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Pediatric Authenticity

Hiding in Plain Sight

Bibliographic Data

ID20338234
AuthorsRyan H Nelson (0009-0005-4388-2773), Bryanna Moore (0000-0001-9086-1952), Jennifer Blumenthal‐Barby (0000-0003-1054-619X)
Year2022
Volume52
Issue1
Pages42-50
Publication date2022-01-01
Open AccessYes
TypeARTICLE
VenueThe Hastings Center Report (JOURNAL)
Journal identifiersISSN: 0093-0334 • E-ISSN: 1552-146X
PublisherWiley (PUBLISHER • GB)
DOI10.1002/hast.1339
PMID35143069
OpenAlexW4211005658
LanguageEN
References cited23

The range of decisions considered permissible in pediatrics is typically understood to involve a balance between patient interests and parental or surrogate authority. In this article, we argue that there is a distinct set of considerations relevant to pediatric decision‐making that is often neglected or unacknowledged in pediatrics—namely, considerations related to patient authenticity. The standard of pediatric authenticity asks not what is best for the patient or what the patient would choose but, rather, what is most consistent with who the patient is. We begin the article with an overview of the best interest standard and suggest that authenticity can elucidate considerations that fall between a child’s strictly medical interests and broader familial or relational interests. Next, we discuss authenticity in greater detail, noting the limits of applying certain philosophical conceptions of authenticity in pediatrics. We then sketch our own account of pediatric authenticity and distinguish it from the related concepts of subjective interests and assent. We conclude with a discussion of three cases illustrating the normative significance of authenticity in a range of situations arising in pediatric medicine

Best interests · Epistemology · Normative · Perspective (graphical) · Political science · Set (abstract data type) · Sketch · Computer Science · Ethics and Legal Issues in Pediatric Healthcare · Ethics in medical practice · Law · Medicine · Patient Dignity and Privacy · Philosophy · Psychology · Social Psychology

  • The Theory and Practice of Autonomy

    Open Access•Gerald Dworkin•Theory and Practice of Autonomy•1988

  • Prozac, Enhancement, and Self-Creation

    David Degrazia•The Hastings Center Report•2000

  • Extreme Prematurity and Parental Rights after Baby Doe

    John A Robertson•The Hastings Center Report•2004

  • Autonomy and the Question of Authenticity

    Marina Oshana•Social Theory and Practice•2007

  • To be or Not to be Authentic. In Defence of Authenticity as an Ethical Ideal

    Open Access•Kenneth Bauer•Ethical Theory and Moral Practice•2017

  • An Introduction to the Five-Factor Model and Its Applications

    Open Access•Robert R Mccrae, Oliver P John•Journal of Personality•1992

Highly citedNo

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