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Competency pp 93–125Cite as

Competence: At The Intersection of Law, Medicine, and Philosophy

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

Abstract

In the informed consent setting, our moral interest in competence stems largely from the moral premium we place upon respect for autonomy — roughly, the capacity of a person to shape his own view of the world, and to choose the ways in which he will participate in the world. This capacity, we believe, renders each person morally special, an initiator of thoughts and actions who can bear responsibility for who he is and what he does. Competence, in turn, ordinarily refers to the extent to which a person actually possesses and can exercise such capacities. He who is in full possession of them is considered to be fully competent ([9], [42], [16]).

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Bibliography

  1. Abernethy, V.: 1984, ‘Compassion, Control, and Decisions About Competency’, American Journal of Psychiatry 141, 53–58.

    Google Scholar 

  2. Ackerman, T.: 1982, ‘Why Doctors Should Intervene’, Hastings Center Report 12, 14–17.

    Google Scholar 

  3. Ackerman, T.: 1984, ‘Medical Ethics and the Two Dogmas of Liberalism’ Theoretical Medicine 5, 69–81.

    Article  Google Scholar 

  4. Appelbaum, P. S. and Roth, L. H.: 1982, ‘Competency to Consent to Research’, Archives of General Psychiatry 39, 951–958.

    Article  Google Scholar 

  5. Appelbaum, P. S. and Roth, L. H.: 1982, ‘Treatment Refusals in Medical Hospitals’, in Making Health Care Decisions (Volume Two: Appendices), U.S. Government Printing Office, Washington, D.C., pp. 411–477.

    Google Scholar 

  6. Baumgarten, E.: 1980, ‘The Concept of Competence in Medical Ethics’, Journal of Medical Ethics, 6, 180–184.

    Article  Google Scholar 

  7. Beasley, A. D. and Graber, G. C: 1984, ‘The Range of Autonomy’, Theoretical Medicine 5, 31–41.

    Article  Google Scholar 

  8. Beauchamp, T.: 1991, ‘Competence’, in this volume, pp. 49–77.

    Google Scholar 

  9. Beauchamp, T. and McCullough, L.B.: 1984, Medical Ethics, Prentice-Hall Inc., Englewood Cliffs, New Jersey.

    Google Scholar 

  10. Benn, S. I.: 1976, ‘Freedom, Autonomy and the Concept of Person’ Proceedings of the Aristotelian Society 76, 109–130.

    Google Scholar 

  11. Burra, P., Kimberley, R. and Miura, C.: 1980, ‘Mental Competence and Consent to Treatment’, Canadian Journal of Psychiatry 25, 251–253.

    Google Scholar 

  12. Cassell, E.: 1977, ‘The Function of Medicine’, Hastings Center Report 7, 16–19.

    Google Scholar 

  13. Culver, C. M., Ferrell, R. B. and Green, R. M.: 1980, ‘ECT and Special Problems of Informed Consent’, American Journal of Psychiatry 137, 586–591.

    Google Scholar 

  14. Culver, C. M. and Gert, B.: 1982, Philosophy in Medicine, Oxford University Press, New York, pp. 20–41, 42-63.

    Google Scholar 

  15. Dworkin, G.: 1976, ‘Autonomy and Behavior Control’, Hastings Center Report 6, 23–28.

    Article  Google Scholar 

  16. Dworkin, G.: 1982, ‘Autonomy and Informed Consent’, in Making Health Care Decisions (Volume Three: Appendices), U.S. Government Printing Office, Washington, D.C., pp. 63–81.

    Google Scholar 

  17. Feinberg, J.: 1971, ‘Legal Paternalism’, Canadian Journal of Philosophy 1, 105–124.

    Google Scholar 

  18. Frankfurt, H. G.: 1971, ‘Freedom of the Will and the Concept of a Person’, The Journal of Philosophy 68, 5–20.

    Article  Google Scholar 

  19. Gaylin, W.: 1982, ‘The “Competence” of Children: No Longer All or None’, Journal of the American Academy of Child Psychiatry 21, 153–162.

    Article  Google Scholar 

  20. Goldman, A.: 1980, The Moral Foundations of Professional Ethics, Rowman and Littlefield, Totowa, pp. 156–229.

    Google Scholar 

  21. Gutheil, T. C. and Appelbaum, P. S.: 1982, Clinical Handbook of Psychiatry and the Law, McGraw-Hill Book Co., New York.

    Google Scholar 

  22. Inglefinger, F. J.: 1982, ‘Informed (But Uneducated) Consent’, New England Journal of Medicine 287, 465–466.

    Article  Google Scholar 

  23. Jackson, D. L. and Youngner, S.: 1979, ‘Patient Autonomy and Death With Dignity’, New England Journal of Medicine 301, 404–408.

    Article  Google Scholar 

  24. Jackson, D. and Youngner, S.: 1982, ‘Autonomy and the Need to Preserve Life’, Hastings Center Report 12, 44.

    Google Scholar 

  25. Janicak, P. G. and Bonavich, P. R.: 1980, ‘The Borderland of Autonomy: Medicallegal Criteria for Capacity to Consent’, The Journal of Psychiatry and Law 8, 361–387.

    Google Scholar 

  26. Kaplan, H. I. and Sadock, B. J.: 1981, Modern Synopsis of Comprehensive Textbook of Psychiatry/III, 3rd edition, Williams and Wilkins, Baltimore, Maryland.

    Google Scholar 

  27. Katz, J.: 1981, ‘Disclosure and Consent in Psychiatric Practice’, in C. K. Hofling (ed.), Law and Ethics in the Practice of Psychiatry, Brunner/Mazel, New York, pp. 91–117.

    Google Scholar 

  28. Knight, J. A.: 1991, ‘Judging Competence: When the Psychiatrist Need, or Need Not, Be Involved’ in this volume, pp. 3–28.

    Google Scholar 

  29. Laforet, E. G.: 1976, ‘The Fiction of Informed Consent’, Journal of the American Medical Association 235, 1579–1585.

    Article  Google Scholar 

  30. Leikin, S.: 1982, ‘“Minors” Assent or Dissent to Medical Treatment’, in Making Health Care Decisions (Volume Three: Appendices), U.S. Government Printing Office, Washington, D.C., pp. 175–191.

    Google Scholar 

  31. Lo, B. and Jonsen, A.: 1980, ‘Clinical Decisions to Limit Treatment’ Annals of Internal Medicine 93, 764–768.

    Google Scholar 

  32. Lockwood, R. H.: 1969, ‘Mental Competency of Patients to Consent to Surgical Operation or Medical Treatment’, American Law Reports Annotated 3d. Series 25, 1439–1443.

    Google Scholar 

  33. Luban, D.: 1981, ‘Paternalism and the Legal Profession’, Wisconsin Law Review, 454–493.

    Google Scholar 

  34. Meisel, A.: 1981, ‘The “Exceptions” to Informed Consent’, Connecticut Medicine 45, 27–32.

    Google Scholar 

  35. Meisel, A. and Roth, L. H.: 1981, ‘What We Do and Do Not Know About Informed Consent’ Journal of the American Medical Association 246, 2473–2477.

    Article  Google Scholar 

  36. Miller, B. L.: 1981, ‘Autonomy and the Refusal of Lifesaving Treatment’, Hastings Center Report 11, 22–28.

    Article  Google Scholar 

  37. Morreim, H.: 1983, ‘Three Concepts of Patient Competence’, Theoretical Medicine 4, 231–251.

    Article  Google Scholar 

  38. Murphy, J.: 1979, ‘Therapy and the Problem of Autonomous Consent’, International Journal of Law and Psychiatry 2, 415–430.

    Article  Google Scholar 

  39. Muyskens, J.: 1982, Moral Problems in Nursing, Rowman and Littlefield, Totowa.

    Google Scholar 

  40. Ozar, D.: 1984, ‘“Patients” Autonomy: Three Models of the Professional— Lay Relationship in Medicine’, Theoretical Medicine 5, 61–68.

    Article  Google Scholar 

  41. President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research: 1982, Making Health Care Decisions, U.S. Government Printing Office, Washington, D.C.

    Google Scholar 

  42. Robertson, J.: 1991, ‘The Geography of Competence’, in this volume, pp. 127–148.

    Google Scholar 

  43. Roth, L. H., Meisel, A. and Lidz, C. W.: 1977, ‘Tests of Competency to Consent to Treatment’, American Journal of Psychiatry 134, 279–284.

    Google Scholar 

  44. Sherlock, R.: 1983, ‘Consent, Competency and ECT: Some Critical Suggestions’, Journal of Medical Ethics 9, 141–143.

    Article  Google Scholar 

  45. Tancredi, L.: 1982, ‘Competency for Informed Consent’, International Journal of Law and Psychiatry 5, 51–63.

    Article  Google Scholar 

  46. Taylor, P. J.: 1983, ‘Consent, Competency and ECT: a Psychiatrist’s View’ Journal of Medical Ethics 9, 146–151.

    Article  Google Scholar 

  47. Thomasma, D.: 1983, ‘Beyond Medical Paternalism and Patient Autonomy’, Annals of Internal Medicine 98, 243–248.

    Google Scholar 

  48. Watson, G.: 1975, ‘Tree Agency’, The Journal of Philosophy 8, 205–220.

    Article  Google Scholar 

  49. Wear, S.: 1983, ‘Patient Autonomy, Paternalism, and the Conscientious Physician’, Theoretical Medicine 4, 253–274.

    Article  Google Scholar 

  50. Werner, R.: 1983, ‘Ethical Realism’ Ethics 93, 653–679.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. College of Medicine, University of Tennessee, Memphis, Tennessee, USA

    E. Haavi Morreim

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  1. E. Haavi Morreim
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Editors and Affiliations

  1. Dept. of Philosophy, University of Colorado at Colorado Springs, USA

    Mary Ann Gardell Cutter

  2. Foundation for Interfaith Research and Ministry, USA

    Earl E. Shelp

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© 1991 Springer Science+Business Media Dordrecht

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Morreim, E.H. (1991). Competence: At The Intersection of Law, Medicine, and Philosophy. In: Cutter, M.A.G., Shelp, E.E. (eds) Competency. Philosophy and Medicine, vol 39. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-3614-3_5

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  • DOI: https://doi.org/10.1007/978-94-011-3614-3_5

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-5603-8

  • Online ISBN: 978-94-011-3614-3

  • eBook Packages: Springer Book Archive

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