The impossibility of reliably determining the authenticity of desires: implications for informed consent.

The impossibility of reliably determining the authenticity of desires: implications for informed consent.
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DOI:
10.1007/s11019-017-9783-0
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发表时间:
2018-03
期刊:
Medicine, health care, and philosophy
影响因子:
--
通讯作者:
Ahlin J
Ahlin J
中科院分区:
其他
文献类型:
--
作者:
Ahlin J

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有时有人争辩说,自主决策要求决策者的愿望是真实的,即“真实的”、“真正的她自己的”、“不是不符合个性的”或类似的。在这篇文章中,有人争辩说,无法开发一种可靠地确定欲望真实性(或非真实性)的方法。引入了不同真实性理论所表现出的特征的分类,并将其应用于对这些理论的分类评估,而不是以前单独对待它们的方法。得出的结论是,在实践中,欲望的真实性不能可靠地确定。因此,建议在医疗保健的知情同意实践中不应使用真实性。
It is sometimes argued that autonomous decision-making requires that the decision-maker’s desires are authentic, i.e., “genuine,” “truly her own,” “not out of character,” or similar. In this article, it is argued that a method to reliably determine the authenticity (or inauthenticity) of a desire cannot be developed. A taxonomy of characteristics displayed by different theories of authenticity is introduced and applied to evaluate such theories categorically, in contrast to the prior approach of treating them individually. The conclusion is drawn that, in practice, the authenticity of desires cannot be reliably determined. It is suggested that authenticity should therefore not be employed in informed consent practices in healthcare.
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