Pavilanis Alan V
Can Fam Physician. 1989 Jun;35:1317-20.
Ethical problems often revolve around the conflicts of the models of beneficence and autonomy. Adolescents present a particular complication in their own struggle for autonomy. The physician is confronted with the further dilemma of sorting out the role of parents and the role of the adolescent patient in decision making. Furthermore, as adolescents develop their own moral code, they may lack consistency in their actions and opinions. The physician must examine the total context in arriving at a decision. The prescription of contraception is taken as an example of a common ethical dilemma.
伦理问题常常围绕着行善模式与自主模式之间的冲突。青少年在争取自身自主权的过程中存在特殊的复杂性。医生面临着进一步的困境,即要理清父母和青少年患者在决策中的角色。此外,随着青少年形成自己的道德准则,他们的行为和观点可能缺乏一致性。医生在做决定时必须审视整体情况。以开具避孕药为例,这是一个常见的伦理困境。