Law, ethics and compromise at the limits of life : to treat or not to treat? / Richard Huxtable.
2013
KD3410.E88 H892 2013 (Map It)
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Details
Author
Title
Law, ethics and compromise at the limits of life : to treat or not to treat? / Richard Huxtable.
Published
Milton Park, Abingdon, Oxon ; New York : Routledge, [2013]
Copyright
©2013
Call Number
KD3410.E88 H892 2013
ISBN
9780415492799 (hardback)
0415492793 (hardback)
9780415492805 (pbk.)
0415492807 (pbk.)
9780203098448 (e-book)
0203098447 (e-book)
0415492793 (hardback)
9780415492805 (pbk.)
0415492807 (pbk.)
9780203098448 (e-book)
0203098447 (e-book)
Description
xx, 207 pages ; 24 cm.
System Control No.
(OCoLC)782251839
Bibliography, etc. Note
Includes bibliographical references (pages [183]-197) and index.
Record Appears in
Table of Contents
Acknowledgements
xiii
List of abbreviations
xv
Table of reported cases
xvii
Introduction
1
1.
Judging law and ethics at the limits of life
11
1.1.
Conflicts in the clinic: the case of David Glass
11
1.2.
Judging law: rationality and the rule of law
14
1.2.1.
Judging law from within
14
1.2.2.
Criteria for rational law
16
1.2.3.
Fuller and the rule of law
18
1.2.4.
Taking stock: criteria for judging law
21
1.3.
Judging ethics
22
1.3.1.
Judging ethics from within (law): immanent critique
22
1.3.2.
Judging ethics from outside (law): judgments, principles and theories
25
1.4.
Conclusion: (not) just law
29
2.
Law at the limits of life: children, welfare and best interests
33
2.1.
Conflicts in the clinic: the case of Charlotte Wyatt
33
2.2.
Best interests, welfare and the law
36
2.2.1.
Criminal beginnings?
37
2.2.2.
Civil proceedings?
39
2.3.
Conclusion: in the child's best interests?
49
3.
Law at the limits of life: adults, incapacity and precedent autonomy
51
3.1.
Conflicts in the clinic: the case of Terri Schiavo
51
3.2.
Best interests, incapacity and precedent autonomy
54
3.2.1.
Best interests and the persistent vegetative state
55
3.2.2.
Best interests beyond the persistent vegetative state
62
3.2.3.
Advance directives
65
3.2.4.
Lasting powers of attorney
71
3.3.
Conclusion: autonomy or welfare?
72
4.
The limits of law at the limits of life: to treat or not to treat?
75
4.1.
Conflicts in the clinic: to treat or not to treat?
75
4.2.
Taking exception to exceptions: a duty to treat?
76
4.3.
In the patient's best interests?
80
4.3.1.
Treating like cases alike?
80
4.3.2.
Objective rule(s)?
84
4.3.3.
Know-ability and perform-ability?
85
4.4.
Respecting autonomy?
90
4.5.
Subjective judgments? From law to ethics at the limits of life
95
4.6.
Conclusion: problems painting unicorns with Odysseus
101
5.
Calculating the value of life at the limits of life
103
5.1.
Looking for values in English law
103
5.2.
The value of life in English law
104
5.3.
Calculating the value of life
109
5.3.1.
The intrinsic value of life: the disutility of futility?
109
5.3.2.
The instrumental value of life: worthless lives?
114
5.3.3.
The self-determined value of life: autonomy unbound?
116
5.4.
Subjective judgments or objective judgments?
120
5.5.
Conclusion: beyond conflict?
122
6.
A case for compromise at the limits of life
123
6.1.
Beyond conflict in the clinic: towards compromise
123
6.2.
Contemplating compromise
125
6.3.
Criticising compromise
127
6.4.
Cause to compromise: six reasons to compromise
132
6.5.
Constructing compromise: three virtues of compromising
135
6.6.
Conclusion: compromise in theory and practice
140
7.
Crafting compromise: courts or clinical ethics committees?
143
7.1.
Conflicts in the clinic revisited: to treat or not to treat?
143
7.2.
Viewing values in the court
144
7.2.1.
For the courts as vehicles of values
145
7.2.2.
Against the courts as vehicles of values
146
7.2.3.
Law and ethics in the courts and beyond
148
7.3.
Viewing values in clinical ethics support
153
7.3.1.
For the ethics support of clinical ethics support
153
7.3.2.
Against the ethics support of clinical ethics support
159
7.4.
Conclusion: compromise in court or clinical ethics committee?
163
8.
Committees, courts and compromise at the limits of life
165
8.1.
Reconstructing clinical ethics support
165
8.2.
The products of clinical ethics consultation: issuing consistent guidance
166
8.3.
The processes of clinical ethics consultation: observing due process
168
8.4.
Expertise in clinical ethics consultation: exhibiting ethical expertise
172
8.5.
Conclusion: clinical ethics committees, courts and compromise
177
Bibliography
183
Index
199