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Can minor parents refuse treatment for their child

Bibliographic Data

ID21513853
AuthorsHelen Lynne Turnham (0000-0003-1011-2885, Oxford University Hospitals NHS Trust, corresponding author), Ariella Binik (0000-0002-1557-9735, McMaster University), Dominic Wilkinson (0000-0003-3958-8633, University of Oxford)
Year2020
Volume46
Issue6
Pages355-359
Publication date2020-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Medical Ethics (JOURNAL)
Journal identifiersISSN: 0306-6800 • E-ISSN: 1473-4257
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/medethics-2019-105702
PMID32060211
OpenAlexW3004964361
LanguageEN
Citations received2
References cited12

Infants are unable to make their own decisions or express their own wishes about medical procedures and treatments. They rely on surrogates to make decisions for them. Who should be the decision-maker when an infant’s biological parents are also minors? In this paper, we analyse a case in which the biological mother is a child. The central questions raised by the case are whether minor parents should make medical decisions on behalf of an infant, and if so, what are the limits to this decision-making authority? In particular, can they refuse treatment that might be considered best for the infant? We examine different ethical arguments to underpin parental decision-making authority; we argue that provided that minor parents are capable of fulfilling their parental duties, they should have a right to make medical decisions for their infant. We then examine the ethical limits to minor parents’ decision-making authority for their children. We argue that the restricted authority that teenagers are granted to make medical decisions for themselves looks very similar to the restricted autonomy of all parents. That is, they are permitted to make choices, but not harmful choices. Like all parents, minor parents must not abuse or neglect their children and must also promote their welfare. They have a moral right to make medical decisions for their infants within the same ‘zone of parental discretion’ that applies to adult parents. We conclude that adult and minor parents should have comparable decision-making authority for their infants

Autonomy · Best interests · Discretion · Neglect · Political science · Psychiatry · Welfare · Ethics and Legal Issues in Pediatric Healthcare · Ethics in medical practice · Law · Medicine · Patient Dignity and Privacy · Psychology · Social Psychology

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  • As low as reasonably practicable (Alarp)

    Open Access•Helen Lynne Turnham, Sarah-Jane Bowen et al.•Journal of Medical Ethics•2024

  • Procreation and Parenthood

    David Archard, David Benatar•Procreation and parenthood•2010

  • Parents’ Rights and the Value of the Family

    Harry Brighouse, Adam Swift•Ethics•2006

  • The Right to Parent One's Biological Baby

    Open Access•Anca Gheaus•Journal of Political Philosophy•2011

Unique citing works2
Citations per year0.33
Citation span2020 - 2024 (5)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 2

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