Riviste dell'Ateneo Pontificio Regina Apostolorum, Roma
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Dimensione sapienziale della filosofia. Una rilettura della «Fides et Ratio» in chiave bonaventuriana
Agency, autonomy and consent: cues from the neuroscience of self-control
In this paper I intend to focus on common alterations and distortions to an informed, voluntary, and decisionally-capacitated consent in the medical setting, especially those that impact the patient’s decision-making process. In doing so, I will focus on two specific issues. On the one hand, I will examine cognitive biases and self-deceptive processes that may affect the patient’s choice and autonomy. On the other hand, I will discuss the capacity of self-government as what usually referred to as the neurocognitive capacity of self-control. My view thus consists of two main claims: that even in capacitated individuals, consent to treatment/research is not necessarily identifiable as fully rational and deliberative choice; however, that empirical literature about self-control may shed some light on how to improve informed consent procedures as such
Informed consent – A Critical Response from a Buddhist Perspective
According to the UDBHR document, “informed consent process requires of four characteristics to be valid: voluntariness, disclosure, understanding and capacity. Whenever one of these elements is missing, informed consent can be compromised.” Tom L. Beauchamp and James F. Childress in their Principle of Biomedical Ethics claim that informed consent is an individual’s autonomous authorization, whereby they postulate seven structural elements, including threshold elements (competence to understand and decide; voluntariness in deciding), information elements (disclosure of material information; recommendation of a plan; understanding of the information and recommended plan), and consent elements (decision in favor of the plan; authorization of the chosen plan).[i] In this paper I will first look at these four characteristics, and then discuss their ethical implications (for example, individual’s autonomy and human rights), followed by a critical response of these implications from a perspective of Buddhism
Sexuality in the Jewish Tradition
This brief contribution aims at underlining some of the main rules governing the sphere of sexuality in the Jewish tradition