Abstract
In Western countries, respect for autonomy always acts as a guiding principle in medical practice and in tackling many thorny issues in Bioethics. For instance, physicians will routinely first inform their patients alone about their illness if they are competent, and only then ask whether they want to discuss with others, such as their families or other acquaintances, to make their own clinical decisions. If the patients do not want persons other than the medical professionals to participate in the discussion, the medical professionals are required to keep it confidential. Though the patients’ autonomy seems to be respected in these practices, such respect for autonomy has been challenged by many studies. In particular, the practices seem not to be suitable for non-Western countries, such as Taiwan, in which the patient’s family plays an important role in clinical decision making.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Notes
- 1.
All my citations of Confucian classics are based on those by James Legge (1972) but adapted by me.
References
Beauchamp, T. L., and J. F. Childress. 2001. Principle of biomedical ethics. 5th ed. Oxford: Oxford University Press.
Buchanan, A. E., and D. W. Brock. 1989. Deciding for others: The ethics of surrogate decision making. Cambridge: Cambridge University Press.
Chen, S. F., and K. Y Jeng. 1999. Let her know if you love her. Quarterly Journal of Cancer Care 4:40–42. [In Chinese.]
Fan, R. 2002. Reconsidering surrogate decision-making: Aristotelianism and Confucianism on ideal human relations. Philosophy East & West 52:346–372.
Fan, R. 2007. Confucian familism and its bioethical implications. In The family, medical decision-making, and biotechnology, ed. S. C. Lee, 15–26. Dordrecht: Springer.
Fan, R. 2011. Contemporary Confucian bioethics. Beijing: Beijing University Press. [In Chinese.]
Hu, W. Y., T. Y. Chiu, R. B. Chuang, and C. Y. Chen. 2002. Solving family-related barriers to truthfulness in cases of terminal cancer in Taiwan. Cancer Nursing 25 (6): 486–492.
Huang, C. H., W. Y. Hu, T. Y. Chiu, and C. Y. Chen. 2008. The practicalities of terminally ill patients signing their own DNR orders—a study in Taiwan. Journal of Medical Ethics 34:336–340.
Lee, S. C. 2007. On relational autonomy: From feminist critique to confucian model for clinical practice. In The family, medical decision-making, and biotechnology, ed. S. C. Lee, 83–93. Dordrecht: Springer.
Lee, S. C. 2008. Theories and models of clinical ethical consultation. In Clinical ethics consultation: Theory and practice, ed. S. C. Lee and D. J. Tsai, 3–19. Taipei: Wunan. [In Chinese.]
Legge, J. 1972. The Chinese classics: With a translation, critical and exegetical notes, prolegomena, and copious indexes. 2nd ed. Taipei: Wen Shih Che Publishing Co.
Ministry of Health and Welfare. 2009. Physicians act. Laws and regulations database of the Republic of China. http://law.moj.gov.tw/Eng/LawClass/LawAll.aspx?PCode=L0020001.
Ministry of Health and Welfare. 2013. Hospice care law. Laws and regulations database of the Republic of China. [In Chinese.] http://law.moj.gov.tw/LawClass/LawAll.aspx?PCode=L0020066.
Ruan, Y. 1978. The thirteen classics with notes and commentaries. vol. 8. [In Chinese.] Taipei: Shin Wen Feng Print Co.
Sheu, S.-J. 2007. The moral ground of truth telling guideline development: The choice between autonomy and paternalism. In The family, medical decision-making, and biotechnology, ed. S. C. Lee, 59–70. Dordrecht: Springer.
Tang, S. T., T. W. Liu, M. S. Lai, L. N. Liu, C. H. Chen, and S. L. Koong. 2006. Congruence of knowledge, experiences, and preferences for disclosure of diagnosis and prognosis between terminally-ill cancer patients and their family caregivers in Taiwan. Cancer Investigation 24:360–366.
Tsai, F. C., H. C. Pan, T. M. Wu, T. Y. Chiu, and T. S. Huang. 2006. The ethical-legal issues in advance care planning. Formosan Journal of Medicine 10 (4): 517–536. [In Chinese.]
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Wong, H. (2015). Towards a Good Practice of Family-Oriented Consent: Reflections on Medical Practice in Taiwan. In: Fan, R. (eds) Family-Oriented Informed Consent. Philosophy and Medicine(), vol 121. Springer, Cham. https://doi.org/10.1007/978-3-319-12120-8_16
Download citation
DOI: https://doi.org/10.1007/978-3-319-12120-8_16
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-12119-2
Online ISBN: 978-3-319-12120-8
eBook Packages: Humanities, Social Sciences and LawPhilosophy and Religion (R0)