Silber T J
J Fam Pract. 1982 Nov;15(5):909-11.
Adolescents increasingly come to physicians' offices for contraceptive care. This raises the issue of parental involvement, often formulated in terms of conflict around the issues of consent and confidentiality. In the past two decades, a new philosophy has emerged that deals with the issues from a perspective of the "civil rights" of adolescents. This concept, referred to as the "mature minor doctrine," allows for parents or the state to represent the minors' interest only as long as the adolescent is not able to do so. The ethical justification for this position is based on the principles of autonomy and beneficence. The legal implications are being developed in state laws which recognize that teenagers should have access to confidential medical care in order to facilitate contraceptive knowledge and prevention of pregnancy.
青少年越来越多地前往医生办公室寻求避孕护理。这引发了父母参与的问题，该问题通常围绕同意和保密问题产生冲突。在过去二十年中，出现了一种新的理念，即从青少年“民权”的角度来处理这些问题。这一概念被称为“成熟未成年人原则”，它规定只要青少年自己无法维护自身利益，父母或国家才能代表未成年人的利益。这一立场的伦理依据基于自主和行善原则。其法律影响正在各州法律中得到发展，这些法律承认青少年应该能够获得保密的医疗护理，以便促进避孕知识普及和预防怀孕。
