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Journal of General Internal Medicine
Published in: Journal of General Internal Medicine 1/2009

01-01-2009 | Letter to the Editor

Substituted Judgment

Authors: Donna T. Chen, MD, MPH, Lois L. Shepherd, JD, Margaret E. Mohrmann, MD, PhD

Published in: Journal of General Internal Medicine | Issue 1/2009

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Excerpt

To the Editor:—Dr. Torke and colleagues urge us to reject substituted judgment in favor of a narrative approach to surrogate decision-making.1 While we find much to applaud in their approach, we think they perpetuate an unnecessarily narrow conception of “substituted judgment.” Further, we are puzzled by their suggestion that the “family in crisis” be the focus of moral concern, rather than the incompetent patient. …
Literature
1.
Torke AM, Alexander GC, Lantos J. Substituted judgment: the limitations of autonomy in surrogate decision making. J Gen Intern Med. 2008;23(9)1514–7.PubMedCrossRef
2.
Lo B. Resolving Ethical Dilemmas: A Guide for Clinicians. Third Edition. Philadelphia: Lippincott Williams and Wilkins; 2005:86.
3.
Meisel A, Cerminara KL. The Right to Die: The Law of End-of-life Decisionmaking. Third Edition. New York: Aspen Publishers; 2004:§§4.02[B]–4.03[B].
4.
Meisel A, Cerminara KL. The Right to Die: The Law of End-of-life Decisionmaking. Third Edition. New York: Aspen Publishers; 2004:§§4.06[A]–[C].
Metadata
Title
Substituted Judgment
Authors
Donna T. Chen, MD, MPH
Lois L. Shepherd, JD
Margaret E. Mohrmann, MD, PhD
Publication date
01-01-2009
Publisher
Springer-Verlag
Published in
Journal of General Internal Medicine / Issue 1/2009
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-008-0844-1

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