Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

The Many Faces of Competency

Bibliographic Data

ID20338441
AuthorsJames F Drane (corresponding author)
Year1985
Volume15
Issue2
Pages17
Publication date1985-04-01
Open AccessNo
TypeARTICLE
VenueThe Hastings Center Report (JOURNAL)
Journal identifiersISSN: 0093-0334 • E-ISSN: 1552-146X
PublisherJSTOR (PUBLISHER)
DOI10.2307/3560639
OpenAlexW4293118332
LanguageEN
Citations received10

A sliding-scale model for assessing patient competency to consent to\nmedical treatments is proposed. The least stringent standard, to be applied\nin the case of safe and effective treatments, assumes a valid consent if the\npatient is aware of what is happening and assents to the rational expectations\nof the physician. The second standard, applicable in the case of less certain\ntreatments, requires that the patient understand the treatment options and\nhave the capacity to choose or reject a treatment based on a weighing of risks\nand benefits. The third and most stringent standard, reserved for very\ndangerous treatments, bases competence to consent on an appreciation of the\nimplications of the medical information for the patient's life and on an\nability to state the reasons for the decision in terms of the medical issues\nand the patient's personal values. (KIE abstract)

Competency Development and Evaluation · Psychology

  • Assessment of Patients' Competence to Consent to Treatment

    Paul S Appelbaum, Peter Appelbaum•New England Journal of Medicine•2007

  • Competence for physician-assisted death of patients with mental disorders

    Azgad Gold•Journal of Medical Ethics•2025

  • Respecting the right to refuse

    Open Access•Yekaterina Angelova, Stephanie Cheung et al.•Journal of Medical Ethics•2025

  • Persons with mental disorders and assisted dying practices in Spain

    Open Access•Josep Pifarré, Montse Esquerda et al.•International Journal of Law and…•2024

  • When Harms Become Wrongs

    Open Access•John D Banja, John Banja•Journal of Disability Policy…•2001

  • Das Wechselspiel von Autonomie und Vertrauen – eine philosophische Einführung

    Open Access•Holmer Steinfath•Autonomie und Vertrauen•2016

  • Assessment of Decision-Making Capacity in Older Adults

    Jennifer Moye, Daniel Marson et al.•The Journals of Gerontology…•2007

  • Locos entre cuerdos, cuerdos en ambientes patológicos

    Open Access•José Luis Rodríguez-Arias Palomo•Arbor•2013

  • Enrolling Decisionally Impaired Adults in Clinical Research

    Donna T Chen, Franklin G Miller et al.•Medical Care•2002

  • Assessing decision-making capacity

    Open Access•Patricia Backlar•Community Mental Health Journal•1996

Citations per year0.33
Citation span1996 - 2025 (30)
Highly citedNo

Tools

Open DOISci-Hub
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae