Del Rio A, Rinaldi R, Napoletano S, di Luca N M
Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, Rome, Italy.
Clin Ter. 2017 Nov-Dec;168(6):e415-e420. doi: 10.7417/T.2017.2044.
The only interventions deemed ethically acceptable are those that serve the "objective interest" of the minors involved from the standpoint of and conducive to sound mental health and balance in a patient's teenage years; by the same token, disproportionate interventions (e.g. overly invasive or pointlessly risky), or all those deemed unsuitable with regards to a poor cost-benefit ratio are viewed as unacceptable. In the process of considering the best interest of the minors involved, a wide array of factors come into play, such as: age, maturity, psychological and emotional conditions, motivations put forth by the underage patient, the opportunity to procrastinate the operation: parents, who are naturally entitled to give consent to the surgical procedures, and physicians are primarily liable to safeguard and act in the minor's best interest. The authors attempt to lay out how medical science has evolved over the past century, and aim to set forth an array of considerations centered on cosmetic surgery for adolescents.
从有利于青少年患者心理健康和平衡的角度来看,唯一被认为在伦理上可接受的干预措施是那些符合所涉未成年人“客观利益”的措施;同样,过度的干预措施(如过度侵入性或毫无意义的冒险行为),或所有那些因成本效益比不佳而被认为不合适的措施都被视为不可接受。在考虑所涉未成年人的最大利益的过程中,会涉及到一系列因素,如:年龄、成熟度、心理和情绪状况、未成年患者提出的动机、推迟手术的机会;父母自然有权同意手术程序,而医生主要有责任维护并采取符合未成年人最大利益的行动。作者试图阐述医学在过去一个世纪中的发展情况,并旨在提出一系列以青少年整容手术为中心的考量因素。