A Study of Informal Competency Determinations in Primary Care

  • Mary Ann Gardell Cutter
  • Earl E. Shelp

Part of the Philosophy and Medicine book series (PHME, volume 39)

Table of contents

  1. Front Matter
    Pages i-xix
  2. The Clinical Context

    1. Front Matter
      Pages 1-1
    2. Edmund D. Pellegrino
      Pages 29-45
  3. Reexamining Concepts of Competence

    1. Front Matter
      Pages 47-47
    2. Tom L. Beauchamp
      Pages 49-77
  4. Fashioning Law and Public Policy

    1. Front Matter
      Pages 91-91
    2. John A. Robertson
      Pages 127-148
    3. Patricia D. White, Susan Hankin Denise
      Pages 149-164
  5. Case Studies: Seeking Insight From Application

    1. Front Matter
      Pages 165-165
    2. Edwin R. Dubose Jr., Earl E. Shelp
      Pages 185-194
  6. Commentary and Critique: Another Look at Concepts of Competence

    1. Front Matter
      Pages 195-195
    2. Harold Y. Vanderpool
      Pages 197-210
    3. Kenneth F. Schaffner
      Pages 253-281
  7. Back Matter
    Pages 283-290

About this book


Some conferences produce proceedings, others an inspiration to labor, which finally leads to a published work. Such has been the case with regard to this volume. In 1984, the Center for Ethics, Medicine, and Public Issues held a conference with the title 'When are Competent Patients Incompetent?' with the support of the Texas Committee for the Humanities, a state-based program of the National Endowment for the Humanities. Assistance was provided by both Baylor College of Medicine and the Institute of Religion. This conference evoked a con­ siderable interest in examining further the moral status of competency determinations in the clinical setting. This interest is realized in this volume, which now affords us an opportunity to thank all those individ­ uals who made the conference possible, only some of whom are acknowledged in this Preface. In particular, we wish to express our gratitude to Baruch A. Brody, Rebecca Dresser, the Honorable Jerome Jones, H. Steven Moffic, Margery W. Shaw, Eleanor Tinsley, and Albert Van HeIden. The volume took its shape through the labors of Earl Shelp and Mary Ann Gardell Cutter, who inspired the further evolution of the papers presented at the conference and attracted contributions from individuals who had not attended. Earl Shelp and Mary Ann Gardell Cutter have produced a volume following extensive reflection and dialogue; they were ably assisted in the final preparation of the manu­ script by Thomas J. Bole III and George Khushf, to whom special thanks are due.


ethics freedom health morality philosophy

Editors and affiliations

  • Mary Ann Gardell Cutter
    • 1
  • Earl E. Shelp
    • 2
  1. 1.Dept. of PhilosophyUniversity of Colorado at Colorado SpringsUSA
  2. 2.Foundation for Interfaith Research and MinistryUSA

Bibliographic information

  • DOI
  • Copyright Information Kluwer Academic Publishers 1991
  • Publisher Name Springer, Dordrecht
  • eBook Packages Springer Book Archive
  • Print ISBN 978-94-010-5603-8
  • Online ISBN 978-94-011-3614-3
  • Series Print ISSN 0376-7418
  • Buy this book on publisher's site