Supported Decision Making With People at the Margins of Autonomy
This article argues that supported decision making is ideal for people with dynamic cognitive and functional impairments that place them at the margins of autonomy. First, we argue that guardianship and similar surrogate decision-making frameworks may be inappropriate for people with dynamic impairments. Second, we provide a conceptual foundation for supported decision making for individuals with dynamic impairments, which integrates the social model of disability with relational accounts of autonomy. Third, we propose a three-step model that specifies the necessary conditions of supported decision making: identifying domains for support; identifying kinds of supports; and reaching a mutually acceptable and formal agreement. Finally, we identify a series of challenges for supported decision making, provide preliminary responses, and highlight avenues for future bioethics research.
| Errataetall: |
CommentIn: Am J Bioeth. 2021 Nov;21(11):27-29. - PMID 34710006 |
|---|---|
| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2021 |
|---|---|
| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:21 |
|---|---|
| Enthalten in: |
The American journal of bioethics : AJOB - 21(2021), 11 vom: 02. Nov., Seite 4-18 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Peterson, Andrew [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Aging |
|---|
| Anmerkungen: |
Date Completed 05.11.2021 Date Revised 07.11.2023 published: Print-Electronic CommentIn: Am J Bioeth. 2021 Nov;21(11):27-29. - PMID 34710006 Citation Status MEDLINE |
|---|
| doi: |
10.1080/15265161.2020.1863507 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM319370259 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM319370259 | ||
| 003 | DE-627 | ||
| 005 | 20231225171314.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2021 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1080/15265161.2020.1863507 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1064.xml |
| 035 | |a (DE-627)NLM319370259 | ||
| 035 | |a (NLM)33372858 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Peterson, Andrew |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Supported Decision Making With People at the Margins of Autonomy |
| 264 | 1 | |c 2021 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 05.11.2021 | ||
| 500 | |a Date Revised 07.11.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a CommentIn: Am J Bioeth. 2021 Nov;21(11):27-29. - PMID 34710006 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a This article argues that supported decision making is ideal for people with dynamic cognitive and functional impairments that place them at the margins of autonomy. First, we argue that guardianship and similar surrogate decision-making frameworks may be inappropriate for people with dynamic impairments. Second, we provide a conceptual foundation for supported decision making for individuals with dynamic impairments, which integrates the social model of disability with relational accounts of autonomy. Third, we propose a three-step model that specifies the necessary conditions of supported decision making: identifying domains for support; identifying kinds of supports; and reaching a mutually acceptable and formal agreement. Finally, we identify a series of challenges for supported decision making, provide preliminary responses, and highlight avenues for future bioethics research | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, N.I.H., Extramural | |
| 650 | 4 | |a Disability | |
| 650 | 4 | |a aging | |
| 650 | 4 | |a chronic conditions | |
| 650 | 4 | |a decision making | |
| 650 | 4 | |a health policy | |
| 650 | 4 | |a neurodegenerative disease | |
| 650 | 4 | |a neurology | |
| 650 | 4 | |a rehabilitation | |
| 700 | 1 | |a Karlawish, Jason |e verfasserin |4 aut | |
| 700 | 1 | |a Largent, Emily |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t The American journal of bioethics : AJOB |d 2001 |g 21(2021), 11 vom: 02. Nov., Seite 4-18 |w (DE-627)NLM116966998 |x 1536-0075 |7 nnns |
| 773 | 1 | 8 | |g volume:21 |g year:2021 |g number:11 |g day:02 |g month:11 |g pages:4-18 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1080/15265161.2020.1863507 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 21 |j 2021 |e 11 |b 02 |c 11 |h 4-18 | ||