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首页> 外文期刊>Bioethics >TRANSITIONAL PATERNALISM: HOW SHARED NORMATIVE POWERS GIVE RISE TO THE ASYMMETRY OF ADOLESCENT CONSENT AND REFUSAL
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TRANSITIONAL PATERNALISM: HOW SHARED NORMATIVE POWERS GIVE RISE TO THE ASYMMETRY OF ADOLESCENT CONSENT AND REFUSAL

机译：过渡式家长制：如何将分享的规范力量赋予青少年同意和拒绝的不对称性

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摘要

In many jurisdictions, adolescents acquire the right to consent to treatment; but in some cases their refusals - e.g. of life-saving treatment - may not be respected. This asymmetry of adolescent consent and refusal seems puzzling, even incoherent. The aim here is to offer an original explanation, and a justification, of this asymmetry. Rather than trying to explain the asymmetry in terms of a variable standard of competence - where the adolescent is competent to consent to, but not refuse, certain interventions - the account offered here focuses more closely on the normative power to render actions permissible. Where normative powers are shared they can readily give rise to an asymmetry between consent and refusal. We then turn to why it is justifiable that normative powers be shared in adolescence. Transitional paternalism holds that the acquisition of normative powers by competent adolescents should not be an instant one, achieved in a single step, but that there should be a transitional period where paternalistic protection is rolled back, but not entirely withdrawn until a later date. Transitional paternalism could be implemented without generating the asymmetry between consent and refusal but, it is argued, the asymmetric version of transitional paternalism is to be preferred insofar as it offers a greater respect for the adolescent's decisions than the symmetrical alternative.
机译：在许多司法管辖区，青少年获得同意接受治疗的权利;但在某些情况下，他们拒绝了-例如的救命方法-可能不被尊重。青春期同意和拒绝的这种不对称性似乎令人困惑，甚至不一致。这里的目的是提供这种不对称性的原始解释和理由。而不是试图根据可变的能力标准来解释不对称性-青少年有权胜任某些干预，但不能拒绝某些干预-此处提供的说明更加集中于使行为允许的规范权力。在分享规范权力的地方，它们很容易引起同意和拒绝之间的不对称。然后我们转向为什么在青春期分享规范权力是合理的。过渡式家长制认为，有能力的青少年获得规范性权力不应一，而就，要一步一步实现，而应该有一个过渡时期，在此过渡期家长制保护权将被撤消，但直到后来才完全撤消。过渡家长制可以在不引起同意与拒绝之间不对称的情况下实施，但有人认为，过渡家长制的不对称形式是可取的，因为它比对称选择更能尊重青少年的决定。

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