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伊曼纽尔·列维纳斯所阐述的责任伦理中的知情同意。

Informed consent in the ethics of responsibility as stated by Emmanuel Levinas.

作者信息

Benito Javier Jiménez, García Sonia Ester Rodríguez

机构信息

Department of Ophthalmology, Hospital Universitario de Burgos, Avda. Islas Baleares 3, 09006, Burgos, Spain.

Department of Moral and Political Philosophy, Universidad Nacional de Educación a Distancia, Edificio de Humanidades, Senda del Rey, 7, 28040, Madrid, Spain.

出版信息

Med Health Care Philos. 2016 Sep;19(3):443-53. doi: 10.1007/s11019-016-9700-y.

DOI:10.1007/s11019-016-9700-y
PMID:27021386
Abstract

In this paper we analyze some of the major difficulties of informed consent (IC). We consider insufficient to base IC on the principle of autonomy. We must not forget that the patient may be in a situation of extreme vulnerability and the good doctor should assume a degree of commitment and responsibility with his/her decisions. Our aim is to introduce the ethics of responsibility of Levinas in practice and theory of IC in order to generate a beneficent medical practice in which the supervision and overseeing of the patient do not undermine his/her autonomy.

摘要

在本文中,我们分析了知情同意(IC)的一些主要难点。我们认为仅将知情同意建立在自主性原则之上是不够的。我们绝不能忘记,患者可能处于极度脆弱的境地,而优秀的医生应对自己的决策承担一定程度的义务和责任。我们的目的是将列维纳斯的责任伦理引入知情同意的实践和理论中,以产生一种有益的医疗实践,在这种实践中,对患者的监督不会损害其自主性。

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引用本文的文献

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Ethics of the fiduciary relationship between patient and physician: the case of informed consent.患者与医生之间信托关系的伦理:知情同意的案例
J Med Ethics. 2024 Dec 23;51(1):59-66. doi: 10.1136/jme-2022-108539.

本文引用的文献

1
Reviewing autonomy: Implications of the neurosciences and the free will debate for the principle of respect for the patient's autonomy.审视自主性:神经科学及自由意志辩论对尊重患者自主性原则的影响
Camb Q Healthc Ethics. 2010 Apr;19(2):205-17. doi: 10.1017/S0963180109990478.
2
The legal development of the informed consent doctrine: past and present.知情同意原则的法律发展:过去与现在。
Camb Q Healthc Ethics. 2010 Winter;19(1):97-109. doi: 10.1017/S0963180109990284.
3
Medical ethics needs a new view of autonomy.医学伦理学需要一种新的自主性观点。
J Med Philos. 2008 Dec;33(6):594-608. doi: 10.1093/jmp/jhn033. Epub 2008 Dec 24.
4
The concept of responsibility: three stages in its evolution within bioethics.责任的概念:其在生物伦理学领域演变的三个阶段。
Camb Q Healthc Ethics. 2008 Winter;17(1):114-23. doi: 10.1017/S0963180108080110.
5
How philosophy of medicine has changed medical ethics.医学哲学如何改变了医学伦理学。
J Med Philos. 2006 Dec;31(6):585-600. doi: 10.1080/03605310601009315.
6
Informed consent and surgeons' performance.知情同意与外科医生的表现。
J Med Philos. 2004 Feb;29(1):11-35. doi: 10.1076/jmep.29.1.11.30415.
7
Levinas and the patient as other: the ethical foundation of medicine.列维纳斯与作为他者的患者:医学的伦理基础。
J Med Philos. 2003 Aug;28(4):447-60. doi: 10.1076/jmep.28.4.447.15969.
8
Persuasion as respect for persons: an alternative view of autonomy and of the limits of discourse.作为对人的尊重的说服:对自主性及话语限度的另一种看法。
J Med Philos. 2001 Feb;26(1):13-33. doi: 10.1076/jmep.26.1.13.3033.
9
[Relationship between autonomy and integrity in medical ethics].[医学伦理学中自主性与完整性的关系]
Bol Oficina Sanit Panam. 1990 May-Jun;108(5-6):379-90.