Skip to main content

Dependency, Decisions, and a Family of Care

  • Chapter
  • First Online:
Family-Oriented Informed Consent

Part of the book series: Philosophy and Medicine ((ASBP,volume 121))

Abstract

In American popular culture, the reigning myth is one in which the individual is a cowboy, alone in the wild and capable of sustaining his own life without assistance from others. One thinks of Western movie classics, such as “Shane,” or “The Man with No Name” as quintessentially American. In fact, the good life is the solitary life, one lived alone on the frontier without interference from others. This solitary life as the paradigmatic life can be found even in contemporary American popular culture, for example in movies like “Spiderman” or the Batman series. The hero is solitary, alone in the world, and he alone can protect the society from those who would destroy it. These quintessential American heroes cannot have a family. They can neither love others, nor can they be loved by others; for to be loved and to love leaves them vulnerable to their enemies, who might exploit them and weaken them from the task of creating and protecting the polis.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    It should be noted that John Rawls, in his Theory of Justice, thought that families created and sustained inequality of opportunity (Rawls 1999). He falls short of calling for the full-scale removal of families from the polis; his hard-nosed realism seemed to keep him from calling for the dissolution of the family as seen in the city in speech (Plato 1991). Whereas Plato seems to be speaking about impossibilities in the city in speech and seems know that because of realities of families there is no real possibility for perfect justice, I read Rawls as realizing that one cannot simply call for the dissolution of all intermediary institutions. In other words, I read Rawls as being more cunning, suggesting but not calling for the dissolution of the family, and thereby initiating the dissolution of the family by stealth through subtle state action. This essay is not the place to argue for this point.

  2. 2.

    I have elsewhere reflected on the lacunae of the family in Western philosophical reflection (Bishop 2012).

  3. 3.

    The Doctrine of parens patriae gives the state authority to act as the parent of any member of the state who is unable to make decisions in the best interests of the individual. This doctrine permits the state to remove children from the family and allows the state to act as the child’s parent. There is a fascinating, and oddly inconsistent aspect to the application of this doctrine. When organ transplant teams decide that a child in need of a transplant does not have the familial and social structure in place to justify the use of the scarce resource, the doctrine of parens patriae is not deployed. In other words, organ transplant teams, acting as decisional authorities can make life and death decisions based on familial contexts, but families cannot.

References

  • Arendt, H. 1958. The human condition. 2nd ed. Chicago: University of Chicago Press.

    Google Scholar 

  • Aristotle, B. 1984. The complete works of Aristotle, ed. J. Barnes. Princeton: Princeton University Press.

    Google Scholar 

  • Bishop, J. P. 2011. The anticipatory corpse: Medicine, power and the care of the dying. South Bend: University of Notre Dame Press.

    Google Scholar 

  • Bishop, J. P. 2012. Of life-worlds and savings accounts: Toward a familial philosophy of health care financing. Medicine and Philosophy 33:10–4.

    Google Scholar 

  • Callahan, D. 2000. The troubled dream of life: In search of a peaceful death Washington, DC: Georgetown University Press.

    Google Scholar 

  • Casey, B. J., R. M. Jones, and L. H. Sommerville. 2011. Braking and accelerating the adolescent brain. Journal of Research on Adolescence 21:21–33.

    Article  Google Scholar 

  • Casey, B. J., A. Galvan, and T. A. Hare. 2005. Changes in cerebral functional organization during cognitive development. Current Opinion in Neurobiology 15:239–244.

    Article  Google Scholar 

  • Casey, B. J., S. Getz, and A. Galvan. 2008. The adolescent brain. Developmental Review 28:62–77.

    Article  Google Scholar 

  • Discover. 2012. Investor relations. Discover. http://investorrelations.discoverfinancial.com/phoenix.zhtml?c=204177&p=RssLanding&cat=news&id=1717007. Accessed 25 Nov 2014.

  • Frank, A. W. 2013. From sick role to practices of health and illness. Medical Education 47 (1): 18–25.

    Article  Google Scholar 

  • Galvan, A., T. Hare, H. Voss, G. Glover, and B. J. Casey. 2007. Risk-taking and the adolescent brain: Who is at risk? Developmental Science 10:F8–14.

    Article  Google Scholar 

  • MacIntyre, A. 1999. Dependent rational animals: Why human beings need the virtues. Chicago: Open Court.

    Google Scholar 

  • McGill, A. C. 1987. Death and life. Philadelphia: Fortress Press.

    Google Scholar 

  • Parsons, T. 1975. The sick role and the role of the physician reconsidered. The Milbank Quarterly 53 (3): 257–278.

    Article  Google Scholar 

  • Plato. 1991. The republic of plato. 2nd ed. Trans: A. Bloom. New York: Basic Books.

    Google Scholar 

  • Rawls, J. 1999. A theory of justice. Rev. ed. Cambridge: Belknap Press of Harvard University Press.

    Google Scholar 

  • Reyna, V. F., and F. Farley. 2006. Risk and rationality in adolescent decision making: Implications for theory, practice, and public policy. Psychological Science in the Public Interest 7:1–44.

    Google Scholar 

  • Reyna, V. F., M. B. Adam, K. M. Poirier, C. W. LeCroy, and C. J. Brainerd. 2005. Risky decision-making in childhood and adolescence: A fuzzy-trace theory approach. The development of judgment and decision making in children and adolescents, ed. J. Jacobs and P. Klaczynski, 77–106. Mahwah: Erlbaum.

    Google Scholar 

  • Sallie Mae. 2012. How America pays for college. A national study by Sallie Mae and Ipsos. Salie Mae. https://www1.salliemae.com/about/news_info/research/how_america_pays_2012/. Accessed 25 Nov 2014.

  • Zhang, Y. 1994. Huozhe [To live]. China: Shanghai Film Studio and Era International.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jeffery P. Bishop .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Bishop, J. (2015). Dependency, Decisions, and a Family of Care. 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_2

Download citation

Publish with us

Policies and ethics