Reconceiving the Family: The Process of Consent in Medical Decisionmaking
Kuczewski, Mark G.
Hastings Center Report. 1996 Mar-Apr; 26(2): 30-37.
...First, I must critique the traditional doctrine of informed consent and show how it has "hijacked" what questions can be asked about the role of the family. By examining the doctrine's major assumptions and fixing the limits of its application, we can find room for the family in situations where such legalistic thought is inappropriate. Second, I shall explain how several promising "process" models of informed consent better describe the role of the family in medical decisionmaking. Finally, I shall apply these process models to a case and show how they also demand a different role for the physician in the decisionmaking process. Only by exploring the traditional doctrine of informed consent and escaping its individualistic and legalistic assumptions, can we hope to enrich the theoretical picture of the family in the decisionmaking process....
Adults; Alternatives; Autonomy; Case Studies; Communication; Competence; Comprehension; Conflict of Interest; Consent; Decision Making; Disclosure; Family Members; Family Relationship; Informed Consent; Justice; Patient Advocacy; Patient Care; Patients; Physician Patient Relationship; Physician's Role; Physicians; Privacy; Professional Family Relationship; Prognosis; Rights; Risks and Benefits; Treatment Refusal; Values; Theoretical Models;
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