIVE VS COGNITIVEAFFECTIVE COMPETENCE | 117 |
SUMMARY | 144 |
NOTES | 146 |
The Capacities that Define Competence to Consent | 154 |
INFORMABILITY AND DECISION MAKING | 157 |
24 | |
27 | |
MORAL IMPLICATIONS OF INFORMED CONSENT | 35 |
NOTES | 37 |
Current Confusion Surrounding the Concept of Competence | 44 |
CURRENT PROBLEMS WITH THE CONCEPT OF COMPETENCE | 53 |
SUMMARY | 74 |
NOTES | 75 |
Defining the Structure of Competence to Consent | 82 |
COGNITIVE AND AFFECTIVE CAPABILITY | 167 |
RESOLUTION AND RESIGNATION IN DECISION MAKING Resolution | 177 |
RECOUNTING ONES DECISIONMAKING PROCESS | 180 |
CONCLUSIONS | 183 |
Implications and Anticipated Criticisms | 185 |
ANTICIPATING THE CRITIC | 187 |
Bibliography | 193 |
Index | 203 |