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Overriding adolescent refusals of treatment

Skelton, A; Forsberg, L; Black, I; (2021) Overriding adolescent refusals of treatment. Journal of Ethics and Social Philosophy , 20 (3) pp. 221-247. 10.26556/jesp.v20i3.965. Green open access

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Abstract

Adolescents are routinely treated differently to adults, even when they possess similar capacities. In this article, we explore the justification for one case of differential treatment of adolescents. We attempt to make philosophical sense of the concurrent consents doctrine in law: adolescents found to have decision-making capacity have the power to consent to—and thereby, all else being equal, permit—their own medical treatment, but they lack the power always to refuse treatment and so render it impermissible. Other parties, that is, individuals who exercise parental responsibility or a court, retain the authority to consent on an adolescent’s behalf. We explore four defences of the doctrine. We reject two attempts to defend the asymmetry in the power to consent to and refuse medical treatment by reference to transitional paternalism. We then consider and reject a stage of life justification. Finally, we articulate a justification based on the distinctiveness of adolescent well-being.

Type: Article
Title: Overriding adolescent refusals of treatment
Open access status: An open access version is available from UCL Discovery
DOI: 10.26556/jesp.v20i3.965
Publisher version: https://doi.org/10.26556/jesp.v20i3.965
Language: English
Additional information: This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > UCL SLASH
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of Laws
URI: https://discovery.ucl.ac.uk/id/eprint/10140129
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