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首页> 美国卫生研究院文献>Journal of Medical Ethics >Bioethics of the refusal of blood by Jehovahs Witnesses: Part 2. A novel approach based on rational non-interventional paternalism.
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Bioethics of the refusal of blood by Jehovahs Witnesses: Part 2. A novel approach based on rational non-interventional paternalism.

机译：耶和华见证人拒绝献血的生物伦理学：第二部分。一种基于理性的非干预家长制的新颖方法。

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摘要

Most physicians dealing with Jehovah's Witnesses (JWs) who refuse blood-based treatment are uncertain as to any obligation to educate patients where it concerns the JW blood doctrine itself. They often feel they must unquestioningly comply when demands are framed as religiously based. Recent discussion by dissidents and reformers of morally questionable policies by the JW organisation raise ethical dilemmas about "passive" support of this doctrine by some concerned physicians. In this paper, Part 2, I propose that physicians discuss the misinformation and irrationality behind the blood doctrine with the JW patient by raising questions that provide new perspectives. A meeting should be held non-coercively and in strict confidence, and the patient's decision after the meeting should be fully honoured (non-interventional). A rational deliberation based on new information and a new perspective would enable a certain segment of JW patients to make truly informed, autonomous and rational decisions.
机译：与拒绝基于血液的治疗的耶和华见证人（JWs）打交道的大多数医生对于与JW血液学说本身有关的教育患者的义务并不确定。当需求被定性为基于宗教的时候，他们通常会感到毫无疑问地必须遵守。持不同政见者和改革者最近对JW组织的道德问题政策进行的讨论，引起了一些有关医师对这一学说的“被动”支持的伦理困境。在本文的第2部分中，我建议医生通过提出新的观点与JW患者讨论血液学说背后的错误信息和不合理性。会议应非强制性和严格保密地举行，会议后患者的决定应得到充分尊重（非干预性）。基于新信息和新观点的理性讨论将使JW患者的特定群体做出真正有根据的，自主的和理性的决定。

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