Truthfulness and Deceit in Dementia Care: An argument for truthful regard as a morally significant human bond.

IF 1.1 4区 哲学 Q3 ETHICS
Philippa Byers
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引用次数: 0

Abstract

This paper presents a challenge to the view that benign 'white lies' may be therapeutic in dementia care and preferable to more truthful alternatives. Drawing on Sissela Bok and Bernard Williams, the paper develops three key points: first, that another person's dementia is not a reason to suspend one's customary reluctance to deceive others; second, that the commonly drawn contrast between benign deceit and blunt disclosure is too simple to frame arguments for the acceptability of deceit in dementia care; and third, truthful regard-regard for a person living with dementia as one for whom truth matters, as it does for oneself-is a foundation for beneficent concern that is neither infantilizing nor condescending. The paper proposes that a morally significant human bond is established through regard for another person as one for whom truth matters, just as it does for oneself, irrespective of another's dementia, and that within dementia care, the commission of deceit should be seen as an unsettling exception to a general principle of truthfulness.

痴呆症护理中的真实与欺骗:关于真实关怀是一种道德上重要的人类纽带的论证。
这篇论文提出了一个挑战的观点,良性的“善意的谎言”可能是治疗痴呆症护理和更真实的选择。借鉴西西拉•博克和伯纳德•威廉姆斯的观点,论文提出了三个关键点:首先,一个人的痴呆症不能成为一个人暂停惯常不愿欺骗他人的理由;其次,善意的欺骗和坦率的披露之间的普遍对比过于简单,无法为痴呆症护理中欺骗的可接受性提供论据;第三,真诚的关怀——把一个患有痴呆症的人当作一个关心真相的人,就像关心自己一样——是慈善关怀的基础,既不是幼稚化,也不是居高俯下。这篇论文提出,一种具有道德意义的人类纽带是通过把另一个人视为真理重要的人而建立起来的,就像对自己一样,不管对方是否患有痴呆症,在痴呆症护理中,欺骗行为应该被视为诚实一般原则的一个令人不安的例外。
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来源期刊
CiteScore
3.00
自引率
0.00%
发文量
19
期刊介绍: The Kennedy Institute of Ethics Journal offers a scholarly forum for diverse views on major issues in bioethics, such as analysis and critique of principlism, feminist perspectives in bioethics, the work of the Advisory Committee on Human Radiation Experiments, active euthanasia, genetics, health care reform, and organ transplantation. Each issue includes "Scope Notes," an overview and extensive annotated bibliography on a specific topic in bioethics, and "Bioethics Inside the Beltway," a report written by a Washington insider updating bioethics activities on the federal level.
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