The foundations of informed consent and bodily self-sovereignty: a positive suggestion.

IF 1.6 Q2 ETHICS Monash Bioethics Review Pub Date : 2024-06-01 Epub Date: 2024-08-22 DOI:10.1007/s40592-024-00203-4
Joanna Smolenski
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Abstract

In medical care, the obtaining of informed consent is taken to be required prior to treatment in order to ensure that patients sufficiently understand the potential risks and benefits of a given medical procedure. In this paper, I begin by looking at the history of informed consent and consider how the norms and laws in medicine have evolved away from benevolent paternalism and toward a blanket obligation to obtain informed consent. In so doing, I consider what values might be taken to underpin such a requirement. After dismissing some unsatisfactory answers, I offer a positive view as to the constellation of values I think informed consent ought to be protecting. I call these bodily self-sovereignty, which I take to be a coupling of two groups of values: autonomy and non-domination on the one hand, and self-ownership and personal integrity on the other. Given the connection between autonomy and responsibility, autonomy is both required for the act of consenting, and respected by allowing it. And, because of our special and inescapable relationship to our own bodies, this authorization is particularly important when our bodies are involved. So, I suggest that informed consent protects our self-sovereignty over our own bodies.

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知情同意和身体自我主权的基础:一个积极的建议。
在医疗保健中,为了确保患者充分了解特定医疗程序的潜在风险和益处,在治疗前必须获得知情同意。在本文中,我首先回顾了知情同意的历史,并探讨了医学规范和法律是如何从仁慈的家长式管理演变为全面的知情同意义务的。在此过程中,我还考虑了支持这一要求的价值观是什么。在否定了一些不尽人意的答案之后,我提出了一个积极的观点,即我认为知情同意应当保护的价值观。我把这些价值称为身体的自我主权,我认为它是两组价值的结合:一方面是自主权和非统治权,另一方面是自我所有权和人格完整。鉴于自主与责任之间的联系,自主既是同意行为的必要条件,也是允许同意行为的尊重条件。而且,由于我们与自己的身体有着不可分割的特殊关系,当涉及到我们的身体时,这种授权就显得尤为重要。因此,我认为知情同意保护了我们对自己身体的自我主权。
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来源期刊
CiteScore
2.70
自引率
6.20%
发文量
16
期刊介绍: Monash Bioethics Review provides comprehensive coverage of traditional topics and emerging issues in bioethics. The Journal is especially concerned with empirically-informed philosophical bioethical analysis with policy relevance. Monash Bioethics Review also regularly publishes empirical studies providing explicit ethical analysis and/or with significant ethical or policy implications. Produced by the Monash University Centre for Human Bioethics since 1981 (originally as Bioethics News), Monash Bioethics Review is the oldest peer reviewed bioethics journal based in Australia–and one of the oldest bioethics journals in the world. An international forum for empirically-informed philosophical bioethical analysis with policy relevance. Includes empirical studies providing explicit ethical analysis and/or with significant ethical or policy implications. One of the oldest bioethics journals, produced by a world-leading bioethics centre. Publishes papers up to 13,000 words in length. Unique New Feature: All Articles Open for Commentary
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