Has the Emphasis on Autonomy Gone Too Far? Insights from Dostoevsky on Parental Decisionmaking in the NICU

In a recent essay, George Annas, the legal columnist for The New England Journal of Medicine, observed that the resuscitation of extremely premature infants, even over parental objection, is not problematic because “once the child's medical status has been determined, the parents have the legal...

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Bibliographic Details
Authors: Paris, John J. (Author) ; Graham, Neil (Author) ; Schreiber, Michael D. (Author) ; Goodwin, Michele (Author)
Format: Electronic Article
Language:English
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Published: Cambridge Univ. Press 2006
In: Cambridge quarterly of healthcare ethics
Year: 2006, Volume: 15, Issue: 2, Pages: 147-151
Online Access: Volltext (lizenzpflichtig)
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Summary:In a recent essay, George Annas, the legal columnist for The New England Journal of Medicine, observed that the resuscitation of extremely premature infants, even over parental objection, is not problematic because “once the child's medical status has been determined, the parents have the legal authority to make all subsequent decisions.” Annas himself is quick to concede that treatment in a high-technology neonatal intensive care unit (NICU) frequently takes on a life of its own. He also acknowledges that although bioethicists and courts agree that there is no ethical or legal difference between withholding or withdrawing a respirator from a patient, parents and physicians find the withdrawal much more emotionally troubling.
ISSN:1469-2147
Contains:Enthalten in: Cambridge quarterly of healthcare ethics
Persistent identifiers:DOI: 10.1017/S0963180106060178