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青少年决策:重视特定年龄阶段的价值观。

Adolescent decision-making: giving weight to age-specific values.

作者信息

Ladd R E, Forman E N

机构信息

Department of Philosophy, Wheaton College, Norton, MA, USA.

出版信息

Theor Med. 1995 Dec;16(4):333-45. doi: 10.1007/BF00995480.

DOI:10.1007/BF00995480
PMID:8820747
Abstract

Adults who give proxy consent for medical treatment for adolescents must decide how much weight to give to adolescents' own preferences. There is evidence that some adolescents choose treatments different from what adults see as most reasonable. It is argued that adolescents choose according to age-specific values, i.e. values they hold, as adolescents, and which fulfil important developmental needs. Because not fulfilling these needs may do serious psychological damage, it is urged that proxies give weight to these values, up to the limit where it would endanger or profoundly limit future life.

摘要

为青少年医疗治疗提供代理同意的成年人必须决定在多大程度上考虑青少年自己的偏好。有证据表明,一些青少年选择的治疗方法与成年人认为最合理的方法不同。有人认为,青少年是根据特定年龄的价值观进行选择的,即他们作为青少年所秉持的、满足重要发展需求的价值观。由于不满足这些需求可能会造成严重的心理伤害,因此有人敦促代理人重视这些价值观,但要以不危及或严重限制未来生活为限。

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本文引用的文献

1
The competency of children and adolescents to make informed treatment decisions.儿童和青少年做出明智治疗决策的能力。
Child Dev. 1982 Dec;53(6):1589-98.
2
Minors' assent or dissent to medical treatment.未成年人对医疗治疗的同意或不同意。
J Pediatr. 1983 Feb;102(2):169-76. doi: 10.1016/s0022-3476(83)80514-9.
这是谁的未来?肿瘤生育领域中关于女儿治疗的伦理家庭决策。
Cancer Treat Res. 2010;156:429-45. doi: 10.1007/978-1-4419-6518-9_33.
4
Health values in adolescents with or without inflammatory bowel disease.患有或未患有炎症性肠病的青少年的健康价值观。
J Pediatr. 2009 Apr;154(4):527-34. doi: 10.1016/j.jpeds.2008.10.003. Epub 2008 Nov 22.
5
Withholding life-sustaining treatment: are adolescents competent to make these decisions?停止维持生命的治疗:青少年有能力做出这些决定吗?
CMAJ. 2000 May 30;162(11):1585-8.