Ethik der Medizin

Die Forschungsarbeit der Gruppe ist an den existenziellen Fragen der Philosophie orientiert und zugleich auf die praktischen Anforderungen in der klinischen und regulatorischen Praxis in der Medizin ausgerichtet. Wir befinden uns zur Zeit noch im personellen Aufbau.

Im Bereich der Lehre beteiligt sich die Gruppe gemeinsam mit der Geschichte und Wissenschaftstheorie der Medizin (Prof. Dr. Lara Keuck) und dem Medizinrecht (Jun.-Prof. Dr. Friederike Gebhard) am Aufbau des neuen Studiengangs für Medizin

Aktuelles

Annette Dufner empfiehlt zusammen mit weiteren Expert:innen einen weniger restriktiven Umgang mit Sedierungsbitten am Lebensende. Zum Artikel.

Forschungskolloquium

Das Forschungskolloquium 'Praktische Philosophie' findet jeden Mittwoch von 14:00-16:00 Uhr in X-A4-113 statt (Zeitraum 07.10.24-31.01.25)

Veranstaltungen

Gastvortrag von Joseph Millum

Titel:  Decision-making Capacity and Marginal Agency

Vortragender: Dr. Joseph Millum, University of St. Andrews (Host: Prof. Dr. Annette Dufner, AG 14 – Ethik der Medizin)

Veranstaltungsort: UHG, Hörsaal 14,  Universitätsstraße 25, 33615 Bielefeld

 

Abstract:

Dr. Joseph Millum, University of St Andrews

(Based on work co-authored with Dr. Danielle Bromwich, University of Leeds)

When a person is judged to have decision-making capacity, they can consent for themselves, affording them a degree of control over their lives. They get to decide what they eat, where they live, with whom they associate, and what medical care they receive. A person who is judged to lack decision-making capacity has no right of control and others typically have authority to make certain decisions on their behalf. The stark difference in how we respect people’s rights makes it vitally important to know what justifies judgments about decision-making capacity. Cases of marginal agency—such as older children, persons with moderate cognitive impairments, or dementia patients—illuminate the difficulty of this line drawing. If allowed complete freedom, such individuals are at risk of making some very poor decisions. Yet, they have or retain values and can often be helped to make good decisions in the right environment.

In this talk, I analyze the normative basis of decision-making capacity. Full decision-making capacity entails two rights: first, the power to waive certain claim rights by giving consent; second, a claim against paternalistic interference by others. For example, a competent adult can waive their right against bodily trespass and thereby give an artist permission to tattoo them. Further, even if getting the tattoo is contrary to their interests, third parties are not permitted to interfere and forbid the person to get the tattoo. Most scholars and health care professionals assume that these two rights go together—if someone has the power to consent then they have a claim against paternalistic interference. In this talk, I argue against this common grounds view. The capacities that ground a rights waiver are not the same as those needed to ground a claim against others’ paternalistic interference. Separating these normative grounds allows for an analysis of decision-making capacity that recognizes and respects marginal autonomy without sacrificing the need to protect those with questionable decision-making capacity from harm.

 

Workshop mit Bettina Schöne-Seifert, Joseph Millum und Danielle Bromwich

New Perspectives on Informed Consent

17.01.2024, University of Bielefeld, X-E0-209