Guidry-Grimes Laura K, Hester D Micah
Medical Humanities and Bioethics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, and Arkansas Children's Hospital, Little Rock, Arkansas, USA.
Department of Medical Humanities and Bioethics, and Department of Medical Humanities and Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, and Arkansas Children's Hospital, Little Rock, Arkansas, USA.
J Clin Ethics. 2018 Fall;29(3):196-200.
In response to Anne L. Dalle Ave and David M. Shaw, we agree with their general argument but emphasize a moral risk of HIV disclosure in deceased donation cases: the risk of relational rupture. Because of the importance that close relationships have to our sense of self and our life plans, this kind of rupture can have long-ranging implications for surviving loved ones. Moreover, the now-deceased individual cannot participate in any relational mending. Our analysis reveals the hefty moral costs that disclosure can bring, which should influence what information is given to would-be donors and how organ procurement coordinators approach these conversations.
针对安妮·L·达莱·阿韦和大卫·M·肖的观点，我们认同他们的总体论点，但强调在已故捐赠案例中披露艾滋病毒的道德风险：关系破裂的风险。由于亲密关系对我们的自我认知和人生规划至关重要，这种破裂可能会对在世的亲人产生深远影响。此外，现已去世的个人无法参与任何关系修复。我们的分析揭示了披露可能带来的巨大道德成本，这应该会影响向潜在捐赠者提供哪些信息，以及器官获取协调员如何进行这些谈话。
