儿科中令人担忧的“善终”概念。

IF 1.3 3区 哲学 Q3 ETHICS Journal of Medicine and Philosophy Pub Date : 2023-02-17 DOI:10.1093/jmp/jhac036
Bryanna Moore
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引用次数: 2

摘要

在这篇文章中,我整理了一些关于什么构成了孩子“善终”这个有争议的概念的困惑。首先,我区分了对善死概念的形而上学和实践上的分歧,其次,区分了对善死的描述,最大限度地促进了垂死孩子的利益。我建议缩小垂死儿童的利益范围,因为它们不同于非垂死儿童的利益。重要的是,这一描述说明了在孩子生命结束时的分歧有时是一些利益相关者对孩子利益的理解从未来转向现在的结果,而不是其他利益相关者的结果,有时是基于价值观的分歧的结果,即不同的利益应该如何加权。这让一个问题变得更加尖锐:一个孩子的死亡对谁、以何种方式被认为是好事。
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The Fraught Notion of a "Good Death" in Pediatrics.

In this article, I sort through some of the confusion surrounding what constitutes the controversial notion of a "good death" for children. I distinguish, first, between metaphysical and practical disagreements about the notion of a good death, and, second, between accounts of a good death that minimally and maximally promote the dying child's interests. I propose a narrowed account of the dying child's interests, because they differ from the interests of non-dying children. Importantly, this account illustrates how disagreements at the end of a child's life are sometimes the result of a shift from a future to a present-oriented understanding of the child's interests on the part of some stakeholders but not others, and sometimes the result of a values-based disagreement about how different interests should be weighted. This brings into sharper focus the questions of for whom, and in what way, a child's death might be considered good.

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来源期刊
CiteScore
2.90
自引率
6.20%
发文量
30
期刊介绍: This bimonthly publication explores the shared themes and concerns of philosophy and the medical sciences. Central issues in medical research and practice have important philosophical dimensions, for, in treating disease and promoting health, medicine involves presuppositions about human goals and values. Conversely, the concerns of philosophy often significantly relate to those of medicine, as philosophers seek to understand the nature of medical knowledge and the human condition in the modern world. In addition, recent developments in medical technology and treatment create moral problems that raise important philosophical questions. The Journal of Medicine and Philosophy aims to provide an ongoing forum for the discussion of such themes and issues.
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