| Advance directives outside the USA: are they the best solution everywhere? | |
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MedLine Citation:
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PMID: 9271918 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This article evaluates the potential role of advance directives outside of their original North American context. In order to do this, the article first analyses the historical process which has promoted advance directives in recent years. Next, it brings to light certain presuppositions which have given them force: atomistic individualism, contractualism, consumerism and entrepreneurialism, pluralism, proceduralism, and "American moralism." The article next studies certain European cultural peculiarities which could affect advance directives: the importance of virtue versus rights, stoicism versus consumerist utilitarianism, rationalism verus empiricism, statism versus citizens' initiative, and justice versus autonomy. The article concludes by recognising that autonomy has a transcultural value, although it must be balanced with other principles. Advance Directives can have a function in certain cases. But it does not seem adequate to delegate to advance directives more and more medical decisions, and to make them more binding everyday. It is indispensable to develop other decision-making criteria. |
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Authors:
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M A Sanchez-Gonzalez |
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Publication Detail:
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Type: Historical Article; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Theoretical medicine Volume: 18 ISSN: 0167-9902 ISO Abbreviation: Theor Med Publication Date: 1997 Sep |
Date Detail:
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Created Date: 1997-09-09 Completed Date: 1997-09-09 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8405140 Medline TA: Theor Med Country: NETHERLANDS |
Other Details:
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Languages: eng Pagination: 283-301 Citation Subset: E; IM; Q |
Affiliation:
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Department of History of Medicine, School of Medicine, Complutense University of Madrid, Spain. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Advance Directives*
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history,
legislation & jurisprudence Beneficence Contracts Cultural Diversity* Ethical Relativism Ethics, Medical Europe History, 19th Century History, 20th Century Informed Consent / history Internationality* Morals Patient Rights Personal Autonomy* Personhood Philosophy / history Politics Resource Allocation Risk Assessment Secularism Social Responsibility Social Values* Trust United States Virtues Withholding Treatment |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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