PHL 111 Lecture Notes - Lecture 30: Diminished Responsibility, Blood Transfusion, Lifesaving

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Negatively, consent acts as a prohibition against performing any medical intervention without the express permission of the patient (e. g. blood transfusion) Positively, consent acts as a prescription toward performing any medical intervention at the express demand of the patient (e. g. cosmetic surgery) Neutrally, consent acts as a directive toward performing any medical intervention that a competent patient would desire (e. g. removal of life-sustaining treatment) Our genetics, biochemical psychic disposition, education, beliefs, values, expressions, activities, and the intrinsic and extrinsic motivations of each significantly determine our self-identity > this is largely what autonomy involves and protects. Self-identity, self-interest and consent: what we consent to have done to us are those things we understand to express our autonomy; i. e. what we self-determinate to be in our best self-interest consistent with our self-identity. If someone qualifies as an autonomous agent, then that person must have the capacity to understand, judge and act on relevant information consistent with their self-determined.

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