陽明交通大學公衛所 Faculty Seminar 通知：113/6/3 林雅萍老師

時間(Time)：113年6月3日(一) 12:10PM – 13:10PM

地點(Location)：醫學二館221教室

講者(Speaker)：林雅萍老師

講題(Title)：Fostering relational autonomy in end-of-life care: a procedural approach and three-dimensional decision-making model

摘要：

Respect for patient autonomy is paramount in resolving ethical tensions in end-of-life care. The concept of relational autonomy has contributed to this debate; however, scholars often use this concept in a fragmented manner. This leads to partial answers on ascertaining patients’ true wishes, meaningfully engaging patients’ significant others, balancing interests among patients and significant others, and determining clinicians’ obligations to change patients’ unconventional convictions to enhance patient autonomy. A satisfactory solution based on relational autonomy must incorporate patients’ competence (apart from decisional capacity), authenticity (their true desires or beliefs), and the involvement level of their significant others. In this talk, I will introduce John Christman’s procedural approach to relational autonomy, highlighting his critical insights, such as diachronic or socio-historical personhood, sustained critical reflection, and his recent explication of the nature of asymmetrical relationships and helpful interlocutors. Following a review of Christman’s account, I will propose minor modifications and advocate for an integrated three-dimensional model for medical decision-making. Additionally, I will present a case study to illustrate the merits of our proposed model in end-of-life care.