关键词: autonomy bioethical assessment deferential vulnerability informed consent self-worth vascularized composite allotransplantation

来  源:   DOI:10.3389/frtra.2024.1346667   PDF(Pubmed)

Abstract:
This report proposes a framework for evaluating the validity of informed consent and autonomy in face transplant candidates, taking into account the risk of depression and non-compliance. Traditional factors like decisional capacity, disclosure, comprehension, voluntariness, and agreement are insufficient for assessing valid informed consent in individuals whose self-worth relies on public perception, potentially leading to self-harm if societal worth is undermined. Reliance on self-esteem, rather than inherent personal value, poses risks of depression, poor treatment adherence, and deferential vulnerability. We suggest a qualitative analysis of self-worth, self-esteem, self-trust, and self-respect to better assess the autonomy of face transplant candidates in their decision-making process.
摘要:
本报告提出了一个框架,用于评估面部移植候选人的知情同意和自主权的有效性,考虑到抑郁和不遵守的风险。传统因素,如决策能力,披露,理解,自愿性,和协议不足以评估自我价值依赖于公众认知的个人的有效知情同意,如果社会价值受到损害,可能会导致自我伤害。依靠自尊,而不是固有的个人价值,会带来抑郁的风险,治疗依从性差,和恭敬的脆弱性。我们建议对自我价值进行定性分析,自尊,自信,和自尊,以更好地评估面部移植候选人在决策过程中的自主性。
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