自己決定の諸問題 : 自己決定と関係性
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概要
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If the meaning of self-determination is 'voluntary determination about one's own fate and course of action while remaining free from controlling interferences from others', the following patient decisions are comprehended as self-determination: (1) choosing unwillingly one treatment considering various circumstances; (2) choosing one treatment from choices represented by a doctor; (3) choosing one treatment from more choices than the above, getting information on various treatments from other sources than the doctor's information; (4) leaving one's own decision about treatment to the doctor. An explanation of these four situations follows:(l) an unwilling decision is self-determining, because this decision is derived from free will. With regard to (2) and (3), (3) is maybe more self-determining than (2), fer a patient gets the information through his/her own efforts. However, both are self-determining because both are voluntary decisions. (4) Though the patient gives up his/her own determination to choose the treatment, he/she decides voluntarily to give up his/her choice to the doctor. Therefore, patient decisions are self-determining in these four situations. For this reason, if self-determination is understood to be of great advantage to a patient, it needs to consider its relationship with the various situations, for example, how to inform the patient about his/her condition and various treatments, and the circumstances.
- 日本医学哲学・倫理学会の論文
- 2002-11-10