医療における「主体」と「判断」 : 理論モデルの形成(第7回日本生命倫理学会年次大会ワークショップ「パターナリズムーどこまで許されるのか」発表原著)

• 熊倉 伸宏

  東邦大学医学部公衆衛生学

書誌事項

タイトル別名

• "Subject" and "Judgement" in medical practice : Towards a theoretical model

抄録

The quality of clinical practice varies according to how properly "subjective judgment" of a patient will be identified. In a traditional model of medicine such as "the doctrine of informed consent", humane beings are supposed to be always rational enough to make a reasonable self-determination. This view is scrutinized here, and replaced by another one that subjective judgment is a living process composed of abundant contradictions. This led us to schematic presentations of three clinical types of interventions : voluntary treatment, involuntary treatment, and uninformed treatment. By a further consideration of the models, it was suggested that every clinical practice is composed of some portion of "self-determinations", "compulsions", and "deceptions". Any attempts to explain a treatment by only one of the three components, make treatment unreal and inhumane.

収録刊行物

• 生命倫理

  生命倫理 6 (1), 27-31, 1996

  日本生命倫理学会

キーワード

• インフォームド・コンセント
• 「強制」治療
• 非告知投薬
• 主体的判断

詳細情報

• CRID: 1390282679462547072
• NII論文ID: 110001236899
• NII書誌ID: AN10355291
• DOI: 10.20593/jabedit.6.1_27
• ISSN: 2189695X
• ISSN: 13434063
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可