PROXY CONSENT AND COUNTERFACTUALS

When patients are in vegetative states and their lives are maintained by medical devices, their surrogates might offer proxy consents on their behalf in order to terminate the use of the devices. The so-called ‘substituted judgment thesis’ has been adopted by the courts regularly in order to determi...

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Détails bibliographiques
Auteur principal: Nagasawa, Yujin (Auteur)
Type de support: Électronique Article
Langue:Anglais
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Publié: Wiley-Blackwell 2008
Dans: Bioethics
Année: 2008, Volume: 22, Numéro: 1, Pages: 16-24
Sujets non-standardisés:B substituted judgment
B proxy consent
B vegetative states
B Counterfactuals
B Euthanasia
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Description
Résumé:When patients are in vegetative states and their lives are maintained by medical devices, their surrogates might offer proxy consents on their behalf in order to terminate the use of the devices. The so-called ‘substituted judgment thesis’ has been adopted by the courts regularly in order to determine the validity of such proxy consents. The thesis purports to evaluate proxy consents by appealing to putative counterfactual truths about what the patients would choose, were they to be competent. The aim of this paper is to reveal a significant limitation of the thesis, which has hitherto been recognised only vaguely and intuitively. By appealing to the metaphysics of counterfactuals I explain how the thesis fails to determine the validity of proxy consents in a number of actual cases.
ISSN:1467-8519
Contient:Enthalten in: Bioethics
Persistent identifiers:DOI: 10.1111/j.1467-8519.2007.00585.x