Shared decision-making between patients and physicians strives to balance decisional responsibility for clinical decisions. Directed by patients, SDM incorporates patients’ values and prefere...

We endorse Amy Caruso Brown’s position that clinicians and ethicists should consider the voices of people marginalized by hierarchical family or community structures. In this open peer comme...

Perhaps the central focus of American bioethics has been to push against medical paternalism on the grounds that it impedes the autonomy of patients—that is, their ability to make choices of their...

In “Acquiescence is Not Agreement,” Caruso Brown (2022) offers a comprehensive framework for identifying and empowering marginalized voices in pediatric decision-making. She does so through both a...

As complicated as decision-making in pediatrics is, we should be grateful that most of the time, it works. The inherently dyadic or triadic nature of interactions between clinicians, pediatric pati...

In “Acquiescence Is Not Agreement: The Problem of Marginalization in Pediatric Decision Making,” Caruso Brown argues that clinicians and ethicists should attend to voices marginalized by hie...

Ethical decision making for pediatric populations is necessarily contextualized in a network of adult decision-makers, some of whom may be marginalized in complex systems of power, culture and gend...

Amy E. Caruso Brown (2022) considers situations in which a minor child’s parent or legal guardian (the “marginalized decision-maker (MDM)”) defers to another individual (the “primary decision-maker...