High D M
Department of Philosophy, University of Kentucky, Lexington 40506.
Gerontologist. 1991 Oct;31(5):611-8. doi: 10.1093/geront/31.5.611.
Are gerontologists creating a new myth about families by emphasizing individual autonomy as independence without family interdependence, by advocating advance directives instead of supporting a rebuttable presumption of family surrogates, and following the lead of the U.S. Supreme Court in the Cruzan case (Cruzan v. Director, 1990), by ignoring intergenerational interdependencies in surrogate decision making? This paper argues that another antifamily trend is developing despite empirical evidence showing that elderly persons themselves prefer family members to represent them in surrogate decision making. Research and public policy suggestions are offered for protecting the elderly's preferences.
老年医学专家是否正在创造一个关于家庭的新神话？他们强调个人自主性即独立而不依赖家庭相互依存，提倡预先指示而非支持可反驳的家庭替代推定，并在美国最高法院关于克鲁赞案（克鲁赞诉主任，1990年）的引领下，在替代决策中忽视代际相互依存关系？本文认为，尽管有实证证据表明老年人自己更倾向于让家庭成员在替代决策中代表他们，但另一种反家庭趋势正在发展。本文还提供了保护老年人偏好的研究和公共政策建议。
