Patients’ Decision-Making Competence: Discontents with a Risk-Relative Conception

In James F. Childress & Michael Quante (eds.), Thick (Concepts of) Autonomy: Personal Autonomy in Ethics and Bioethics. Springer Verlag. pp. 151-174 (2021)
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Abstract

Regarding patients’ valid informed consent to treatment, it is a still contested issue, whether the level of required decisional competency should mirror the riskiness of the treatment at stake. This chapter attempts to refute such a risk-relative conception of competence on the basis of a systematic analysis of relevant arguments, both conceptual and normative ones. A misconception of autonomy’s proper value and attribution as well as the danger of a hidden paternalism are among the main objections against RRCC.

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