PHLB09H3 Lecture Notes - Lecture 4: Paternalism
Document Summary
Allan e. buchanan and dan w. brock: standards of competence . How do we determine a patient"s level of competency?". Worry about paternalism can we force a treatment if we think a patient is wrong (old school medicine says yes) A minimal standard of competence (e. g. the ability to express a preference: doesn"t protect well-being, we don"t know a person"s reasoning/state of mind. Anyone can state a preference might end up with a preference that could harm them. An outcome standard of competence (e. g. the choice represents what other rational people would choose: doesn"t protect autonomy, doesn"t allow enough cases through because they don"t match up to some predetermined standard. Sure, make a decision but if you pick the wrong one, you"re incompetent. : their values may not match up with ours. Outcome would say that they"re incompetent: strong paternalism. A process standard of competence (e. g. focuses on the process of reasoning vs. the content of the choice)
