Overriding adolescent refusals of treatment

Adolescents are routinely treated differently to adults, even when they possess similar capacities. In this article, we explore the justification for one case of differential treatment of adolescents. We attempt to make philosophical sense of the concurrent consents doctrine in law: adolescents foun...

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Main Authors: Skelton, A, Forsberg, L, Black, I
Format: Journal article
Language:English
Published: University of Southern California 2021
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author Skelton, A
Forsberg, L
Black, I
author_facet Skelton, A
Forsberg, L
Black, I
author_sort Skelton, A
collection OXFORD
description Adolescents are routinely treated differently to adults, even when they possess similar capacities. In this article, we explore the justification for one case of differential treatment of adolescents. We attempt to make philosophical sense of the concurrent consents doctrine in law: adolescents found to have decision-making capacity have the power to consent to—and thereby, all else being equal, permit—their own medical treatment, but they lack the power always to refuse treatment and so render it impermissible. Other parties, that is, individuals who exercise parental responsibility or a court, retain the authority to consent on an adolescent’s behalf. We explore four defences of the doctrine. We reject two attempts to defend the asymmetry in the power to consent to and refuse medical treatment by reference to transitional paternalism. We then consider and reject a stage of life justification. Finally, we articulate a justification based on the distinctiveness of adolescent well-being.
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spelling oxford-uuid:5c2b1f8c-81b0-48c8-a32c-b184808ac44b2022-03-26T17:26:36ZOverriding adolescent refusals of treatmentJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:5c2b1f8c-81b0-48c8-a32c-b184808ac44bEnglishSymplectic ElementsUniversity of Southern California2021Skelton, AForsberg, LBlack, IAdolescents are routinely treated differently to adults, even when they possess similar capacities. In this article, we explore the justification for one case of differential treatment of adolescents. We attempt to make philosophical sense of the concurrent consents doctrine in law: adolescents found to have decision-making capacity have the power to consent to—and thereby, all else being equal, permit—their own medical treatment, but they lack the power always to refuse treatment and so render it impermissible. Other parties, that is, individuals who exercise parental responsibility or a court, retain the authority to consent on an adolescent’s behalf. We explore four defences of the doctrine. We reject two attempts to defend the asymmetry in the power to consent to and refuse medical treatment by reference to transitional paternalism. We then consider and reject a stage of life justification. Finally, we articulate a justification based on the distinctiveness of adolescent well-being.
spellingShingle Skelton, A
Forsberg, L
Black, I
Overriding adolescent refusals of treatment
title Overriding adolescent refusals of treatment
title_full Overriding adolescent refusals of treatment
title_fullStr Overriding adolescent refusals of treatment
title_full_unstemmed Overriding adolescent refusals of treatment
title_short Overriding adolescent refusals of treatment
title_sort overriding adolescent refusals of treatment
work_keys_str_mv AT skeltona overridingadolescentrefusalsoftreatment
AT forsbergl overridingadolescentrefusalsoftreatment
AT blacki overridingadolescentrefusalsoftreatment