Marzano Michela
Université Paris Descartes, Philosophie morale, CERSES (UMR 8137), 75006 Paris, France.
Presse Med. 2013 Jan;42(1):6-12. doi: 10.1016/j.lpm.2012.07.018. Epub 2012 Oct 6.
In the past, doctors did not hesitate to impose their point of view to patients. Today, informing patients and obtain their consent is the norm. But the patient is really in a position to make a decision about his health, when in a vulnerable situation? Which are the limits of informed consent? Does exist a link between the ability that everyone has to self-determination (autonomy), and the specific choices that we have to do when we are sick? We offer a philosophical approach on the relationship between autonomy, freedom and consent in the context of relations between doctors and patients.
过去,医生会毫不犹豫地将自己的观点强加给患者。如今,告知患者并获得他们的同意已成为常态。但当患者处于脆弱状态时,他们真的有能力对自己的健康状况做出决定吗?知情同意的界限是什么?每个人的自我决定权(自主性)与我们生病时必须做出的具体选择之间是否存在联系?我们从哲学角度探讨医患关系背景下自主性、自由和同意之间的关系。