The theoretical and practical arguments against the unilateral withdrawal of life-sustaining treatment during crisis standards of care: Does the Knobe effect apply to unilateral withdrawal?

Some argue that it is ethically justifiable to unilaterally withdraw life-sustaining treatment during crisis standards of care without the patient's consent in order to reallocate it to another patient with a better chance of survival. This justification has been supported by two lines of argum...

Full description

Saved in:  
Bibliographic Details
Authors: Maldonado, Fabien (Author) ; Gill, Michael B. (Author)
Format: Electronic Article
Language:English
Check availability: HBZ Gateway
Journals Online & Print:
Drawer...
Fernleihe:Fernleihe für die Fachinformationsdienste
Published: Wiley-Blackwell 2022
In: Bioethics
Year: 2022, Volume: 36, Issue: 9, Pages: 964-969
IxTheo Classification:NCH Medical ethics
Further subjects:B withdrawal of life-sustaining treatment
B Knobe Effect
B crisis standards of care
B rule of double effect
B equivalence thesis
Online Access: Volltext (lizenzpflichtig)
Volltext (lizenzpflichtig)

MARC

LEADER 00000caa a22000002 4500
001 1819845036
003 DE-627
005 20221102154347.0
007 cr uuu---uuuuu
008 221025s2022 xx |||||o 00| ||eng c
024 7 |a 10.1111/bioe.13093  |2 doi 
035 |a (DE-627)1819845036 
035 |a (DE-599)KXP1819845036 
040 |a DE-627  |b ger  |c DE-627  |e rda 
041 |a eng 
084 |a 1  |2 ssgn 
100 1 |a Maldonado, Fabien  |e VerfasserIn  |4 aut 
245 1 4 |a The theoretical and practical arguments against the unilateral withdrawal of life-sustaining treatment during crisis standards of care: Does the Knobe effect apply to unilateral withdrawal? 
264 1 |c 2022 
336 |a Text  |b txt  |2 rdacontent 
337 |a Computermedien  |b c  |2 rdamedia 
338 |a Online-Ressource  |b cr  |2 rdacarrier 
520 |a Some argue that it is ethically justifiable to unilaterally withdraw life-sustaining treatment during crisis standards of care without the patient's consent in order to reallocate it to another patient with a better chance of survival. This justification has been supported by two lines of argument: the equivalence thesis and the rule of the double effect. We argue that there are theoretical issues with the first and practical ones with the second, as supported by an experiment aimed at exploring whether the Knobe effect, which affects the folk concept of intention, applies to situations of unilateral withdrawal. Fifty-two critical care physicians from one university were asked to ascribe intention in two hypothetical scenarios A and B in which outcomes differ—the patient from whom life-sustaining treatment is withdrawn dies in scenario A but survives in scenario B—but the intention, to save the other patient regardless of the outcome of the other, is the same. The survey was administered via a web-based survey and all answers were anonymous. A paired proportion test was used to compare responses to both questions. All 52 surveyed individuals responded in scenario A and 30 (57.7%) ascribed intention when outcomes were unfavorable, whereas 50 responded in scenario B and 8 (16%) ascribed intention when outcomes were favorable, a difference that was statistically significant (p < 0.001). There are theoretical and practical issues with the arguments proposed to justify the unilateral withdrawal of life-sustaining treatment based on the equivalence thesis and the rule of double effect. 
601 |a Argumentation 
650 4 |a withdrawal of life-sustaining treatment 
650 4 |a rule of double effect 
650 4 |a Knobe Effect 
650 4 |a equivalence thesis 
650 4 |a crisis standards of care 
652 |a NCH 
700 1 |a Gill, Michael B.  |e VerfasserIn  |4 aut 
773 0 8 |i Enthalten in  |t Bioethics  |d Oxford [u.a.] : Wiley-Blackwell, 1987  |g 36(2022), 9, Seite 964-969  |h Online-Ressource  |w (DE-627)271596708  |w (DE-600)1480658-7  |w (DE-576)078707986  |x 1467-8519  |7 nnns 
773 1 8 |g volume:36  |g year:2022  |g number:9  |g pages:964-969 
856 4 0 |u https://doi.org/10.1111/bioe.13093  |x Resolving-System  |z lizenzpflichtig  |3 Volltext 
856 4 0 |u https://onlinelibrary.wiley.com/doi/abs/10.1111/bioe.13093  |x Verlag  |z lizenzpflichtig  |3 Volltext 
935 |a mteo 
951 |a AR 
ELC |a 1 
ITA |a 1  |t 1 
LOK |0 000 xxxxxcx a22 zn 4500 
LOK |0 001 4201584321 
LOK |0 003 DE-627 
LOK |0 004 1819845036 
LOK |0 005 20221102154347 
LOK |0 008 221025||||||||||||||||ger||||||| 
LOK |0 035   |a (DE-Tue135)IxTheo#2022-10-24#5D427714803249ABE80B1F5DC2ADFD189F185109 
LOK |0 040   |a DE-Tue135  |c DE-627  |d DE-Tue135 
LOK |0 092   |o n 
LOK |0 852   |a DE-Tue135 
LOK |0 852 1  |9 00 
LOK |0 935   |a ixzs  |a zota 
LOK |0 936ln  |0 1550736558  |a NCH 
ORI |a SA-MARC-ixtheoa001.raw