Ladd R E, Forman E N
Department of Philosophy, Wheaton College, Norton, MA, USA.
Theor Med. 1995 Dec;16(4):333-45. doi: 10.1007/BF00995480.
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.
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。