Deciding for others: the ethics of surrogate decision making
Gespeichert in:
| Hauptverfasser: | , |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Cambridge
Cambridge Univ. Press
1989
|
| Ausgabe: | 1. publ. |
| Schriftenreihe: | Studies in philosophy and health policy
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | Hier auch später erschienene, unveränderte Nachdrucke |
| Beschreibung: | XV, 422 S. |
| ISBN: | 0521311969 052132422X |
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Datensatz im Suchindex
| _version_ | 1810988975719972864 |
|---|---|
| adam_text |
CONTENTS PREFACE XI INTRODUCTION T 1 I. THE QUESTION T 1 II. THE HISTORY
OF THE PROBLEM 2 III. ETHICS AND THE LAW 4 IV. ETHICS AND PUBLIC POLICY
ANALYSIS 5 V. THE METHOD 7 VI. THE PLAN 9 PART ONE THEORY 15 CHAPTER 1:
COMPETENCE AND INCOMPETENCE 17 I. THE CONCEPT OF COMPETENCE 18 A.
COMPETENCE AS DECISION-RELATIVE 18 13. GLOBAL CONCEPTIONS OF COMPETENCE
20 II. CAPACITIES NEEDED FOR COMPETENCE 23 III. COMPETENCE AS A
THRESHOLD CONCEPT, NOT A COMPARATIVE ONE 26 IV. STANDARDS OF COMPETENCE:
UNDERLYING VALUES 29 A. PROMOTION OF INDIVIDUAL WELL-BEING 29 13.
RESPECT FOR INDIVIDUAL SELF- DETERMINATION 36 C. CONFLICT BETWEEN THE
VALUES OF SELF- DETERMINATION AND WELL-BEING 40 V. CONTRAST WITH A
SINGLE 1 VALUE FOUNDATION * INDIVIDUAL SELF-DETERMINATION AS SOVEREIGN
41 VI. DECIDING ON STANDARDS OF COMPETENCE 47 VII. DIFFERENT STANDARDS
OF COMPETENCE 48 A. A MINIMAL STANDARD OF COMPETENCE 49 13. AN OUTCOME
STANDARD OF COMPETENCE ' 49 C. A PROCESS STANDARD OF DECISION-MAKING
COMPETENCE 50 VIII. RELATION OF THE PROCESS STANDARD OF COM- PETENCE TO
EXPECTED HARMS AND BENEFITS 51 TABLE 1.1: DECISION-MAKING COMPETENCE AND
PATIENT WELL-BEING 53 IX. RELATION OF REFUSAL OF TREATMENT TO DETERMINA-
TION OF INCOMPETENCE 57 VI CONTENTS X. CONTRAST WITH A FIXED MINIMUM
THRESHOLD CONCEPTION OF COMPETENCE 59 XI. A TWO-STEP MODEL OF PATIENT
DECISION-MAKING AUTHORITY * THE COMPETENCE OF THE DECISION- MAKER AND
THE RATIONALITY OF HIS OR HER CHOICE 65 XII. OPERATIONAL MEASURES IN THE
MEDICAL SETTING 70 A. USE OF FORMAL TESTS TO DETERMINE COMPETENCE 71 B.
IMPORTANCE OF INFORMAL EVALUATIONS OF COMPETENCE 73 XIII. COMPETENCE
DETERMINATIONS IN NONMEDICAL SETTINGS 75 XIV. VARYING STANDARDS OF
COMPETENCE 77 A. DIFFICULTIES RAISED BY DETERMINATIONS REGARDING THE
INCOMPETENT'S FINANCES 78 XV. 'THE NEED FOR INSTITUTIONAL POLICIES FOR
THE DETERMINATION OF COMPETENCE 80 XVI. SUMMARY OF CONCLUSIONS
CONCERNING COMPETENCE 84 CHAPTER 2: THE PRIMARY ETHICAL FRAMEWORK:
PATIENT-CENTERED PRINCIPLES 87 1. THE NEED FOR AN ETHICAL FRAMEWORK 87
II. UNDERLYING ETHICAL VALUES 89 A. THE SCOPE OF THE COMPETENT PATIENT'S
RIGHT TO REFUSE TREATMENT 90 B. LIMITATIONS ON THE COMPETENT PERSON'S
RIGHT TO REFUSE CARE OR TREATMENT 92 III. GUIDANCE PRINCIPLES 93 IV.
CONFLICTS AMONG GUIDANCE PRINCIPLES 96 V. THE ADVANCE DIRECTIVE
PRINCIPLE 98 A. THE CASE AGAINST ALWAYS GIVING PRIORITY TO ADVANCE
DIRECTIVES 101 V PRACTICAL PROBLEMS 101 2. MORAL OBJECTIONS 103 B.
CONCLUSIONS: THE SCOPE AND LIMITS OF THE MORAL AUTHORITY OF ADVANCE
DIRECTIVES 110 VI. THE SUBSTITUTED JUDGMENT STANDARD 112 VII. SCOPE AND
LIMITS OF THE MORAL AUTHORITY OF SUBSTITUTED JUDGMENT 117 CONTENTS VII
VIII. THE BEST INTEREST PRINCIPLE 122 A. BEYOND THE SCOPE OF THE BEST
INTEREST PRINCIPLE: PERMANENTLY UNCONSCIOUS PATIENTS 126 B. THE
INDIVIDUAL'S INTEREST IN THE GOOD OF OTHERS 132 C. THE DEPENDENCE OF THE
PATIENT'S WELL- BEING ON INSTITUTIONAL OPTIONS AND OTHERS' INTEREST IN
THE PATIENT 133' IX. AUTHORITY PRINCIPLES: WHO SHOULD DECIDE? 134 A. THE
FAMILY AS DECISION-MAKER 136 B. DISAGREEMENTS WITHIN THE FAMILY 138 C.
PHYSICIANS AND JUDGES AS DECISION- MAKERS 139 X. INTERVENTION
PRINCIPLES: ATTEMPTS TO SPECIFY CONDITIONS THAT REBUT THE PRESUMPTIVE
AUTHORITY OF THE FAMILY 142 A. CHALLENGES TO THE FAMILY AS DECISION-
MAKER 147 B. THE INSTITUTIONAL ETHICS COMMITTEE 148 CHAPTER 3: ADVANCE
DIRECTIVES, PERSONHOOD, AND PERSONAL IDENTITY 152 1. THE VALUE OF
ADVANCE DIRECTIVES 152 II. THE MORAL AUTHORITY OF ADVANCE DIRECTIVES 152
HI. LOSS OF PERSONAL IDENTITY 154 IV. HOW MUCH PSYCHOLOGICAL CONTINUITY
IS ENOUGH? 159 V. SURVIVING INTERESTS 162 VI. THE DISTINCTION BETWEEN
THE SURVIVING INTERESTS OF A SELF THAT NO LONGER EXISTS AND THE
SURVIVING INTERESTS IN THE PERSISTING SELF 165 VII. ATTEMPTS TO RAISE
THE THRESHOLD FOR PSYCHOLOGICAL CONTINUITY 169 VIII. A COMPROMISE
POSITION 178 IX. CONCLUSIONS CONCERNING PERSONAL IDENTITY 184 CHAPTER 4:
DISTRIBUTIVE JUSTICE AND THE INCOMPETENT 190 I. THE NEED TO QUALIFY THE
PATICNT-CCNTCRCD APPROACH 190 VIII CONTENTS II. THE RELEVANCE OF
GUIDANCE PRINCIPLES TO QUESTIONS OF DISTRIBUTIVE JUSTICE 191 III.
INCOMPETENCE, MORAL STATUS, AND RIGHTS OF DISTRIBUTIVE JUSTICE 193 A.
THE PERMANENTLY UNCONSCIOUS: MINIMAL INTERESTS 194 B. THE SEVERELY AND
PERMANENTLY DEMENTED: TRUNCATED INTERESTS 196 IV. RATIONING HEALTH CARE:
THE ROLE OF PHYSICIANS AND SURROGATES DECIDING FOR INCOMPETENTS 200 V.
THE MORAL RESPONSIBILITY OF FAMILIES TOWARD ELDERLY INCOMPETENT
INDIVIDUALS 207 PART TWO APPLICATION 213 CHAPTER 5: MINORS 215 I.
NONINFANT MINORS 216 A. THE CURRENT LEGAL PRESUMPTION OF INCOMPETENCE
216 B. THE CONCEPT OF COMPETENCE 217 C THE DEVELOPMENTAL EVIDENCE ABOUT
CHILDREN'S DECISION-MAKING CAPACITIES 218 D. DETERMINING A STANDARD OF
COMPETENCE 224 E. THE VALUES AT STAKE IN THE COMPETENCE DETERMINATION
225 F. THE CHILD'S WELL-BEING 226 G. THE CHILD'S SELF-DETERMINATION 229
11. THE PARENTS' INTEREST IN MAKING DECISIONS CONCERNING THEIR CHILDREN
232 I. CHILDREN'S COMPETENCE AND CHILDREN'S DCCISIONAL AUTHORITY 234 J.
THE LEGITIMATE INTERESTS OF PARENTS AND THE BEST INTEREST PRINCIPLE 235
K. THE VARIABLE STANDARD OF COMPETENCE 237 L. IMPLICATIONS FOR MEDICAL
PRACTICE AND LEGAL POLICY REGARDING CHILDREN'S COM- PETENCE 240 II.
NEWBORNS 246 A. THE CORRECT GUIDANCE PRINCIPLE: BEST INTEREST, NOT
SUBSTITUTED JUDGMENT 246 CONTENTS IX B. THE NATVIRE OF THE INFANT'S
INTERESTS 247 C. THE INTERESTS OF OTHERS 259 I"). THE FUNDAMENTAL MORAL
STATUS OF INFANTS: A RADICAL CHALLENGE TO THE DECISION- MAKING FRAMEWORK
260 CHAPTER 6: THE ELDERLY 267 I. THE MAGNITUDE OF THE PROHLCM 267 TABLE
6.1: SHARE OF U.S. POPULATION OVER 64 YEARS OF AGE, 1900, 1940, 1960,
1975, AND 2000 269 TABLE 6.2: DISTRIBUTION OF U.S. ELDERLY POPULATION BY
AGE-GROUP, 1950, 1975 AND 2000 269 II. HOW INCOMPETENCE IS DETERMINED,
FORMALLY AND INFORMALLY, AND BY WHOM, IN VARIOUS SETTINGS 271 A.
DETERMINING COMPETENCE TO MAKE MEDICAL DECISIONS 272 B. FORMAL
DETERMINATIONS OF INCOMPETENCE FOR DECISIONS CONCERNING FINANCES AND
PLACES OF RESIDENCE 280 III. HOW SURROGATES ACTUALLY DECIDE FOR THOSE
ELDERLY INDIVIDUALS WHO ARC CONSIDERED TO BE INCOMPETENT 289 IV. SOME
IMPORTANT TRENDS IN RECENT CASE LAW 290 V. ADVANCE DIRECTIVES AND OTHER
PLANNING APPROACHES: WHO USES THEM AND HOW EFFEC- TIVE ARC THEY? 295 A.
LIVING WILLS 296 B. DURABLE POWERS OF ATTORNEY 297 1. GENERAL DURABLE
POWTFR OF ATTORNEY 297 2. DURABLE POWER OF ATTORNEY FOR HEALTH CARE 298
VI. SUMMARY 306 CHAPTER 7: THE MENTALLY ILL 311 I. DECISIONS ABOUT
INVOLUNTARY HOSPITALIZATION OR COMMITMENT 312 A. THE HISTORICAL CONTEXT
OF INVOLUNTARY COMMITMENT 312 X CONTENTS B. PATIENT-CENTERED COMMITMENT
* DANGER TO SELF VERSUS NEED FOR CARE AND TREATMENT 317 C.
SOCIETY-CENTERED COMMITMENT * DANGEROUSNESS TO OTHERS 325 II. DECISIONS
TO REFUSE TREATMENT BY INVOLUNTARILY COMMITTED PATIENTS 332 A. THE
HISTORICAL CONTEXT OF TREATMENT REFUSAL BY INVOLUNTARILY COMMITTED
PATIENTS 332 B. AN ETHICAL FRAMEWORK FOR TREATMENT RE- FUSAL BY
INVOLUNTARILY COMMITED MENTAL PATIENTS 336 1. PERSONS DANGEROUS TO
OTHERS 336 2. PERSONS DANGEROUS TO THEMSELVES OR IN NEED OF CARE AND
TREATMENT 342 III. SOME RESIDUAL ISSUES IN DECISIONS FOR THE MEN- TALLY
ILL 347 A. THE LEAST RESTRICTIVE ALTERNATIVE CONDITION 347 B. ADVANCE
DIRECTIVES BY THE MENTALLY ILL 350 C. INVOLUNTARY OUTPATIENT COMMITMENT
358 D. SPECIAL LIMITS ON SURROGATE CONSENT FOR "INHUMANE" TREATMENTS 361
LOOKING FORWARD 366 APPENDIX ONE: LIVING TRUST AND NOMINATION OF
CONSCRVATORSHIP 370 APPENDIX TWO: DURABLE POWER OF ATTORNEY FOR HEALTH
CARE 374 NOTES 387 INDEX 413 |
| any_adam_object | 1 |
| author | Buchanan, Allen E. 1948- Brock, Dan W. |
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| ctrlnum | (OCoLC)19670049 (DE-599)BVBBV004043003 |
| dewey-full | 174/.2 |
| dewey-hundreds | 100 - Philosophy & psychology |
| dewey-ones | 174 - Occupational ethics |
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| dewey-search | 174/.2 |
| dewey-sort | 3174 12 |
| dewey-tens | 170 - Ethics (Moral philosophy) |
| discipline | Philosophie / Ethik Philosophie Medizin |
| edition | 1. publ. |
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| open_access_boolean | |
| owner | DE-19 DE-BY-UBM DE-12 DE-703 DE-29 DE-83 DE-188 DE-355 DE-BY-UBR |
| owner_facet | DE-19 DE-BY-UBM DE-12 DE-703 DE-29 DE-83 DE-188 DE-355 DE-BY-UBR |
| physical | XV, 422 S. |
| publishDate | 1989 |
| publishDateSearch | 1989 |
| publishDateSort | 1989 |
| publisher | Cambridge Univ. Press |
| record_format | marc |
| series2 | Studies in philosophy and health policy |
| spelling | Buchanan, Allen E. 1948- Verfasser (DE-588)133035425 aut Deciding for others the ethics of surrogate decision making Allen E. Buchanan and Dan W. Brock 1. publ. Cambridge Cambridge Univ. Press 1989 XV, 422 S. txt rdacontent n rdamedia nc rdacarrier Studies in philosophy and health policy Hier auch später erschienene, unveränderte Nachdrucke Besluitvorming gtt Bioéthique - États-Unis - Prise de décision Medische ethiek gtt Médecine légale - Aspect moral - États-Unis - Prise de décision Prise de décision - Aspect moral - États-Unis Éthique médicale - États-Unis - Prise de décision Ethik Bioethics United States Decision making Decision Making United States Decision making Moral and ethical aspects United States Ethics, Medical United States Medical ethics United States Decision making Medical jurisprudence Moral and ethical aspects United States Decision making Patient Advocacy United States Patient Compliance United States Berufsethik (DE-588)4253135-4 gnd rswk-swf Medizinische Ethik (DE-588)4074672-0 gnd rswk-swf Entscheidungsprozess (DE-588)4121202-2 gnd rswk-swf Bioethik (DE-588)4006791-9 gnd rswk-swf USA Bioethik (DE-588)4006791-9 s Berufsethik (DE-588)4253135-4 s Entscheidungsprozess (DE-588)4121202-2 s DE-604 Medizinische Ethik (DE-588)4074672-0 s Brock, Dan W. Verfasser (DE-588)124481817 aut SWB Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=002529527&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Buchanan, Allen E. 1948- Brock, Dan W. Deciding for others the ethics of surrogate decision making Besluitvorming gtt Bioéthique - États-Unis - Prise de décision Medische ethiek gtt Médecine légale - Aspect moral - États-Unis - Prise de décision Prise de décision - Aspect moral - États-Unis Éthique médicale - États-Unis - Prise de décision Ethik Bioethics United States Decision making Decision Making United States Decision making Moral and ethical aspects United States Ethics, Medical United States Medical ethics United States Decision making Medical jurisprudence Moral and ethical aspects United States Decision making Patient Advocacy United States Patient Compliance United States Berufsethik (DE-588)4253135-4 gnd Medizinische Ethik (DE-588)4074672-0 gnd Entscheidungsprozess (DE-588)4121202-2 gnd Bioethik (DE-588)4006791-9 gnd |
| subject_GND | (DE-588)4253135-4 (DE-588)4074672-0 (DE-588)4121202-2 (DE-588)4006791-9 |
| title | Deciding for others the ethics of surrogate decision making |
| title_auth | Deciding for others the ethics of surrogate decision making |
| title_exact_search | Deciding for others the ethics of surrogate decision making |
| title_full | Deciding for others the ethics of surrogate decision making Allen E. Buchanan and Dan W. Brock |
| title_fullStr | Deciding for others the ethics of surrogate decision making Allen E. Buchanan and Dan W. Brock |
| title_full_unstemmed | Deciding for others the ethics of surrogate decision making Allen E. Buchanan and Dan W. Brock |
| title_short | Deciding for others |
| title_sort | deciding for others the ethics of surrogate decision making |
| title_sub | the ethics of surrogate decision making |
| topic | Besluitvorming gtt Bioéthique - États-Unis - Prise de décision Medische ethiek gtt Médecine légale - Aspect moral - États-Unis - Prise de décision Prise de décision - Aspect moral - États-Unis Éthique médicale - États-Unis - Prise de décision Ethik Bioethics United States Decision making Decision Making United States Decision making Moral and ethical aspects United States Ethics, Medical United States Medical ethics United States Decision making Medical jurisprudence Moral and ethical aspects United States Decision making Patient Advocacy United States Patient Compliance United States Berufsethik (DE-588)4253135-4 gnd Medizinische Ethik (DE-588)4074672-0 gnd Entscheidungsprozess (DE-588)4121202-2 gnd Bioethik (DE-588)4006791-9 gnd |
| topic_facet | Besluitvorming Bioéthique - États-Unis - Prise de décision Medische ethiek Médecine légale - Aspect moral - États-Unis - Prise de décision Prise de décision - Aspect moral - États-Unis Éthique médicale - États-Unis - Prise de décision Ethik Bioethics United States Decision making Decision Making United States Decision making Moral and ethical aspects United States Ethics, Medical United States Medical ethics United States Decision making Medical jurisprudence Moral and ethical aspects United States Decision making Patient Advocacy United States Patient Compliance United States Berufsethik Medizinische Ethik Entscheidungsprozess Bioethik USA |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=002529527&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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