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 79.
... Capacities that Define Competence to Consent THE NECESSARY CAPACITIES FOR COMPETENCE TO CONSENT 154 INFORMABILITY AND DECISION MAKING 157 COGNITIVE AND AFFECTIVE CAPABILITY 167 RESOLUTION AND RESIGNATION IN DECISION MAKING RECOUNTING ...
... capacities that define competence to give a free and informed consent . This work is not the first word about competence . Its starting point is a rich body of literature in which clinicians and philosophers alike have toiled to clarify ...
... capacities ( abilities ) . That is , one is competent to do a task if one pos- sesses the particular capacities that doing the task requires . For exam- ple , cardiovascular surgeons are competent if they have ( among others ) the ...
... capacities — those required for decision making in health care settings . Various suggestions have been made as to what these capacities might be . Confusion has arisen because some or all of the suggested capacities may not be present ...
... capacities , that compe- tent persons possess , but also by justifying them and examining their implications . Chapter Six considers the implications of this definition in a broader context and anticipates a few criticisms of the new ...
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 |