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Substituted decision making and the dispositional choice account

Permanent link
https://hdl.handle.net/10037/31083
DOI
https://doi.org/10.1136/medethics-2016-103672
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Date
2018-03-02
Type
Journal article
Tidsskriftartikkel
Peer reviewed

Author
Andersson, Anna-Karin Margareta; Johansson, Kjell Arne
Abstract
There are two main ways of understanding the function of surrogate decision making in a legal context: the Best Interests Standard and the Substituted Judgment Standard. First, we will argue that the Best Interests Standard is difficult to apply to unconscious patients. Application is difficult regardless of whether they have ever been conscious. Second, we will argue that if we accept the least problematic explanation of how unconscious patients can have interests, we are also obliged to accept that the Substituted Judgment Standard can be coherently applied to patients who have never been conscious at the same extent as the Best Interests Standard. We then argue that acknowledging this result is important in order to show patients respect.
Publisher
BMJ Publishing Group
Citation
Andersson AM, Johansson KA. Substituted decision making and the dispositional choice account. Journal of Medical Ethics. 2018:1-7
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  • Artikler, rapporter og annet (filosofi og førstesemesterstudier) [160]
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