In Favour of Medical Dissensus: Why We Should Agree to Disagree About End-of-Life Decisions
End-of-life decision-making is controversial. There are different views about when it is appropriate to limit life-sustaining treatment, and about what palliative options are permissible. One approach to decisions of this nature sees consensus as crucial. Decisions to limit treatment are made only i...
| Autori: | ; ; |
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| Tipo di documento: | Elettronico Articolo |
| Lingua: | Inglese |
| Verificare la disponibilità: | HBZ Gateway |
| Journals Online & Print: | Caricamento...
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| Fernleihe: | Fernleihe für die Fachinformationsdienste |
| Pubblicazione: |
Wiley-Blackwell
[2016]
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| In: |
Bioethics
Anno: 2016, Volume: 30, Fascicolo: 2, Pagine: 109-118 |
| Notazioni IxTheo: | NCH Etica della medicina |
| Altre parole chiave: | B
intensive care
B Medical Ethics B withdrawing treatment B Consensus B Neuroethics |
| Accesso online: |
Accesso probabilmente gratuito Volltext (Verlag) Volltext (doi) |
| Riepilogo: | End-of-life decision-making is controversial. There are different views about when it is appropriate to limit life-sustaining treatment, and about what palliative options are permissible. One approach to decisions of this nature sees consensus as crucial. Decisions to limit treatment are made only if all or a majority of caregivers agree. We argue, however, that it is a mistake to require professional consensus in end-of-life decisions. In the first part of the article we explore practical, ethical, and legal factors that support agreement. We analyse subjective and objective accounts of moral reasoning: accord is neither necessary nor sufficient for decisions. We propose an alternative norm for decisions - that of ‘professional dissensus’. In the final part of the article we address the role of agreement in end-of-life policy. Such guidelines can ethically be based on dissensus rather than consensus. Disagreement is not always a bad thing. |
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| ISSN: | 1467-8519 |
| Comprende: | Enthalten in: Bioethics
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| Persistent identifiers: | DOI: 10.1111/bioe.12162 |