Problèmes liés au consentement chez l'enfant et l'adolescent
Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie 2010 Feb ; 17 Suppl 1(): S7-15
The process of consent to healthcare decisions in children and adolescents often set physicians difficult problems. From what age is a child able to understand the information given to him or her about illness and treatment? Is an ill child indeed in the capacity to give his or her voluntary consent to treatment? How to define and to assess the capacity of an ill child to take part in treatment decisions? More than the age of the child, it is his or her level of cognitive, emotional and social development and its interactions with illness that will determine his or her degree of involvement in the decision-making process. There is a moral and ethical need to respect the rights and autonomy of every individual, regardless of age. This does not mean viewing children and adolescents as rational and autonomous decision-makers. This implies that we must promote their developmentally appropriate participation in shared decision-making with parents and physicians. Therefore, instead of asking, "should children and adolescents be granted absolute autonomy in decision making?" we ought to ask, "should we treat children and adolescents like people?"
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Problèmes éthiques posés par des démarches de prédiction fondées sur la détection de troubles précoces du comportement chez l? enfant: avis no. 95: 11 janvier 2007 Ethical problems created by prediction techniques based on the early detection of childhood behavioral disorders: opinion no. 95: 11 January 2007 Unknown author (France. Comité Consultatif National d?Éthique pour les Sciences de la Vie et de la Santé [CCNE], 2007-04)