PATERNALISM AND THE ARGUMENT FROM ILLITERACY

PATERNALISM AND THE ARGUMENT FROM ILLITERACY
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DOI:
10.1111/j.1467-8519.1995.tb00363.x
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发表时间:
1995-07-01
期刊:
影响因子:
2.2
通讯作者:
LUNA, F
LUNA, F
中科院分区:
人文科学2区
文献类型:
--
作者:
LUNA, F

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在这篇文章中,我将考虑一个经常被用来证明对一个特定类别的人的家长式行为的论点:文盲。这种观点认为,文盲没有受过教育,缺乏信息和理解力,因此无法做出决定。因此,有人认为,在他们的情况下,家长式作风是有道理的。结论是,文盲不能自主。这种观点的理由是基于一种先验的态度:既然不可能交流,医生就应该决定文盲病人应该接受哪种治疗。这一论点经常被使用,即使它的支持者可能没有意识到它的含义。鉴于这一论点在阿根廷和其他拉丁美洲国家的重要性和不加批判的接受,我认为有必要仔细分析它的含义。我建议对这一论点及其影响进行彻底分析,并评估它是否可以接受。
Throughout this essay, I will consider an argrument frequently used to justify paternalistic behavior toward a specific class of persons: illiterate people. The argument states that illiterate people are uneducated, lack information and understanding, and are thus unable to make decisions. Therefore, it is argued, paternalism in their case is justified. The conclusion is that illiterate persons cannot be autonomous. The justification for this view is based on an a priori attitude: since it is impossible to communicate, physicians should decide which kind of treatment the illiterate patient should receive. This argument is frequently used even though its proponents may not be aware of its implications. Given the importance and uncritical acceptance this argument has in Argentina, and also in other Latin American countries, I think it is relevant to analyze carefully what it means. I propose a thorough analysis of this argument, of its implications and an evaluation of whether it is acceptable.